bluuebunny/crossref_metadata_2025_split huggingface dataset:
STRUCTURAL AND FUNCTIONAL CONDITION OF THE KNEE JOINT IN PATIENTS WITH MONOGONARTHROSIS IN THE STAGE OF EXACERBATION
Authors: Khanyk Taras 
Published: November 2022

The goal is to study the structural changes of the elements of the knee joint and their functional consequences in patients with monogonarthrosis of the 1st-2nd grade in the stage of exacerbation according to the data of a complex clinical and arthroscopic study.
Materials and Methods. Materials - protocols of clinical, radiological and arthroscopic examination of 125 patients (54 (43.2%) men; 71 (57.8%) women), aged 18 - 79 years, with a previous diagnosis: Monoarthrosis of the knee joint in the stage of exacerbation. Research methods: questionnaire, orthopedic examination, X-ray diagnostics, arthroscopy, laboratory diagnostics of blood (determination of C-reactive protein (CRP) as a serological marker of inflammation), synovial fluid (analyses of physical properties, biochemical, cytological, bacteriological), statistical.
Results and Discussion. According to the results of the comprehensive examination, the presence of primary monoarthrosis was confirmed in 118 (94.4%) patients (group A). Based on the definition of CRP, subgroups were distinguished: A1 (n=71; 56.8%) with a normal level and A2 (n=47; 37.6%) with elevated CRP. In 7 (5.6%) patients diagnosed seropositive unspecified rheumatoid monoarthritis with hypertrophic synovitis (group B). A significant predominance of women compared to men insubgroup A2 was revealed (p<0.05). It was investigated that the features of complaints, nature of pain sensations and indicators of orthopedic status in patients from subgroups A1 and A2 did not reliably differ in groups of patients with different levels of CRP. A significant predominance of normal contours of the affected knee joint was found in subgroups A1 (p<0.001) and A2 (p<0.01). Structural changes in knee joint elements according to X-ray and arthroscopic examination have no significant differences in subgroups of patients A1 and A2.
Conclusions. The structural and functional state of the knee joints in patients with monogonarthrosis of the 1st-2nd grade according to the Kellgren-Lawrence classification is characterized by degenerative changes in almost all elements of the knee joint with moderate pain syndrome and functional disorders.
Metodologias ativas no processo de educação permanente: experiência do Curso Especialização em Saúde Pública
Authors: Sant' Ana Leila Auxiliadora José de , Jerônimo Eliane Barbosa 
Published: November 2022

Objetivo: Analisar os resultados do Curso de Especialização em Saúde Pública, na prática profissional dos egressos dos anos 2016 e 2017 da Escola de Saúde Pública do Mato Grosso. Métodos: Pesquisa qualitativa, desenvolvida com egressos do curso de pós-graduação em Saúde Pública, de forma avaliativa, utilizou-se do questionário estruturado em variáveis socioeconômicas, práticas profissionais e, resultados do curso. Participaram da pesquisa egressos certificados das turmas ofertadas; que aceitaram participar voluntariamente e concordaram com o Termo de Consentimento Livre e Esclarecido. Resultados: A maioria é mulher (81,25%), formação em enfermagem (31,25%), Serviço Social (18,74%), Odontologia (15,62%) e com outra pós-graduação (59,38%), trabalha em órgãos municipais e estadual (59,09%), continua na mesma função (56,24%), não atua com o mesmo gestor (90,62%) e nem mesma equipe (59,37%). Considerações finais: O estudo mostrou que, embora com outra pós-graduação, os profissionais mostraram interesse na saúde pública. A metodologia do curso se dá na relação ensino-serviço, direcionado às reflexões e ações das necessidades locais, proporcionando contribuições para melhoria dos processos de trabalho no fazer e atitude professional. O estudo poderá subsidiar no processo de avaliação, de propostas e estratégias na implementação da política de educação permanente no Mato Grosso
Câncer de mama triplo negativo: avanços e perspectivas nos aspectos epidemiológicos, clínicos e terapêuticos
Authors: Gusmão Letícia Cruz , Rocha Thaiala Silva , Luz Nicolly Barbosa Neves , Freitas Aline Reis , Oliveira Gabriel Lédo Pereira de 
Published: November 2022

