bluuebunny/crossref_metadata_2025 huggingface dataset:
Peranan Insentif Pajak Yang Di Tanggung Pemerintah (DTP) Di Era Pandemi Covid 19
Authors: Marlina Lili , Syahribulan Syahribulan
Published: January 2021

Serangan pandemi Covid 19 yang terjadi secara global hampir di seluruh Negara termasuk di Indonesia telah berdampak buruk pada sektor ekonomi khususnya bisnis UMKM. Pemerintah telah melakukan berbagai upaya untuk memulihkan kembali perekonomian Indonesia, melalui Direktorat Jenderal Pajak dibawah kewenangan Kementrian Keuangan telah  memberikan insentif pajak untuk wajib pajak yang terdampak pandemi Covid 19, Insentif PPh Final berdasarkan Peraturan Pemerintah Nomor 23 Tahun 2018. Peraturan ini berfokus pada Usaha Kecil dan Menengah. Pajak yang biasanya dilunasi dengan cara setor sendiri atau dipotong maupun dipungut oleh Pemotong atau Pemungut sebesar 0.5% dari penghasilan bruto, dengan adanya PMK-44/PMK.03/2020 menjadi ditanggung pemerintah berarti penghasilan tersebut menjadi tidak diperhitungkan sebagai penghasilan yang dikenakan pajak masa pajak april 2020 sampai desember 2020. Penelitian ini menggunakan metode deskriptif yakni melalui studi literatur, kepustakaan yaitu memberikan gambaran tentang aspek-aspek kehidupan masyarakat yang saat ini terkena dampak Covid-19. Tujuan pemberian insentif pajak ini kepada UMKM agar dapat mengurangi kesulitan dalam memenuhi biaya operasional atau beban pengeluaran agar UMKM bisa bertahan (Survive) selama pandemi. Dan upaya menyelamatkan perekonomian nasional dan menjaga kestabilan sistem Keuangan tercapai. Hasilnya insentif dan relaksasi pajak, pemberian insentif perpajakan untuk UMKM sektor usaha dapat memiliki ruang untuk bergerak di tengah kondisi pandemic Covid 19 seperti saat ini. Sosialisasi kepada pelaku UMKM terkait adanya insentif pajak ini,penerima manfaat dapat produktif dan mampu mendukung pemulihan perekonomian nasional, program dan langkah taktis menjadi upaya pertumbuhan ekonomi tetap terjaga namun program ini terpisah, sehingga tidak terkait dengan penyebaran Covid-19 yang dapat dikendalikan dengan cepat
Efektivitas Pengelolaan Alokasi Dana Desa Pada Desa Silondou Kecamatan Basi Dondo Kabupaten Tolitoli
Authors: Hilmi Hilmi , Ramlawati Ramlawati
Published: January 2021

Penelitian ini bertujuan untuk mengetahui (1) tingkat efektivitas pengelolaan alokasi dana desa pada Desa Silondou tahun 2014-2019, (2) hambatan yang dihadapi dalam merealisasi alokasi dana desa pada Desa Silondou, (3) cara menanggulangi hambatan dalam merealisasi alokasi dana desa pada Desa Silondou. Jenis penelitian ini adalah deskriptif. Data dikumpulkan dengan metode dokumentasi dan wawancara. Analisis data menggunakan teknik efektivitas dan rasio kreteria efektivitas. Hasil penelitian menunjukkan (1) Efektivitas pengelolaan alokasi dana desa dari tahun 2014-2019 sudah berada dalam kategori efektif. Tingkat efektivitas pengelolaan alokasi dana desa pada Desa Lembean yaitu tahun 2014 (98,98%), 2015 (100%), 2016 (100%), 2017 (98,24%), 2018 (100%), dan 2019 (99,57%). (2) Hambatan yang dialami dalam merealisasi alokasi dana desa pada Desa Silondou adalah pemahaman masyarakat terhadap ADD, miss komunikasi , dan pencairan alokasi dana desa yang terlambat. (3) menanggulangi hambatan dalam merealisasi alokasi dana desa dapat dilakukan dengan pelatihan, meningkaatkan koordinasi unit kerja, dan anggaran dana cadangan.
Pengaruh Motivasi kerja terhadap Kinerja Pegawai pada Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan
Authors: Nursyam Nursyam , Rahmawati Dita
Published: January 2021

Motivasi kerja merupakan hal penting dalam kehidupan sebuah instansi ataupun perusahaan sebab dengan motivasi yang optimal aan menghasilkan kinerja yang maksimal, untuk mendorong motivasi kerja dapan menciptaan lingkungan kerja yang baik dan sehat, Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan Kota Makassar merupakan instansi pemerintah yang menangani masalah ketenagakerjaan, secara umum memberikan pelayanan kepada masyarakat. Maka segala bentuk masalah atau hambatan kerja yang ada harus ditangani lebih tepat agar kredibilitas Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan tetap terjaga. Penelitian ini bertujuan untuk mengetahui Pengaruh Motivasi kerja terhadap Kinerja Pegawai pada Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan. Penelitian ini bersifat kausalitas dimana pengukuran variabel-variabel penelitian dalam bentuk angka dan melakukan analisis dalam bentuk statistik. Pendekatan penelitian ini melalui beberapa tahapan yakni mengumpulkan data melalui angket atau kuesioner, menganalisis data, dan pengujian hipotesis. Tujuannya untuk mengetahui pengaruh motivasi kerja terhadap kinerja pegawai pada Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan.populasi dalam penelitian ini adalah pegawai di Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan berjumlah 207 orang. pengambilan sampel menggunakan rumus Slovin sejumlah 67 pegawai. Teknik pengumpulan data observasi dan quisioner, dengan pengujian regresi linear sederhana. variable motivasi kerja berpengaruh terhadap kinerja pegawai Dinas Tenaga Kerja dan Transmigrasi Provinsi Sulawesi Selatan. Kerja dan Transmigrasi Provinsi Sulawesi Selatan.
A STUDY ON VERY LOW BIRTH WEIGHT BABIES ADMITTED IN NICU
Authors: Prajapati Janki , Munshi Sucheta , Chauhan Ankit
Published: January 2021

