bluuebunny/crossref_metadata_2025 huggingface dataset:
VAIKŲ DAUGIASISTEMINIO UŽDEGIMINIO ATSAKO SINDROMAS (MIS-C): KLINIKINIAI ATVEJAI
Authors: Janavičius Mantvydas , Nacevičiūtė Karolina , Bubnaitienė Vilija
Published: July 2022

MIS-C – tai naujas ir mažai žinomas sindromas, susijęs su buvusia SARS–CoV–2 infekcija vaikams. Pagrindi­niams šio sindromo kriterijams priskiriamas karščiavi­mas, uždegiminiai pokyčiai laboratoriniuose tyrimuose, 2 ir daugiau organų sistemų pažeidimo požymiai bei per­sirgimas SARS– CoV–2 infekcija ar kontaktas su sergan­čiuoju asmenims, jaunesniems nei 21 m. (arba iki 19 m. pagal PSO). Dėl sunkių su sindromu susijusių kompli­kacijų, svarbu žinoti MIS–C pasireiškimo dažnį ir riziką, laiku jį atpažinti bei tinkamai gydyti. Tyrimo tikslas − ap­rašyti 2 MIS–C atvejus, pasireiškusius panašaus amžiaus pacientams, parodant pagrindinius sindromo simptomų panašumus bei skirtumus.

1 atveju pacientas atvyko dėl galvos skausmo, karščia­vimo ir vėmimo. Simptomai truko 3 dienas iki paciento atvykimo į gydymo įstaigą, temperatūra pakildavo iki 40 0C, kraujo tyrimai buvo būdingi bakterinei infekcijai, SARS–CoV–2 PGR – neigiamas, COVID–19 sirgo 2021 m. balandžio mėnesį. Paskyrus pradinį gydymą cefurok­simu i/v, paciento būklė negerėjo, išliko karščiavimas, atsirado mieguistumas, odos marmuruotumas, pokyčiai krūtinės ląstos organų r/o, širdies UGT, kraujo tyrimuose. Įvertinus simptomus, tyrimų duomenis bei radus IgG kla­sės antikūnių prieš SARS–CoV–2 (S1), pacientui buvo diagnozuotas MIS–C sindromas.

2 atveju pacientas atvyko dėl karščiavimo iki 39,5 0C ir kosulio. Iš anamnezės sužinota, kad keletui vaiko ben­draklasių buvo diagnozuota COVID–19 liga. Šio pa­ciento tyrimai rodė nespecifinius infekcijos požymius, SARS–CoV– 2 PGR – neigiamas. Pastebėtas besivys­tantis paciento silpnumas, alsavimo sunkumas, akių jun­ginių paraudimas bei virškinimo sutrikimai, vėmimas. Hospitalizavus paskirtas gydymas ceftriaksonu i/v, ta­čiau būklė toliau blogėjo. Stebėtas veido paraudimas ir specifinis bėrimas, pokyčiai kraujo tyrimuose, pilvo UG. Įvertinus pokyčius, nustatytas MIS–C sindromas bei Kawasaki liga.

Koregavus gydymą pagal diagnozę, pacientų būklė pa­gerėjo, tačiau 2 atveju buvo diagnozuoti nauji infiltra­ciniai pakitimai plaučiuose, nustatyta Chlamydia pneu­moniae infekcija. Paskyrus gydymą, būklė pagerėjo, abu pacientai pasveiko ir buvo išleisti toliau gydytis ambu­latoriškai. Apžvelgus atvejus, galima daryti išvadą, jog MIS–C yra polimorfinis, ūmiai ir sunkiais simptomais pasireiškiantis sindromas, galin­tis pažeisti keletą organų sistemų, tačiau, suteikus tinkamą gydymą, retai būna mirtinas
SUAUGUSIŲJŲ EWING’O SARKOMA: KLINIKINIS ATVEJIS
Authors: Jaruševičius Andrius
Published: July 2022

Ewing’o sarkoma – itin retai suaugusiems diagnozuojama piktybinė onkologinė liga, kuri pažeidžia kaulus, o re­čiau ir minkštuosius audinius. Beveik trečdaliui pacientų diagnozavus ligą, navikas jau būna išplitęs, o tai reiškia blogesnę prognozę nei lokalios ligos atveju. Ewing’o sar­koma dažniausiai pažeidžia kaulus, todėl liga pasireiškia nespecifiškai – būdingi kaulų skausmai, stipresni naktį, bendras silpnumas, naktinis prakaitavimas, karščiavimas, svorio netekimas, įvykus kaulo žievės destrukcijai gali būti apčiuopiamas darinys, o tumorui esant periartikulia­riai būdingas ribotas sąnario judesys. Metastazės dažniau­siai aptinkamos kauluose bei plaučiuose. Ligos gydymas priklauso nuo naviko dydžio, išplitimo ir kitų veiksnių. Remiantis naujausio, randomizuoto tyrimo duomenimis, pranašiausia gydymo schema yra VDC-IE (vinkristinas, doksorubicinas, ciklofosfamidas bei ifosfamidas su eto­posidu). Šiame straipsnyje pristatomas vidutinio amžiaus paciento, sergančio Ewing’o sarkoma, klinikinis atvejis. Pacientui nustatytos dauginės metastazės kauluose, pa­skirtas gydymas pagal VIDE schemą.
GYDYTOJŲ ODONTOLOGŲ ŽINIŲ APIE PRIEKINĘ GALVOS PADĖTĮ VERTINIMAS
Authors: Zokaitė Gintarė , Gasiūnienė Indrė , Lopatienė Kristina
Published: July 2022

Priekinė galvos padėtis yra vienas dažniausių stuburo ka­klinės dalies laikysenos sutrikimų, sukelianti neigiamus pokyčius visame žmogaus kūne. Tyrimo tikslas – įver­tinti gydytojų odontologų žinias apie priekinės galvos padėties įtaką kaklo ir galvos skeleto ir raumenų siste­mai. Tyrimo medžiaga ir metodai. Į tyrimą įtraukti 105 bendrosios praktikos gydytojai odontologai ir gydytojai odontologai specialistai, atlikta anoniminė anketinė ap­klausa bei statistinė analizė.