Objetivo: Analisar os avanços e perspectivas dos aspectos epidemiológicos, clínicos e terapêuticos do Câncer de Mama Triplo Negativo (CMTN). Métodos: Trata-se de uma revisão integrativa da literatura, entre 2017-2021, a partir das bases de dados PubMed, SciELO e LILACS por meio de descritores nos idiomas português, inglês e espanhol, com texto completo disponível. Foram identificados 801 artigos, destes, 366 artigos obedeceram aos critérios de inclusão e exclusão. Após leitura e análise crítica, foram elegidos 35 artigos para o universo amostral desta revisão. Resultados: O tratamento padrão atual para o CMTN inicial baseia-se em quimioterapias principalmente a base de antraciclinas e taxanos, inibidores da Poli (adp-ribose) Polimerase (PARP) para mulheres com CMTN Metastático (mCMTN) com mutação do Breast Cancer Gene (BRCA) e uso de imunoterapias. No entanto, novas propostas inovadoras surgiram, como vacinas, biomarcadores inéditos e terapias antiangiogênicas que ainda estão em desenvolvimento. A prevalência desse tipo neoplásico foi maior em mulheres com faixa etária em torno de 50 anos; raça negra; com presença da mutação BRCA1. Considerações finais: Constatou-se que apesar de alguns estudos trazerem propostas com ganhos relevantes (>10 meses) em Sobrevida Global (SG), ainda se faz necessário alcançar novos avanços em aspectos clínicos e terapêuticos no CMTN.
Aplicación de la filosofía LEAN CONSTRUCTION para el cálculo de pérdidas por fuga económica en mano de obra previa a la construcción de una vivienda
Authors: Almendáriz Rodríguez Christian Eduardo 
Published: November 2022

En el mundo de la construcción a lo largo de la historia a pesar de existir metodologías constructivas, todas presentan limitaciones al momento de conocer con exactitud las ganancias o pérdidas económicas en cada parte de la ejecución y frente a los diversos inconvenientes presentados, estos se solucionan en el camino y se reajustan con alguna ventaja presentada, lo que se conoce como compensación. No obstante, frente a situaciones y problemas habituales se hace poco y casi nada para corregirlo desde su planificación durante la ejecución como parte de control. El presente trabajo detallará parámetros de control de costos de manos de obra y porcentajes del mismo en fuga económica generada en el cálculo de duraciones de actividad, para esto se empieza con un presupuesto tradicional cuyos rendimientos de mano de obra dependen de la experiencia del constructor, pero que al relacionarlos con la cantidad total a ejecutar el tiempo de ejecución no sale una cantidad redonda, sino más bien lo que se ha realizado a través del tiempo es subir a un indicador redondo. Ahora se realizará un ajuste mediante una interacción matemática cuyo valor de duraciones de actividades será un valor redondo y se procederá a calcular el nuevo rendimiento de mano de obra, y obviamente; resultará un nuevo presupuesto cuyo excedente será el valor de la fuga económica, y con estos resultados obtener finalmente un porcentaje como parámetro de control a considerar para futuras construcciones antes y durante su ejecución.
Creación de un modelo de ejecución generalizado para sistemas computacionales paralelos de datos anidados
Authors: Yerovi Ricaurte Elke , Facuy Delgado Jussen , Molina Oleas Wilson , Ortega Ponce Laura 
Published: November 2022