Background: Very low birth weight (VLBW) neonates are at high risk for morbidity and mortality. Preterm birth is one of the major clinical problems in Obstetrics and Neonatology.
Aim & Objective: To study morbidity and mortality pattern of VLBW neonates admitted to NICU at Department of Pediatrics, Civil hospital, Ahmedabad.
Methodology: This cross-sectional prospective observational study was performed on all hospitalized VLBW neonates. Their course during hospitalization and relevant was documented in pre designed performa.
Results: In the present study, out of 1748 neonates, 374 (21.39%) were VLBW with 69% males. Mean gestational age was 31.3±1.8 weeks; mean birth weight 1279±193 grams. Common morbidities in VLBW neonates are Neonatal jaundice, Probable sepsis, Apnea of prematurity and RDS. Mortality rate is improved with increasing gestational age and weight.
Conclusion: Birth weight and mechanical ventilation are the 2 major factors responsible for mortality. A decline in the mortality and morbidity of these newborns (especially the ELBW neonates) can only be made possible through optimizing perinatal care including regionalization, CPR at birth, early NCPAP and quality improved collaborative (QIC) in our NICU.
ROLE OF SURFACE BRACHYTHERAPY IN PREVENTING RECURRENCE IN RECURRENT EAR KELOID AFTER EXCISION-SINGLE INSTITUTION PROSPECTIVE STUDY
Authors: Poonkodi N. , Pricilla B. Grace Mercy
Published: January 2021

Background
Adjuvant radiation therapy is a recognised option for the treatment of keloid scars. It was first described by Sequeira in 19091 and is currently considered the most efficacious modality according to the international advisory panel on scar management. The reported therapeutic response rates are generally in the range of 67–98%. Following surgical excision of a scar, active blood borne repopulation of fibroblasts occurs; postoperative radiation treatment is thought to prevent recurrence by inducing fibroblastic apoptosis as well as imparting toxicity to endothelial cells.
Aim of the study.
1. To confirm post-operative HDR brachytherapy reduce the recurrence in recurrent keloid.

Materials and Methods
All recurrent ear keloids operated at department of plastic surgery, madras medical college were included in the study and brachycatheter inserted during excision and HDR radiotherapy was given early postoperative period. The further fractions are given such that there is 6 hr gap between two fractions. The treatment is given as 3 gy in 4#, 4 gy in 3#,6 gy in 2 #,12gy in 1#. Total dose was 12 gy. Period of study :3 years (2017-2020), conducted in MMC, Chennai.
Primary end point was recurrence. All cases were analysed using standard statistical methods.

Results
Total no cases included were 15. Recurrence found in 1 cases(6%). Recurrence rate was significantly reduced following post excision HDR brachytherapy(P=0.0002). Complications encountered are wound dehiscence, hyper/hypopigmentation and thinning of cartilage.

Conclusion.
Hereby concluded that recurrence in ear keloids after recurrent ear keloid excision was potentially prevented by HDR surface brachytherapy. It can be useful in other locations for preventing recurrence.
CLINICAL STUDY ON FOURNIER'S GANGRENE
Authors: Chandu Y. Sarath , Krishnudu Y. Sree
Published: January 2021

Fournier's gangrene is a surgical emergency with a high mortality rate. Fournier's gangrene (FG) is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting the external genitalia, perineal or perianal regions, which commonly affects men, but can also occur in women and children1. Although Jean Alfred gave this condition its eponymous name in 1883, it was first described by Baurienne2 in 1764. FG is relatively rare, with an estimated overall incidence of 1.6/100000 males3. Many patients with Fournier's gangrene have either medical or surgical conditions, which are the predisposing factors to FG or its more severe or fatal course.
YES! OXIDATIVE STRESS MAY BE A RISK FACTOR FOR CHRONIC PERIODONTITIS PATIENTS
Authors: Mannan Archith , John Mathew , Thomas Bindu Rachel , Chandramohan Sabari , S. Aswathy , D. Revu Das S.
Published: January 2021

Oxidative stress is defined as the condition occurring when the physiological balance between oxidants and antioxidants is disrupted in favor of the former with potential damage for the organism. The pathological events leading to the destruction of the periodontium encompasses complex interactions involving an imbalance between oxidant and antioxidant enzymatic and non-enzymatic defense mechanisms. Periodontitis is an oral inflammatory disorder affecting alveolar bone, gingiva, and periodontal ligament initiated by the complex interaction between the presence of microorganisms (periodontopathic bacteria) and the host’s immune response. Whole saliva samples were collected from 25 chronic periodontitis patients. Saliva samples were centrifuged and the supernatant was used to determine the 8-OHdG levels with a competitive ELISA kit. To determine the clinical condition of each subject, the Bleeding on Probing (BOP), Clinical attachment level (CAL), and Pocket probing depth (PPD) were measured. This study shows significant correlation between increased values of oxidative stress biomarker and clinical parameters in chronic periodontitis patients.
A RARE CASE OF UNDIFFERENTIATED EMBRYONAL SARCOMA OF LIVER IN 8 YEAR FEMALE CHILD
Authors: Patel Asit V , Sarkar Shreosi P , Godbole Ashwin P , Shah Dhruv N , Pandya Poorn V
Published: January 2021

