bluuebunny/crossref_metadata_2025 huggingface dataset:
Resiliensi Pendidikan Diniyah dalam Menghadapi Covid-19 selama Bulan Ramadhan 2021
Authors: Jalaluddin Jalaluddin
Published: August 2021

Diniyah education has been implemented by all educational institutions in Indonesia, starting from the lowest level, namely SD/MI to SMA/MA. Initially this diniyah education was implemented in Islamic boarding schools during the month of Ramadan. The aim is to foster morals, character, and strengthen worship for students during the month of Ramadan. The purpose of this study was to identify the role of diniyah education carried out in the world of education during the Covid-19 pandemic. This research method is a literature study method with a qualitative approach. The results showed that the role of diniyah education can be measured through 4 things, namely increasing student religiosity, developing sustainable education and in accordance with the development of the times, being patient with calamities, and increasing husnuzon attitudes in students.
Kemampuan Pemecahan Masalah Matematika: Sebuah Tinjauan terhadap Kepribadian Guardian dan Idealis
Authors: Rika Arifah Sari Rika , Anggreni Fenny , Abduh Mazlan
Published: August 2021

Classification of personality based on the MBTI personality grouped by David Keisey. The purpose of this study was to determine the differences in students' mathematical problem solving abilities in terms of guardian and idealistic personality types in SMA Negeri 4 vocational youth. This research is a qualitative research. The subjects of this study were 4 students from class X Mia 3 SMA Negeri 4. The data validity technique used in this research is triangulation technique. Data analysis techniques include, descriptive data of written test results and interview results, analyzed from written test results and interview results, then conclusions are drawn. The results of the discussion can be concluded that there are differences in mathematical problem solving abilities of guardian and idealist personality types. Guardian personality type subjects can fulfill all problem solving indicators according to polya, namely the stages of understanding the problem, planning solutions, solving problems, and re-examining and drawing conclusions properly and correctly, while subjects with idealistic personality types at the stage of understanding the problem do not write down what is asked. In the problem-solving stage there are errors so that the results obtained are wrong and do not meet one of the polya indicators, namely not re-examining the existing answers but can draw conclusions. So the researchers suggest that students can improve their mathematical problem solving skills well
PERBEDAAN ANTARA MENYIKAT GIGI DENGAN MENYIKAT GIGI DISERTAI PENGGUNAAN TONGUE SCRAPER PADA PASIEN HALITOSIS
Authors: Widyastuti Ratih
Published: August 2021

Latar belakang: Halitosis atau bau mulut adalah bau yang tidak enak yang berasal dari rongga mulut. Halitosis menjadi permasalahan kesehatan mulut yang mempengaruhi psikologi dan kehidupan sosial. Halitosis berasal dari gas Volatile Sulfur Compounds (VSCs) yang terdiri atas hydrogen sulfida, metil merkaptan, dan dimetil sulfida. Cara mekanis menghilangkan halitosis dengan menyikat gigi dan penggunaan tongue scraper. Tujuan penelitian ini adalah membandingkan menyikat gigi dengan menyikat gigi disertai penggunaan tongue scraper pada pasien halitosis.  Metode: Pasien dewasa dengan halitosis secara acak diminta untuk menyikat gigi atau menyikat gigi disertai penggunaan tongue scraper. Metode organoleptik digunakan untuk mengukur halitosis sebelum dan sesudah perlakuan. Hasil penelitian: Sampel sejumlah 45 orang dibagi secara acak menjadi 2 kelompok perlakuan. Sebelum perlakuan, skor halitosis secara statistik tidak terdapat perbedaan yang bermakna antar ke dua kelompok. Antara sebelum dan sesudah perlakuan, secara statistik terlihat reduksi halitosis pada ke dua kelompok. Sesudah perlakuan secara statistik terdapat perbedaan skor halitosis yang signifikan antar ke dua kelompok. Kesimpulan: Terjadi reduksi halitosis baik pada menyikat gigi ataupun pada menyikat gigi disertai penggunaan tongue scraper. Reduksi halitosis pada menyikat gigi disertai penggunaan tongue scraper lebih besar dibandingkan hanya dengan menyikat gigi saja. Hasil penelitian ini diharapkan bermanfaat bagi perawatan pasien halitosis.
ORAL ACUTE TOXICITY TEST OF RED BETEL LEAF (Piper crocatum) AS PERIODONTAL POCKET THERAPY (As Seen From Mortality Rate, Weight Changing, And Relative Organ Index Of Swiss Webster Mice)
Authors: Nasution Dewi Lidya Ichwana
Published: August 2021

