bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of the Effect of Continuous Infusion of Dexmedetomidine or a Subanesthetic Dose Ketamine on Transcranial Electrical Motor Evoked Potentials in Adult Patients Undergoing Elective Spine Surgery under Total Intravenous Anesthesia: A Randomized Controlled Exploratory Study
Authors: Andleeb Roshan , Agrawal Sanjay , Gupta Priyanka
Published: August 2021

Study Design: Prospective, randomized, placebo-controlled, double-blind exploratory study.Purpose: To compare effects of dexmedetomidine or a subanesthetic dose of ketamine on the amplitude and latency of transcranial electrically generated motor evoked potentials.Overview of Literature: Total intravenous anesthesia (TIVA) is a standard anesthesia technique for transcranial electrical motor evoked potential monitoring in spine surgery. We aimed to determine whether the use of dexmedetomidine and ketamine as a component of TIVA exerted any beneficial effect on the quality of monitoring.Methods: A total of 90 American Society of Anesthesiologist grade I–III patients, aged 18–65 years, with a motor power of ≥4/5 grade as per the Medical Research Council Scale in all four limbs who were scheduled for elective spine surgery under transcranial electrical motor evoked potential monitoring were enrolled. The subjects were randomly allocated into the following three groups: group PD who received 0.5 μg/kg/hr dexmedetomidine infusion, group PK who received 0.5 mg/kg/hr ketamine infusion, and group PS who received normal saline infusion, along with standard propofol–fentanyl based TIVA regime. Amplitude and latency of bilateral motor evoked potentials of the tibialis anterior and abductor halluces muscle were recorded at Ti (at train-of-four ratio >90%), T30 (30 minutes post-Ti), T60 (60 minutes post-Ti), and Tf (at the end of spine manipulation).Results: Baseline median amplitudes were comparable among the study groups. In group PK, we noted a gradually enhanced response by 24%–100% from the baseline amplitude. The median amplitudes of all the muscles were higher in group PK than those in groups PS and PD at time points T60 and Tf (p <0.05).Conclusions: The present study demonstrated that compared with dexmedetomidine and control treatment, a subanesthetic dose of ketamine caused gradual improvement in amplitudes without affecting the latency.
Pediatric mild head trauma: is outpatient follow-up imaging necessary or beneficial?
Authors: Shimony Nir , Dailey Travis , Barrow David , Bui Anh , Noureldine Mohammad Hassan A. , Martínez-Sosa Meleine , Rodriguez Luis F. , Carey Carolyn M. , Tuite Gerald F. , Jallo George I.
Published: August 2021

OBJECTIVE

Pediatric traumatic brain injury (TBI) is the leading cause of death among children and is a significant cause of morbidity. However, the majority of injuries are mild (Glasgow Coma Scale score 13–15) without any need for neurosurgical intervention, and clinically significant neurological decline rarely occurs. Although the question of repeat imaging within the first 24 hours has been discussed in the past, the yield of short-term follow-up imaging has never been thoroughly described. In this paper, the authors focus on the yield of routine repeat imaging for pediatric mild TBI (mTBI) at the first clinic visit following hospital discharge.

METHODS

The authors conducted a retrospective review of patients with pediatric brain trauma who had been admitted to Johns Hopkins All Children’s Hospital (JHACH). Patients with mTBI were identified, and their presentation, hospital course, and imaging results were reviewed. Those pediatric patients with mTBI who had undergone no procedure during their initial admission (only conservative treatment) were eligible for inclusion in the study. Two distinct groups were identified: patients who underwent repeated imaging at their follow-up clinic visit and those who underwent only clinical evaluation. Each case was assessed on whether the follow-up imaging had changed the follow-up course.

RESULTS

Between 2010 and 2015, 725 patients with TBI were admitted to JHACH. Of those, 548 patients qualified for analysis (i.e., those with mTBI who received conservative treatment without any procedure and were seen in the clinic for follow-up evaluation within 8 weeks after the trauma). A total of 392 patients had only clinic follow-up, without any diagnostic imaging study conducted as part of their clinic visit, whereas the other 156 patients underwent repeat MRI. Only 1 patient had a symptomatic change and was admitted after undergoing imaging. For 30 patients (19.2%), it was decided after imaging to continue the neurosurgical follow-up, which is a change from the institutional paradigm after mTBI. None of these patients had a change in neurological status, and all had a good functional status. All of these patients had one more follow-up in the clinic with new MRI, and none of them required further follow-up.

CONCLUSIONS

Children with mTBI are commonly followed up in the ambulatory clinic setting. The authors believe that for children with mTBI, normal clinical examination, and no new symptoms, there is no need for routine ambulatory imaging since the clinical yield of such is relatively low.
Nonsteroidal anti-inflammatory drug use and concussions in adolescent athletes: incidence, severity, and recovery
Authors: Spiera Zachary , Hannah Theodore , Li Adam , Dreher Nickolas , Marayati Naoum Fares , Ali Muhammad , Shankar Dhruv S. , Durbin John , Schupper Alexander J. , Gometz Alex , Lovell Mark , Choudhri Tanvir
Published: August 2021

OBJECTIVE

Given concerns about the potential long-term effects of concussion in young athletes, concussion prevention has become a major focus for amateur sports leagues. Athletes have been known to frequently use anti-inflammatory medications to manage injuries, expedite return to play, and treat concussion symptoms. However, the effects of baseline nonsteroidal anti-inflammatory drug (NSAID) use on the susceptibility to head injury and concussion remain unclear. This study aims to assess the effects of preinjury NSAID use on concussion incidence, severity, and recovery in young athletes.

METHODS

Data from 25,815 ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) tests were obtained through a research agreement with ImPACT Applications Inc. Subjects ranged in age from 12 to 22 years old. Those who reported NSAID use at baseline were assigned to one (anti-inflammatory [AI]) cohort, whereas all others were assigned to the control (CT) cohort. Differences in head trauma and concussion incidence, severity, and recovery were assessed using chi-square tests, unpaired t-tests, and Kaplan-Meier plots.