Introduction: Undifferentiated embryonal sarcoma of liver (USEL) is a rare disease that 90% occurs in children between age group 6-10 years with no gender discrepancy. Diagnosis of USEL relies on postoperative pathology and immunohistochemistry.
Objective : This is a rare case report of an 8 year female patient who underwent excision of liver mass with left side lobectomy for a liver mass which turned out to be Undifferentiated Embryonal Sarcoma of Liver(USEL) on Histopathological analysis and Immunohistochemical examination.
Results : Patient was diagnosed to be having Gastrointestinal Stromal Tumor of stomach on radiological investigations but intraoperatively turned out to be a liver mass for which patient underwent excision of liver mass with left side lobectomy for a liver mass which turned out to be Undifferentiated Embryonal Sarcoma of Liver(USEL) on Histopathological analysis and Immunohistochemical examination. Patient underwent chemotherapy including ifosfamide, mesna and doxorubicin. Currently, the patient’s physical status is normal with no distant metastases shown in PET-CT.
Conclusion : Undifferentiated Embryonal Sarcoma of Liver is a rare entity but with adequate surgical procedure and followup chemotherapy or radiotherapy has excellent prognosis
A COMPARISION OF FENTANYL AND NALBUPHINE IN ATTENUATING HAEMODYNAMIC RESPONSE TO DIRECT LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION- A STUDY OF 90 CASES
Authors: Chandra Nehal , Vyas Atul B. , Parasmani Parasmani
Published: January 2021

BACKGROUND- Laryngoscopy and endotracheal intubation is known to cause hemodynamic changes which are usually increase in heart rate and blood pressure.Various drugslike beta blockers,opioids and alpha 2 agonists have been tried to attenuate these hemodynamic responses. AIMS-To compare the effects of Fentanyl and Nalbuphine in attenuating the stress response to directlaryngoscopy and endotracheal intubation. METHODS- After informed consent we studied 90patients,all posted for surgery under general anaesthesia between the age group of 15 to 60. We conducted the study over a period of 6months. Data was collected and analysed. Three groups of patients were made Group A – Inj. Fentanyl 2µg/kg ivGroup B– Inj. Nalbuphine 0.2mg/kg ivGroup C- Inj Normal Saline 10cc. Only ASA I and II patients were included in the study.Haemodynamic changes were noted by meticulous monitoring and analyzed. RESULTS-The hemodynamic stress response to laryngoscopy and endotracheal intubation in the form of increased heart rate,systolic blood pressure,diastolic blood pressure and mean blood pressure were less with Fentanyl as compared to Nalbuphine and Normal Saline.CONCLUSION-Fentanyl is more effective than Nalbuphine in attenuating hemodynamic stress response tolaryngoscopy and endotracheal intubation.
A CASE REPORT OF SPLENIC ARTERY ANEURYSM
Authors: Shah Nina M. , Mohanty Swati , Chauhan Hiral C.
Published: January 2021

True splenic artery aneurysms are the most common visceral artery aneurysms, yet are rare lesions seen in 0.1% to 0.8% of cases reviewed by autopsy or angiogram series. Concomitant visceral aneurysms are seen in 3% of cases whereas non visceral aneurysms in 12%.
A CLINICAL STUDY AND OUTCOME OF PERFORATIVE PERITONITIS IN A RURAL BASED TEACHING HOSPITAL
Authors: Mandal Kaushik , Das Mohan Kumar , Dutta Santanu , Bhunia Anirban
Published: January 2021

Background Peritonitis due to perforation of gastro intestinal tract one of the commonest surgical emergencies all over the world and the most common surgical emergency in India. Aims and objectives to evaluate role of clinical assessment and usefulness of basic investigations in diagnosis and follow-up, to evaluate incidence of wound infection, wound dehiscence in post-operative period, to assess mortality upto1 month of post-operative period. Methods All consenting patients above 18 years treated with symptoms and signs of perforative peritonitis in Burdwan Medical College and Hospital from March 2018 to August 2019 were included in this institution based, interventional, prospective, non-randomised, analytical study. Results We found that 40(80.0%) patients had gas under diaphragm in Chest X-ray report. It was found that 9(18.0%) patients had acute appendicitis, 1(2.0%) patient had appendicular perforation and 40(80.0%) patients had perforative peritonitis. We found that 30(60.0%) patients had chest infection. 10(20.0%) patients had wound infection.6 (12.0%) patients had wound dehiscence. Conclusion Early recognition of symptoms and referral is very important in reducing mortality and morbidity.
FNAC OF BREAST LUMP WITH HISTOPATHOLOGICAL CORRELATION
Authors: Gudipati Vamshi Deepak , Mucharla Radhika , Peddi Rammohan , Reddy K.Devender
Published: January 2021

Introduction – FNAC has become increasingly popular in diagnosis of palpable breast masses. As it is sensitive, specific, economical and safe for screening of breast lesions
Aims and objectives – to determine the histopathologic correlation of FNAC of breast lumps seen in department of pathology, Govt medical college, siddipet.
Methods – 2 yrs. retrospective study if breast lumps , with all patients who had FNAC, with subsequent histopathological confirmation over the period July 2018 –July 2020.
A total 232 cases included in which 187 cases are subjected to excision biopsy or mastectomy
Results –2 yrs. under review (2018-2020) a total of 232 FNAC of breast lump were done. 197 (84.9%) benign cases, 13(11.6%) malignant cases, 8 (3.5%) inflammatory cases were diagnosed cytologically in which 98(42.24%) cases are fibro adenoma, 27(11.6%) are malignant cases and suspicious of malignancy, 26(11.2%) of gynecomastia, 23(9.91%) of fibrocystic disease with female predominance of 8:1 ratio (206:26). Age ranging from 9 yrs. – 85 yrs. with mean age of 47yrs ± 14.2 yrs.
Conclusion – we therefore concluded that FNAC is a reliable diagnostic tool of breast lump in our hospital. FNAC guides the surgeons for further plan of management.
The Road Towards 6G: A Comprehensive Survey
Authors: Jiang Wei , Han Bin , Habibi Mohammad Asif , Schotten Hans Dieter
Published: January 2021