Rezultatai. Remiantis anketinės apklausos duomenimis, 87,62 proc. respondentų sudarė bendrosios praktikos gydytojai odontologai, 43,81 proc. apklaustųjų – iki 34 metų amžiaus. Nustatyta, kad 75,2 proc. respondentų teisingai įvertino taisyklingą galvos padėtį, tačiau į klau­simus apie PGP ryšį su apatinio žandikaulio padėtimi, sukeliamo skausmo sritimis, galvos ir kaklo raumenų būklę teisingai atsakė tik apie 50 proc. tyrimo dalyvių. 15,2 proc. gydytojų odontologų žino bendros kūno lai­kysenos ryšį su kramtomaisiais raumenimis.
SCHROTH METODO VEIKSMINGUMAS LAIKYSENOS POKYČIAMS SERGANT IDIOPATINE SKOLIOZE: ATVEJO ANALIZĖ
Authors: Aleknavičiūtė-Ablonskė Vaida , Čeponkienė Ilona
Published: July 2022

Mokslininkų teigimu, skoliozė daro įtaką paauglių stu­buro judumui ir kvėpavimo sistemai. Daugelio tyrimų duomenys rodo, kad Schroth metodas yra efektyvi sko­liozės gydymo priemonė. Mums prieinamoje literatūroje nepavyko rasti duomenų apie Schroth metodo poveikį laikysenos pokyčiams, taikant šį metodą 6 mėnesius.

Tikslas. Įvertinti Schroth metodo poveikį laikysenos po­kyčiams asmeniui, sergančiam idiopatine skolioze.

Metodai. Tyrime dalyvavo 13 m. paauglė, kuriai diagno­zuota idiopatinė skoliozė. Tiriamajai buvo taikyta indi­viduali Schroth metodo programa 2 kartus per savaitę. Schroth metodo užsiėmimų trukmė 1 val., bendras tyrimo atlikimo laikas 6 mėnesiai. Tiriamoji buvo testuota kas 24 užsiėmimus. Tyrimo metu buvo vertinamas tiriamosios liemens funkcinis stabilumas – (Mathias testu), krūtini­nės ir juosmeninės stuburo dalies paslankumas (Šobero ir Otto testais), 4 stuburo slankstelių rotaciniai kampai.

Rezultatai. Analizuojant intervencijos veiksmingumą nu­statyta, kad pagerėjo Mathias, Šobero ir Otto testų rezul­tatai ir sumažėjo stuburo slankstelių rotaciniai kampai.

Išvada. Šešis mėnesius taikytas Schroth metodas padidino tiriamosios liemens stabilumo, stuburo judumo rodiklius ir sumažino stuburo slankstelių poslinkio kampus.
ŠIZOFRENIJA: ETIOPATOGENEZĖ IR GYDYMAS
Authors: Tamaliūnas Giedrius
Published: July 2022

Šizofrenija − lėtinė progresuojanti psichikos liga. Ja serga apie 1 proc. pasaulio gyventojų. Liga pažeidžia sergančiojo valią, mąstymą bei emocijas. Dėl ankstyvo simptomų pasireiškimo, lėtinės eigos, didelių psichikos sveikatos priežiūros išlaidų ir prarasto pacientų funkci­onalumo – tai didelių kaštų reikalaujanti liga. Etiologija iki galo nėra aiški, o gydymas gali būti skiramas trumpo ir ilgo veikimo antipsichotikais. Labai svarbu gydymą skirti kuo anksčiau, nes po kiekvieno epizodo paciento produktyvumas mažėja ir nebegrižta į buvusįjį.
ŪMINĖ AORTOS DISEKACIJA: RIZIKOS VEIKSNIAI, SIMPTOMAI, DIAGNOSTIKA IR GYDYMAS
Authors: Raudonytė Danielė
Published: July 2022

Ūminė aortos disekacija – reta, tačiau pavojinga ūminė patologija, pasižyminti dideliu mirštamumu ir gyvybei pavojingomis komplikacijomis. Ūminės aortos diseka­cijos rizikos veiksniai – hipertenzija, genetiniai sindro­mai, aortos aneurizma, buvusi aortos disekacija, aortos operacijos ar traumos. Ūminę aortos disekaciją svarbu laiku atpažinti, diagnozuoti ir skirti tinkamą gydymą. Pats dažniausias simptomas – staiga atsiradęs stiprus krūtinės ar nugaros skausmas. Pagrindinis diagnostinis metodas, leidžiantis tiksliai identifikuoti aortos diseka­ciją – kompiuterinė tomografija su angiografija. Ūminės aortos disekacijos gydymą sudaro ne tik operacinis, bet ir medikamentinis gydymas. Tyrimo tikslas − įvertinti, susisteminti ir išanalizuoti mokslinėje literatūroje pa­teikiamus duomenis apie ūminę aortos disekaciją, jos rizikos veiksnius, klinikinį pasireiškimą, diagnostikos ypatumus bei gydymo taktiką.
Gerakan Mahasiswa dalam Upaya Kejatuhan Pemerintah Soeharto 1998
Authors: Supriyanto Supriyanto
Published: July 2022

Gerakan Mahasiswa 1998 di Indonesia memiliki peran yang sangat signifikan. Karena gerakan ini dapat melakukan reformasi politik. Ketika Soeharto memimpin tepatnya pada tahun 1997 terjadinya krisis moneter di Asia dan Indonesia mengalami dampak terjadi krisis tersebut diantaranya banyak terjadinya PHK, serta mahalnya kebutuhan pokok. Penelitian ini mengungkapkan Gerakan mahasiswa awalnya untuk melakukan suatu kritik kepada pemerintah terhadap kondisi ekonomi yang dialami oleh masyarakat. Hasil penelitian ini menunjukkan bahwa gerakan mahasiswa 1998 tersebut menuntut perbaikan kondisi ekonomi selain itu artikel ini memberikan gambaran gerakan yang dilakukan oleh mahasiswa di Jakarta untuk menuntut Soeharto untuk mundur dari jabatan Presiden.
Perfil de crescimento de cepas multirresistentes em UTI´s de um hospital referencia em doenças tropicais
Authors: Soares de Souza Everton Raí , Pimentel de Carvalho Sergio , Leite Pereira Bianca , Amorim Esquerdo Katia Maria , Rodrigues Pereira Jefta , De Sousa Silva Raynara Karen , Oliveira da Fonseca Iraide , Arraes Pedrosa Barreto Antônio Salles , Pimentel Assis Ronny , Portela de Azevedo Arimatéia
Published: July 2022

