scholarly journals Desain Model Sistem Pakar Menu Sehat Wanita Hamil Berdasarkan Gizi Menggunakan Metode Cooper

2018 ◽  
Vol 5 (6) ◽  
pp. 643
Author(s):  
Erly Krisnanik ◽  
Kraugusteeliana Kraugusteeliana ◽  
Vini Indriasari

<p class="Abstrak">Sistem pakar merupakan salah satu aplikasi yang dapat digunakan oleh manusia sebagai media untuk mendapatkan data dan informasi secara tepat berdasarkan pengetahuan dan pengalaman seorang pakar kandungan dan pakar gizi. Proses pengetahuan data pakar tadi disimpan dalam basis pengetahuan yang disertai aturan berdasarkan konklusi yang telah ditetapkan oleh peneliti untuk dijadikan sebagai referensi. Hasil dari pelacakan data kemudian di informasikan kepada pengguna sistem dalam hal ini wanita hamil (wamil) yang ingin mengetahui menu sehat dan nutrisi tambahan. Untuk mengetahui menu sehat wamil peneliti menggunakan metode cooper sebagai acuan perhitungan yang dimasukkan kedalam mesin inferensi. Adapun hal yang dijadikan sebagai perhitungan gizi menu sehat bagi wamil berdasarkan usia wamil, tri semester, usia kandungan, perhitungan gizi, berat ideal wamil berdasarkan tinggi badan, hitung kalori minimal, dan hitung kalori berdasarkan aktifitas wamil. Sedangkan metode yang digunakan untuk aplikasi pakar menggunakan pendekatan forward chaining dengan DFS untuk mekanisme pelacakan datanya. Luaran yang dihasilkan dari penelitian ini adalah berupa desain model sistem pakar kebutuhan menu dan nutrisi bagi wanita hamil dengan pendekatan metode cooper yang bertujuan memudahkan wamil mendapatkan informasi dengan cepat dan tepat.</p><p class="Abstrak"> </p><p><strong><em>Abstract</em></strong></p><p><em></em><br /><em>The expert system is one of the applications used by humans as a media to acquire precise data and information based on obstetricians and nutritionist’s knowledge and experience. The expert’s instruction is stored in a knowledge base accompanied by rules based on a fixed conclusion for references. The result of the data trace is informed to a system user. In this case pregnant woman who wanted to know the healthy menu and additional nutrition. Many pregnant women rarely consult obstetricians and nutritionist due to their routine and the high cost of it. This caused pregnant women cannot control their nutrition growth as well as and their baby’s nutrition. Based on that case, we design an expert system to know suitable healthy menu for a pregnant woman using cooper’s method. The menu of pregnant woman is calculated using the following parameters: 1) The age of pregnant women; 2) The third month of pregnancy; 3) Nutrition calculation; 4) Ideal weights of pregnant women based on their heights; 5) Minimum calorie count of pregnant women; and 6) Calorie count of pregnant women based on their activities. While the method used for the expert system application is based on forwarding chaining approach with DFS as it is data tracking system mechanism. The output resulted from this research is a model design of the expert system to find a suitable healthy menu and additional nutrition for pregnant women with cooper’s method as an approach, intended to help pregnant women to acquire quick and accurate information.</em></p><p> </p>

2020 ◽  
Vol 9 (7-8) ◽  
pp. 698-699
Author(s):  
M. Ginzburg

Dr. Davis reported three fatal cases of vomiting during pregnancy. In the first of them, the pregnant woman suffered from gastric disorders before pregnancy; her vomiting was incessant and very exhausted her. She died at 2 months of pregnancy. Before dying, she developed a petechia-shaped spotty rash. In the second case, severe nausea and vomiting occurred at 3 weeks of pregnancy with severe pain and belching, locally: prolapsus and anteflexio uteri. The usual treatment. At 14 weeks, the anteflexed uterus was infringed at the bottom behind the pubis; the correction did not reduce vomiting. The expansion of the neck was accompanied by a slight improvement. It was decided to empty the uterus, which was done without difficulty and with minor bleeding. The patient, however, died soon after. An autopsy showed that the tissue of the uterine cervix was abnormally hard (fibrous); the uterus, ovaries, and tubes were normal; the blood was thin, fatty degeneration of the heart. In the third case, the patient, in addition to nausea and vomiting, suffered from severe pain in the epigastric region and vomiting had a coffee color. Everything possible was done, but nothing helped: the patient died.


2020 ◽  
Author(s):  
Somaye Moeindarbary ◽  
Salmeh Dadgar ◽  
Parvaneh Layegh ◽  
Zahra Shahriari ◽  
Faezeh Fayyaz ◽  
...  