RESULTS

The CT cohort comprised a higher percentage (p < 0.0001) of males (66.30%) than the AI cohort (44.16%) and had a significantly greater portion of athletes who played football (p = 0.004). However, no statistically significant differences were found between the two cohorts in terms of the incidence of head trauma (CT = 0.489, AI = 0.500, p = 0.9219), concussion incidence (CT = 0.175, AI = 0.169, p = 0.7201), injury severity, or median concussion recovery time (CT = 8, AI = 8, p = 0.6416). In a multivariable analysis controlling for baseline differences between the cohorts, no association was found between NSAID use and concussion incidence or severity.

CONCLUSIONS

In this analysis, the authors found no evidence that preinjury use of NSAIDs affects concussion risk in adolescent athletes. They also found no indication that preinjury NSAID use affects the severity of initial injury presentation or concussion recovery.
Eco-critical Discourse Analysis of the Indonesian President’s Statement at the 21st Conference of the Parties in Paris
Authors: Mansyur Siti Awaliyah , Iwa Lukmana  , Isnendes Retty , Gunawan Wawan
Published: August 2021

This study investigates the representation of the environmental, ecological, and climate change issue in the Indonesian President’s Joko Widodo statement at the COP21, 2015. The data was taken from the transcript published by the Indonesian Ministry of Environment and Forestry's official website. It is selected according to the popularity of the President and to learn about his ecological view based on the way he represented the country's ecological issue at the global event. The analysis was carried out within an eco-critical discourse analysis framework, which started by investigating the ideology using Fairclough's three-dimensional model. Then, the ideology was judged using the ecolinguistics perspectives proposed by Stibbe (2015a, 2020). The result shows that President Joko Widodo’s ecological-ideology can be regarded as 'prosaic: environmental problem solving', of which this study concludes that his speech can be defined as a 'beneficial discourse' that has to be promoted widely to raise the awareness of language use regarding an environmental issue.
Perceptions of English Language Students on the Relevance of ‘EFL’, ‘ESL’ and Other Such Terms in Contemporary Turkish Contexts
Authors: Ironsi Chinaza
Published: August 2021

Over the years, there has been an ongoing debate on the relevance of certain terms like ESL, EFL. Several linguists have argued that these terms do not represent a wide range of language users under varying circumstances, given their various proficient language competence levels. In a bid to unveil the extent to which this presupposition applies to the use of ESL and EFL terms. A group of 36 participants from a school in North Cyprus was purposively chosen for this quantitative study. Four research questions were to be investigated. Questionnaires were used to collect vital data from the participants on their perceptions on terms like ESL and EFL. After analysis, results were collected, analysed and used to make cases for redefining the concepts of ESL and EFL terms, especially within the Turkish-Cypriot setting. A notable finding of this study was that the participants believed that terms like EFL ESL do not adequately define their language status. They further suggested that more appropriate terms should be used. The study suggested using English as an international and intranational language instead of the former terms, among other suggestions. This study adds to the corpus of research showing that while acronyms like EFL and ESL are relevant in English language education, more emphasis should focus on improving learner's four language skills which directly impacts their performance and production of the target language.
Rainbows amid Downpours: University Students’ Goals in Learning English during Digital Experiments
Authors: Toquero Cathy Mae Dabi , Acebes Swen Joshryll C. , Melitante Jaizele B. , Tuble Nikki T.
Published: August 2021

University students are susceptible to the constantly shifting online milieu during the pandemic. Linguistic isolation can present more difficulties as students lack authentic social communication in classes online. This study examined the hopes and goals of university students in their English learning course during emergency remote learning. Third Year Pre-Service teachers of a state university in the Philippines served as participants in this study. Through content analysis of 28 student-responses of the English Modules, the research findings demonstrate the significance of hopes and goals of the university students in learning English during the pandemic. Amidst the digital experiments, students portray hopes and goals of developing their pedagogical skills in English and broadening their linguistic skills despite linguistic isolation. Students' goals in the course are to improve their language skills, develop in-depth knowledge in English, achieve better grades, and become effective potential teachers.   As they aim to achieve those goals amid metaphorical downpours, university students reflect on the purpose of the course to equip them for lifelong learning that may develop ethical value, morality, and sense of vocation in their chosen profession. Despite having to confront the difficulties of learning online, their hopes and aspirations spark a burning desire to engage in intellectual and linguistic battles in learning English during pandemic and post-pandemic. Academic implications include for teachers to integrate authentic assessments for experiential language learning and for students to sketch a visual career plan outlining how students may achieve their goals as future educators.
TO COMPARE THE EFFICACY OF INTRA CERVICAL FOLEY’S CATHETER WITH INTRA CERVICAL DINOPROSTONE GEL IN CERVICAL RIPENING FOR THE SUCCESSFUL INDUCTION OF LABOR
Authors: Choudhary Mamta , Godara Dharmpal
Published: August 2021

Background: This study compared the efficacy and safety of the intracervical Foley catheter and dinoprostone insert for cervical ripening to achieve successful labor induction.

Methods: This was a randomized controlled study conducted. Group A received Dinoprostone cervical gel 0.5mg instilled in the cervical canal. Maximum of three doses (1.5mg dinoprostone) could be administered 6 hours apart. Patients randomized to group B were subjected to Foleys catheter insertion. Primary efficacy parameter was change in Bishops score as compared to baseline.

Conclusion: Our study showed that for pre induction cervical ripening there was no difference in efficacy between intracervical Foleys catheter and PGE2 gel.

Keywords: Foleys catheter, Induction of labour, Prostaglandins
COMPLICATIONS IN DENGUE LIKE ILLNESSES
Authors: Balai Shaitan Singh
Published: August 2021

Background: Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting nonsevere clinical course, small proportion progress to severe disease. Early recognition of dengue is challenging because the initial symptoms are often non-specific.

 Methods: The hospital based study was conducted on patients presenting to paediatric hospital, who fulfilled inclusion and exclusion criteria.

Results: According to complications, in dengue positive cases, bleeding was the most common complication seen in 51.00% cases while shock, myocarditis, and convulsion were present in 34.00%, 3.00% and 1.00% of cases respectively. Among the dengue negative cases, 63.00% had no complication while shock and bleeding were present in 23.00% and 14.00% cases respectively.

Conclusion: It concluded that shock was most common complication.