Introdução: As Infecções Relacionadas à Assistência à Saúde (IRAS) consistem em eventos adversos ainda persistentes nos serviços de saúde. Sabe-se que a infecção leva a uma considerável elevação dos custos no cuidado do paciente, além de aumentar o tempo de internação, a morbidade e a mortalidade nos serviços de saúde do país. Objetivo: Registrar o perfil de crescimento de cepas multirresistentes em pacientes imunossuprimidos internados em UTI´S de um hospital referência em Doenças Tropicais em um período de cinco anos. Metodologia: O presente estudo foi do tipo retrospectivo, descritivo e quantitativo. Resultados: No período de janeiro de 2016 a dezembro de 2021 foi registrado 245 IRAS, destas, 73,3% foram infecções nosocomiais do trato respiratório-PAVM, 16,9% foram do trato urinário e 9,8% da corrente sanguínea. Quanto ao perfil de resistência, os microrganismos que se apresentou com maior poder de resistência antimicrobiana nos últimos 5 anos foi A Klebsiella pneumonieae e a Pseudomonas aeruginposa e a E. coli. Conclusão: para prevenir a infecção hospitalar, as principais recomendações envolvem hábitos e cuidados dos pacientes e dos profissionais de saúde, além da adesão aos protocolos internos dos serviços de saúde.
STUDI PENGARUH MEDIA PENGGERUS TERHADAP NILAI P80 PADA BIJIH KROMIT
Authors: Nurhawaisyah Sitti Ratmi , Jafar Nurliah , Thamsi Alam Budiman , Juradi Muhammad Idris , Firdaus F. , Bakri Suriyanto
Published: July 2022

Bijih kromit merupakan salah satu bahan galian yang memiliki kekerasan tertinggi dan berpengaruh pada kemampuan tergerusnya. Semakin keras suatu mineral maka semakin sulit untuk digerus. Penggerusan merupakan proses kominusi yang menggunakan energi terbesar dan memberikan pengaruh pada karakteristik benefisiasi mineral dalam pemrosesan selanjutnya. Berhasilnya suatu proses penggerusan bergantung pada pemilihan kondisi operasi yang sesuai. Salah satu parameter operasi yang mempengaruhi kinerja penggerusan ball mill adalah media penggerusan. Oleh karena itu tujuan utama penelitian ini adalah untuk mengetahui pengaruh media penggerus pada proses reduksi ukuran bijih kromit yang ditinjau dari nilai P80. Metode yang digunakan dalam penelitian ini yaitu memodifikasi penggunaan media penggerus pada ball mill skala laboratorium, sehingga terdapat dua perlakuan yang berbeda pada sampel. Proses penggerusan dilakukan selama 15 menit. Pada percobaan pertama, dilakukan penggerusan menggunakan media penggerus berupa bola-bola baja dan sekat (lined). Sedangkan percobaan kedua dilakukan hanya menggunakan media penggerusan bola-bola baja, tanpa sekat (lined). Hasil percobaan tersebut menunjukkan bahwa penggerusan dengan menggunakan dua media penggerus yaitu bola-bola baja dan sekat (lined) memberikan ukuran produk yang lebih halus dengan nilai P80 yaitu 2,888 mm dibandingkan dengan penggerusan yang menggunakan satu media penggerus yaitu 4,276 mm.
UJI KUALITAS AIR TANAH MENGGUNAKAN ANALISIS FISIKA DAN KIMIA PADA DAERAH MUARA BULIAN, KABUPATEN BATANGHARI, PROVINSI JAMBI
Authors: Cendikia M. R. , Mayasari E. D.
Published: July 2022

Daerah penelitian terletak pada Kecamatan Muara Bulian, Kabupaten Batanghari, Provinsi Jambi. Daerah penelitian termasuk dalam Cekungan Air Tanah (CAT) Muara Tembesi dengan kondisi geologi berada pada Formasi Kuarter Kasai dan Formasi Aluvium dengan litologi batuan piroklastik dan batuan sedimen dengan air tanah yang melimpah. Tujuan dari penelitian ini adalah untuk mengetahui sebaran air tanah, serta menentukan kualitas air tanah pada daerah penelitian. Analisis air tanah dengan metode uji kualitas fisik meliputi beberapa parameter yaitu bau, warna, rasa, kekeruhan, suhu, DHL. Sedangkan pengujian kualitas kimia air tanah meliputi parameter yaitu Power of hydrogen (pH), Besi Terlarut (Fe), Nitrit (No2-), Nitrat (No3-), Fluorida (F), Kesadahan(CaCO3) dan Sulfat (SO4). Penelitian ini dilakukan di dua puluh sembilan (29) titik sumur gali warga dan lima (5) titik dijadikan sampel untuk pengujian mutu di laboratorium. Sampling dilakukan secara merata dalam lingkup wilayah penelitian. Berdasarkan hasil uji laboratorium terhadap lima (5) sampel didapatkan bahwa daerah penelitian memiliki kualitas air tanah secara fisik tidak berasa dan tidak berbau dengan pH rata-rata 5,30 – 6,57 yang memiliki kandungan Fe sebesar 275,9806 µg/l. Menurut  PERMENKES RI  Nomor 32 Tahun 2017 tentang Persyaratan Kesehatan Air Untuk Kebutuhan Kebersihan Sanitasi, Kolam Renang, Solus Peraqua dan Pemandian Umum bahwa air tanah di wilayah penelitian diidentifikasi layak untuk dikonsumsi dengan cara menetralkan pH terlebih dahulu karena pH air di wilayah penelitian terlalu asam.
UPAYA GURU DALAM MEMBIMBING ANAK HIPERAKTIF DI TK PKK TANJUNG PADEMAWU PAMEKASAN
Authors: Iftitah Selfi Lailiyatul
Published: July 2022

