1,720,962 research outputs found
SUPLEMENTASI DOCOSAHEXAENOIC ACID (DHA) SEBAGAI USAHA PREVENTIF IBU HAMIL DENGAN RISIKO PREEKLAMPSIA
Full text linkHypertension in pregnancy is one of the main cause of maternal death in the world. Hypertensive disorders in pregnancy, including preeclampsia, have a broad spectrum of conditions associated with maternal and fetal morbidity and mortality. Preeclampsia is a syndrome characterized by new onset of hypertension at ≥20 weeks of gestation, in pregnant women who were previously normotensive and accompanied by proteinuria. This paper aims to determine the effectiveness of docosahexaenoic acid (DHA) in pregnant women to prevent the risk of preeclampsia. This research method is to review the articles published in the last 10 years with the keywords preeclampsia, therapy, preventive, and docosahexaenoic acid (DHA). The data show that administration of docosahexaenoic acid (DHA) can reduce the risk of preeclampsia with minimal side effects for both maternal and the fetus. DHA on the other hand is still insignificant in preventing preeclampsia in high-risk pregnant women and prescribing the high dose of DHA is not recommended for pregnant women. DHA will be more effective in preventing preeclampsia if given in early pregnancy, especially in the first trimester of pregnanc
COVID-19 dan Dampak yang Ditimbulkan pada Kehamilan
Full text linkCoronavirus-2019 (COVID-19) adalah penyakit pernapasan pandemi global yang disebabkan oleh sindrom pernapasan akut baru coronavirus 2 (SARS-CoV-2). Wanita hamil tampaknya lebih mungkin tertular infeksi daripada populasi umum. Kehamilan itu sendiri mengubah sistem kekebalan tubuh dan respons terhadap infeksi virus secara umum, yang dapat menyebabkan gejala yang lebih parah untuk COVID-19 tetapi saat ini tidak ada bukti bahwa wanita hamil lebih cenderung tidak sehat, memerlukan perawatan intensif, atau meninggal karena penyakit daripada orang dewasa yang tidak hamil. Terdapat bukti bahwa wanita yang mengalami infeksi SARS-CoV-2 selama kehamilan memiliki tingkat morbiditas dan mortalitas ibu yang lebih tinggi termasuk kelahiran prematur, preeklamsia, morbiditas neonatus; dan morbiditas dan mortalitas perinatal termasuk lahir mati. Dalam tinjauan pustaka ini mengeksplorasi pengetahuan terkini tentang COVID-19 dalam kehamilan dan menyoroti area untuk penelitian lebih lanjut untuk menelaah dampak yang ditimbulkan bagi ibu hamil
Amenorea Primer et Hematokolpos et Hematometra ec. Septum Vagina Transversal
Full text linkBackground: Amenorrhea is defined as the absence of menarche in females of reproductive age. Primary amenorrhea is the failure to reach menarche by age 13 with no secondary sexual characteristics if menarche has not occurred five years after initial breast development or if the patient is 15 years or older. A transverse vaginal septum is a rare congenital abnormality in Mullerian duct development that can cause primary amenorrhea. Transverse vaginal septum incidence ranges from 1:2.100 to 1:72.000. The surgical treatment should be carried out as early as possible to prevent vaginal stenosis. Objective: To describe a rare müllerian duct abnormality and its management. Methods: This study is a case report. Primary data was obtained through auto anamnesis, anamnesis, physical examination, and ultrasound workup. Result: A 15 years old girl complained of cyclical abdominal pain a year ago without a history of menstruation. Ultrasound examination showed signs of hematometra and hematocolpos. The septum location was approximately 3cm from the vaginal introitus. We performed simple excision of the septum, then the distal end of the vagina wall of the septum was sutured to the proximal end of the vaginal wall with a simple interrupted suture. The patient was then discharged in