Keywords: Complication, Fever, Dengue Like Illness
A DESCRIPTIVE CROSS-SECTIONAL STUDY OF BREAST FEEDING PRACTICE
Authors: Balai Shaitan Singh
Published: August 2021

Background: This study describe the breastfeeding practices. This study was describe the breastfeeding practices and factors affected initiation and duration of breastfeeding 

Methods: The cross sectional study was conducted on mothers with infants less than 1 year who came to immunization center for vaccination was included in the study. Total 500 mothers include in this study.

Results: Only 35.20% of the mothers did the exclusive breastfeeding until 6 months and started weaning after 6 months. A total 56.00% of mothers in our study prematurely started weaning.

Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. The information regarding the advantage and duration of breastfeeding need to be provided for the community as a whole.

Keywords: Breastfeeding, Immunization, Infants.
OUTCOME OF PRETERM BABIES WITH RESPIRATORY DISTRESS SYNDROME
Authors: Balai Shaitan Singh , Arora Vivek
Published: August 2021

Background: To study outcome of preterm babies with RDS in babies admitted in NICU.

Methods: This study was hospital based prospective study of preterm neonates with respiratory distress syndrome admitted in NICU of MBGH RNT medical college Udaipur, from February 2017 to January 2018.

Results: Among 200 preterm neonates included in the study 31 neonates expired. Mortality was 15.5%. The mortality was 10.17% among the preterm neonates with RDS and hospitalized within 6 hrs. It was 31.81% among neonates hospitalized between 6-12 hrs and 62.5% and 66.66% among neonates hospitalized between 12-24 hrs and after 24 hrs of birth respectively.

Conclusion: Mortality rate is inversely related to birth weight and gestational age and directly related to age at admission and severity of respiratory distress (Silverman-Anderson score).

Keywords: Preterm, Neonates, Birth weight.
TERMINATION OF POWERS OF A JUDGE OF THE CONSTITUTIONAL COURT OF UKRAINE AS A COMPONENT OF THE MECHANISM TO ENSURE ITS INDEPENDENCE
Authors: Dubov Gennadii , Bondarenko Bohdan
Published: August 2021

The article is devoted to the study of the grounds and procedure for termination of a judge's powers of the Constitutional Court of Ukraine as a constituent of ensuring its independence. The article aims to establish the reasons for the insufficient level of ensuring the independence of the Constitutional Court of Ukraine in terms of failure to comply with the current legislation on termination of powers of judges of the Constitutional Court and suggest recommendations to overcome defined problems. A set of methods was used for the study, such as: 1) a formal legal analysis of the texts of regulatory legal acts; 2) the historical and historical-legal analysis actualized and compared problems related to the independence of judges of the Constitutional Court during the events of 2008, 2010, 2014, and 2020-2021; 3) the comparative-legal method was used to compare the legal regulation of constitutional review bodies in several post-Soviet states with the transitional nature of legal and public administration systems; 4) the formal and dogmatic method allowed us to conclude the content of legal regulation for termination of powers of a judge of the Constitutional Court and changes in such regulation underwent during the existence of constitutional jurisdiction in Ukraine; 5) the systematic method defined the forms of interaction between legal institutions, in particular, the institution of removal from office in criminal proceedings and the institution of independence of judges of the Constitutional Court. As a research result, we described the key problems in the practice of termination of powers of judges of the Constitutional Court of Ukraine and suggested recommendations to solve defined problems. The value of this article, first of all, is due to the study of events in the Constitutional Court during 2008, 2010, 2014, and 2020-2021.
EUROPEAN COURT OF HUMAN RIGHTS PRACTICE AS A SOURCE OF LAW
Authors: Kaliuzhna Yevheniia
Published: August 2021

The urgency of the research is stipulated by the necessity to study the European Court of Human Rights practice as a source of law at the regional level, which affects the development of national legal systems. The purpose of the article is to elucidate the European Court of Human Rights practice as a source of law for member states to the Convention for the Protection of Human Rights and Fundamental Freedoms (on the examples of individual decisions). The research is based on the understanding of law as a dynamic social and cultural phenomenon having a specific content and is closely related to human dignity, human rights and justice. Legislation is only one form of law that can exist outside the prescriptive texts, which requires the use of the hermeneutic method and content analysis of the European Court of Human Rights decisions. The article finds out that the European Court of Human Rights is one of the most effective institutions for human rights implementation. Applying the provisions of the Convention for the Protection of Human Rights and Fundamental Freedoms, which was adopted in 1950, through a dynamic interpretation, the European Court of Human Rights ensures the effectiveness and efficiency of this international treaty, revealing the content in the aspect of modernity. States parties to the Convention for the Protection of Human Rights and Fundamental Freedoms are obliged to comply with the European Court of Human Rights decisions, which (the court) always follows its practice, ensuring legal certainty and the rule of law. This allows considering the European Court of Human Rights a subject forming legal doctrines at both regional and national levels. The materials of the article can be used for scientific research of the European Court of Human Rights practice as a source of law at the regional level, which affects national legal systems. The main provisions of the article can be used to justify the study of ECHR practice by lawyers as well as law students and civil servants.
Hipotalamusta İyonotropik Glutamat Reseptör Ekspresyonu: İmmunohistokimyasal Lokalizasyon Çalışması
Authors: GÖK YURTSEVEN Duygu , TOPAL Gonca , MİNBAY Zehra , EYİGÖR Özhan
Published: August 2021