Penelitian ini dilatarbelakangi dengan adanya perilaku hiperaktif yang masih terdapat di Taman Kanak-kanak sehingga diperlukan tindakan guru dalam membimbing anak hiperaktif.  Tujuan penelitian ini untuk mendeskripsikan perilaku anak hiperaktif, upaya guru dalam membimbing anak hiperaktif dan kendala yang dihadapi dalam membimbing anak hiperaktif. Metode penelitian ini adalah kualitatif dengan pendekatan studi kasus. Teknik analisis data yang digunakan yaitu analisis data kualitatif mulai dari reduksi datam penyajian data, dan penarikan kesimpulan. Dari hasil penelitian dapat ditarik kesimpulan sebagai berikut ciri-ciri perilaku anak hiperaktif  meliputi tidak bisa diam, sering membuat ulah, tidak memperhatikan guru, sering mengganggu temannya dan perhatiannya mudah teralihkan. upaya yang dilakukan guru dalam membimbing anak hiperaktif adalah menghargai setiap usaha dan keberhasilan yang dicapai oleh anak, menggunakan metode pemberian tugas dan bermain. Kendala yang dialami oleh guru dalam membimbing anak hiperaktif adalah fokus perhatiannya  mudah teralihkan dan moodnya yang gampang sekali berubah
KNOWLEDGE ABOUT DENTAL AND ORAL HEALTH WITH GINGIVITIS IN ADOLESCENTS
Authors: Gita Asmara Noviani  , Yayah Sopianah  , Tritania Ambarwati
Published: July 2022

Background: Healthy conditions can affect human behavior, one of which is by implementing clean and healthy living behavior (PHBS) in maintaining dental and oral health. PHBS can be influenced by several factors, one of which is knowledge. According to several studies, if a person's knowledge is good, then PHBS will also be good, and will have a good impact on his life. In their growth and development, adolescents often experience health problems, especially in the gingiva. One of the problems that occur is supported by lifestyle, food and hormonal factors. Objective: This research was conducted to find out how the relationship between knowledge about dental and oral health and gingivitis in adolescents in West Ciberang Village Rt/10 Rw/03 Pandeglang Regency, Banten. Methods: This study uses a type of observation with a Spearman range design with a research sample of 30 teenagers. Data collection techniques were done by filling out a questionnaire and calculating the gingivitis index. Data analysis was carried out using the Spearman range test. Result: The results of the Spearmane Range Test showed an asymp sig value of 0.004 < 0.005, Conclusion: so it can be concluded that there is a relationship between knowledge about oral health and gingivitis in adolescents in Kampung Cilanggar Barat Rt/10 Rw/03 Pandeglang Regency, Banten.
ANALYSIS OF TOOTH LOSS DUE TO CARIES WITH DENTAL AND ORAL HEALTH BEHAVIOR IN THE ELDERLY
Authors: Ully Baqiyah  , Emma Kamelia  , Hadiyat Miko
Published: July 2022

Background: It is estimated that by 2025, Indonesia will experience the largest increase in the number of elderly people in the world. The Indonesian population has dental and oral problems with 31.9% in the proportion aged 55-64 years. Elderly is very closely related to the decline in all body organ functions including functions in the oral cavity, one of which is tooth loss which is often experienced by the elderly along with increasing age, that the degree of public health is determined by heredity, behavior, heredity and health services. Poor oral and dental health behavior is one of the main causes of periodontal disease. Objective: To analyze tooth loss due to caries with dental and oral health behavior in the elderly at Posbindu Blok 1 Malahayu Village, Banjarharjo District, Brebes Regency. Methodology: The research design used descriptive analytic observational method, population of 18 elderly people and total sampling. Research measuring instrument for behavior by questionnaire and for tooth loss by intra oral examination sheet. The results of the study: the number of tooth loss in the elderly, most of them lost < 6 teeth around 61.1% and the behavior of the elderly about dental and oral health most of the criteria was sometimes (moderate) as much as 77.8%. Conclusion: the results showed that there was an effect of tooth loss due to caries on the behavior of the elderly in Posbindu Blok 1 Malahayu Village, Banjarharjo District, Brebes Regency.
EDUCATION USING FLIPCHART ON KNOWLEDGE AND SKILLS OF BRUSHING TOOTH IN DENTAL FILLINGS PATIENTS
Authors: Ade Wangi Mulyati  , Rena Setiana Primawati  , Muhammad Fiqih Sabilillah
Published: July 2022

Introduction: Dental nursing care is a service carried out by dental nurses aimed at improving the degree of dental health and to prevent dental and oral diseases. Objective: Knowing the effect of counseling using backsheet media on the knowledge and skills of brushing teeth in dental filling patients at the Dental Poly of SMC Hospital, Tasikmalaya Regency. Method: The type of research used was a pre-experimental study with a one group pre and post design design, The sample in this study were all patients with patching treatment who came for 1 month totaling 25 people, sampling technique by accidental sampling. Results: wilcoxon signed rank test results, that the value of the patient's brushing skills at the Dental Poly of SMC Hospital Tasikmalaya Regency before being counseled using sheetback media with an average score of 15.72 (medium criteria), and the patient's brushing skills after being given counseling using return sheet media with an average score of 21.68 (good criteria). Conclusion: There is an effect of counseling using backsheet media on brushing knowledge and skills in dental filling patients at the Dental Poly of SMC Hospital, Tasikmalaya Regency, with a significant value of 0.000.
PARENTS' KNOWLEDGE WITH PERMANENT FIRST MOLLAR CARRIES IN STUDENTS
Authors: Nisa Yusfiatun  , Anie Kristiani  , Anang
Published: July 2022

The first permanent molars are the first teeth to erupt at the age of 6-7 years. The first permanent molars function to chew, pound and grind food because they have a wide chewing surface with many protrusions and indentations, making them the teeth most at risk for caries. The incidence of caries in the first molar, especially in the mandible, is a tooth that has a high prevalence of extraction and most of it is caused by caries, and the discipline of children in maintaining their teeth is still lacking. good food retention. Most parents do not know that these teeth are porous, and assume that there will be more replacement teeth, even though these teeth are permanent teeth and will not be replaced again. The purpose of this study was to determine the relationship between parental knowledge and caries of the first permanent molars in children. The research method used descriptive non-experimental with a cross sectional design. The population of grade 3 school children at SDN Barutunggul IV, Rancabali District, Bandung Regency with a total sample of 52 people. The data were analyzed using the SPSS Version 21 application with the Chi-Square statistical test method. The results showed that most of the respondents had a level of knowledge about caries in the first permanent molars which were included in the sufficient and less categories (85%). Most of the respondents had experience of caries in the first permanent molars with moderate and poor criteria (94%). The results of the analysis showed that there was a relationship between parental knowledge and caries of the first permanent molars with a p-value of 0.001 indicating a significant correlation.
KNOWLEDGE OF DENTAL AND ORAL HYGIENE WITH GINGIVITIS IN ADOLESCENTS
Authors: Purnama Nurhakim  , Emma Kamelia  , Cahyo Nugroho
Published: July 2022