Red betel leaf (Piper crocatum) contains useful chemical compounds like alkaloid, saponin, tannin, and flavonoid which have an anti-inflammatory and antibacterial characteristics. Previous research shows red betel leaf has a better bactericidal profile than the green ones. The red betel leaf extract is already proven to disturbing the growth of periodontal causative bacteria in an earlier study. Any ingredient or chemical contents on food and drug shall run a toxicity test before permitted to use generally. This study’s purpose is to investigate the acute toxicity effect of red betel leaf extract as a periodontal pocket therapy ingredient. The acute toxicity experimental is conducted on Swiss webster mice which divided into six groups consisting of 4 males and four females each. The dose given to the subject is a single dose by the oral route as amount as the twice maximal tolerated dose that is 10000, 5000, 2500, 1250, and 625 mg/kg BW. The weight of mice is measured every day from day-1 until day-14 after that (on day-15) the mice are cut to counting relative organ index. The collected data is analyzed using The One-way ANOVA test and continues with the posthoc Tucay test. This study result shows that red betel leaf extract with doses 10000, 5000, 2500, 1250, and 625 mg/kg BW given acutely doesn’t generate a significant change in weight and relative organ index of the test’s subject. Based on this result, it can be concluded that red betel leaf extract is not toxic.
FACTORS AFFECTING THE PREVENTION OF CORRUPTION USING FRAUD HEPTAGON APPROACH
Authors: Prihanto Hendi
Published: August 2021

This study aims to obtain evidence of the factors affecting the prevention of corruption in Indonesia by using the fraud Heptagon approach by analyzing the factors causing corruption through organizational culture, leadership, code of ethics, information technology, and governance as intervening variables. The population of the study is government agencies such as ministries, high state institutions, local governments, and other government organizations, obtained randomly through several activities of government agencies such as surveys and coordination meetings using google form and paper-based questionnaires. The results of the study show that information technology has a direct and significant effect on preventing corruption, while organizational culture and code of ethics has a significant indirect effect on good governance.
Energy Use and Consumption Patterns of Maize Cultivation - A Case Study in Thailand
Authors:   Department of Environmental Health Sciences, Faculty of Public Health, Mahidol University, Rajvithi Road, Bangkok 10400, Thailand, Thongmai Sirikarn , Neamhom Thanakrit ,   Department of Environmental Health Sciences, Faculty of Public Health, Mahidol University, Rajvithi Road, Bangkok 10400, Thailand, Patthanaissaranukool Withida ,   Department of Environmental Health Sciences, Faculty of Public Health, Mahidol University, Rajvithi Road, Bangkok 10400, Thailand, Polprasert Supawadee ,   Department of Environmental Health Sciences, Faculty of Public Health, Mahidol University, Rajvithi Road, Bangkok 10400, Thailand
Published: August 2021

This study explored energy inputs and consumption patterns to determine energy and economical indices for maize cultivation in Thailand. To assess the energy performance of four used cropping systems, namely, highland cultivation in wet season (HLWS), highland cultivation in dry season (HLDS), plains cultivation in wet season (PLWS), and plains cultivation in dry season (PLDS), data from energy consumed and produced show Net Energy Value (NEV) gains of +77.0, +106.5, +191.6, and +228.5 GJ/ha, respectively. Positive signs indicate that the required energy was less than energy produced which reveals sustainability. Use of fertilizer accounted for the major input energy in all systems, followed by fossil fuels, human labor and seeds. A cost performance analysis demonstrated PLDS production exhibited the highest profit earnings (1,365.2 USD/ha). To establish an alternative way to reduce the amount of energy consumed together with increased profit returns to farmers, the renewable energy from waste manure was used to replace dependence on chemical fertilizers. Scenarios using manure from cows, chickens, and farmyards were considered. Results showed that the use of farmyard manure created greater amounts of energy efficiency and economical return rates. Moreover, the benefits increased with increased amounts of organic material applied.
TEACHING REQUIREMENTS OF A DIGITISED PUBLIC ADMINISTRATION
Authors: Müller-Török Robert , Prosser Alexander
Published: August 2021