Merkezi sinir sisteminde (MSS) nöron fonksiyonlarının düzenlenmesinde çok çeşitli nörotransmitter madde rol oynar. Glutamat, hipotalamusta en önemli eksitatör amino asit nörotransmitterlerden biri olarak yer alır ve nöronlar üzerindeki düzenleyici işlevini iyonotropik ve metabotropik olarak iki alt ailede sınıflandırılan reseptörlerine bağlanarak gerçekleştirir. Glutamatın bazı nöroendokrin nöronlar üzerinde etkili olduğu yapılan elektrofizyolojik ve farmakolojik çalışmalarla belirlenmiştir. Çalışmamız kapsamında, glutamaterjik innervasyonun histomorfolojik olarak desteklendiği çalışmaların bulunmaması sebebiyle hipotalamik glutamat reseptör alt birimlerine odaklanılmıştır. İyonotropik glutamat reseptör alt birimlerinden AMPA (GluA1, GluA2, GluA3, GluA4), Kainik asit (GluK5, GluK1, GluK2, GluK3) ve NMDA’nın (GluN1, GluN2A) hipotalamustaki dağılımları immünohistokimya yöntemi kullanılarak araştırılmıştır. Dişi sıçanların beyin dokularından vibratom aracılığıyla alınan kesitler, hipotalamik nöronlardaki glutamat reseptör alt birimlerinin varlığı ve yoğunluğu açısından değerlendirilmiştir. Çalışmada, AMPA reseptörlerinden GluA1 ve GluA2’nin yaygın olarak hipotalamusta lokalize olduğu, GluA3 ve GluA4 immünoreaksiyonunun ise çok sınırlı olduğu; kainat reseptör alt birimlerinden GluK5’in çok yaygın olduğu ve GluK1/2/3 içeren nöronların daha az sayıda olduğu, NMDA reseptör alt birimlerinden GluN1’in ise hipotalamusta yoğun olarak bulunduğu saptanmıştır. Sonuç olarak, bu çalışma ile hipotalamik birçok nöronun iyon spesifik iGluR kanallarını farklı miktar ve yoğunlukta eksprese edebildiği, bunun da hedef nöronların glutamat tarafından farklı şekilde düzenlenmesine izin verebileceği gösterilmiştir.
A importância da plataforma arduino no meio acadêmico
Authors: Queiroz Wagner Rodrigues de Oliveira , Sousa Wanderson Quaresma de
Published: August 2021

Com a crescente formação de novos profissionais na fase acadêmica para as áreas de Tecnologia da Informação e Comunicação (TI&C). Surge a necessidade de agregar tecnologias importantes para a construção do conhecimento aos estudantes. A proposta é de uma maior abertura dos cursos, para a aplicação de estudos sobre uso das plataformas abertas. Podemos destacar a plataforma arduino, que pode ser manipulado com liberdade em ambientes acadêmicos e no desenvolvimento de soluções próprias. Para contribuir com a ideia, uma pesquisa sobre a situação e opinião dos estudantes sobre o tema foi realizado e documentado após o contato com a tecnologia. As atividades realizadas e apresentadas foram importantes para obter uma visão clara das necessidades, características e limites da sua aplicação.
Kültürel Etnosentrizm ve Gastronomi: Türk Tüketicilerin Entomofoji Tutumları Üzerine Kalitatif Bir Çalışma
Authors: PAYAS Damla , TÜRKER Nuray
Published: August 2021

Bu çalışmanın temel amacı, Türk tüketicilerin böceklerin bir gıda olarak tüketilmesine yönelik algı ve tutumlarının ve bu tutumlarda kültürel etnosentrizm ve önyargıların etkili olup olmadığının belirlenmesidir. Bu amaçla, kartopu örnekleme yöntemi kullanılarak daha önce yurt dışına seyahat etmiş on beş kişi ve hiç yurt dışına çıkmamış beş kişi ile (toplamda 20 kişi) gönüllülük esasına dayalı olarak online görüşme yapılmış ve elde edilen veriler içerik analizi ile analiz edilmiştir. Sonuçlar yiyecek-içecek üretimi ile uğraşan ve daha önce yurtdışına seyahat etmiş kişilerin böcek tüketmeye/deneyimlemeye daha istekli olduklarını göstermektedir. Türk tüketiciler böcek yiyen kültürlere karşı önyargılı ve etnosentrik tutumlar göstermemekte, böcek tüketimini kültürel bir olgu olarak değerlendirmektedirler.
Gökçeada’ya Ait Gastronomik Değerlerin Sürdürülebilirliğinin Sağlanmasına Yönelik Bir Araştırma: Gastronomi Müzesi Önerisi
Authors: ÇAKICI Salih , SIRTLI Aleyna , KORKMAZ Müesser
Published: August 2021

Bu çalışmanın amacı Gökçeada’nın gastronomik değerlerinin sürdürülebilirliği açısından Ada’da bir gastronomi müzesinin açılmasının önemine ilişkin bir bakış açısı ortaya koymaktır. Bu kapsamda çalışmada Gökçeada’nın sahip olduğu gastronomik değerler ve bu değerlerin sürdürülebilirliğinin nasıl sağlanabileceği belirlenmeye çalışılmıştır. Bu amaçla çalışmada Gökçeada’da bulunan yerel paydaşlar (Sivil toplum kuruluşları, turizm işletmeleri, kamu kurumları ve yerel halk) ile yüz yüze görüşmeler gerçekleştirilmiştir. Çalışmada kullanılan görüşme formu 20 adet yarı yapılandırılmış soru ve 5 adet demografik sorudan oluşmaktadır. Çalışmadan elde edilen verilerin analizinde “sözcük sıklık analizi” ve “betimsel analiz” kullanılmıştır. Çalışma sonucunda Gökçeada’nın sahip olduğu yöresel, kültürel ve gastronomik değerlerin sürdürülebilirliğinin sağlanması bakımından Ada’da bir gastronomi müzesinin açılmasının bir gereklilik olarak görüldüğü ve söz konusu müzenin içe merkezinde konumlanması gerektiği sonucuna ulaşılmıştır. Bu bakımdan Gökçeada’ya özgü olan yöresel reçetelerin, mutfak araç & gereçlerinin ve yöresel kıyafetlerin Ada’da açılacak olan gastronomi müzesinde toplanması ve sergilenmesi önerilmektedir. Çalışmada ayrıca müzede Ada’nın gastronomik değerlerinin sergilenmesinin yanı sıra eğitim ve satış gibi hizmet alanlarının da bulunması gerektiği belirlenmiştir. Bu kapsamda Ada’da açılacak olan bir gastronomi müzesinin, Ada turizmi, ekonomik gelişim, destinasyon imajı, mutfak kültürü ve yerel paydaşlar üzerinde çeşitli olumlu etkiler yaratacağı ön görülmektedir.
Gastronomi Eğitim Mutfaklarının Temel Mutfak Uygulamaları Kapsamında Planlanması: Gerekçelendirme
Authors: TEMİZKAN Saadet Pınar , SEVER Yılmaz
Published: August 2021

