Salud, Ciencia y Tecnología (Journal)
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Small bowel obstruction (sbo) following normal childbirth
Full text linkSmall bowel obstruction (SBO) following normal childbirth is a rare condition with a high mortality rate. The symptoms are varied and nonspecific, including abdominal pain, abdominal distention, nausea, and vomiting, which means SBO has many differential diagnoses . Postoperative adhesions are the most common risk factor for SB. We present a case of SBO following normal vaginal delivery caused by an adhesion band leading to entrapment and volvulus of the ileum in a patient with a history of appendectomy and pelvic inflammatory disease (PID). A contrast-enhanced CT scan of the abdomen was instrumental in establishing the etiology and diagnosis of SBO. Surgical intervention was performed as the treatment. A 27-year-old woman, gravida 1 para 0, at 39 weeks of gestation, was referred by her obstetrician to the surgery department with complaints of vomiting since the onset of normal vaginal delivery. One day postpartum, her vomiting persisted. Her abdomen became distended and painful, and she was unable to pass gas. On physical examination, the patient appeared severely ill. She was hypotensive (BP: 94/62 mmHg), tachycardic (110 beats/min), tachypneic (26 breaths/min), and had an axillary temperature of 37.8°C. The patient had a history of an appendectomy 15 years ago, vaginal discharge, irregular menstruation several months before pregnancy, painful periods, and nonspecific intermittent abdominal pain that became more frequent in the third trimester of pregnancy, intensifying as labor approached. A complete blood count showed leukocytosis (11.33 x 109/L) and hyponatremia (129.9 mmol/L)
Effective Therapeutic Communication Model in Reducing Stunting in Secanggang District, Langkat Regency, North Sumatra
Full text linkThis research aims to develop and evaluate the effectiveness of a therapeutic communication model in reducing the prevalence of stunting in Secanggang District, Langkat Regency, North Sumatra. Given the high stunting rates ranging from 20-25%, and the need for effective and sustainable intervention, this study designs a model that is responsive to the local social and cultural context. The urgency of this research lies in the pressing need for interventions that not only increase awareness but also change community behaviors related to child care and nutrition practices, aligning with WHO targets and national policies. The methodology employed is qualitative with a phenomenological approach to deeply understand the experiences and perspectives of the community. Primary data was collected through in-depth interviews, participatory observation, and focused group discussions (FGDs) in locations with high stunting prevalence. Data analysis was conducted using Miles, Huberman, and Saldana’s method which includes creating matrices, categorization, coding, visual data presentation, and validating findings through triangulation techniques to strengthen result validity. The findings indicate that the proposed therapeutic communication model—including health education, family support, participatory communication, health service integration, and policy advocacy—has significant potential to improve community nutritional knowledge and behaviors. However, challenges in implementing this model primarily involve limitations in infrastructure, access to services, and sustainability of community participation. Discussion of these results leads to recommendations for adjusting the model to consider specific needs and local conditions, and for enhancing resources and cross-sector collaboration for more effective implementation
Development and Evaluation of SIADIL (Sistem Informasi Aktivitas Dukungan Instrumental Lansia): A Community-Based Digital System to Enhance Older Adults’ Care in Rural Indonesia
Full text linkIntroduction: older adults in rural areas face challenges in performing instrumental activities of daily living (IADLs) due to limited access to resources. However, intergenerational social support and increasing digital literacy among older adults present new opportunities for community-based technological interventions. This study aimed to develop and evaluate SIADIL (Sistem Informasi Aktivitas Dukungan Instrumental Lansia), a community-based digital system to optimize care for older adults in rural settings.Method: this study used the ADDIE model. Data were collected from older adults, family caregivers, youth, and nurses through focus group discussions and usability testing. The evaluation was assessed using a structured questionnaire adapted from the System Usability Scale, covering the domains of usability, functionality, transportability, reliability, and acceptance. Quantitative data were analyzed using descriptive statistics. Qualitative feedback was analyzed thematically to identify areas for improvement in design and functionality.Results: during the development phase, 21 participants, including older adults, family caregivers, youth, and nurses, were involved. The system also underwent expert validation focusing on content accuracy, functional suitability, and user interface quality. Seventy participants were included in the study during the evaluation phase. Overall, 95.7 % of respondents found the navigation clear and intuitive. Nearly all respondents (98.6 %) reported that the application was useful, efficient, and enhanced communication between caregivers and older adults.Conclusions: SIADIL is a feasible, user-accepted innovation to enhance IADL performance among rural older adults through intergenerational and digital collaboration. Further testing is recommended to evaluate its long-term impact on older adults’ independence and quality of life.