The digitisation of public sector ICT is driven by a number of factors: Increased self- service via the Internet, the Internet of Things (IoT), real-time business intelligence  and the advent of integrated information systems as the “backbone” of  organisational ICT. This is accentuated by the Covid-19 pandemic. The paper  presents an implemented university level teaching programme that covers the  topics of integrated information systems for the environment described above. The  paper also deals with the research question of how to embed such a programme in a conventional, public sector-oriented university course  programme. It details the didactic specificities and analyses the feedback from the  roll out and the prior knowledge required from students and the changes in other  elements of a public administration course programme necessitated by digitisation  orientation. It finally summarises the experience made and illustrates  the necessity for further research.
BOOK REVIEW: THE 21ST CENTURY PUBLIC MANAGER BY ZEGER VAN DER WAL
Authors: Bata-Balog Amadea
Published: August 2021

Zeger van der Wal’s latest book entitled ‘The 21st Century Public Manager:  Challenges, People and Strategies’ published in 2017 is in many ways a unique and  milestone work, truly global in scope and ambition, both in its mapping of the  complex 21st century landscape of public administration, and in offering a clear  perspective for practitioners, while also inspiring them on their journeys. Along these lines, the value of the book is in its basic premise that “public management  matters” and that of the demanding rethinking of the roles, responsibilities, skills  and strategies of purposeful public servants while navigating in the ever-changing  VUCA world – one characterised by volatility, uncertainty, complexity and  ambiguity. The book was intended to serve as a practical manual and indeed is an  extremely useful guide, being an asset for professionals, students and educators who wish to follow a logical framework in understanding contemporary public policy challenges.
Uji Toksisitas Akut Infusa Daun Sirsak (Annona Muricata L.) pada Hewan Uji Mencit
Authors: Mayang Arinta , Abdul Ahwan , Ariastuti Reni
Published: August 2021

Daun sirsak (Annona muricata L.) merupakan famili Annonaceae yang dikenal sebagai tumbuhan obat. Daun sirsak mengandung senyawa alkaloid, tannin, flavonoid, terpenoid yang diduga memiliki potensi sitotoksik. Tujuan dari penelitian ini untuk mengetahui aktivitas sitotoksik akut infusa daun sirsak sehingga infusa daun sirsak aman digunakan. Subyek uji yang digunakan hewan uji mencit galur Swiss Webster umur 2-3 bulan, kisaran berat badan 20-25 gram. Penelitian eksperimental ini menggunakan 4 dosis perlakuan yaitu 5.565 mg/kgBB, 78.623 mg/kgBB, 175.362 mg/kgBB, 386.956 mg/kgBB dan 1 kontrol negatif dengan 5 kali pengulangan. Hewan uji mencit yang digunakan berjumlah 25 ekor dengan masing-masing 5 ekor mencit jantan untuk tiap konsentrasi. Kematian mencit dihitung setelah 24 jam perlakuan. Analisis dilakukan perhitungan nilai LD50 menggunakan rumus Thompson and Weil diperoleh nilai LD50 49,82 mg/kgBB. Hal ini menunjukkan bahwa infusa daun sirsak (Annona muricata L.) memiliki potensi sangat toksik terhadap hewan uji mencit, karena nilai LD50 5  50 mg/kgBB. Kemudian dihitung analisis probit menggunakan Microsoft Excel dan diperoleh nilai probit 4,08 g/100 mL.
Pengalaman Orangtua dalam Merawat Anak Kanker
Authors: Wijayanti Kurnia , Astuti Indra Tri
Published: August 2021