Mesleki eğitim, sektörel ve ulusal ekonominin işleyişi açısından stratejik bir öneme sahiptir. Yeme içme sektörüne nitelikli eleman hazırlama misyonuyla faaliyet gösteren gastronomi eğitimi; sektörün kalkınmasında ve geleceğinde sorumluluk sahibidir. Eğitim mutfakları, gastronomi eğitiminde kalite yaklaşımının beş boyutundan (müfredat, sosyal ağlar, öğrenci, eğitmen) biri olan, fiziki imkânlar başlığı altında yer alan ifadelerden biridir. Mevcut gastronomi meslek eğitimi sistemi içerisinde, eğitim mutfaklarının sahip olması gereken yeterlilikler hakkında detaylı bir yönerge bulunmamaktadır. Bu çalışma, gastronomi eğitim mutfaklarının donanımı hakkındadır. Donanım, gerekçeli bir düşünme yaklaşımıyla ele alınmıştır. Bu çalışma, mutfak kurulumu aşamasında ortaya çıkabilecek gereksiz/uygunsuz ekipman maliyetlerinin önlemeyi, öğrencilerin deneyimlerini daha nitelikli hale getirmeyi ve kamu kaynaklarının verimli kullanılmasına katkı sunmayı hedeflemektedir. Çalışmada öncelikle, gıdayı bekletme, hazırlama, pişirme ve sunma hakkındaki uluslararası yöntem ve teknikleri içeren kaynaklar taranmıştır. İçerik analizleriyle eğitim mutfaklarındaki iş; kodlar, kategoriler ve temalar kullanılarak detaylandırılmıştır. Kodlanan iş (eylem/yöntem/teknik) gerekli olabilecek ekipmanlarla ilişkilendirerek gerekçelendirilmiş ve donanım listelenmiştir.
Pengaruh Ukuran Dewan Komisaris, Independensi Dewan Komisaris, dan Komite Audit terhadap Corporate Social Responsibility Disclosure dengan Profitabilitas sebagai Variabel Moderasi
Authors: Herizona Bintang Satria , Yuliana Indah
Published: August 2021

Tujuan dari penelitian ini untuk menguji pengaruh parsial dan simultan variabel ukuran dewan komisaris, independensi dewan komisaris, dan komite audit terhadap corporate social responsibility disclosure serta pengaruh dari adanya penambahan variabel profitabilitas sebagai variabel moderasi. Sampel penelitian menggunakan sebanyak 38 perusahaan sektor industri dasar dan kimita tahun 2016-2019 yang ditentukan berdasarkan purposive sampling yang sudah ditetapkan dan analisis penelitian mengunakan moderated regression analysis. Hasil penelitian didapatkan bahwa secara parsial variabel ukuran dewan komisaris dan independensi dewan komisaris memiliki pengaruh yang signifikan. Sementara sercara simultan variabel yang digunakan memiliki pengaruh yang signifikan. Pada uji moderasi return on asset didapatkan hasil bawah variabel tersebut tidak mampu memoderasi hubungan antara variabel independen dengan variabel dependen sedangkan pada uji moderasi return on equity didapatkan hasil bahwa variabel tersebut mampu memoderasi hubungan variabel ukuran dewan komisaris dengan corporate social responsibility disclosure.
Pengaruh Kualitas Produk dan Komunikasi Marketing pada Brand Image serta Dampaknya terhadap Loyalitas Pelanggan pada Produk Sarung di Surabaya
Authors: Bambang Pontjo , Ramadhani Yesa
Published: August 2021

The purpose of this study was to empirically examine the effect of product quality on consumer brand image, the effect of marketing communication on consumer brand image, and the effect of brand image on loyalty. This study uses primary and secondary data sources obtained directly by distributing 100 questionnaires to respondents. The sampling method is non-probability with a pirposive sampling technique. The criteria for respondents are male, the research method uses SEM (Structural Equation Modeling) analysis. The findings of this study are, The first hypothesis which states that product quality affects brand image and is proven significantly, the second hypothesis which states that marketing communication affects brand image is not proven significantly, the third hypothesis which states that brand image affects customer loyalty is proven significantly
Pengaruh Kepercayaan Dan Promosi Terhadap Minat UMKM Mengambil Pembiayaan Perbankan Syariah Di Kota Langsa
Authors: Ulya Zikriatul
Published: August 2021

The purpose of this research is to examine the effect of trust and promotion toward UMKM interest taking islamic banking financing in the city of Langsa.  The method used is the quantitative approach. This study uses probability sampling by cluster sampling. The sample used is a small and medium-size micro business in Langsa city of 100 respondents. The data-collection technique  a questionnaire by distributing to the small and medium-size microbusiness of Langsa city. Data analysis methods using linear regression, classic assumptions test, and hypothetical test (t and test f). Test t-test results have shown that each independent variable of trust and promotion is partially positive and significant. The results of research on the f show that there is a positive and significant impact together between the trust variables and the promotion of the interest of umkm, which is financing sharia banking in the city of Langsa. Based on the results of the study, it is based on coefficiency analysis, that 50,1 % of the disproportionate value of the people, should be satisfied by the two influential variables, trust and promotion. The remaining 49,9 % is described by other variables not included in the equation.
Faktor yang Berhubungan dengan Lamanya Pelepasan Tali Pusat di Klinik Diana Sunggal Medan
Authors: Nst Ramadhani Syafitri , Mouliza Nurul , Oktafirnanda Yuka
Published: August 2021

