bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sistem Pakar Diagnosa Tingkat Depresi Pada Lansia Di Balai Sosial Tresna Werdha Menggunakan Metode Certainty Factor
Authors: AzhariMalindo M. , Chandra Albert Yakobus 
Published: August 2023

Depressive disorder in the elderly is a clinical and public health issue that has yet to be addressed.
The elderly who live at home with their families have better physical, psychological, and environmental health than those who live in orphanages. Mental health issues, particularly depression, frequently go undiagnosed in the elderly. This is because older people who are depressed often have physical symptoms like insomnia, loss of appetite, stomach problems, and headaches. When older people are depressed, their bodies tend to hurt more. It is hard to tell whether someone is complaining about their body or mind, so depression is often found too late. To anticipate these issues, an expert system was created that can take the place of an expert in solving the problem. A clinical psychologist is an expert in the field of elderly depression. This study classified elderly depression into three levels: mild depression, moderate depression, and major depression. This study was carried out with the help of a case study from the Tresna Werdha Pakem Social Center in Sleman, DI Yogyakarta.The Certainty Factor method was used to make an expert system for determining how depressed an older person is. This is because it is a sure thing based on evidence or an expert's opinion. The goal of developing an expert system for diagnosing depression in the elderly is for expert and non-expert officers to diagnose the level of depression in the elderly. Based on 10 elderly data that the system and experts have tested by applying the Certainty Factor method, the accuracy was 98%.
Level of Microbial Contamination of Freshly Prepared Fufu and Retailed Fufu
Authors: Omorodion J.P. Nnenna , Beniye D Amakiri 
Published: August 2023

Fufu is an acid-fermented products produced through submerged fermentation of cassava root in water for days. The study was set to determine the microbiological quality and the physiochemical composition of freshly prepared fufu (FF) and retailed fufu (RF). A standard microbiological method was used in enumerating and identify bacteria and fungi species isolated. The total heterotrophic bacteria count ranges from Log10 cfu/g 2.14 to 6.18 and 3.56 to 7.06 for retailed fufu and freshly prepared fufu respectively. Predominant bacteria found in the samples studied and their percentage of distribution were Lactobacillus 17(23%), Escherichia coli and Staphylococcus sp. 14(19%), Bacillus sp. 13(18%), Micrococcus sp. 5(7%), Enterobacter and Corynebacterium were 4(5%) and Proteus has the least 3(4%). Among the fungi were Mucor sp. and Candida sp. were 6(26.1%), Aspergillus niger 4(17.4%), Saccharomyces sp. 5(21.7%), and Rhizopus sp.2(8.7). The proximate analysis revealed an insignificant difference in crude protein ranging from 1.36% in FF to 1.24 in RF, carbohydrates content 82.88% to83.12% in RF and FF, ash content is higher in FF ranging 7.33% to 1.53% RF, while the moisture content is higher in RF with 9.47% and 1.78% in FF. Magnesium ranges from 38.4mg/ml in FF to 35.3mg/ml in RF .The results obtained showed that the fufu samples that were retailed were more contaminated than the freshly prepared fufu which might pose risk to health. Therefore, there is a need for proper sanitary conditions and best processing and production especially during packing is recommended.
ANALISIS YURIDIS PERMOHONAN PRAPERADILAN TERHADAP SURAT PERINTAH PENGHENTIAN PENYIDIKAN (SP3) OLEH KEPOLISIAN DALAM PERKARA PENIPUAN DAN PENGGELAPAN (Putusan Nomor 96/Pid.Pra/2019/ PN.Mdn)
Authors: Evisan Febri , Marzuki Marzuki , Miroharjo Didik 
Published: August 2023