As of
today, the fifth generation (5G) mobile communication system has been rolled out
in many countries and the number of 5G subscribers already reaches a very large
scale. It is time for academia and industry to shift their attention towards the
next generation. At this crossroad, an overview of the current state of the art
and a vision of future communications are definitely of interest. This article thus
aims to provide a comprehensive survey to draw a picture of the sixth generation
(6G) system in terms of drivers, use cases, usage scenarios, requirements, key performance
indicators (KPIs), and enabling technologies. First, we attempt to answer the question
of “Is there any need for 6G?” by shedding light on the key driving factors of 6G,
in which we predict the explosive growth of mobile traffic until 2030, and envision
potential use cases and usage scenarios. Second, the technical requirements of
6G are discussed and compared with those of 5G with respect to a set of KPIs in
a quantitative manner. Third, the state-of-the-art 6G research efforts and activities
from representative institutions and countries are summarized, and a tentative roadmap
of definition, specification, standardization, and regulation is projected. Then,
we identify a dozen of potential technologies and introduce their principles,
advantages, challenges, and open research issues. Finally, the conclusions are
drawn to paint a picture of “What 6G may look like?”. This survey is intended to
serve as an enlightening guideline to spur interests and further investigations
for subsequent research and development of 6G communications systems.
A feasibility study on importance of using Big data Analysis in implementing E-Government services
Authors: Elmi Yasser
Published: January 2021

The growth and development of e-government communities is shown as a
sovereign asset in developing societies, as a way for governments to employ new
technologies, make people more accessible to government information and
services, improve the quality of these services and provide the possibility of
people's participation in democratic processes and activities. The purpose of
this study is to evaluate the feasibility and importance of using metadata in
the implementation of e-government services. In this research, which was
conducted over a period of 6 months, 146 senior, operational and middle
managers of Islamic Azad University in Khorasan Razavi province were selected
through stratified random sampling. The research tool was a questionnaire whose
validity was confirmed by experts and its reliability was confirmed by
Cronbach's alpha coefficient. Based on partial least squares analysis (PLS)
which is a model fitting based on validity and reliability analysis, the
results showed that macro data volume, macro data speed, and macro data
variability are based on three criteria of e-government implementation ie
e-government core. , The extended layer of e-services and the outer layer of
e-services based on the t-statistic, which is higher than 1.96, has a positive
and significant effect.
A new input-based event-triggered control of a discrete-time singularly perturbed system under a resource constraint environment
Authors: sahu poonam , Bhandari Manisha , Fulwani Deepak
Published: January 2021

This work proposes a new input-based event-triggered control for a discrete-time singularly perturbed system, where latest measurements are transmitted when a pre-defined condition is satisfied on input. The other significant contribution of the proposed work is a separation of control updates for slow and fast dynamics.
Consensus-Based ADMM for Distributed Optimization in Power Systems using Private Blockchain Network
Authors: Shah Chinmay , Wies Richard , King Jennifer
Published: January 2021

The optimization problem for scheduling distributed energy resources (DERs) and battery energy storage systems (BESS) integrated with power grid is important to minimize energy consumption from conventional sources in response to demand. Conventionally this optimization problem is solved in a centralized manner, which limits the size of the problem that can be solved, and also creates a high communication overhead since all the data is transferred to the central controller. These limitations are addressed by a proposed consensus-ADMM (alternating direction method of multiplier) based distributed optimization algorithm, which decomposes the optimization problem into sub-problems. The distribution feeder is partitioned into low coupling sub-networks/regions, which solves the sub-problem locally and exchanges information with the neighboring regions to reach consensus to solve for the global update. The information exchange and synchronization between sub-networks/regions are vital for distributed optimization. In this work, both of these aspects are addressed by the blockchain. The smart contract deployed on the blockchain network acts as a virtual aggregator for synchronization in distributed computation. The blockchain-based distributed optimization problem’s effectiveness is tested for 0.5-MW laboratory microgrid for one hour ahead and day-ahead for IEEE 123-bus and EPRI J1 test feeder, and results are compared with a centralized solution.
LACK OF EMPHASIS ON PELVIC FLOOR REHABILITATION
Authors: Adnan Qurat ul Ain
Published: January 2021

It has been observed that most patients with pelvic floor diseases are unaware of the problems they are facing in terms of emotional, psychological, and physical wellbeing. Pelvic floor problems are difficult to diagnose and treat; hence, bothersome for patients who are living with it. The perception about pelvic floor rehabilitation is misplaced, becoming a socioeconomic burden for the country. Since, pelvic floor disorders include incontinence; pelvic organ prolapsed, over active bladder, chronic pelvic pain, and sexual dysfunctions.
EFFECTIVENESS OF HIGH FREQUENCY TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION AT THE TENDER POINT OF UPPER CERVICAL AS ADJUNCTIVE THERAPY OF FIBROMYALGIA PATIENTS
Authors: Hassan Ali Sania , Rizvi Syeda Amool  Sakeena , Khan Muhammad Usman
Published: January 2021

OBJECTIVES
Evaluate the effectiveness of high frequency transcutaneous electrical
nerve stimulation at the tender point of upper cervical as adjunctive therapy of fibromyalgia patients.
STUDY DESIGN
It is a randomized control trial study design
STUDY SETTINGS & PARTICIPANTS
The study was conducted on 30 participants with the age group of 20-65 years upon females with clinically diagnosed condition of fibromyalgia in tertiary health care centre.
METHODS
In this study, all the participants were divided in to two groups, group 1 (N=15) and group 2 (N=15). Group 1(N=15), received TENS with exercise therapy and group 2 (N=15), received only exercise therapy. Both the groups received 4 sessions per week and in whole the participants were attended 32 sessions in eight weeks of duration.
RESULT
TENS with exercise group 1 (N=15) had a greater pain reduction (6.0±1.13) compared with only exercise group 2 (N=15) (6.2±1.1). There was no such huge difference between both the treatments program, but group 1 shows more improvement in the pain eduction, work performance, stiffness, fatigue, anxiety, and depression.
CONCLUSION
Both the groups demonstrate significant results in pain reduction, stiffness, fatigued, anxiety, work performance, and depression.
ANALYSIS OF SATISFACTION LEVEL AMONG PHYSICAL THERAPY STUDENTS ON DIFFERENT MODES OF TEACHING
Authors: Naveed Shahnila , Lakhani Akbar
Published: January 2021