Background: Gingivitis in children or pubertal gingivitis occurs due to an increase in endocrine hormones which usually occurs in children under the age of 17 years or during adolescence. Gingivitis is an early stage of periodontal disease in the form of inflammation of the gingiva caused by poor oral hygiene resulting in accumulation of biofilm on plaque along the gingival margin. Adolescent knowledge is very important in underpinning the formation of behaviors that support or do not support dental and oral hygiene. Dental and oral hygiene can be measured using the Gingival Index (GI). The purpose of the study: to determine the relationship between knowledge of oral hygiene and gingivitis in adolescents at the Youth Posyandu, Selaawi Village, Garut Regency. Methodology: the method used is quantitative research with a cross sectional design, the population is 30 teenagers, the sample is taken using the total sampling method. Research measuring tools in the form of a knowledge questionnaire and GI examination format. Analysis of the data using the Spearman correlation test. The results of the study: knowledge of adolescents in the good category of 56.7% and gingivitis in adolescents in the category of moderate inflammation of 36.7%. The results of the Spearman test have a p-value of 0.001 (p<0.05). Conclusion: There is a relationship between adolescent oral hygiene knowledge and gingivitis in adolescents at the Youth Posyandu, Selaawi Village, Selaawi District, Garut Regency.
PARENT'S SUPPORT FOR BEHAVIOR BRUSHING TEETH BEFORE SLEEPING WITH THE EVENT OF DENTAL CARIES IN CHILDREN
Authors: Nur Ageng Agustina  , Anie Kristiani  , Hilmiy Ila Robbihi
Published: July 2022

Background: Teeth are a very important part of the body for children's health, when teeth are affected by caries, they will experience excruciating pain, therefore children must get used to brushing their teeth properly to prevent dental caries. Parental support can provide an important role for the dental and oral health of their children. Objective: To determine the relationship between parental support for the habit of brushing teeth before going to bed at night with the incidence of caries in children aged 5-6 years at the Al-Muhsinin Foundation, Bekasi Regency. Methods: The design used in this research is descriptive analytic observational with a cross sectional approach. The population of this study were all children and their parents who attended the Al-Muhsinin Foundation, totaling 20 children and their parents. The sampling technique used was the total sampling method, the number of samples that matched the criteria were 18 children and their parents. The data was collected using a parental support questionnaire and an observation sheet for caries examination in children. Data analysis with Spearman rank test. Results: The results showed that the mother's role in maintaining dental hygiene in children aged 5-6 years at the Al-Muhsinin Foundation were mostly negative criteria (55.6%), the incidence of dental caries in preschool children aged 5-6 years had dental caries. with low criteria (44.4%), statistical results show that there is a relationship between the role of mothers in maintaining dental hygiene with the incidence of dental caries in children aged 5-6 years at the Al-Muhsinin Foundation Bekasi Regency, as seen from the value of 0.002. Conclusion: there is a relationship between the mother's role in maintaining dental hygiene with the incidence of dental caries in children aged 5-6 years.
TOOTH LOSS WITH ELDERLY NUTRITIONAL STATUS OF PROLANIS PARTICIPANTS
Authors: Nurhayati  , Hadiyat Miko  , Agung Widiyagdo
Published: July 2022

Background : The main problems of dental and oral health in the elderly can be dental caries, tooth loss and periodontal disease. Tooth loss in the elderly affects nutritional intake because the elderly tend to choose foods that are soft or easy to chew, resulting in reduced nutrition and nutritional problems in the elderly. Objective: To determine the relationship between tooth loss and the nutritional status of elderly prolanis participants at the UPTD of the Cilaku Health Center, Cianjur Regency. Research method: Cross Sectional was conducted on 36 elderly respondents participating in prolanis at UPTD Puskesmas Cilaku, Cianjur Regency in 2021 measured using BMI. The results of the study: The data showed that 47.2% of the elderly had normal nutritional status, 27.8% of the elderly had less nutritional status and 25% had more nutritional status. The largest respondents were women with 22 respondents (61.1%) and 14 respondents (38.9%). Based on age group, the largest number of respondents was in the 60-69 year age group with 24 respondents (66.7%), and in the 70-79 year age group as many as 12 respondents (33.3%). The results of the analysis using the correlation test obtained a p value of 0.001. Conclusion: Because the significance value of 0.001 is smaller than 0.05, it can be said that there is a relationship between tooth loss and the nutritional status of elderly prolanis participants at the UPTD Puskesmas Cilaku, Cianjur Regency. When viewed from the level of strength of the relationship seen from the output correlation coefficient, the result is -0.512, meaning that the level of strength of the relationship between the variable tooth loss and nutritional status is -0.512 or is said to be very weak correlation. If viewed from the direction of the relationship, the correlation coefficient in the results above is negative, namely -0.512, so that the relationship between the two variables is not unidirectional, thus it can be interpreted that the more teeth loss in the oral cavity in the elderly can reduce the nutritional status of the elderly.
DIET AND HABITS OF BRUSHING TEETH WITH DENTAL CARIES OF CHILDREN AGED 6-12 YEARS
Authors: Aat Suhayati  , Rudi Triyanto  , Taftazani Rieza Zulfahmi
Published: July 2022