Abstract Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the third coronavirus that make a global concern in 21th century. Pregnant women are particularly at higher risk of developing severe viral pneumonia, possibly because of a partial immune suppression during their pregnancy. Under such critical and rapidly evolving circumstances, these poor findings might be helpful for the treatment of infected pregnant women with 2019-nCoV.Case presentation: In this study, we have reported a pregnant woman at 25 gestational weeks with COVID-19 who has developed severe complications, including hypoxemia, acute respiratory distress syndrome (ARDS), pulmonary fibrosis, and bilateral pleural effusion. In the end, she died one month after admission to the hospital.Conclusion: Pregnant population are especially more at risk of viral pneumonia caused by coronaviruses, further research on the prevention and treatment of new coronavirus is necessary.


SinkrOn ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 7
Author(s):  
Embun Fajar Wati ◽  
Anggi Puspitasari

Limited time in consulting becomes an obstacle for midwives in diagnosing complaints in pregnant women, especially those who are already in the III trimester and approaching the labor process. Misdiagnosis results in inaccuracies in the provision of solutions and actions. Initial treatment that corresponds to the complaints of pregnant women especially the third trimester is expected to reduce mortality rates in the mother and fetus. Expert System can be a timely solution with not too long so as to improve the quality of examination on midwives. The methods used are identification, primary and secondary data collection, forward chaining data analysis combined with bayesian, and evaluation with the calculation of the percentage of system success. Samples taken by 20 patients and 4 patients were declared unsyed because they had only one complaint. Meanwhile, 16 patients had some complaints that complied with the Rules. A total of 11 out of 16 patients or about 70% had valid results between the diagnosis of experts/midwives with the system. It can be concluded that the system works well to diagnose complaints in patients with a third trimester gestational age so that midwives can provide appropriate initial solutions and treatment in reducing maternal and infant mortality.


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Murwati Murwati ◽  
Emy Suryani ◽  
Intan Kurniawati

Anxiety is an unclear worried and widespread related to uncertain and helpless feelings. Anxiety before birth was questioning and wondering whether she could giving birth normally, how to push, whether something could happen during childbirth, and pain during labor. Anxiety in the third trimester of pregnant women can have an impact inhibiting the labor. Antenatal class is one form of counseling as an effort to overcome anxiety to face labour for third trimester pregnant mother. The aims of this study is to determine the relation of class participation of pregnant mother with the anxiety to face labour among third trimester pregnant woman. This was an observational analytic study with cross sectional design. The sample were the third trimester pregnant woman in Jogonalan II Klaten public health center area totalling 36 people using purposive sampling. The study instrument used was questionnaire of pregnant women's class participation and an anxiety rating scale (HARS) of the Hamilton Anxiety Rating Scale. Data analysis was performed using Spearman test. The results of this study shown that most of respondent age was 20-35 years which is 91.7%, high school education accounted for 52.8%, unemployed accounted for 69.4% and multigravida accounted for 63.9%. Antenatal class participation rate was 52.8% and mother who did not experience anxiety accouted for 63,9%. The result of statistical test obtained ρ = 0,001. There was an association between antenatal class participation with anxiety level in facing childbirth in third trimester pregnant women. Keywords: Antenatal class participation, anxiety of third trimester pregnant mother in facing childbirth 


2020 ◽  
pp. 41-53
Author(s):  
E. N. Nenashkina ◽  
Yu. P. Potekhina ◽  
E. S. Tregubova ◽  
V. O. Belash