Praperadilan dilakukan dengan maksud dan tujuan yakni tegaknya hukum dan perlindungan hak asasi tersangka dalam tingkat pemeriksaan, penyidikan, dan penuntutan. Penelitian ini membahas permasalahan bagaimana pengaturan hukum yang mengatur tentang praperadilan dalam proses hukum perkara pidana, bagaimanakah kewenangan penyidik mengeluarkan SP3 pada perkara tindak pidana penipuan dan penggelapan dalam jabatan, bagaimanakah pertimbangan hakim dalam memeriksa dan memutus perkara praperadilan penghentian penyidikan oleh kepolisian dalam perkara penipuan dan penggelapan.
Penelitian ini menggunakan metode deskriptif melalui studi kepustakaan dan studi lapangan untuk memperoleh data-data dengan mengadakan tanya jawab (wawancara) dengan hakim pada wilayah hukum Pengadilan Negeri Medan.
Pengaturan hukum yang mengatur tentang pra peradilan dalam proses hukum perkara pidana diatur dalam KUHAP yaitu tentang sah atau tidaknya suatu penangkapan dan atau penahanan, sah atau tidaknya penghentian penyidikan atau penghentian penuntutan, permintaan ganti kerugian atau rehabilitasi dan setelah keluarnya putusan Mahkamah Konstitusi Nomor 21/PUU-XII/2014 menambah penetapan tersangka, penggeledahan, dan penyitaan termasuk sebagai obyek praperadilan. Kewenangan penyidik mengeluarkan SP3 pada perkara tindak pidana adalah apabila tidak terdapat cukup bukti, dalam arti tidak dapat ditemukan alat-alat bukti sah yang cukup.
Hasil penelitian menunjukkan bahwa pertimbangan hakim dalam memeriksa dan memutus perkara pra peradilan penghentian penyidikan oleh kepolisian dalam perkara penipuan dan penggelapan dalam jabatan adalah menolak permohonan praperadilan disebabkan tidak terbukti Termohon II telah menghentikan penyidikan atas laporan dari Pemohon, namun laporan pemohon tersebut masih dalam proses penyidikan. Berdasarkan kesimpulan, maka disarankan agar dalam hal menetapkan seseorang sebagai tersangka, aparat penegak hukum yang dalam hal ini adalah penyidik harus sangat berhati-hati.
Edukasi Masyarakat Melalui Gerakan 10 Jari Cegah Kanker Ovarium
Authors: Silvana Rista , Prameswarie Thia , Rinaldzi Ary , Wardani Aliyah , Noviandini Berliana 
Published: August 2023

Kanker ovarium adalah kanker yang muncul di jaringan ovarium atau indung telur. Kanker ini merupakan jenis kanker terbanyak ketiga yang diderita wanita di Indonesia. Minimnya pengetahuan terhadap kanker sendiri merupakan salah satu penghambat pendeteksian dini kejadian kanker ovarium. Deteksi dini merupakan kunci upaya penyembuhan kanker ovarium melalui gerakan 10 jari cegah kanker ovarium yaitu kampanye untuk mengenal enam faktor risiko dan empat tanda kanker ovarium. Tujuan kegiatan penyuluhan ini adalah untuk menyampaikan informasi mengenai kanker ovarium dan meningkatkan pengetahuan deteksi dini kanker ovarium dengan metode 10 jari pada wanita usia post menopause. Metode yang digunakan dalam kegiatan melalui serangkaian tahap antara lain dengan penyuluhan dan pemeriksaan USG (ultrasonography). Penyuluhan ini dilaksanakan di Kelurahan 16 Ulu Kecamatan SU II Kota Palembang. Hasil yang dicapai setelah mengikuti penyuluhan dan diskusi ada peningkatan pengetahuan masyarakat mengetahui tentang bahayanya kanker ovarium dan pentingnya deteksi dini.
Peningkatan Pengetahuan dan Pemasangan Metodekontrasepsi Jangka Panjang(MKJP) di Dusun Lembar Barat Desa Lembar Selatan Lombok Barat
Authors: Fatmasari Baiq Dika , Aprianti Nurannisa Fitria , Faizaturrahmi Eka 
Published: August 2023