Background: Riskesdas in 2018, showing the high prevalence of dental caries in Indonesia sufferers are school children and adolescents. The percentage of dental caries in the 12-year age group by 29.8%, the 15-year age group by 31.1%, saw a tendency to increase the percentage of dental caries with age. The type of food consumed by children also contributes in the process of dental caries, children tend to like the type of sweet foods such as sweets, chocolate, ice cream, doughnuts, soft drinks, and still lack knowledge in maintaining dental health, especially in brushing teeth will accelerate the occurrence of dental caries. Research Objective: Analyze the relationship of diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room UPTD Puskesmas Sukalaksana Kota Tasikmalaya. Research method: this study is a non-experimental study that is with a cross sectional research design, to find out the dynamics of two (2) research variables, namely free variables and bound variables, Data collection techniques are carried out at the same time (point time approach). Research results: Relationship of diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room UPTD Puskesmas Sukalaksana Kota Tasikmalaya. Gamma correlation test obtained p-value 0.031 <0.05 so that Ho is rejected and the influence of diet with dental caries (def-t), the habit of brushing teeth with dental caries (def-t) obtained p-value 0.021 <0.05 so that Ho is rejected then it can be said there is a relationship of brushing teeth with dental caries (def-t). Conclusion: There is a relationship between diet and habits of brushing teeth with dental caries of children aged 6-12 years in the Dental and Oral Health Room of UPTD Sukalaksana Health Center in Tasikmalaya City.
DISTRACTION TECHNIQUES OF CARTOON FILMS SHOWING ON ANXIETY LEVEL OF PEDIATRIC PATIENTS
Authors: Leoni Hardiyanti  , Tritania Ambarwati  , Sabilillah Muhammad Fiqih
Published: July 2022

Dental anxiety arising from childhood is an obstacle for pediatric patients in dental care, anxiety in pediatric patients has been recognized as a problem for many years which causes children to often delay and refuse to do dental treatment. Worldwide the level of anxiety in dental care is high, reaching 6-15% of the entire population. The purpose of this study was to determine the distraction technique of showing cartoon films to the level of anxiety in pediatric patients at the Plumbon Public Health Center, Cirebon Regency. This research was conducted using a pre-experimental research design with a one group pretest posttest design research design. One group pretest posttest design at the beginning has been observed through pretest first, then given treatment or intervention, then given posttest. The sample of this study was carried out by accidental sampling, with the Wilcoxon test. Based on the results of the study, it was found that the anxiety level of pediatric patients before being given the distraction technique with the criteria of anxiety 36.7%, the anxiety level of the child patient after being given the distraction technique with the criteria of not being anxious 56.7% and there is an influence of distraction techniques showing cartoon films on the anxiety level of pediatric patients at the Plumbon Public Health Center, Cirebon Regency with the majority of children experiencing an anxiety level of 33.3% before giving distraction techniques in the flat face category and after being given distraction techniques as much as 56.7%.
LOW PERSONAL CARE WITH ORAL HYGIENE OF PATIENTS WITH MENTAL DISORDERS (ODGJ)
Authors: Apip Muhtarom  , Nia Daniati  , Sabilillah Muhammad Fiqih
Published: July 2022

Background: ODGJ or People with mental disorders have limitations in carrying out daily activities including self-preservation activities that cause poor fulfillment of optimal self-care conditions, one of which is the maintenance of dental and oral health. Objective: To Analyzed the relationship between low self-care and dental and oral hygiene of ODGJ patients at Cibeber Health Center. Research method: Quasi experimental in 25 respondents with dental and oral hygiene examinations and Activity of Daily Living. Dental and oral hygiene is measured by OHI-S (Oral hygiene index simplified) and Activity of Daily Living with Barthel Index. Results: The average hygiene status of dental and oral ODGJ patients in Cibeber Health Center of Cianjur Regency which amounted to 25 people, namely on bad criteria as many as 15 people (60%). The results of the Activity of Daily Living (barthel index) criteria are mild as much as 1 person (4%), while 12 people (48%) and weighing 12 people (48%). Results of analysis using corelation test at p value 0.000. Conclusion: There is a low association of self-care with dental and oral hygiene in patients with mental disorders (ODGJ) in Cibeber Health Center Cianjur Regency as evidenced by a value of < 0.05.
Analytical and simulation determination of order picking time in a low storage warehouse for shared storage systems
Authors: Dmytrów Krzysztof
Published: July 2022

The aim of the research is comparison between average order picking times obtained using the analytical model and simulation methods for shared storage systems. We also compare the results obtained with the results obtained for dedicated storage. We assume the random and ABC-class storage (with within and across aisle storage policies). We select the locations by means of the TOPSIS method for two take-out strategies: quantity adjustment (QA) and priority of partial units (PPU). We determine the route by using s-shape and return heuristics. In most cases, the simulated average order picking times are shorter than the analytical ones. It results from not considering the criteria’ weights in calculation of the analytical order picking time. Also, the results for shared storage with QA strategy are in most cases better than for dedicated storage. This might imply an advantage of shared over dedicated storage, but needs further confirmation.
Four-dimensional uncertain multi-objective multi-item transportation problem
Authors: Kakran Vandana Kakran , Dhodiya Jayesh
Published: July 2022

This paper considers a four-dimensional multi-objective multi-item transportation problem (4DMOMITP), where all the parameters are regarded as uncertain variables. In this paper, three mathematical models, namely expected value model (EVM), optimistic value model (OVM) and dependent optimistic-constrained model (DOCM), are discussed for the uncertain model of 4DMOMITP.Thesemodels are converted into their corresponding deterministic forms using different ranking criteria from uncertainty theory. These deterministic models are then solved by using the Lingo 18.0 software, utilizing three different classical approaches for obtaining a solution. A numerical example is given to illustrate the application of the model and the solution algorithm. A sensitivity analysis for the OVM and DOCM models has also been performed with respect to the confidence levels.
Interactions listed in the Paxlovid fact sheet, classified according to risks, pharmacological groups, and consequences
Authors: Azanza José Ramón , Mensa Josep , González del Castillo Juan , Linares Rufo Manuel , Molero José María , Madero Valle Natalia , Barberán José
Published: July 2022

Paxlovid (nirmatrelvir plus ritonavir) is a new oral antiviral therapeutic for the treatment and post-exposure prophylaxis of COVID-19. Nirmatrelvir is an inhibitor of SARS-CoV-2 main protease, while ritonavir is used as a CYP3A inhibitor in low doses to slow the metabolism of nirmatrelvir, thus enhancing their therapeutic effect. The isoenzyme CYP3A4 is responsible for at least part of the oxidative metabolism of approximately 60% of available medications and ritonavir is therefore a significant source of drug interactions. We describe here the drugs that are contraindicated or should be used with or without precautions when Paxlovid (nirmaltrevir plus ritonavir) should be administered according to each fact sheet in force at the Spanish Agency for Medicines and Health Products.
Digitalisierung als epistemische Praxis.: Vom Nutzen und Nachteil der digitalen Katalogisierung und Erschließung von Autor:innenbibliotheken
Authors: Jaspers Anke
Published: July 2022