Introduction. Changes occuring in a woman′s organism during pregnancy are genetically programmed and have a physiological adaptive character. The range of these changes affect all organism systems and is caused by the need to sustain the mother and the fetus; and the changes severity is causedby gestational age, number of fetuses and individual reserve possibilities of the motherorganism. The development of pregnancy is accompanied by a number of regular structural and functional changes in the woman′s organism, which in turn can serve as a background or cause for the formation of somatic dysfunctions, the level of manifestation and severity of which depend on the compensatory capabilities of the female organism.The goal of research was to study the occurrence frequency of somatic dysfunction in pregnant women at different stages of pregnancy and to compare it with anatomical and physiological changes in the woman′s organism.Materials and methods. It was examined 162 healthy pregnant women aged 25 to 45 years, with a gestation period of 7 to 37 weeks. The average age was 33±2,1 year, the proportion of the first-time mothers was 62 %. The distribution of women by trimester of pregnancy was as follows: I trimester — 42 people, II trimester — 60 people, III trimester — 60 people. There were no statistically significant differences in the age of the subjects in these three groups (p>0,05). The study lasted from February 2019 to March 2020. Each patient was examined by an osteopath during the initial treatment.Results. A statistically significant increase in the incidence of somatic dysfunctions (SD) of the thoracic region (p<0,05) and the pelvic region (p<0,001) was found from the first to the third trimester of pregnancy. SD of the lumbar region appeared only in the second trimester, and in the third trimester the occurrence frequency of these SD has not changed. It is these three regions that experience the most pronounced structural and functional changes, which are increasing with the pregnancy development. The most significant changes occur in the pelvic region, both in its structural component (bones, joints, muscles, ligaments) and in the visceral component (growing uterus). In addition, the most significant changes in blood and lymph circulation occur in the pelvic region. According to our observations, somatic dysfunctions of the pelvic region occurred in 7,1 % of the examined patients in the first trimester, in 25 % — in the second trimester, and in 63,3 % — in the third trimester. Among local SD, there is a statistically significant increase in the occurrence frequency of SD of the thoracic diaphragm, the pubic joint and impaired mobility of the uterus (p<0,01) with an increase in the duration of pregnancy, which is natural. As the size of the uterus increases, there is a decrease in the mobility of the thoracic diaphragm, which is most pronounced in the 3rd trimester. The pubic joint undergoes increasing stress and structural and functional restructuring as pregnancy progresses. There was a statistically significant difference (p<0,01) in the representation of dominant somatic dysfunctions depending on the duration of pregnancy, the predominance in the 3rd trimester of pregnancy in most women (63,3 %) of the dominant SD of the pelvic region.Conclusion. The functional changes occurring in the body of a pregnant woman have not only specific characteristics associated with the period of pregnancy, but also serve as a background condition that predisposes to the formation of specific somatic dysfunctions. As pregnancy progresses, the somatic dysfunctions of the pelvic and thoracic regions come to the fore; these SD are most likely associated with changes in the postural balance of a pregnant woman, due to changes in anatomically-topographic relationships due to the growth of the pregnant uterus. 


Author(s):  
Nashwa Abdullah Naji Saeed Alqaisi ◽  
Abdulsalam M. AL-Mekhlafi ◽  
Hassan A. Al-Shamahy ◽  
Abdullah AD Al-Rukeimi ◽  
Kaima A. Foras ◽  
...  

Background and aims: Toxoplasmosis is caused as a result of intracellular protozoan organism, Toxoplasma gondii, and is a widespread disease. Toxoplasmosis can progress to a serious systemic disease (congenital form); once a mother becomes infected for the first time for the period of pregnancy, a transient haematopoietic parasite can appear with focal lesions produced within the placenta, thus infecting the fetus. Therefore, this cross-sectional study aimed at assessing the immune status of the pregnant woman towards toxoplasmosis, determining the prevalence of T. gondii in Amran city -Yemen, and identifying the potential risk factors that affect the pregnant woman towards toxoplasmosis. Material and methods: This study included 280 pregnant women who were admitted to maternity clinics at Amran General Hospital and Family Health Center in Amran City -Yemen during the period from December 2016 to June 2017. The questionnaire was used to obtain relevant demographic data and potential risk factors. Then, blood samples were collected from pregnant women and tested for identification of IgM and IgG antibodies against T. gondii using the ELISA technique. Results: The total positive rate for IgM antibodies was 3.6%, while for IgG was 27.9%. A high IgM rate equal to 5.3% was observed in the 31-35 age group, and a higher IgG rate (36.8%) was observed in the same age group. There were 69.3% of pregnant women susceptible to infection with toxoplasmosis, 2.9% recently infected, 27.1% protected, and 0.7% had secondary infection.  The high rate of IgM positivity was observed in the second trimester of pregnancy (4.7%), while the lowest rate was in the third trimester of pregnancy (2%). A slight increase in the rate of IgG positivity was observed in the third trimester of pregnancy (32%). There was a significant association between contact with animals such as cats and infection with toxoplasmosis, where OR =5.4, CI =1.01-30.13, χ2 =4.59, p =0.04. While there was no significant association with the other studied factors. Conclusion:   Yemen has less seropositivity than other Arab and African countries as a result of variation in risk factors. Data on T. gondii infection during pregnancy is scarce in numerous countries, in particular where there is a lack of political constancy such as Yemen. The risk factors identified included proximity to the cats and domistic animals, and increased maternal age. Toxoplasmosis in pregnancy in Yemen may be a really underestimated health problem. More research is needed.                      Peer Review History: Received 19 March 2021; Revised 12 April; Accepted 28 April, Available online 15 May 2021 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency.  Received file:                Reviewer's Comments: Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 7.5/10 Reviewer(s) detail: Rola Jadallah,  Arab American University, Palestine, [email protected] Prof. Dr. Gorkem Dulger, Duzce University, Turkey, [email protected]   Similar Articles: PREVALENCE AND RISK FACTORS ASSOCIATED WITH VULVOVAGINAL CANDIDIASIS DURING PREGNANCY IN SANA'A, YEMEN VULVOVAGINAL CANDIDIASIS PREVALENCE AMONG PREGNANT WOMEN IN DIFFERENT HOSPITALS IN IBB, YEMEN