Pelayanan program Keluarga Berencana pelaksanaannya senantiasa terintegrasi dengan kegiatan kelangsungan hidup ibu, bayi dan anak serta penanggulangan masalah Kesehatan dan kesetaraan gender sebagai salah satu upaya pemecahan hak-hak reproduksi kepada masyarakat. Memperhatikan hal-hal tersebut, maka operasional pelaksanaan program KB perlu dikelola secara lebih serius, professional dan berkesinambungan sehingga upaya-upaya tersebut dapat memberikan kepuasan bagi semua pihak baik klien maupun pemberi pelayanan yang pada akhirnya akan meningkatkan kesertaan masyarakat dalam berKB, terhindar dari masalah kesehatan, reproduksi, meningkatkan kesejahteraan keluarga. Berdasarkan pendataan yang telah kami laksanakan di Dusun Lembar Barat, diperoleh data bahwa dari 240 PUS, akseptor KB sebanyak 152 orang (62,50%), dimana persentase pengunaan Metode Kontrasepsi Jangka Panjang masih rendah yaitu sebanyak 37 orang (15,41%). Hal ini karena kurangnya pengetahuan masyarakat mengenai Metode Kontrasepsi Jangka Panjang sehingga penggunaannya masih sangat rendah. Berdasarkan masalah tersebut kami melakukan kegiatan Pengabdian Masyarakat Penyuluhan Metode Kontrasepsi Jangka Panjang pada tanggal 2 Desember 2021 di balai dusun. Sebanyak 15 orang peserta diberi kuisioner pre tes sebelum penyuluhan, selanjutnya penyampaian materi dengan media lembar balik dan power point dan diakhiri dengan pengisian kuisioner post tes. Terjadi peningkatan pengetahuan ibu tentang Metode Kontrasepsi Jangka Panjang setelah kegiatan berlangsung terlihat dari perbedaan nilai rerata kuisioner pre test senilai 55,5% menjadi 98,2% pada saat post test dan adanya pengguna baru MKJP Implan sebanyak 9 orang setelah diberikan penyuluhan.
Peningkatan pengetahuan dan kapabilitas ibu melalui program cegah tangkal triple burden malnutrition
Authors: Effendy Devi Savitri , Tosepu Ramadhan , Suhadi Suhadi , Ahmad La Ode Ali Imran , Lestari Hariati , Asfian Pitrah , Prasetya Fikki , Octaviani Rizki Eka Sakti 
Published: August 2023

Southeast Sulawesi has been grappling with a significant issue of malnutrition recently. While the problem of stunting remains unresolved, there has been a surge in obesity rates. To tackle the triple burden malnutrition, the CEKAL TRIP BOMBANA program has been introduced. This preventive program aims to increase the skills and knowledge of mothers in terms of nutrition and health, thereby preventing triple malnutrition in households. The program was implemented in three assisted villages - Lameroro Village, Tapuhahi Village, and Lantawonua Village in Bombana District, Southeast Sulawesi Province. The program has four key components: training on early detection of triple malnutrition, counseling on nutrition and healthy lifestyles, launching a Facebook account for social media dissemination of messages, and forming influencers from trainees to become agents of change in their communities. The program's success was evaluated by assessing the implementation process and observing the participant’s responses to the material provided. Participants gave positive feedback, stating that the material increased their knowledge of nutrition and health for children, adolescents, and pregnant women. Abstrak: Sulawesi Tenggara merupakan provinsi dengan beban malnutrisi yang cukup signifikan. Masalah gizi kurang yakni stunting belum lagi terselesaikan, di saat yang sama angka obesitas di wilayah ini mulai merangkat naik. Cegah Tangkal Triple Burden Malnutrition (CEKAL TRIP BOMBANA) adalah program preventif untuk mencegah timbulnya triple malnutrition dalam satu rumah tangga melalui peningkatan kapasitas dan ketrampilan ibu dalam hal gizi dan kesehatan. Pelaksanaan program difokuskan pada 3 desa binaan yaitu Desa Lameroro, Desa Tapuhahi, dan Desa Lantawonua di Kabupaten Bombana Provinsi Sulawesi Tenggara. Terdapat 4 komponen utama program, yaitu pelatihan deteksi dini triple malnutrition dan penyuluhan gizi dan pola hidup sehat, Launching akun Facebok untuk diseminasi pesan melalui sosial media, dan pembentukan influencer dari peserta pelatihan untuk menjadi agent of change di komunitas masing-masing. Evaluasi program dilakukan dengan menilai proses pelaksanaan kegiatan dan mengobservasi respon peserta terhadap materi yang diberikan. Peserta memberikan respon yang positif terhadap pelaksanaan kegiatan dan menyatakan bahwa materi yang diberikan menambah wawasan dan pengetahuan pengetahuan mereka terkait gizi dan kesehatan anak, remaja, dan ibu hamil.
Pelatihan pada bidan desa mengenai penggunaan breast gel pack untuk ibu nifas di wilayah kerja Puskesmas Penyengat Olak
Authors: Lilis Dewi Nopiska , Diniyati Diniyati 
Published: August 2023