OBJECTIVES
To analyze and evaluate the level of satisfaction among physical therapy students on different modes of teaching in Karachi based Universities.
METHODS
This is a cross sectional descriptive study. A total number of 150 physical therapy students of final year were selected as a sample from different universities of Karachi through simple random sampling technique. A questionnaire was used as an instrument. Frequency distribution was used to assess the results of study in accordance with an objective of the research.
RESULTS
The result shows that, group discussion is significantly effective (42.9%) to understand the content. However, tutorial is less favorable (33.4%) methodology which is used in university for final year students. Hence, they are not attracted towards lecture series (23.7%) in university due to less remembrance of content.
CONCLUSION
Our study concluded that, satisfaction of students in university is directly associated with the discussed effective methods of teaching. Group discussion and tutorial teaching methodology are more attractive to students for building a strong understanding. However, educational fares, galas and problem-based learning methods are also effective and valued d technique to build better understanding for students of physical therapy.
POSTURAL AWARENESS IN SCHOOL GOING STUDENTS AND TEACHERS
Authors: Yasmeen Samreen , Shahrukh Muhammad , Farooqui Zuhaira
Published: January 2021

OBJECTIVES
To determine the awareness level of good body posture in school going students and teachers of different academic places and compare the level of awareness between students and teachers.
STUDY DESIGN
A cross sectional study was conducted during January 2013 to April 2013.
STUDY SETTINGS & PARTICIPANTS
Research data was collected from different schools of Karachi. One hundred and thirty two participants including both school going students and teachers were participated in this study. The students belonged to 9-16 year age group.
DATA COLLECTION TOOL
Data was collected through close ended self-administered questionnaire.
RESULTS
Chi square test was applied to check the association between occupation and lecture attending question. Chi-square test results (p value = 0.000) showed that, there was a significant association between the occupation and attended lectures regarding postural awareness. Results also revealed that teachers and students were equally aware of standing and lying position, whereas for sitting position teachers were more aware than the students.
CONCLUSION
Study showed significant association of awareness between students and teachers. However, more education and further awareness regarding good body posture is needed to perform activities of daily living (ADLs) and to prevent prevalence of body pain due to poor posture.
EFFECT OF MANUAL LYMPHATIC DRAINAGE AND EXERCISES IN POST-MASTECTOMY PATIENTS
Authors: Mehdi Kazmi Syed Abid , Ahmed Nabiha , Aujha Sangeeta
Published: January 2021

In present world lymphedema is one of the side effects of mastectomy. When we talk about the treatment of lymphedema the standard treatment which comes into our mind is, complex decongestive physiotherapy (CDP). This treatment includes MLD (manual lymphatic drainage), short stretch bandaging, exercises program and also care of skin of the pectoral region and the surroundings as well as pneumatic compression (intermittent).
Patient came with unilateral stage l lymphedema with a history of mastectomy. To treat the patient we used MLD, intermittent pneumatic compression and exercises. In the treatment of lymphedema manual lymphatic drainage is performed (MLD). The purpose of performing MLD was to find out the effectiveness in treating breast cancer related lymphedema and also prevent fluid formation in subcutaneous tissues.
METHOD
We gave the 12-session of manual lymphatic drainage and exercise in every month.
RESULT AND CONCLUSION
Showing that therapy created has an excellent effect. The lymphedema reduced day by day and It could also be the options to do isometric exercise program instead of performing short stretch bandaging. It is also considered as another option to treat individuals who are contraindicated for pressure therapy. When treating breast cancer you may come across the arm lymphedema. Quality of life may get affected and may also impact long term recovery and survivorship. Early treatment and preventions always plays a significant role in minimizing the complications.
DOCTOR OF PHILOSOPHY – A NEW HORIZON TOWARDS ADVANCEMENT IN PHYSICAL THERAPY
Authors: Ahmed Dr. Nabiha
Published: January 2021

Physical therapy is on the rise as it is among the flourishing disciplines of medical science and is an integral part of a Rehabilitation
team. It is an independent health care profession that deals in identifying and optimizing quality of life within the
spheres of promotion, prevention, treatment and restoration. The need of Physical Therapy education in Pakistan was
acknowledged back in 1950’s, when a 2 years diploma was started which over the years advanced into a Bachelor’s
degree. Later, this degree was upgraded to 5 years Doctor of Physical Therapy in order to meet the International standard
following the “Vision 2020 of American Physical Therapy Association”.
MULTIDISCIPLINARY APPRAOACH OF HEALTH CARE PROFESSIONALS IN PROVIDING PREEMINENT TREATMENT TO PATIENTS
Authors: Tabassum Shamma
Published: January 2021

A strong communication and efficient coordination is required among various health care service providers, working
together to provide appropriate delivery of health care services. In case, various stake holders in the network of health
care providers fail to exercise such competent organization and management, patients will have to bear undesirable
consequences1. This situation can lead to amplified costs and decreased quality of health care services.
Studies have shown that the communication gaps between health care providers escort towards the reduction of care
coordination and readmissions2. It has been originated that both hospitals and primary care physicians experiences parallel
challenges like lack of time and difficulty in reaching other practitioners resulting in scant information evaluation,
medication list inconsistencies and a lack of certainty with respect to liabilities for impending tests and home health2.The
communication between patients and relevant medical staff is also very crucial, particularly at the time of admission and
discharge. This emphasizes that there are numerous challenges in care coordination, information dealing, follow-up care
and treatment management.
BACK TO THE GRASS ROOT
Authors: Farhad Ali , Saleem Saad , Abdul Razzak Zainab
Published: January 2021