Perawatan anak dengan kanker membutuhkan proses yang panjang dan sangat kompleks sehingga membutuhkan sinergisitas yang baik dari anak, orang tua, keluarga dan tim kesehatan. Penelitian ini berguna untuk menggali bagaimana pengalaman orang tua dalam merawat anak yang terdiagnosis kanker. Pengalaman in bisa digunakan menjadi gambaran orang tua lainnya yang sedang merawat anak dengan kanker, dan memotivasi perawat untuk memberikan intervensi asuhan keperawatan secara tepat sesuai kebutuhan pasien: memberikan informasi, konseling, dukungan psikologis dan dukungan spiritual serta management nutrisi, perawatan paliatif untuk meringankan rasa sakit dan menjaganya senyaman mungkin. Desain penelitian ini menggunakan metode kualitatif dengan pendekatan  fenomenologi deskriptif. Penelitian ini melibatkan 5 orang tua yang memiliki anak terdiagnosis kanker. Teknik sampling menggunakan purposive sampling.  Pengumpulan data dilakukan dengan  wawancara mendalam dengan pertanyan terbuka, dan semi terstruktur.  Proses analisa data melalui langkah Colaizz’s. Orang tua menunjukkan sikap dan respon yang baik selama masa perawatan anaknya karena adanya sistem pendukung keluarga yang baik, harapan dan makna yang positif terhadap pengobatan kanker sejalan tingkat spiritualitas dan psikososial orang tua yang baik pula.
Tingkat Nyeri Berhubungan dengan Kecemasan Saat Perawatan Luka Diabetik
Authors: Prihati Dyah Restuning , Wirawati Maulidta Karunianingtyas
Published: August 2021

Diabetes mellitus merupakan kondisi peningkatan kadar gula dalam darah yang berakibat munculnya komplikasi mikrovaskuler salah satunya luka kaki diabetes. Tindakan perawatan luka debridement untuk menghilangkan jaringan yang nekrosis. Proses pengangkatan balutan dan pembersihan luka, seringkali keluhan pasien yaitu nyeri dan cemas. Penelitian ini untuk mengetahui adanya hubungan tingkat nyeri dan kecemasan saat perawatan luka diabetik. Desain deskriptif analitik dengan cross sectional study, yaitu mencari hubungan antara variable tingkat cemas dan tingkat nyeri saat perawatan luka diabetik. Tehnik pengambilan sampel dengan accidental sampling, waktu penelitian selama 3 bulan. Lokasi penelitian di ruang rawat inap RSUD K.R.M.T. Wongsonegoro Semarang. Instrumen menggunakan skala nyeri Numeric Rating Scale menunjukkan realiabilitas > 0,95, uji validitas r=0,90 dan Depression Anxiety Stress Scales menilai kecemasan, uji reliabilitas r=0,60. Hasil penelitian ini menunjukkan responden yang dilakukan perawatan luka diabetik berjenis kelamin perempuan, sebagian besar responden dengan usia lebih dari 45 tahun, mengalami tingkat nyeri sedang dan tingkat kecemasan ringan, dengan nilai significancy 0,009. Nilai korelasi Sperman sebesar 0,454 menunjukkan hasil penenlitian ini kearah korelasi positif dengan kekuatan korelasi sedang.Terdapat hubungan antara tingkat nyeri dengan tingkat kecemasan, apabila pasien merasakan peningkatan keluhan nyeri saat dilakukan tindakan perawatan luka, maka kecemasan yang dirasakan pasien meningkat juga dengan kekuatan korelasi sedang.
Implikasi Tingkat Pendidikan dan Lama Kerja dengan Pelaksanaan Asuhan Keperawatan Post Operatif
Authors: Samaran Elisabeth , Nifanngelyau Fransiskus Petrus
Published: August 2021

Pelaksanaan tindakan bedah akan tercapai maksimal jika dilakukan oleh tim kesehatan secara holistik. Pelaksanaan asuhan keperawatan perioperatif membutuhkan skill yang lebih agar tercapainya hasil yang maksimal yaitu kelancaran proses bedah dan tanpa kejadian yang tidak diinginkan. Latar belakang pendidikan dan pengalaman kerja merupakan factor penunjang yang paling penting. Penelitian ini bertujuan untuk membuktikan peran tingkat pendidikan dan lama kerja dalam penerapan asuhan keperawatan perioperative. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional, pada 34 perawat kamar operasi dan perawat bangsal pasca bedah di Rumah Sakit Kabupaten Sorong dengan menggunakan consecutive sampling. alat penelitian ini menggunakan kuesioner berisi 21 pernyataan penerapan asuhan keperawatan dan lembar observasi dengan hasil uji validitas dan reliabilitas r=0.914. Uji statistic yang digunakan adalah Chi – Square dengan bantuan SPSS versi 16. Hasil uji statistic menemukan bahwa p-value masing-masing (0.904 dan  0.663). hasil uji statistic menemukan bahwa tidak terdapat hubungan antara tingkat pendidikan dan pengalaman terhadap penerapan asuhan keperawatan post operatif.
Intervensi Perawatan Pasien Stroke selama di Rumah: Systematic Review
Authors: Akbar Muhammad Agung , Mediani Henny Suzana , Juniarti Neti , Yamin Ahmad
Published: August 2021