The Effect of Noise Intensity, Work Climate and Individual Characteristics on Blood Pressure of Workers PT Bungasari Flour Mills
Full text linkIntroduction: K3 is important because workers are exposed to noise of 95.8–87.8 dBA and a working climate of ISBB 31.6°C which exceeds the threshold, so the influence of both and individual characteristics on workers\u27 blood pressure at PT Bungasari Flour Mills Makassar was studied.Methods: Cross-sectional observational analytical quantitative study; population of all PT Bungasari mill workers (100 people) with total sampling (n=100); instruments: characteristic form, SLM Svantek 971, noise dosimeter Svantek 104 (8 hours), Heat Stress Monitor QuesTemp 46 (WBGT), tensiometer, microtoise, digital scales; analysis in SPSS 23 (univariate, Chi-Square, and multiple logistic regression).Results: The majority of workers were aged 26–35 years (37 %) with a high prevalence of smoking (86 %) and dominant obesity nutritional status (48 %), most of whom had worked for ≥4 years (68 %), and 73 % were exposed to noise and 70 % were exposed to hot working climates above the NAB; This condition was followed by an increase in mean blood pressure (systolic +4.90 mmHg; diastolic +4.08 mmHg) and the test results showed a significant relationship with a history of hypertension (p=0.010–0.014), nutritional status (p=0.001–0.002), smoking habits on systolic (p=0.044), work period (p<0.001), noise (p<0.001), and hot work climate (p=0.001–0.041), while age was only related to diastolic (p=0.010), alcohol (p>0.05) and work shifts (p>0.05) were not significant, and multivariate analysis showed that work period ≥4 years was the only significant predictor of systolic blood pressure (Adj-OR=0.022; p=0.002) and diastolic (Adj-OR=0.105; p=0.016).Conclusions: Noise intensity, work climate, and individual characteristics have a significant effect on workers\u27 blood pressure, so it is necessary to strengthen health monitoring and control of the work environment to prevent hypertension
Conscience Intelligence and Its Relationship to Quality of Work Life Among Registered Nurses: A Cross-Sectional Analytical Study
Full text linkIntroduction: Quality of work life (QWL) plays a central role in nursing satisfaction and retention. Conscience intelligence (CI) reflecting ethical awareness and cognitive abilities may influence workplace experiences, yet their relationship with QWL remains unclear.Aim: To examine the relationship between conscience intelligence and QWL among registered nurses and identify which dimensions of conscience intelligence are most strongly associated with overall work-life quality.Methods: A cross-sectional analytical design was used. A convenience sample of 293 registered nurses from a major healthcare institution completed self-report questionnaires assessing demographic characteristics, (CI), and (QNWL). Data was analyzed using descriptive statistics and Pearson correlation coefficients.Results: Nurses reported moderate-to-high levels of CI (Mean = 3,29) and QNWL (Mean = 3,83). There was no significant correlation between total CI and total QNWL (r = -,004, p > ,05). However, some dimensional relationships emerged. The spiritual direction and psychological dimensions of CI showed significant negative correlations with the work design dimension of QNWL (r = -,241, p < ,01; r = -,260, p < ,01), while both were positively correlated with the work world dimension.Conclusions: The findings indicate that the overall relationship between CI and QWL is limited. The absence of a direct association suggests that personal capacities such as CI may not outweigh organizational and systemic conditions affecting QNWL. Still, the significant dimensional links point to a more complex dynamic: nurses with greater spiritual and psychological awareness may be more critical of job design yet find more meaning and connection within the broader professional environment
An Interactive Role-Playing Game to Promote Conceptual Understanding and Manage Cognitive Load in Plant Growth Systems
Full text linkDigital role-playing games (DRPGs) hold strong potential for enhancing motivation and conceptual understanding in science education, yet their application in biology particularly plant growth and development remains underexplored, especially in relation to cognitive load management. The objective of the study are evaluate the vadility and practicality of media Bio-Garden Space, thus examine effect to students’ conceptual understanding and cognitive load. The research employed the Multimedia-Based Instructional Design model developed by Lee and Owens, which consisted of analysis, design, development, implementation, and evaluation stages. The evaluation was carried out through a quasi-experimental method, with validation involving experts in content, media, and practitioners, and effectiveness testing conducted by comparing an experimental group using the DRPG and a control group with conventional instruction. The results indicated that Bio-Garden Space was categorized as “very valid” in terms of content, design, and visual presentation, and “very practical” in small-group implementation. Students who learned with the DRPG achieved significantly higher learning outcomes compared to the control group. Furthermore, the experimental group experienced significantly lower mental effort and extraneous cognitive load, while intrinsic cognitive load remained comparable across groups. These findings suggested that the integration of interactive real-time plant growth simulations and dynamic decision-making tasks enhanced students’ conceptual understanding and enabled more efficient allocation of cognitive resources by reducing unnecessary processing. It was concluded that Bio-Garden Space is a valid, practical, and effective digital learning medium for teaching plant growth and development, providing strong pedagogical value and implications for broader implementation in science education
Psychometric Innovation in Counseling: Rasch Validation of the ID-CQS among School Counselors