Bendungan ASI merupakan suatu kondisi terjadinya sumbatan pada saluran laktiferus, yang disebabkan oleh tekanan jari pada saat menyusui, terlalu ketatnya BH yang digunakan dan adanya komplikasi pembengkakan payudara, yaitu tidak segera dikeluarkan susu yang diproduksi sehingga menimbulkan sumbatan. hasil nilai pretest pada bidan desa sebelum diberikan materi pelatihan tentang penggunaan Breast Gel Pack pada ibu nifas nilai terendah yaitu benar 30 dan tertinggi benar 60 dari 15 pertanyaan, dengan nilai rata rata yaitu 42,6. Bidan rata-rata belum mengetahui secara spesifik penggunaan Breast Gel Pack yang bisa mengurangi keluhan bendungan ASI pada ibu nifas. Kegiatan sosialisasi dan pelatihan bidan desa. Dengan pemberian materi yang berhubungan dengan pengetahuan, pemahaman dan keterampilan tentang upaya penggunaan Breast Gel Pack pada ibu nifas dan meningkatnya pengetahuan, pemahaman dan keterampilan bidan desa tentang penggunaan Breast Gel Pack pada ibu nifas. Abstract. Breast milk engorgement is a condition in which there is a blockage in the lactiferous ducts, caused by finger pressure during breastfeeding, too tight bras, and complications of breast swelling, i.e., not immediately releasing the produced milk, leading to blockage. The pre-test results among village midwives before being given training material on the use of Breast Gel Pack for postpartum mothers showed the lowest score of 30 correct answers and the highest of 60 correct out of 15 questions, with an average score of 42.6. On average, midwives are not specifically aware of the use of Breast Gel Pack that can reduce breast milk engorgement complaints in postpartum mothers. This led to the initiative of community awareness and training for village midwives. With the provision of material related to knowledge, understanding, and skills about the use of Breast Gel Pack in postpartum mothers, there was an increase in the knowledge, understanding, and skills of village midwives about the use of the Breast Gel Pack for postpartum mothers.
SILÊNCIOS E CONTRAPOSIÇÕES CULTURAIS EM THE JUMPING MONKEY HILL DE CHIMAMANDA ADICHIE
Authors: Cristina Sermanovicz de Oliveira Gabriela 
Published: August 2023

Durante a pesquisa proposta, objetiva-se analisar em The Jumping Monkey Hill, como as construções de diversos silêncios na obra perpetuam ou quebram as relações de racismo e sexismo em África, resultantes do modelo deficiente do patriarcalismo eurocêntrico. A análise parte dos pressupostos dos estudos relacionados à Mulherismo Africana e ao silêncio, especificamente nos trabalhos de Dove (1998), Hudson-Wemms (2020), Davis (2013 - 2016),de Orlandi (2007) e de Perrot (2005), que englobam tanto o teórico quanto o aplicável à análise literária pós-colonial e ao estudo do silêncio. O objetivo consiste em observar como o sistema patriarcal possui déficits de estruturação e instaura silêncios diversos e como através da observação feita no silêncio, é possível alterar a norma que este sistema apresenta como natural. Às pessoas subjugadas à condição de exclusões por sua cor e sexualidade, irrompem sentimentos de angústia e despertencimento, que moldam prisões sociais que oprimem e silenciam suas vozes. É então, a partir da escuta dessas vozes, e principalmente dos sentidos possibilitados pelos seus silêncios, que se torna possível revelar um processo autêntico e profundo de identidade, de autoconhecimento e de resistência no qual a luta anti-patriarcal e diversas dimensões dos silêncios movem-se juntos.
Surgical results of heart valve disease because of bacteriological endocarditis in children at hanoi heart hospital
Authors: Dao Quang Vinh , Nguyen Sinh Hien , Ta Hoang Tuan 
Published: August 2023