2021 ◽  
Vol 10 (2) ◽  
pp. 79-83
Author(s):  
Ni Wayan Noviani

This study aims to know the effect of pregnancy exercise on the depression level of the third trimester of pregnant woman in the Kecamatan Sukawati. This type of research is analytic with a one group pre-test post-test design without control, the number of samples is 50 pregnant women who meet the inclusion criteria by using purposive sampling technique. The instrument data collection using depression anxiety and stress scale (DASS) questionnaire. Bivariate analysis using Wilcoxon test. The result of the data shows p value of depression level of pregnant women before and after the implementation of pregnancy exercise is 0.102 (>0.05), it can be concluded that there is an no effect of the implementation of pregnancy exercise on the depression level of pregnant women in the third trimester. From the result of research conducted, the effect of the implementation of pregnancy exercise on the depression level of pregnant women before and after of pregnant women in the third trimester.


2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.


2020 ◽  
pp. 51-56
Author(s):  
V.М. Аntonyuk-Kysil ◽  
◽  
І.Y. Dziubanovskyi ◽  
V.М. Yenikeeva ◽  
S.І. Lichner ◽  
...  

The objective: to evaluate the results of planned open surgical interventions (POSI) in pregnant women with primary symptomatic chronic vein disease (PSCVD). Materials and methods. The study included 457 pregnant women operated on a routine basis with PSCVD. The patients underwent ultrasound duplex angioscanning (USDA) of the veins of the lower extremities, inguinal canals, and iliac veins. The severity of the clinical manifestations of PSCVD was evaluated on a VCSS scale. With the help of the circadian visual-analog scale, the dynamics after the operative pain were studied. The effect of POSI on uterine tone and cardiac function of the fetus was investigated using cardiotocography. When forming the results for POSI, data from USDA, the severity of clinical and cosmetic manifestations of PCVD, the need for active prevention of thrombophlebetic, thromboembolic and hemorrhagic complications, minimization of surgical childbirth were taken into account. The results of treatment were studied in 2 groups of patients. Patients of the first group were treated with conservative therapy, the second group – POSI. Parametric indicators, which were presented as mean and standard error M(SD), were used for statistical data processing of the study, and their reliability was estimated using Student’s t-test. The species was determined to be significant at p<0.05. Results. 495 POSI were performed at 28-38 weeks gestation in an obstetric hospital (perinatal center), by a vascular surgeon from the staff of the center, who was familiarized with the peculiarities of working with this contingent of patients. Surgery was performed under local anesthesia in 346 (75.49%) pregnant women at one extremity, in 111 (24.51%) – at two in one session. According to the results of the study, it was noted that in the first group 33.7% of patients had a positive clinical result due to the reduction of pain syndrome, while 67.5% of patients had an increase and spread of varicose transformation in the area of saphenous and/or non-saphenous veins with spread of pathological venous reflux in the distal direction. 78% of patients had the need to administer prophylactic doses of low molecular weight heparins, both during pregnancy and in postpartum period. Out of 126 pregnant women with pronounced varicose veins of the external genital organs and perineum in 36 (28.6%) deliveries were performed by caesarean section. In 9 (3%) patients there was an acute thrombophlebitis of the subcutaneous veins of the lower extremities, which required 5 pregnant women to undergo urgent surgery when the inflammatory process had spread to the middle and above along the femoral vein of the large subcutaneous vein. Pregnant women of the second group with PSCVD on the basis of obstetric hospital (perinatal center) POSI were performed in the organization, which laid the ideology of the FTS program, strictly individual indications for intervention in the optimal terms of pregnancy, multidisciplinary management of patients, due to this in 93% of operated patients regression of clinical manifestations of the disease was noted, whch contributed to the correct and safe delivery of pregnancy with 100% absence of preterm birth, abnormalities in fetal development, pregnancy course, negative impact on obstetric and somatic condition of the pregnant woman. No hemorrhagic, thrombophlebic, thromboembolic complications were noted. Patients in the postoperative period did not require medical support, as during the period of pregnancy, during delivery and in the postpartum period. There were no indications for surgical delivery. 2.4% of patients experienced complications of post-operative wounds in the form of cheese, which had no effect on pregnancy and was eliminated before delivery. In the postoperative period, if necessary, it was recommended to use elastic compression class garments 1–2. Conclusion. POSI made at PSCVD in optimal terms of pregnancy in a specialized obstetric hospital by a vascular surgeon in strictly individual indications is safe, both for the fetus and the pregnant woman. It is promising to further study the results of POSI in pregnant women with PSCVD to introduce it into the arsenal of treatment of this pathology. Key words: FTS ideology, planned open surgical interventions in pregnant women.


2018 ◽  
Vol 6 (4) ◽  
pp. 379-382
Author(s):  
A.P. Khan ◽  
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