El presente trabajo analiza los muchos intentos de simplificar la tarea de programar las arquitecturas multiprocesador paralelas actuales, el más exitoso es el paradigma del paralelismo de datos. Gran parte del aspecto del modelo radica en su vista de alto nivel de la máquina paralela junto con su mapeo eficiente a una gran clase de arquitecturas del mundo real. Se realizará un análisis exhaustivo de la literatura científica relacionada con las variables de estudio de la investigación, en especial de los artículos referentes a la experiencia de crear modelos de ejecución generalizado para sistemas computacionales paralelos de datos anidados. Si bien el modelo de ejecución generalizado para sistemas computacionales paralelos de datos anidados ha sido muy efectivo al permitir la especificación altamente paralela de operaciones en arreglos rectangulares, su aplicabilidad a programas que usan estructuras de datos menos regulares es muy limitada. Un programa de datos paralelos está compuesto por una secuencia de operaciones orientadas a la recopilación de alto nivel a través de las cuales se ejecuta una única ruta conceptual de control. Históricamente, el éxito del modelo de datos en paralelos de computación puede atribuirse en gran medida al desarrollo de arquitecturas informáticas que incorporan directamente modelos de ejecución, los paradigmas SIMD y SPMD, útiles para soportar un modelo de datos en paralelos. Se han propuesto varios lenguajes de programación que se centran en construcciones de datos en paralelo como la fuente principal de paralelismo en los programas.
The Relationship Between Chemotherapy And Incidence Of Anemia In Breast Cancer Patients At Cut Meutia General Hospital, North Aceh
Authors: Sofia Aya , Rizka Adi , Albin Iskandar 
Published: November 2022

Introduction: Chemotherapy is the most common treatment before and after surgery to treat breast cancer patients, anaemia is the most common side effect of chemotherapy, and transfusion is the most common side effect of chemotherapy treatment. The increase in the haemoglobin levels can be achieved quickly, but the side effects that may occur are also not small. This study aims to determine the relationship between chemotherapy and the incidence of anaemia in breast cancer patients at the Cut Meutia General Hospital, North Aceh Methods: The type of research is analytical, and the method uses a cross-sectional design carried out from October 2021 to March 2022. A total sample of 45 breast cancer patients was taken by total sampling that met the inclusion and exclusion criteria. Results: The results showed that there were 15 people (16.00) of chemotherapy drugs using the platinum base and antrasiklin for 30 people (26.50). Man Whitney test results obtained p <0.007 indicates that the value (p) <0.05 (p = 0.000).
Conclusion: So this study concludes that there is a relationship between chemotherapy and the incidence of anaemia in breast cancer patients at RSCM Aceh Utara.
Alienation In Adolescents: The Role Of Self Determination
Authors: Rahmawati Rahmawati , Astuti Widi 
Published: November 2022

Abstract:
Purpose: This study aims to see the relationship between self determination and alienation in adolescents

Subject and methods: e : This study uses a quantitative research design with the type of correlation. The number of research samples as many as three hundred and seventy six students obtained based on simple random sampling method that has certain criteria. Data was collected using an alienation scale and a self-determination scale.

Result: The results showed that there was a negative correlation between self determination and alienation in adolescents which reached 42.2%. When viewed based on the aspect correlation between aspects of the alienation variable and self determination, the highest aspect is the aspect of normlesness, while the lowest is the aspect of powerlessness. The correlation between the aspects of the self determination variable and alienation shows that the relatedness aspect has the highest correlation, while the lowest is the competence aspect.

Conclusion: There is a correlation between self determination and alienation in adolescents. Alienation is influenced by intrinsic motivation, namely self determination.
Bacterial Vaginosis
Authors: Mellaratna Wizal Putri , Ayuna Della Vega Nisha 
Published: November 2022

Abstract
Introduction: The vagina is normally inhabited by a number of organism, including Lactobacillus acidophilus, diphteroids, Candida and others. Normal vaginal flora contains aerobic and anaerobic bacteria, such as Lactobacillus species being the prominent microorganism with number more than 95% of the total bacteria present. Vaginal discharge can be classified into physiologic and pathologic discharge. Discussion: Bacterial vaginosis is a clinical syndrome caused by the alteration of Lactobacillus Sp that producing hydrogen peroxide with anaerobic bacteria that caused the disruption of the normal flora balance. Risk factors of bacterial vaginosis are sexual activity, vaginal douching, genetic, vaginal manipulation, smoking and using the intrauterine device. Diagnosis of bacterial vaginosis can be enforced by the gram staining and the calculation of Nugent score (positive diagnosis of bacterial vaginosis if nogent score 7-10). Amsel score can also be conducted if the Nugent score examination cannot be performed. Amsel score criteria consists of white homogen vaginal discharge, fishy odor (positive Whift test), pH > 4.5, and the finding of clue cell. The discovery of 3 citeria of Amsel can confirm the diagnosis of bacterial vaginosis. Treatment of bacterial vaginosis including systemic and topical therapy. Systemic antibiotic such as metronidazole and clindamycin is effective against the anaerob bacteria. Conclusion: bacterial vaginosis in an abnormal condition in the vagina caused by the overgrowth of anaerobic bacteria replacing the Lactobacillus hominis that caused the change of normal acidic pH vagina into alkaline.
Amsel criteria and Nugent score can be requested to confirm the diagnosis of bacterial vaginosis. Proper diagnosis and treatment with metronidazole and clindamycin can improve the disease.
Readiness Of Flood Disaster Preparedness In High Risk Area Communities In North Aceh District
Authors: Yuziani Yuziani , Nadira Cut Sidrah , Sawitri Harvina , Aulia Irfanul 
Published: November 2022