Profession is, not to squeak like a grateful and apologetic mouse, but to roar
like a lion out of pride1. Throughout a professional vocation, professionals
change the span of their skill, through becoming more specific, through
inspiring into recently emergent areas of professional work, or by taking on
administration or enlightening positions. They will also be continually developing
the quality of their work in a number of areas, beyond the level of
proficiency of one’s ability or skill. Professional advancement inculcates a
process of incessant development, long-term knowledge, and augmentation,
which allow professionals to get better in their practices so as to better
serve patients, clients, associations, the profession, and society2. A physical
therapist has an enduring professional accountability for maintaining
proficiency through ongoing self-assessment, education, and augmentation
of information and skills. Physical Therapy, by 2020, will offer such Physiotherapist
who are doctors of Physical Therapy and who may be board–licensed
experts3. Clients will have direct access to Physical Therapists in all milieus for
patient/client management, expectation, and wellness services. Physiotherapist
will be practitioners of choice in clients’/patients’ health networks and
will hold all rights of autonomous practice4. Physical Therapists may be
assisted by Physical Therapy assistants, who are erudite and qualified to
provide Physical Therapist–directed and controlled, components of intervention.
Physical Therapy profession in Pakistan is rising with a great pace. Every
passing minute brings extraordinary revolution in this field and now it is a high
time to have some institution takes the responsibility on its shoulder to curtail
the nourishing elements of quackery and bring autonomy and sovereignty to
the field.
Gambaran Motivasi Intrinsik Dan Ekstrinsik Masyarakat Dalam Pemakaian Gigi Tiruan Di Desa Muara Bahan Kabupaten Kuantan Singingi
Authors: Natassa Jihan , Gumayesty Yeyen , Raviola Raviola
Published: January 2021

Dalam pengambilan keputusanuntuk menggunakan gigi tiruan, faktor motivasi  memegang peranan yang sangat besar. Sebagian masyarakatmemakai gigi tiruan disebabkan motivasi ekstrinsik dan sebagian lagi disebabkan motivasi instristik.Tujuan dari penelitian ini adalah untuk diketahuinya gambaran motivasi masyarakat dalam pemakaian gigi tiruan di Desa Muara Bahan Kabupaten Kuantan Singingi Tahun 2018. Jenis penelitian ini kuantitatif yang bersifat deskriptif. Penelitian dilaksanakan di desa muara Bahan Kabupaten Kuantan Singingi pada bulam Februari-Agustus2018. Populasi dalam penelitian ini adalah seluruh masyarakat di Dusun III Desa Muara Bahan Kabupaten Kuantan Singingi dengan jumlah populasi 2936 orangdengansampel 97 responden. Teknik sampling dalam penelitian ini menggunakan teknik stratified sampling (proportional sampling). Hasilpenelitianmenunjukanmayoritas responden yang menggunakan gigi tiruan yaitu sebanyak 58 responden (59,9%) sedangkan responden yang pernah menggunakan gigi tiruan sebanyak 39 responden (40,2%), mayoritas kebutuhan responden dalam pemakaian gigi tiruan tinggi yaitu berjumlah 82 responden (84,5%) sedangkan responden yang berkebutuhan rendah berjumlah 15 responden (15,5%). mayoritas berpersepsi positif yaitu berjumlah 93 responden (95,9%) sedangkan responden yang berpersepsi negatif berjumlah 4 responden (4,1%).mayoritas berpengetahuan tinggi yaitu berjumlah 88 responden (90,7%) sedangkan responden yang berpengetahuan rendah berjumlah 9 responden (9,3%).mayoritas mengatakan tidak ada pelayanan pembuatan gigi tiruan yang lengkap yaitu berjumlah 96 responden (99,0%) sedangkan responden yang mengatakan ada pelayanan pembuatan gigi tiruan yang memiliki fasilitas lengkap  berjumlah 1 responden (1,0%) Dapat disimpulkan bahwa mayoritas responden memakai gigi tiruan, berpresepsi positif dan berpengetahuan tinggi. Diharapkan pengguna gigi tiruan menjaga kesehatan gigi dan mulut dan dapat  memperhatikan dampak dari kehilangan gigi.

 

Referensi         : 18(2005-2016)

Kata Kuncu     : Motivasi Intrinsik dan Ekstrinsik Masyarakat, Pemakaian Gigi Tiruan
Hubungan antara durasi tidur dan kualitas hidup dengan kegemukan pada mahasiswa keperawatan UMP
Authors: Fitri Cindy Yuni , Supriyadi Supriyadi
Published: January 2021

ABSTRACT

Background : Overweight and obesity is a common health problem and continues to increase at this time.Overweight and obesity can affect both all ages ranging from children, adolescents, to the elderly, and all genders, either male or women. Factors that influenced obesity including genetic, physical activity, and eating patterns. In addition, quality of life and duration of sleep were among the factors that affected obesity. Less sleeping at night was related to the occurrence of overweight. The occurrence of overweight became higher whena person slept with a duration of 7 hours per day. This showed that the less time to sleep the greater the occurrence of overweight. While the quality of one's life was related to unhealthy lifestyles such as the habits of having dinner and snacks at night, the habit of eating high-fat fast food, and rarely exercising.Objective: To determine the correlation between sleep duration and quality of life with obesity in Nursing students of Universitas Muhammadiyah Purwokerto.Method: Observational analytic with cross sectional approach was used in this study. The samples were taken by using random sampling technique. There were 30 respondents who fit the inclusion and exclusion criteria.Univariate and bivariate with chi square test were used to analyzed the data.Results: (1)There was a correlation between sleep duration and obesity in Nursing students with a value = 0.025.(2) There was no relationship between quality of life and obesity in Nursing students with a value = 0.855.

Conclusions: Lack of sleeping can affect the occurrence of overweight to someone but there is no effect on the quality of life to overweight.