Der Beitrag vergleicht zum einen traditionelle Buchkataloge mit digitalen Katalogen von neuzeitlichen Autor:innenbibliotheken und zielt damit auf eine Kritik ihrer digitalen Erschließung und Repräsentation. Zum anderen macht er deutlich, dass Digitalisierung, hier also der Medienwandel vom Buch-Objekt zum Scan, als epistemische Praxis zu verstehen ist. Im Fokus steht die These, dass sich in der Benutzung des digitalen Katalogs die Hegemonie der Konzepte ‚Autor‘ und ‚Werk‘, die konventioneller Weise den Umgang mit Autor:innenbibliotheken bestimmen, auflöst, so dass intertextuelle und interpersonelle Netzwerke der Bibliothek sichtbar und erforschbar werden. Zur Veranschaulichung dienen Beispiele aus dem digitalen Katalog der Nachlassbibliothek Thomas Manns.

Firstly, the article compares traditional book catalogues with digital catalogues of modern writers’ libraries and thus aims at a critique of their digital indexing and representation. Secondly, it proposes to understand digitisation, in this case the transformation from book object to scan, as an epistemic practice. The focus is on the thesis that the use of the digital catalogue dissolves the hegemony of the concepts of ‚author‘ and ‚work‘, which conventionally determine the handling of writers’ libraries. In that way, intertextual and interpersonal networks of the library become visible and explorable. Examples from the digital catalogue of Thomas Mann’s library serve as illustrations.
Das imaginäre Museum als literarischer Bilderkatalog.: Dieter Wellershoff und Michel Butor in den Spuren von André Malraux
Authors: Schmitz-Emans Monika
Published: July 2022

Dieter Wellershoff und Michel Butor knüpfen mit rezenten Buchpublikationen an André Malraux’ Konzept des imaginären Museums an. Ihre Bücher sind illustrierte Kataloge von Werken der abendländischen Malereigeschichte, zugleich aber Vermittlungsformen der Poetiken beider Autoren. Indem der Bilderkatalog zum poetologischen Manifest wird, tritt die Prägung von Katalogen durch logoi programmatisch in den Vordergrund; der Bilderkatalog demonstriert sowohl die enge Durchdringung der Bilderwelten mit Wörtern als auch die Effizienz katalogartiger Werke als Medien verbaler Sinnvermittlung, Argumentation und dichterischer Selbstexplikation.

In recent book publications, Dieter Wellershoff and Michel Butor take up André Malraux’s concept of the imaginary museum. While being illustrated catalogues of works from the history of Western painting, they are also forms of conveying the poetics of the two authors. By turning the picture catalogue into a meta-poetic manifesto, the imprint of logoi on catalogues comes programmatically to the fore; the picture catalogue demonstrates both the close interpenetration of the pictorial worlds with words and the efficiency of catalogue-like works as media of verbal mediation of meaning, argumentation, and poetic self-explication.
Götterinventare.: Zur topischen und allegorischen Formation der paganen Antike in mythologischen Namenskatalogen des Mittelalters
Authors: Scheuer Hans Jürgen
Published: July 2022

Unter den Namenslisten, die ein konstitutives Merkmal vormoderner Epik darstellen, bilden die Götterkataloge mittelalterlicher Erzählwerke einen besonderen Fall. Sie sind in ihren unterschiedlichen Kontexten Vehikel einer dialektischen Bewegung, die auf dem Wege einer äußerst verknappten, in den Namen konzentrierten Ekphrasis Ausprägungen der Gottheit vor Augen stellen sollen. Gelenkt durch zusätzliche Kataloge, abgespaltene oder inserierte Listen und konkurrierende Aufstellungen eröffnen sie ein agonales Feld, innerhalb dessen Sinnlichkeit und Urteilskraft aufeinandertreffen. An fünf Beispielen – dem Banquet of Gods and Goddesses, der Hochzeit von Thetis und Peleus aus dem Trojanerkrieg Konrads von Würzburg, dem Götterkatalog der Weltchronik Rudolfs von Ems und der typologisch vergleichenden Religionskataloge des Barlaam und Josaphat-Romans in den Versionen Ottos des II. von Freising und wiederum Rudolfs von Ems – wird die Katalogform im Sinne eines „Fortlebens der antiken Götter“ (Jean Seznec) vor dem Hintergrund ihrer psychologischen Präsenz- und Emergenzeffekte gedeutet.

Among the lists of names that are a constitutive feature of pre-modern epic poetry, the catalogues of deities in medieval narrative works represent a special case. In their various contexts, they are vehicles of a dialectical movement, intended to present expressions of the deity by way of an extremely concise ekphrasis concentrated in the names. Guided by additional catalogues, split-off or inserted lists, and competing configurations, they open an agonal field within which sensuality and judgment clash. Using five examples – the Banquet of Gods and Goddesses, the marriage of Thetis and Peleus from Conrad of Würzburg’s Trojan War, the catalogue of gods in Rudolf of Ems’ World Chronicle, and the comparative religious catalogues of the Barlaam and Josaphat novel in the versions of Otto II. von Freising and again Rudolf von Ems – the catalogue form is interpreted in the sense of a „survival of the ancient gods“ (Jean Seznec) against the background of their psychological presence and emergence.
The Importance of the Halal Supply Chain During Covid-19 Pandemic
Authors: Qurniawati Rina , Nurohman Yulfan , Izzii Adjil
Published: July 2022

The purpose of this study is to examine the relationship between halal supply chain awareness toward attitude and purchase intention. A questionnaire was designed to collect data from Islamic undergraduate students in Salatiga and Surakarta. Partial Least Square (PLS) software was used to test the proposed research model. This research becomes the first research on how specific halal supply chain awareness affects the consumer during pandemic Covid-19. The result shows that halal feed and halal slaughtering have a positive effect on attitude. Proper separation and attitude significantly influence purchase intention, meanwhile, the halal feed and halal slaughtering awareness insignificantly influence purchase intention.
HUBUNGAN ANTARA KECANDUAN GAME DENGAN PERILAKU AGRESIF VERBAL PADA USER GAME ONLINE
Authors: Safitri Sekar , Fikri
Published: July 2022