Abstract: Indonesia is a country prone to floods. Flood disasters can occur anytime and anywhere. Aceh Province has a very large disaster potential, this is influenced by geographical, geological, hydrological, and demographic conditions. One of the areas in North Aceh that is often hit by floods every year, therefore it is important for the community to have good preparedness in dealing with flood disasters.
Purpose: This research is to find out the description of flood disaster preparedness in the community.
Patients and methods: This study is a descriptive study with a cross-sectional approach. The sampling technique used is stratified random sampling, with a total of 98 respondents residing in the North Aceh Regency. Data collection was done by distributing questionnaires.
Results: The results showed that most of the community had a level of preparedness in the good category (56.1 %), then the community in the sufficient category (25.5%), and the community with a low level of preparedness (18.4%).
Conclusion: this research is most of the community has a level of preparedness to face flood disasters in high-risk areas in North Aceh Regency in the good category.
Anesthetic Management In Patient With Laparoscopic Cholesistectomy
Authors: Fikran Zaki , Millizia Anna , Kresna Arief 
Published: November 2022

Abstract
Cholelithiasis is one of the most common diseases. One of the treatments that can be done is a laparoscopic cholecystectomy. This action is one type of minimally invasive procedure that aims to minimize trauma from the process, which aims to minimize trauma from the surgical process but with satisfactory results. Laparoscopy is a minimally invasive surgical procedure by introducing CO2 gas into the peritoneal cavity to create a space between the anterior abdominal wall and the viscera, thereby providing endoscopic access into the peritoneal cavity. Anesthesia induction was performed under general anesthesia with intubation. The procedure was successful and the patient returned to the ward in good condition.
Effect Of Using Hallux Valgus Splint On Hallux Valgus Pain In
Authors: Syaiful Akbar Muh. , Setyawan Dwi , Azzahra Humaidah 
Published: November 2022

Abstract: Female teachers often use high heels in their work activities, which causes musculoskeletal problems such as hallux valgus. Hallux valgus can cause pain around the first metatarsophalangeal joint. One of the treatments for hallux valgus is a hallux valgus splint which works as a big toe corrector. This study aims to determine the effect of using hallux valgus splints on pain due to hallux valgus on teachers and employees at public elementary schools in the Kemangkon district.
Purpose: The purpose of this study was to determine the effect of using a hallux valgus splint on pain due to hallux valgus in teachers and employees at State Elementary Schools in Kemongkon District.
Patients and methods: This research is a quasi-experimental research with one group pre and posttest design. The subjects in this study were teachers and employees at a public elementary school in the Kemangkon district as many as 22 people with hallux valgus pain. Subjects were given an intervention using a hallux valgus splint and pain measurements were made using a numeric rating scale (NRS).
Results: Hypothesis testing using paired sample t-test showed that the use of hallux valgus splint could reduce hallux valgus pain p = 0.000 (p <0.05), statistically there was an effect.
Conclusion: It can be concluded that there is an effect of using a hallux valgus splint on pain due to hallux valgus on teachers and employees at public elementary schools in Kemangkon District
Improvement of Public Health Through Waste Bank Schematic Design
Authors: Funna Arief , Machfuzah Machfuzah , Sofyan3 Sofyan , Siska Deassy , Ersa Savira 
Published: November 2022