Objective: Review of some clinical and paraclinical characteristics and evaluation of outcomes after surgical treatment of valvular heart disease due to infective endocarditis in children at Hanoi Heart Hospital
Methods: Analysis and evaluation based on data collected from patients undergoing surgery and from the results of follow-up examination.[1]
Results: The total number of patients was 25. Average age of surgery: 6,56 ± 7.05 years (The lowest age is 1years, the highest is 15 years). Male: 14 patients (56%), female: 11 patients 44(%). Ultrasound before discharge and after 3 months, we found similar results: mean EF:57,25 ± 9,68 %; Mean pressure through mitral valve: 3,5 ± 1,5mmHg; through aortic valve: 12,5 ± 1,68mmHg. Complications: Death immediately after surgery: 0 cases (0%); Late death: there was 1 case of death (4%).
Conclusion: Results of surgery for valvular heart disease due to infective endocarditis in children are positive. The rate of mortality and complications after surgery is low.
Study on the role of vis (vasoactive - inotropic score) as a predictor of a poor clinical outcome in children after congenital heart surgery with cardiopulmonary bypass
Authors: Hoang Anh Khoi , Nguyen Thi Nhu Ha , Truong Van Thien , Tran Quoc Viet , Nguyen Trung Kien 
Published: August 2023

Objectives: Many authors showed that the VIS (vasoactive-inotropic score) has a strong correlation with morbidity and mortality after cardiac surgery in children, but the conclusions are not completely unified. We therefore performed this study to determine the relationship between the VIS score and clinical outcomes in children undergoing cardiac surgery with extracorporeal circulation.
Method: Prospective cohort study. A total of 100 pediatric patients from birth to 2 years of age with indications for cardiac surgery with extracorporeal circulation at the Anesthesiology Department of the Heart Institute of Ho Chi Minh City from January 1, 2021, to December 31, 2021, were included in the study. Hourly doses of all vasoactive medications were recorded for the first 48 hours after admission to cardiothoracic intensive care unit and a vaso-active inotropic score was calculated. The VIS scale is calculated by the formula: VIS = dopamine dose (µg/kg/min) + dobutamine dose (µg/kg/min) + 100 × adrenaline dose (µg/kg/min) + 10 × milrinone dose (µg/min) kg/min) + 10000 × vasopressin dose (U/kg/min) + 100 × noradrenaline dose (µg/kg/min). The max and mean values of VIS in the first 24 hours and the max and mean values of VIS in the subsequent 24 hours after admission (from 25th to 48th hour) were calculated.
Results: The rate of patients with low cardiac output syndrome was 38.0%. There were 20/100 cases (20.0%) with a poor outcome, of which 19 cases required peritoneal dialysis, 4/100 cases (4.0%) had cardiac arrest, 2/100 cases (2.0%) had seizures, 1/100 (1.0%) had to run ECMO and 4/100 (4.0%) died after surgery. Patients in the high VIS group (mean 48- hour VIS ≥ 11.06) compared with the low VIS group (mean 48- hour VIS < 11.06) were associated with prolonged duration of mechanical ventilation, prolonged CICU length of stay in the ICU, prolonged time to negative fluid balance.
Conclusions: The high VIS after surgery was a good predictor of a poor clinical outcome, prolonged duration of mechanical ventilation, prolonged CICU length of stay outcomes in children undergoing cardiac surgery with extracorporeal circulation
Evaluation of results of pericardial drainage by ultrasound-guided fine-needle aspiration in patients with pericardial effusion after cardiac surgery at hanoi heart hospital
Authors: Tran Thanh Hoa , Nguyen Van Thuc , Dinh Hai Nam 
Published: August 2023