good condition. Conclusion: The transverse vaginal septum remains a rare anomaly of the female genital tract; the reasons for its discovery are highly variable according to its shape and location. Haematocolpos remains the main consequence of these septums. The management is based on surgery while considering the risks of postoperative stenosis and the repercussions on the upper genital tract.Pendahuluan: Amenore didefinisikan sebagai tidak adanya menarche pada wanita usia reproduktif. Amenore primer didefinisikan sebagai kegagalan mengalami menarche pada usia 13 tahun tanpa perkembangan karakteristik seksual sekunder, jika menarche belum terjadi lima tahun setelah perkembangan payudara awal, atau jika pasien berusia 15 tahun atau lebih. Septum vagina transversal merupakan kelainan kongenital langka pada perkembangan duktus mullerian yang dapat menyebabkan amenore primer. Insiden septum vagina transversal berkisar antara 1:2.100 hingga 1:72.000. tatalaksananya adalah pembedahan dan harus dilakukan sedini mungkin untuk mencegah stenosis vagina.Tujuan: memaparkan sebuah kasus abnormalitas ductus muleri yang langka dan penatalaksanaannya. Metode: studi ini merupakan laporan kasus. Data primer didapatkan melalui autoanamnesis, alloanamnesis, pemeriksaan fisik dan pemeriksaan USG. Hasil: anak perempuan berumur 15 tahun mengeluhkan nyeri perut yang hilang timbul sejak setahun yang lalu tanpa riwayat menstruasi. Pemeriksaan USG menunjukkan adanya hematometra dan hematokolpos. Lokasi septum kira-kira 3cm dari introitus vagina. Pasien ditatalaksana dengan melakukan eksisi septum sederhana, kemudian ujung distal dinding vagina septum dijahit ke ujung proksimal dinding vagina dengan jahitan simple interupted. Pasien kemudian dipulangkan dalam kondisi baik.Kesimpulan: Septum vagina transversal tetap merupakan anomali langka pada saluran genital wanita, alasan penemuannya sangat bervariasi sesuai dengan bentuk dan lokasinya. Haematocolpos tetap menjadi konsekuensi utama dari septum ini. Penatalaksanaan pada dasarnya didasarkan pada pembedahan sambil mempertimbangkan risiko stenosis post operasi dan komplikasi lainny
SOCIO-ECONOMIC CONDITIONS AND HOME GARDEN UTILIZATION BY THE COMMUNITY IN THE CONSERVATION AREA OF WAN ABDUL RACHMAN GRAND FOREST PARK, SUNGAI LANGKA VILLAGE, PESAWARAN REGENCY, LAMPUNG PROVINCE
Full text linkHome gardens have significant potential to improve communities' economic, ecological, and social welfare. This study examines the socio-economic conditions and home garden utilization practices of the community in the Wan Abdul Rachman Grand Forest Park (Tahura WAR) conservation area, located in Sungai Langka Village, Pesawaran Regency, Lampung Province. Data was collected through direct interviews using structured questionnaires, with respondents selected via the Simple Random Sampling method. Descriptive analytical methods were employed for data analysis. The results reveal that 83.33% of farmers in Sungai Langka are adults aged 27–40 years, all male. The farmers belong to three ethnic groups: Javanese, Lampungese, and Sundanese, with Javanese being the majority. Most farmers (63.33%) have a secondary education level, and 83.33% engage in secondary occupations. According to the Indonesian Statistical Agency/BPS (2021) income classification, 74.5% of the population falls into the middle-income category. The average homegarden size is approximately 100 m². The majority of homegardens (90.33%) are utilized as yard gardens, followed by livestock shelters (66.33%), ornamental gardens (40.66%), and fishponds (20.55%). These findings highlight the pivotal role of homegardens in supporting the livelihoods of communities near conservation areas. This study underscores the importance of optimizing homegarden management to enhance community welfare while mitigating pressures on conservation forests