Latar Belakang: Masa neonatus dianggap masa yang rawan hingga memerlukan perhatian dan penanganan sebaik-baiknya. Berdasarkan data WHO anak-anak menghadapi risiko kematian tertinggi di bulan pertama kehidupan mereka, dengan 2,6 juta bayi baru lahir meninggal pada tahun 2016. Tujuan: penelitian ini untuk mengetahui faktor yang berhubungan dengan lamanya pelepasan tali pusat di Klinik Diana Sunggal Tahun 2020. Metode: Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu nifas yang memiliki bayi 0-20 hari di Klinik Diana Sunggal Medan. Pengambilan sampel menggunakan metode total populasi sejumlah 30 responden. Pengumpulan data dilakukan menggunakan data primer, diperoleh dari hasil kuisioner yang dibagikan oleh peneliti. Hasil: uji statistik chi square menunjukkan bawa variabel pengetahuan ibu dengan lamanya pelepasan tali pusat didapat p-value 0,204, sikap ibu dengan lamanya pelepasan tali pusat didapat p-value 0,594. Perawatan tali pusat dengan lamanya pelepasan tali pusat didapat p-value 0,033. Kesimpulan: dalam penelitian ini adalah tidak ada hubungan pengetahuan dan sikap dengan lamanya pelepasan tali pusat, sedangkan perawatan tali pusat dengan lamanya pelepasan tali pusat memiliki hubungan yang signifikan. Disarankan kepada petugas kesehatan memberikan penyuluhan kepada ibu nifas yang bersifat edukasi dan lebih menekankan pada  saat ibu nifas pulang kerumah sehingga ibu juga dapat melakukan perawatan tali pusat yang bersih dan aman sehingga tidak terjadi infeksi
Hubungan Status Gizi dan Usia Menarche dengan Kejadian Dismenore pada Mahasiswa Tingkat I Semester II Akademi Kebidanan RSPAD Gatot Soebroto
Authors: Jayanti Christin
Published: August 2021

Latar Belakang: Masa remaja juga dapat diartikan sebagai masa yang ditandai oleh adanya perubahan pada bentuk tubuh,penampilan diri, sikap kepemilikan, sikap sosial dan minat seks. Masa pubertas yaitu suatu fase perkembangan yang ditandai dengan terjadinya kematangan organ seksual dan menuju tercapainya kemampuan reproduksi. Salah satu tanda seorang wanita memasuki usia pubertas adalah terjadinya menarche. Menarche adalah menstruasi pertama yang biasa terjadi dalam rentang usia 10-16 tahun atau pada masa awal remaja sebelum memasuki usia reproduksi. Nyeri menstruasi dalam istilah medis disebut dysmenorrhea (dismenore) atau menstrual cramps. Tujuan : Untuk mengetahui hubungan status gizi dengan kejadian  dismenore. Metode : Pengumpulan     data   dikumpulkan   secara  langsung  pada  saat penelitian. Proses pengumpulan data dengan cara memberikan angket/kusioner kepada seluruh mahasiswi semester II. Hasil : Dari 59 responden yang di ketahui status gizi normal sebanyak 45 responden (76,3%), gizi underwight sebanyak 10 responden (16,9%). Sedangkan yang obesitas sebanyak 4 responden (6,8%). kejadian dismenore tidak pernah sebanyak 17 responden (28,8%) sedangkan yang  kadang - kadang sebanyak 23 responden (38,9%) sedangkan yang sering sebanyak 19 responden (32,3%). Kesimpulan : Dari Hasil analisis menunjukkan tidak ada hubungan yang bermakna antara status gizi berat badan atau tinggi badan dengan terjadinya disminore p= 0,202. dan terdapat hubungan antara usia menarche dengan kejadian dismenore pada Mahasiswa Tingkat I Semester II p= 0,002
Review Artikel: Aktivitas Antibakteri dari Ekstrak Biji Mangga Arumanis (Mangifera indica L. Var. Arumanis)
Authors: Khasanah Nur , Nawangsari Desy , Sunarti Sunarti
Published: August 2021

Pendahuluan: Tingginya masalah resistensi antibiotik di indonesia disebabkan karena penggunaan antibiotik yang tidak rasional sehingga diperlukan adanya antibakteri dari bahan alam yang dapat menghambat pertumbuhan bakteri dengan minimal efek samping. Salah satu bahan alam yang dapat digunakan sebagai antibakteri yaitu biji mangga arumanis (Mangifera indica L.Var. Arumanis).Sifat antibakteri pada biji mangga arumanis (Mangifera indica L.Var. Arumanis) disebabkan karena adanya senyawa fenolik berupa flavonoid, alkaloid, tanin, terpenoid, saponin, dan juga senyawa gallotanin.Tujuan:Untuk mengetahui aktifitas antibakteri ekstrak biji mangga arumanis dan bakteri apa saja yang dapat dihambat dengan mengetahui nilai MIC. Metode: Metode yang digunakan dalam penelitian ini yaitu metode PICO. Hasil: Dari literatur review biji mangga arumanis (Mangifera indica L.Var. Arumanis) terbukti dapat menghambat bakteri gram positif dan negatif dengan penghambatan lebih besar pada bakteri positif. Dengan nilai MIC sebesar 0.03mg/mL yang terbukti dapat menghambat bakteri Methicillin Resistan Staphylococcu aureus.Kesimpulan:Ekstrak biji mangga arumanis dapat menghambat bakteri gram positif dan negatif dengan nilai MIC dimulai dari 0.03mg/mL.
Review Artikel: Pengaruh Ekstrak Bawang Putih (Allium Sativum L.) Terhadap Pertumbuhan Jamur Malassezia furfur Penyebab Penyakit Panu (Tinea versicolor)
Authors: Hepni Hepni
Published: August 2021

Bawang putih selain dikenal sebagai salah satu bumbu dapur dan dipercaya juga sebagai antibiotik dan antifungi. Khasiat ini disebabkan oleh zat allicin yang kandungannya mampu membunuh jamur dan bakteri. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh perbedaan konsentrasi ekstrak bawang putih terhadap zona hambat pertumbuhan jamur Malassezia furfur penyebab penyakit panu (Tinea versicolor), dengan menggunakan metode studi literatur. Teknik pengambilan sampel yang digunakan yaitu purposive sampling dan memperoleh 2 sampel yaitu berupa jurnal dan Karya Tulis Ilmiah yang membahas tentang pengaruh bawang putih dalam mengatasi penyakit panu. Senyawa yang ada pada bawang putih adalah allicinn yang didapatkan dari ekstrak bawang putih yang mempunyai aktivitas dan daya hambat terhadap jamur Malassezia furfur penyebab penyakit panu. Dengan hasil yang didapatkan semakin tinggi konsentrasi ekstrak bawang putih maka semakin luas zona hambat pertumbuhan jamur penyebab panu.
Mikroenkapsulasi Bisoprolol dengan Penyalut Albumin
Authors: Razoki Razoki
Published: August 2021