Abstract: The community health public in Indonesia needs to be improved to elevate the quality of life. The waste bank is an activity of a non-governmental program to maintain environmental health by separating the household waste into organic and non-organic categories. The waste bank is managed using a system such as banking conducted by officers. It was proven that waste bank activity has a positive impact on declining waste volume to improve sanitation. However, waste banks are still carried out in volunteering houses, public service houses, and residential paths. Waste banks have many potencies to support either ecotourism or eco-green planning. This study was performed by waste generation and characterization sampling to determine the required size of the waste bank schematic design. The result shows a schematic design model of the Waste Bank building by researching society’s needs for better environmental health.
Purpose: This research is to design a waste bank based on public health needs
Patients and methods: This study is a descriptive study with a cross-sectional approach. The sampling technique used is stratified random sampling, with 98 respondents residing in Lhokseumawe city. Data collection was done by 8 days of sampling.
Results: The results showed that there is no waste bank building that meets the public health building requirements. There is a schematic design to propose.
Conclusion: There is an urgency to have a requirement to waste bank building design to improve sanitation and public health.
Integration Of The Role Of Medical Students And Health Workers In Combating Pulmonary Tuberculosis In North Aceh District
Authors: Khairunnisa Cut , Siagian Albiner , Aguslina Siregar Fazidah , Zuska Fikarwin 
Published: November 2022

Abstract: Pulmonary tuberculosis is a health problem that occurs in almost all countries in the world, including Indonesia. Therefore, in overcoming it, the participation of various elements of society is needed.
Purpose: This study aims to create an integrated role for medical students and health workers in the prevention of tuberculosis in the North Aceh Regency.
Patients and methods: This study is a qualitative study using a Participatory Action Research design. The number of informants involved consisted of 30 people with TB, 20 medical students, and 4 health workers. Data collection was carried out through in-depth interviews, recording and measurement, and observation of documentation.
Results: The results showed that medical assistance by medical students and health workers has increased patient adherence to treatment by 90 percent and the success of TB treatment has also increased by 90 percent.
Conclusion: The integration of the role of medical students and health workers can increase the level of adherence and treatment success in pulmonary tuberculosis patients in the North Aceh District.
School Strategy In Preventing Bullying At SMPN Negeri Arun Lhokseumawe
Authors: Junita Nursan , Amimi Raudhatul 
Published: November 2022

Abstract: The purpose of this study is to have a picture of school strategy in preventing bullying at SMP Negeri Arun Lhokseumawe and challenges in apply it. The method that used in this study was a qualitative method with case study type by using purposive sampling techniques. The subject in this study consist of 13 participants, that are 6 teachers, 3 students and 2 parents. The results of this study indicate that strategy that used in preventing bullying behavior at SMP Arun were; (1) Identifying the root of the bullying, (2) Discipline; having the role and consequences,(3) Creating a community of group study or role play, (4) Providing education information about bullying, (5) Providing counselling service for victims and perpetrators by school counselor, (6) giving reward, (7) Do Monitoring, (8) prompting response action from teacher, (9) Build up relationship with parents. However, the obstacles finding in preventing bullying behavior are: (1) Student afraid to repot the case to the teacher, (2) Inconsistency and low of commitment of teacher in applying the role, (4) Communication problem between school and parent. As conclusion the commitment and consistency in applying the role of school strategy is very crucial to prevent bullying at school. The strategic become effective when the role applies comprehensively.

Purpose: Describe the school strategy in preventing bullying and challenges of school in applying the role strategy in Arun State Middle School, Lhokseumawe

Patients and methods: teachers, parents and students of bullying victims and bullies.

Results: The results of this study indicate that strategy that used in preventing bullying behavior at SMP Arun were; (1) Identifying the root of the bullying, (2) Discipline; having the role and consequences,(3) Creating a community of group study or role play, (4) Providing education information about bullying, (5) Providing counselling service for victims and perpetrators by school counselor, (6) giving reward, (7) Do Monitoring, (8) prompting response action from teacher, (9) Build up relationship with parents

Conclusion: SMP Arun has applied the strategy to prevent bullying at school. However, to executes the strategy become effective, the commitment and consistency of school is important to ensure the role applied. Furthermore, build up a good communication between school and parents as well as teach student to become assertive will help to prevent cases of bullying.