PENINGKATAN EFEKTIVITAS PROGRAM ‘SAFE MOTHERHOOD’ DI PUSKESMAS PONED DALAM MENURUNKAN AKI AKIBAT KEHAMILAN DAN PERSALINAN
No full textAngka Kematian Ibu (AKI) merupakan salah satu indikator kesehatan dan kemajuan pembangunan sebuah negara. Data SDKI tahun 2013 menunjukkan AKI di Indonesia 228/100.000 kelahiran hidup. Dari data Renstra Dinas Kesehatan Provinsi Lampung, dilaporkan oleh pemerintah dikabupaten/ kota selama 2009-2013 AKI berfluktuasi yaitu terdapat 152 pada 2011, meningkat 178 kasus tahun 2012 kemudian menurun 158 tahun 2013. Salah satu upaya pemerintah dalam menurunkan AKI ditetapkannya Program Safe Motherhood yang dimulai sejak 1997. Empat Pilar Safe Motherhood meliputi program Keluarga Berencana, Antenatal Care (ANC), Persalinan bersih dan aman, dan pelayanan Obstetri Essensial yang dilaksanakan di Pusat Kesehatan Masyarakat (Puskesmas) sebagai sarana pelayanan kesehatan tingkat pertama untuk dapat diakses seluruh lapisan masyarakat. Masih tingginya AKI di Indonesia khususnya di Provinsi Lampung menjadi perhatian khusus bagi pemerintah dalam memenuhi target pencapaian pembangunan dalam RPJM tahun 2015-2019. Tujuan kegiatan pengabdian ini diharapkan membantu mengevaluasi permasalahan yang dihadapi dalam pelaksanaan Program Safe Motherhood di Puskesmas Poned sehingga dapat lebih efektif dan berperan dalam menurunkan AKI di Indonesia khususnya Provinsi Lampung. Metode yang digunakan yaitu menetapkan tolak ukur penilaian pada evaluasi program Safe Motherhood yang belum memenuhi target di Puskesmas Panjang Tahun 2021 berdasarkan Permenkes No.4 tahun 2019. Hasil kegiatan menunjukkan bahwa Persentase capaian masing-masing pilar dalam program safe motherhood yaitu persalinan aman bersih oleh nakes di Puskesmas 79,5 %, antenatal care 72,9 %, pelayanan masa nifas 99,7 % dan program Keluarga Berencana 57,6 %.Ketercapaian program safe motherhood di wilayah kerja Puskesmas PONED Panjang meningkat sebesar 20 % dari tahun sebelumnya sehingga efektivitasnya dalam menurunkan AKI akibat kehamilan dan persalinan > 85 %
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Factors affecting postpartum bladder recovery: A literature review
Full text linkBackground: Postpartum urinary dysfunction, particularly postpartum urinary retention (PPUR), is a common obstetric complication reflecting impaired bladder recovery in the early postpartum period. Postpartum urinary retention (PPUR) results from multifactorial mechanisms, including physiological changes during pregnancy, mechanical and intrapartum factors such as prolonged labor and obstetric interventions, and maternal characteristics.
Purpose: to evaluates the pathophysiology of PPUR and factors influencing postpartum bladder recovery.
Method: The literature search was carried out using several electronic databases, including PubMed, Scopus, ScienceDirect, and Google Scholar. Articles were searched using keywords adjusted to the research topic, including postpartum urinary retention, voiding dysfunction, postpartum bladder function, pregnancy, labor, and maternal and fetal factors on urinary retention. These keywords were combined using Boolean operators (“AND”, “OR”) to obtain relevant literature, either used individually or in combination
Results:Evidence indicates that unrecognized or poorly managed PPUR may lead to bladder overdistension, detrusor dysfunction, recurrent urinary tract infections, and long-term voiding impairment, although most cases resolve with timely and appropriate management.
Conclusion: A comprehensive understanding of these factors enables identification of high-risk women and implementation of effective bladder care strategies to reduce postpartum urological morbidity
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