Sejalan dengan kemajuan teknologi di bidang farmasi, teknik mikroenkapsulasi telah digunakan untuk memperbaiki stabilitas zat aktif. Tujuan: Penelitian ini bertujuan untuk mengetahui apakah bisoprolol dapat di mikrokapsul mengggunakan albumin. Metode: Penelitian ini bersifat eksperimental dengan memformulasikan bisoprolol dengan albumin sebagai penyalut yang digunakan adalah 1:6, 1:4 dan 1:2 berturut-turut untuk Formula I, Formula II dan Formula III menggunakan metode penguapan pelarut. Hasil: Albumin dapat digunakan sebagai penyalut mikroenkapasulasi bisoprolol dan  distribusi ukuran partikel 209-1998 µm. Hasil penelitian menunjukkan bahwa mikrokapsul dengan perbandingan antara bisoprolol dengan albumin 1:6 memiliki pelepasan zat aktif yang paling baik dengan disolusi dari mikroenkapsulasi bisoprolol dengan penyalut albumin. Kesimpulan: Albumin dapat digunakan sebagai penyalut mikrokapsul bisoprolol dimana semakin besar konsentrasi albumin pelepasan zat aktif bahan aktif dari mikrokapsul akan semakin diperlambat.
Efek Antipiretik Ekstrak Etanol Daun Randu (Ceiba pentandra (L.) Gaertn.) terhadap Tikus Putih Jantan (Rattus norvegicus)
Authors: Parhan Parhan , Nevizah Niva
Published: August 2021

Pendahuluan: Antipiretik adalah obat yang dapat menurunkan suhu tubuh akibat demam. Suhu normal pada manusia berkisar antara 36-37 0C. Tujuan: penelitian ini bertujuan untuk mengetahui efek antipiretik ekstrak etanol daun randu (Ceiba pentandra (L.) Gaertn.) Terhadap ujung putih jantan yang diinduksi vaksin DPT-HB. Metode: Hewan uji yang digunakan sebanyak 30 ekor tikus putih jantan yang dibagi menjadi 5 kelompok perlakuan, masing-masing kelompok terdiri dari 6 ekor tikus putih jantan. Kelompok kontrol positif menggunakan parasetamol 500 mg/kgBB, kelompok kontrol negatif diberikan CMC Na 1% dan kelompok perlakuan ekstrak etanol daun randu (EEDR) dengan dosis 100, 200, 300 mg/kg diberikan. secara lisan. Tikus putih jantan diinduksi dengan 0,2 ml vaksin DPT-HB secara intramuskuler. Pengukuran suhu rektal tikus dilakukan sebelum dan sesudah pemberian vaksin setelah perlakuan diuji secara berturut-turut pada menit ke 30, 60, 90, 120 dan 150. Hasil: penelitian ini menunjukkan pemberian ekstrak etanol daun randu (EEDR) pada dosis 300 mg/kgBB menunjukkan penurunan suhu yang lebih besar dibandingkan dengan daun ekstrak etanol randu (EEDR) pada dosis 200 dan 100 mg/kgBB Pemberian parasetamol menunjukkan penurunan suhu rektal tikus yang lebih besar dibandingkan dengan daun ekstrak etanol randu (EEDR) dosis 300 mg/kgBB. Kesimpulan: ekstrak etanol daun randu (EEDR) memiliki efek antipiretik pada tikus putih jantan tetapi tidak lebih baik dari parasetamol.
Perilaku Pencegahan Gastritis pada Mahasiswa Kesehatan di STIKes Hang Tuah Pekanbaru
Authors: Maharani Riri , Alhidayati Alhidayati , Syukaisih Syukaisih , Rahayu Endang Purnawati
Published: August 2021

Angka kejadian gastritis di Indonesia cukup tinggi, dalam hitungan per 100 ribu orang gastritis dan duodenitis di Indonesia mempengaruhi kematian 4 dari 12 orang. Penyakit ini juga mempengaruhi kesehatan masyarakat sebanyak 41% dengan persentase perempuan lebih banyak dibandingkan pria. Sebagian masyarakat menyatakan penyakit sistem pencernaan (gastritis) disebabkan oleh kebiasaan makan yang salah atau tidak teratur. Gastritis merupakan salah satu jenis kasus yang umumnya diderita oleh kalangan remaja, hal ini disebabkan oleh berbagai faktor diantaranya pengetahuan, pola makan, stres dengan perilaku untuk mencegah terjadinya gastritis. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan, pola makan, dan stres terhadap perilaku pencegahan gastritis pada mahasiswa jurusan kesehatan masyarakat. Penelitian ini dilaksanakan pada bulan Desember 2020. Metode penelitian yang digunakan adalah deskriptif korelatif, rancangan cross sectional. Sampel adalah sebagian mahasiswa semester 2 pada prodi sarjana kesehatan masyarakat STIKes Hang Tuah Pekanbaru yang diambil secara total sampling yaitu 180 responden. Analisis menggunakan univariat dan bivariat dengan uji Chi Square. Berdasarkan hasil penelitian menunjukkan responden tidak melakukan perilaku pencegahan gastritis sebanyak 72 (40,0%), responden dengan pengetahuan rendah sebanyak 98 (54,4%) p value 0,041, pola makan tidak baik sebanyak 97 (53,9%) p value 0.011, stress kategori tinggi sebanyak 107 (59,4%). Berdasarkan uji statistik diperoleh P value dari tiga variabel a (0,05), terdapat hubungan antara pengetahuan, pola makan, stress terhadap perilaku pencegahan gastritis. Diharapkan responden dapat mengatur makanannya yang tidak merangsang peningkatan asam lambung seperti pedas, berbumbu yang dapat mengiritasi lambung , serta  aktif dalam kegiatan social sehingga tidak menimbulkan stres.
Determinan Kejadian Stroke pada Pasien Hipertensi (Analisis Data Sekunder IFLS 5)
Authors: Hidayati Annisa , Martini Santi , Hendrati Lucia Yovita
Published: August 2021