Background: Pericardial effusion is a relatively common complication after cardiac surgery, in which a large proportion of cardiac tamponade causes hemodynamic disturbances, and can have serious consequences.
Objective: "Evaluation of the efficacy and safety of pericardial drainage with ultrasound-guided fine-needle aspiration".
Method: Cross-sectional, retrospective. Accept all patients with pericardial effusion after cardiac surgery were recruited at the Emergency Department and the Intensive Care Unit who performed pericardial aspiration from May 2021 to October 2022.
Results: There were 46 patients included in the study; the average age is 52.04 ± 12.46 years, the youngest is 26 years, the oldest is 81 years old; The group of patients with heart valve disease had the highest rate of pericardial effusion, accounting for 93.4%; patients with atrial septal defect have recurrent pericardial effusion after surgery; there is a higher rate of recurrence and need for surgical conversion with the use of a sheet + pigtail device compared with a catheter; 36 (78.3%) patients did not have recurrent effusion and 10 (21.7%) patients had relapse; 100% of patients are alive after pericardial drainage.
Conclusion: The results of treatment of pericardial effusion with fine needle aspiration pericardial drainage under the guidance of ultrasound after cardiac surgery are positive, the use of the catheter is initially shown to be safer than the use of sheat + pigtail.
The efficacy of negative pressure wound therapy for surgical site infections and delayed wound healing in intensive care unit department of ha noi heart hospital from 2020 to 2021
Authors: Nguyen Thi Thanh Binh , Ha Mai Huong , Nguyen Thi Thanh Thuy 
Published: August 2023

Objective: Describe the clinical characteristics and the results of negative pressure wound therapy for surgical site infections and delayed wound healing.
Methods: A descriptive, cross-sectional study was conducted between May, 2020 and May, 2021 to evaluate the effectiveness of negative pressure wound therapy among patients with delayed surgical wound healing and wound infection in intensive care unit department of Ha Noi Heart hospital.[1]
Results: From May 2020 to May 2021, we studied a total of 15 patients with delayed wound healing and surgical wound infection using negative pressure wound therapy. Among them, there are 9 women (60%), 6 men (40%), The majority of patients was over the age of 60 (86.7%). After you have used VAC, 13/15 cases the wound was improved (86.7% proportion). VAC therapy over the wound was administered for an average of 9,4 days.
Conclusion: Vacuum-Assisted Wound Closure Therapy is a reliable and safe option for patients with postoperative surgical site infections and delayed wound closure to help reduce hospital length of stay, improves financial and clinical outcomes.
Electrocardiogram and cardiac electrophysiology characteristics of the premature ventricular contractions originating from right ventricular outflow tract
Authors: Nguyen Xuan Tuan , Nguyen The Nam Huy , Phan Thanh Nam , Nguyen Sinh Huy 
Published: August 2023

Premature ventricular contractions (PVCs) are a common type of irregular heartbeat (arrhythmia). PVCs often cause of symptoms that reduced quality of life such as: palpitation, pounding or jumping, chest pain, fatigue, blank beats or missed beats… Besides that, PVCs can produce ventricular tachycardia, which can lead to life-threatening hemodynamic instability.[1]
Research objectives: Evalute the electrocardiogram and electrophysiology charaterics of the PVCs from right ventricular outflow tract.
Objects and research methods: Cross-sectional descriptive study of 145 patients.
Research results: all patients had R waveform in: D2, D3, aVF and S wave dominant in: aVR, aVL; Transitional lead from V3-V5, in which transition in V4 accounts for the highest rate of 60.7%. The average QRS time is 136.3 ± 14.4 ms, almost all PVCs have time index of R < 0.5 and amplitude index of R < 0.3… There are 48.3% of patients with only negative component in lead D1; 40% of PVCs have notching at D2, D3, aVF. About cardiac electrophysiolpgy charateristics, for the origin of PVCs, he majority of PVCs in our study originated from the anterior wall of the right ventricular outflow tract with 64.8%; by superior-inferior position, mainly inferior region with 66.9%; according to septum - lateral position, mainly septal region with 72.4%. Most patients had PVCs originated from the inferior-anterior-septal region of the right ventricular outflow tract with 36.6%.