Full text linkIntroduction: This study advances psychometric innovation in counseling by validating the Indonesian Cultural Intelligence Scale (ID-CQS) for school counselors using the Rasch measurement model. As cultural competence becomes increasingly essential in multicultural education and counseling, there is an urgent need for culturally adaptive and methodologically innovative assessment tools that can enhance the accuracy of psychological measurement.Method: A total of 663 school counselors from various regions of Indonesia participated in the survey. The adaptation process of the ID-CQS followed international standards, including forward–backward translation, expert judgment, and pretesting to ensure semantic and cultural equivalence. Rasch analysis was applied as a modern psychometric approach to assess item functioning, dimensionality, and construct validity.Results: The results demonstrated strong psychometric properties, with a person reliability of 0.92 and an item reliability of 0.99, indicating a stable and precise measurement structure. The separation indices and Wright map confirmed the instrument’s capacity to distinguish among varying levels of cultural intelligence (CQ), supporting its construct validity and internal consistency.Conclusions: The findings provide evidence that the ID-CQS is a reliable and valid outcome of psychometric innovation for assessing cultural intelligence among school counselors. This advancement contributes to the development of evidence-based and culturally responsive counseling practices, enhancing the quality and efficiency of educational and psychological services. Future studies are recommended to conduct cross-cultural validation to expand its global applicability
Analysis of The Determinants of Work Fatigue in Aircraft Maintenance Engineers at Sultan Hasanuddin International Airport Makassar
Full text linkIntroduction: Occupational Safety and Health (OSH) is important to prevent accidents and fatigue experienced by 32,8% of workers, while in the aviation industry, the shortage of technicians and 24-hour shift work system increases the risk of fatigue that impacts the safety and quality of aircraft maintenance. Method: This research is an analytical observational study with a cross sectional quantitative approach to 106 of 145 Aircraft Maintenance Engineers at Sultan Hasanuddin International Airport Makassar, using KAUPK2, NASA-TLX, PSQI questionnaires, as well as pulse oximeter and BMI measuring instruments, with chi-square analysis and logistic regression through SPSS. Results: The results showed a significant relationship between several variables with work fatigue, namely age (p=0,001) tenure (p=0,002) smoking habits (p=0,000), sleep quality (p=0,002) marital status (p=0,000) physical workload (p=0,000) and mental workload (p=0,008). The logistic regression model proved feasible (p=0,000) and was able to explain 47,6% of the variation in work fatigue, with the most influential variables being age, marital status, physical workload, and smoking habits.Conclusion: This study concludes that job burnout in Aircraft Maintenance Engineers is significantly influenced by age, smoking habits, physical workload, and marital status, thus workload management, quality of life improvement, and work-family balance support need to be prioritized.
Extracorporeal versus Conventional Cardiopulmonary Resuscitation in Refractory Cardiac Arrest: Systematic Review of Survival and Neurological Outcomes
Full text linkObjective: This systematic review compares survival with favorable neurological outcomes following extracorporeal cardiopulmonary resuscitation (ECPR) versus conventional CPR (CCPR) in adults with refractory cardiac arrest.Methods: We conducted a systematic search of major databases for randomized and observational studies comparing ECPR to CCPR. The primary outcome was survival with a favorable neurological outcome, defined as a Cerebral Performance Category (CPC) of 1 or 2.Results: Eight studies involving 1,676 patients were included. The pooled analysis demonstrated that ECPR was associated with a 21.2 % rate of favorable neurological outcome compared to 16.7 % with CCPR. The combined relative risk (RR) was 1.27 (95 % CI 1.04–1.56), indicating a statistically significant 27 % relative improvement with ECPR. The absolute risk reduction was 4.5 %, with a number needed to treat of 22. However, significant heterogeneity was observed. The magnitude of benefit was highly dependent on patient and system factors, with the most pronounced advantages seen in patients with an initial shockable rhythm and shorter low-flow times. While one randomized controlled trial (ARREST) reported a large, significant effect (RR 6.43), the larger INCEPTION trial found a non-significant effect (RR 1.24).Conclusion: ECPR is associated with a significant improvement in survival with favorable neurological outcomes compared to CCPR. This benefit is not universal and appears greatest in selected populations, particularly those with shockable rhythms and rapid access to a highly organized ECPR system. Successful implementation requires robust protocols for rapid deployment and careful patient selection
Advantages of ultrasound as a diagnostic method in imaging
Full text link ABSTRACTImaging plays a fundamental role in disease diagnosis. Healthcare professionals require tools to analyze the anatomical structures of the human body, and imaging methods range from the simplest to the most advanced. Ultrasound is one such method, allowing for high-quality diagnostic images. This study aims to recognize the advantages of ultrasound as a diagnostic imaging method for medical specialties in patient evaluation, providing efficient and timely information for treatment decisions.METHOD: This article is a documentary review, using databases such as PubMed, Redalyc, and SciELO, among others. The keywords used were ultrasound, imaging, diagnosis, and health. The search yielded 48 articles, of which 21 considered for inclusion relevance to the topic. DEVELOPMENT. - The research analyzes the advantages of ultrasound, its usefulness in detecting health problems and establishing treatment guidelines, by analyzing the information obtained in the collection of documents related to the topic.CONCLUSION: Imaging examinations are support methods for general practitioners and specialists in all areas of health. Ultrasound is a valuable diagnostic tool because it offers advantages in obtaining information about patients\u27 health status quickly and efficiently.