Keywords: Sleep duration, quality of life, overweight, students.
Hubungan Antara Dukungan Keluarga Dan Kepatuhan Minum Obat Dengan Kekambuhan Klien Gangguan Jiwa Berat
Authors: Tanjung Alber , Helena Novy CD , Putri Dewi Eka
Published: January 2021

ABSTRAC

National prevalence of severe mental disorder is 1,7 per mil meaning 1-2 person in 1000 resident suffered from severe mental disorder. The highest prevalence is in Daerah Istimewa Yogyakarta and Aceh (0,27%). Prevalence of severe mental disorder in West Sumatera is (0,19%). This study was aimed to get an overview of relationship between family support and medication compliance with clients recurrence in severe mental disorder. Analytical design with cross sectional with the number of respondents 184 clients of severe mental disorder and family in Mental Care Unit A RSJ. Prof. Dr. HB. Saanin Padang. Samples in this study were taken with purposive sampling technique. Data were collected through questionnaires of family support and medication compliance. Research shows that there are significant difference between family support with high recurrence and low recurrence (p <0.05), no significant difference between medication compliance with high recurrence and low recurrence (p <0.05), Results of this study are expected to be contribution for nurses and related institutions in order to advise the family to oversee the client to take medication on a regular basis so that recurrence can be prevented, providing related penkes on taking medication and home settings visite.

Keywords: family support, medication compliance, reccurence clients of severe mental disorder

 

ABSTRAK

Prevalensi gangguan jiwa berat secara Nasional 1,7 per mil yang berarti 1-2 orang dalam 1000 penduduk mengalami gangguan jiwa berat. Prevalensi gangguan jiwa berat tertinggi di Daerah Istimewa Jogjakarta dan Aceh (0.27 %), sedangkan prevalensi gangguan jiwa berat di Sumatera Barat mencapai (0.19%) . Penelitian ini  bertujuan untuk mendapatkan  gambaran  tentang hubungan antara dukungan keluarga dan kepatuhan minum obat dengan kekambuhan pada klien gangguan jiwa berat. Desain Analitik dengan pendekatan potong lintang (Cross sectional) dengan jumlah responden 184 orang klien gangguan jiwa berat dan keluarga di Unit Pelayanan Jiwa A RSJ. Prof. Dr. HB. Saanin Padang. Pengambilan sampel dalam penelitian ini dengan teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner dukungan keluarga dan kepatuhan minum obat. Hasil Penelitian menunjukkan bahwa ada perbedaan yang signifikan antara dukungan keluarga dengan kekambuhan tinggi dan kekambuhan rendah dengan nilai (p<0,05), ada perbedaan yang signifikan antara kepatuhan minum obat dengan kekambuhan tinggi dan kekambuhan rendah dengan nilai (p<0,05). Hasil penelitian ini diharapkan menjadi masukkkan bagi perawat dan intansi terkait agar menganjurkan kepada keluarga untuk mengawasi klien untuk minum obat secara teratur agar kekambuhan dapat di cegah,memberikan penkes terkait pengaturan minum obat dan home visite.

 

Kata kunci        :  dukungan keluarga, kepatuhan minum obat, kekambuhan klien gangguan jiwa berat.
Hubungan Kualitas Menu Terhadap Status Gizi Remaja Di Pondok Pesantren Syafa'aturrasul ,Taluk Kuantan 2020
Authors: Roza Andalia , Wulandini Putri , Hasanah Arrasidah Nailul
Published: January 2021

Nutritional status is the state of the body as a result of food consumption and use of nutrients nutritional status can also be interpreted as a physical sign caused by a balance between income and expenditure through nutrition through certain variables, namely indicators. The quality of the menu is one of the main things besides service and kitchen cleanliness that must be maintained properly. The purpose of this study is to find out whether there is a relationship between the quality of the menu to the nutritional status of adolescents in the Pondok Ampar Syafa'aturrasul Batu Ampar, Beringin Taluk Kuantan. This type of research is correlated with cross sectional research design. The population in this study were all adolescents in Syafa'aturrasul Islamic Boarding School with a total of 800 inhabitants. The sample used was 267 students. The sampling technique is to use cluster sampling technique. The research instrument used observation sheets. The data obtained was processed by univariate and bivariate data analysis. The results obtained p value 0.27 means p value> 0.05, it can be concluded that there is no significant relationship between the quality of the menu on the nutritional status of adolescents in the Gyafa'aturrasul Islamic boarding school in Beruk, Taluk Kuantan. It is expected that the cottage together with parents work together to prevent and provide health education on good nutritional status for adolescence.
KARAKTERISTIK PENDERITA TUBERKULOSIS ANAK DI PUSKESMAS SAIL PEKANBARU
Authors: Ningrum Trisiwi Kusuma
Published: January 2021