Penelitian ini bertujuan untuk mengetahui hubungan antara kecanduan game dengan perilaku agresif verbal pada user game online. Hipotesis penelitian ini adalah terdapat hubungan antara kecanduan game terhadap perilaku agresif verbal pada user game online. Metode yang digunakan adalah pendekatan kuantitatif dengan desain korelasional dan teknik pengambilan subjek dalam penelitian ini menggunakan teknik purposive sampling, dengan kriteria individu berada pada tahap remaja sampai dengan dewasa awal (12 tahun s/d 40 tahun) yang bermain game online; memiliki rentang waktu minimal bermain lebih dari 3-5 jam perhari, jenis game MMORPG, MOBA, FPS, Battle Royale sejumlah 174 orang. Skala yang digunakan untuk pengambilan data adalah skala kecanduan game dengan rentang daya item 0,280-0,611 dan memiliki nilai reliabilitas Cronbach’s Alpha sebesar 0,929 dan skala agresif verbal dengan rentang daya item 0,300-0,674 dan memiliki nilai reliabilitas Cronbach’s Alpha sebesar 0,945. Analisis data yang digunakan adalah korelasi product moment pearson dengan bantuan software SPSS 23.0 (Statistical Packages for the Social Sciences). Hasil perhitungan statistik menunjukan nilai korelasi (r = 0,639; p < 0,05). Hasil tersebut menunjukan bahwa terdapat hubungan positif antara kecanduan game dengan perilaku agresif verbal pada user game online.
El nuevo modelo de control urbanístico en el Ayuntamiento de Madrid. La Ordenanza de licencias y declaraciones responsables urbanísticas
Authors: Casado Amaya
Published: July 2022

El presente trabajo pretende ofrecer una visión descriptiva de las principales novedades que introduce la Ordenanza Municipal de licencias y declaraciones responsables urbanísticas del Ayuntamiento de Madrid (pendiente concretar fecha aprobación). Con esta norma además de responder a la necesaria adaptación al marco legal definido por la Ley 1/2020, de 8 de octubre, por la que se modifica la Ley 9/2001, de 17 de julio, del Suelo de la Comunidad de Madrid, para el impulso y reactivación de la actividad urbanística, se pretende avanzar en un modelo de control urbanístico que haga posible el equilibrio entre la inmediatez y facilitación del desarrollo de las actuaciones urbanísticas por los particulares y la efectiva y tempestiva respuesta municipal en el ejercicio irrenunciable de sus potestades públicas.
Bienes públicos locales y expropiación forzosa
Authors: Chinchilla Peinado Juan Antonio
Published: July 2022

Se analizan las principales novedades que a lo largo del año 2021 se han producido en materia de bienes públicos, con especial atención a los bienes locales, y en materia de expropiación forzosa.
Gehörschutz: individuelle Schutzwirkung versus Anwendung von Praxisabschlägen/Hearing protection: individual protective effect versus use of derating factors
Authors: Sickert Peter
Published: July 2022

Kurzfassung Der Einsatz von Methoden zur Bestimmung der individuellen Schutzwirkung von Gehörschutz (Fit-Test) gewinnt an Bedeutung. Ebenso wie die Methode der Praxisabschläge führt der Fit-Test dazu, dass die verringerte Schalldämmung in der Praxis berücksichtigt wird. Während bei den Praxisabschlägen nur eine statistische Aussage über Eignung von Gehörschutz und Einhaltung der maximal zulässigen Expositionswerte gemacht werden kann, ermöglicht der Fit-Test eine individuelle Aussage zum persönlichen Schutz gegen Lärm.
Türen- und Kofferraumschlagen von Pkw: Sind die Prognoseansätze der Parkplatzlärmstudie noch zeitgemäß?/Closing car doors and trunk lids of passenger cars: Are the forecasting approaches of the parking noise study still up-to-date?
Authors: Schlag Michael
Published: July 2022

Die vom Landesamt für Umwelt Bayern herausgegebene Parkplatzlärmstudie zeigt Prognoseansätze für die Spitzenpegel beim Schließen von Pkw-Türen und Kofferraumklappen auf. Die Prognoseansätze wurden aus Emissionsmessungen aus dem Jahr 1999 entwickelt, wobei das Baujahr der untersuchten Pkw zwischen 1990 und 1998 lag. Mit der vorliegenden Untersuchung soll aufgezeigt werden, ob die aus dem Jahr 1999 entwickelten Prognoseansätze noch zeitgemäß sind oder ob der technische Fortschritt in der Automobilindustrie auch auf die Lärmminderung bezogen werden kann.
Horizontalschleifen von Straßendeckschichten zur Verbesserung der Geräuschminderung/Horizontal grinding of road surfacing to improve noise reduction
Authors: Männel Manuel , Kirchhoff Nikolas , Dr. Eicher Johann
Published: July 2022

Bei geräuschmindernden Straßendeckschichten, die einen wichtigen Beitrag zum Verkehrslärmschutz liefern, wird beobachtet, dass die Reifen-Fahrbahn-Geräusche in den meisten Fällen über mehrere Jahre hinweg im Verlaufe des Betriebs deutlich zunehmen. Dies kann, vor allem bei dichten, nicht offenporigen Deckschichten, auf eine Veränderung der Oberflächenrauigkeit, insbesondere der Makrotextur, zurückgeführt werden. Es wurde deshalb in einem Projekt, das vom Bayerischen Staatsministerium für Wohnen, Bau und Verkehr finanziert wurde, untersucht, ob es für einzelne Deckschichttypen möglich ist, die Textur nach einigen Jahren im Betrieb so nachzubearbeiten, dass wieder eine verbesserte Geräuschminderung erzielt werden kann. Es konnte gezeigt werden, dass es grundsätzlich möglich ist, die geräuschmindernden Eigenschaften einer Straßendeckschichttextur durch geeignetes Anschleifen zu verbessern, wobei festgestellt wurde, dass nicht nur die notwendige Bearbeitungsintensität, sondern auch die zu erreichende Zieltextur selbst in jedem Fall von der Ausgangstextur abhängt. Zusätzlich konnte gezeigt werden, dass die Griffigkeit bei zielgerichtetem Anschleifen nicht geringer wird und zusätzlich der Rollwiderstand abnimmt.