Angka prevalensi stroke di Indonesia berdasarkan diagnosis pada penduduk umur ≥ 15 tahun pada tahun 2007-2018 menunjukkan adanya peningkatan, serta sebanyak 51% kematian karena stroke disebabkan oleh hipertensi. Hal tersebut menjadi alasan pentingnya dilakukan upaya pencegahan stroke pada penderita hipertensi. Tujuan penelitian adalah untuk menganalisis hubungan umur, jenis kelamin, klasifikasi tekanan darah, lama menderita hipertensi, kepatuhan minum obat antihipertensi, penyakit diabetes, penyakit jantung dengan kejadian stroke pada penderita hipertensi. Penelitian ini merupakan jenis studi observasional analitik dengan rancang bangun cross sectional, serta menggunakan data IFLS 5. Pengambilan sampel dilakukan secara bertahap dengan melakukan cleaning data pada populasi penelitian dan seluruh variabel penelitian, kemudian dilakukan penggabungan data hingga diperoleh sampel sebanyak 2.408 orang. Penelitian ini menunjukkan bahwa ada hubungan signifikan antara variabel  umur (p=0,000; OR=2,28; 95%CI=1,490-3,495); jenis kelamin (p=0,002; OR=1,73; 95%CI=1,225-2,451); klasifikasi tekanan darah (p=0,043; OR=1,44; 95%CI=1,012-2,065); kepatuhan minum obat anti-hipertensi (p=0,000; OR=0,41; 95%CI=0,286-0,586); penyakit diabetes (p=0,030; OR=1,66; 95%CI=1,050-2,639); penyakit jantung (p=0,035; OR=1,72; 95%CI=1,039-2,878) dengan kejadian stroke pada penderita hipertensi. Variabel lama menderita hipertensi tidak memiliki hubungan signifikan dengan kejadian stroke pada penderita hipertensi (p=0,072; OR=1,01; 95%CI=0,998-1,039). Kesimpulan penelitian yakni ada hubungan umur, jenis kelamin, klasifikasi tekanan darah, kepatuhan minum obat anti-hipertensi, penyakit diabetes, penyakit jantung dengan kejadian stroke pada penderita hipertensi, namun tidak ada hubungan antara lama seseorang menderita hipertensi dengan kejadian stroke pada penderita hipertensi. Saran yang dapat diberikan adalah perlu memiliki pola hidup sehat bagi penderita hipertensi agar terhindar dari penyakit stroke, khususnya pada laki-laki, memiliki diabetes dan penyakit jantung.
Hubungan Motivasi dengan Efikasi Diri Pada Pasien Diabetes Mellitus di Klinik Diabetes Dharma Medan
Authors: Ngadino Muflih
Published: August 2021

Diabetes Mellitus adalah suatu gangguan metabolisme karbohidrat, protein dan lemak akibat dan ketidakseimbangan antara ketersediaan insulin dengan kebutuhan insulin. Menurut World Health Organization (WHO) memeperkirakan lebih dari 346 juta orang di seluruh dunia mengidap diabetes. WHO memprediksi kenaikan jumlah penyandang DM di Indonesia lebih dari 8,4 juta pada tahun 2000 menjadi 21,3 juta pada tahun 2030. Penelitian ini bertujuan untuk mengetahui Hubungan Motivasi Dengan Efikasi Diri Pada Pasien Diabetes Mellitus Di Klinik Diabetes Dharma Medan. Penelitian ini menggunakan desain penelitian survei analitik dengan pendekatan cross sectional dan menggunakan uji chi-square. Populasi dalam penelitian ini adalah pasien Diabetes Mellitus berjumlah 115 responden, sedangkan sampel yang digunakan adalah sampling aksidental dengan rumus slovin yaitu sebanyak 53 responden. Jenis data yang digunakan adalah data primer, data sekunder, dan data tertier, sedangkan analisa data yang digunakan yaitu analisa univariat dan analisa bivariat. Dari hasil penelitian ini dengan uji atatistik pearson chi-square, menunjukkan bahwa hasil P value sebesar 0,001. Dimana nilai tertentu lebih kecil dari nilai α sebesar 0,05, maka ada hubungan antara motivasi dengan efikasi diri pada pasien diabetes melitus di Klinik Diabetes Dharma Medan. Kesimpulan dalam penelitian ini menunjukkan bahwa secara statistik ada hubungan yang signifikan antara motivasi dengan efikasi diri pada pasien diabetes mellitus di Klinik Diabetes Dharma Medan. Disarankan perlu dilakukan penelitian lebih lanjut tentang motivasi dengan efikasi diri pada pasien diabetes mellitus, dengan menggunakan lokasi penelitian dan metode penelitian yang berbeda
Hubungan Support System Keluarga dengan Tingkat Kecemasan pada Anak Praseolah Akibat Hospitalisasi di RSU Imelda Pekerja Indonesia Medan
Authors: Ito Mita Melinda
Published: August 2021

Hospitalization  in children is a process because  of a planning   or emergency reason  that  requires  the  child  to  stay  in  the  hospital   to  undergo   therapy  and treatment   until  returning   home.   During   the process,   the  child   can  experience psychological   changes  such  as feelings of fear,  sadness  and anxiety.  Based on the preliminary    survey  data   on  15  children   at  Imelda   Pekerja  Indonesia found   6 children experienced in mild anxiety, while  l 2 children experienced in severe anxiety while the support of good families was 4 people and less than 11 people.  The aim of this research  was to find  out the relationship  offamily support system  with the level of anxiety  in preschool  children due  to hospitalization  at Imelda Pekerja  Indonesia General Hospital Medan  Indonesia. The method used  in this study was an analytical survey with a cross sectional approach.   The populations in this study  were all children  who were  treated at the Imelda  Pekerja Indonesian   in 2018  were 32 people  while the samples   in this study were all  children  treated  amount 32 people at Imelda  Pekerja Indonesian   General Hospital  2018.  The technique  sampling  used in this  study  was  the  total sampling techniques  and the test was do~e by using chi-square test. Based  on the results  of statistical  tests at 95% confidence level  obtained p  =0.023  from  a = 0.05.   These results prove  that there  was a relationship  offamily support systems and the level of anxiety in preschool  children due to hospitalization. The  conclusion  in  this study  shows  that there  is a relationship   of family support system with the level of anxiety  in preschool  children  due to hospitalization. It is suggested to the health  workers to always provide  information and counseling to families  about family support  systems and child anxiety.