Tuberkulosis (TB) adalah penyakit infeksi menular yang disebabkan oleh kuman TB (Mycobacterium Tuberculosis). TB pada anak sering terjadi tanpa gejala yang spesifik. Faktor risiko yang berperan penting dalam penularan penyakit TB pada anak adalah adanya  riwayat kontak anak  dengan penderita TB dewasa, status gizi anak,  dan status imunisasi BCG. Tujuan penelitian ini  adalah untuk melihat karakteristik Penderita Tuberkulosis Anak Di Puskesmas Sail Pekanbaru. Jenis penelitian yang digunakan adalah metode deskriptif dengan teknik pengambilan sampel total sampling dengan jumlah 12 orang anak. Metode  pengumpulan data menggunakan data sekunder dari catatan rekam medik pasien dan data hasil wawancara dengan penanggungjawab TB dengan menggunakan  lembar check list dengan  analisa data univariate. Hasil penelitian menunjukkan bahwa anak yang menderita TB memiliki karakteristik  mayoritas berusia 2-12 tahun .Jenis kelamin penderita TB anak   antara laki-laki dan perempuan berbanding sama dengan jumlah 6  orang (50%). Mayoritas anak  dinyatakan positif mengalami TB   berdasarkan  pemeriksaan tes mantoux sebanyak  11 orang  (91.7%). Anak  yang positif menderita TB yang terdapat  riwayat kontak dengan penderita TB hanya 4 orang (58.3%). Semua anak  yang menderita TB memiliki riwayat pernah diberi imunisasi  BCG .   Berdasarkan status sosial ekonomi anak  yang menderita TB  berasal dari  status ekonomi tinggi dan menengah berbanding sama yang masing masing berjumlah  6 orang  (50%). Ventilasi rumah penderita TB yang kurang baik  sebanyak  7 orang  (58.3%). Pencahayaan rumah penderita  TB  mayoritas  tidak terang  sebanyak  8 responden (66.7%). Disarankan kepada petugas kesehatan Puskesmas Sail untuk lebih meningkatkan kegiatan edukasi  kesehatan kepada masyarakat tentang karakteristik tuberkulosis untuk meningkatkan pengetahuan masyarakat serta meningkatkan kesadaran masyarakat untuk memiliki prilaku hidup bersih dan sehat yang lebih baik untuk mengurangi terjadinya penyakit tuberculosis.
FAKTOR-FAKTOR YANG MEMPENGARUHI TERHADAP TIMBULNYA ACNE VULGARIS (JERAWAT) PADA REMAJA DI SMAN 1 PELANGIRAN KABUPATEN INDRAGIRI HILIR TAHUN 2018
Authors: Asbullah Asbullah , Wulandini Putri , Febrianita Yulia
Published: January 2021

Acne vulgaris is a chronic skin disease that occurs due to chronic inflammation of pilosebasea characterized by blackheads, papules, pustules, nodules and cysts in the predilection areas that are usually in the sebaceous glands such as face, chest and upper back. in adolescent acne incidence occurs with the age range 14-17 years in women, and in men the age range 16-19 years. factors influencing the occurrence of acne vulgaris is age factor, cosmetic usage factor and food factor. The purpose of this research is to know the factors that influence on the emergence of acne vulgaris (acne) in adolescents at SMAN 1 Pelangiran Year 2018. The research design used is cross sectional, where the research is in SMAN 1 Pelangiran. Population in this research is all student of SMAN 1 Pelangiran 177 people. Sample 122 respondents. The sample in this research is taken by using cluster sampling method. Data used primary data, research instrument in the form of questionnaire. Data were analyzed univariat and bivariate. The results of the study showed that the majority were at the age of 17 years, as many as 47 people (38.5%) .The majority of students who experienced the onset of Acne Vulgaris (acne) in adolescents at SMAN 1 Pelangiran had the habit of not using as many as 83 people (68, 0%). The majority of students who experienced the onset of acne vulgaris (acne) in adolescents at SMAN 1 Pelangiran Indragiri Hilir district has a habit of consuming bad food as much as 99 people (81.1%). It is expected that students will improve their knowledge of acne causing problems and improve self-hygiene behaviors to reduce the incidence of Acne Vulgaris, and be more concerned with health with the adoption of a healthy lifestyle that helps them to have a positive body image.
UJI AKTIVITAS KRIM KULIT DURIAN (Durio zibethinus Murr) TERHADAP BAKTERI Staphylococcus sp. PENYEBAB JERAWAT SECARA In Vitro
Authors: Putra Bayu Eka , Sicha Randa Mauly , Panggabean Sarah Jessica
Published: January 2021

Jenis penelitian ini adalah eksperimen laboratorium yang bertujuan untuk memanfaatkan limbah kulit durian sebagai bahan aktif cream dengan menguji akifitasnya terhadap bakteri Staphylococcus Sp penyebab jerawat secara In-vitro. Hasil penelitian menunnjukkan bahwa ekstrak limbah kulit durian yang diperoleh dari hasil maserasi menggunakan pelarut etil asetat yang dimafaatkan sebagai bahan aktif cream anti jerawat dapat menghambat pertumbuhan bakteri  Staphylococcus aureus dengan rerata 7,3 mm dan  Staphylococcus epidermidis  dengan rerata 11 mm.Konsentrasi cream yang diujikan adalah 10%.
UJI ANTIBAKTERI GEL EKSTRAK BATANG PEPAYA (Carica Papaya Linn.) SECARA IN VITRO TERHADAP Escherichia coli
Authors: Safitri Mia Audina Curnia , Putri Amalia Eka
Published: January 2021

Bakteri Escherichia coli merupakan mikroorganisme patogen penyebab penyakit diare, meningitis, dan infeksi lainnya. Kasus resitensi antibiotik mengakibatkan diperlukannya terapi alternatif untuk agen antibakteri yang berasal dari tumbuhan dengan potensi tinggi sebagai antibakteri, yaitu batang pepaya. Penelitian ini dilakukan untuk mengetahui aktivitas antibakteri gel ekstrak batang pepaya terhadap Escherichia coli. Metode penelitian menggunakan metode eksperimental. Sampel penelitian adalah batang pepaya yang diekstraksi secara maserasi dengan pelarut etanol 96%. Ekstrak dibuat sediaan gel dengan konsentrasi 5%. Gel batang pepaya diuji antibakteri dengan kontrol positif yaitu eritromisin dan kontrol negatif yaitu gel tanpa ekstrak. Hasil uji aktivitas antibakteri gel batang pepaya menunjukkan bahwa gel batang pepaya mempunyai aktivitas antibakteri terhadap Escherichia coli. Sediaan gel ekstrak batang pepaya dengan konsentrasi 5% mempunyai rata-rata diameter zona hambat sebesar 19,23±0,50 mm. Aktivitas antibakteri diperkirakan berasal dari senyawa flavonoid, tanin, dan saponin yang terkandung dalam fraksi batang pepaya.