Stroke menjadi permasalahan yang saat ini terus mengalami peningkatan di seluruh dunia termasuk Indonesia. Penanganan pasien stroke membutuhkan perawatan jangka panjang yang komprehesif melibatkan tenaga kesehatan dan keluarga dalam perawatan sehari-hari. Tinjauan sistematis untuk menganalisis intervensi perawatan pasien stroke selama dirumah dalam meningkatkan kualitas hidupnya. Pencarian artikel dilakukan pada data base elektronik diantaranya Science Direct, Pro-Quest, dan EbscoHost. Kata Kunci yang digunakan adalah stroke patients AND home care OR home rehabilitation AND quality of life. Kriteria artikel dipilih 1)diterbitkan pada tahun 2012-2020 2)full-text 3)artikel dalam Bahasa inggris 4) penelitian RCT atau experimental study. Artikel diseleksi sesuai kriteria dan didapatkan total 5 dari 705 artikel menggunakan PRISMA. Tinjauan sistematis ini menemukan bahwa ada konsistensi temuan di antara penelitian yang menunjukkan bahwa perawatan pasien stroke di rumah adalah pilihan yang efektif dalam pemulihan pasien dan berlangsung dengan optimal selama dirumah. Dukungan kualitas hidup pasien stroke membutuhkan perawatan lanjutan maka dari itu diperlukan peran dari keluarga yang mampu merawat serta menjaga pasien dengan baik sehingga pemulihan pasien dapat berlangsung dengan optimal selama dirumah.
Pengaruh Berkumur dengan Rebusan Jahe Merah terhadap Skor Keluhan Xerostomia pada Pasien DM Tipe 2
Authors: Wardah Wardah , Wati Asti Winda
Published: August 2021

Berkumur dengan menggunakan rebusan jahe merah diketahui   dapat meningkatkan  laju aliran saliva baik stimulus mekanik dan stimulus kimiawi. Xerostomia merupakan salah satu masalah yang terjadi akibat penurunan aliran saliva.  Xerostomia merupakan masalah penyerta yang sering ditemukan pada pasien Diabetes Mellitus tipe 2. Tujuan dari penelitian ini adalah untuk mengetahui efek berkumur dengan rebusan jahe merah terhadap skor keluhan xerostomia pada pasien DM tipe 2. Penelitian ini bersifat kuantitatif. Desain penelitian yang digunakan adalah quasi eksperimen dengan pendekatan pre and post test without control. Alat pengumpulan data berupa  lembar kuesioner Xerostomia Inventory  (XI) versi bahasa Indonesia yg telah di uji validitas dengan nilai Cronbach's alpha 0,85 terdiri dari 11 pertanyaan. Penelitian ini dilakukan di Puskesmas Sungai Salak Kabupaten INHIL pada bulan juni 2020 dengan jumlah sampel 29 responden. Analisa menggunakan uji statistic wilcoxon. Hasil penelitian ini menyimpulkan bahwa terdapat perbedaan skor rerata sebelum (39,8) dan sesudah (27,1)  berkumur rebusan jahe merah (p value 0,000; α < 0,05).
Berat Badan Lahir Rendah dengan Kejadian Stunting pada Batita
Authors: Sinaga Taruli Rohana , Purba Sri Dearmaita , Simamora Marthalena , Pardede Jek Amidos , Dachi Carolina
Published: August 2021

Stunting atau gagal tumbuh merupakan kondisi kronis yang menggambarkan terlambatnya pertumbuhan, dan berbadan pendek dibanding anak seusinya.. Kementerian Kesehatan menyatakan kasus stunting pada balita masih menjadi ancaman dan masalah kesehatan yang perlu di tanggulangi. Hal ini perlu mendapat perhatian khusus untuk mencegah stunting pada anak.  Tujuan penelitian ini untuk mengidentifikasikan berat badan lahir rendah dengan kejadian stunting pada batita. Penelitian ini menggunakan metode deskriptif  korelasi dengan desain retrospektif.  Populasi penelitian ini adalah ibu yang mempunyai batita dengan riwayat kelahiran berat badan lahir rendah yang berjumlah 35 orang dengan tehnik total sampling dan jumlah sampel sebanyak 35 orang. Instrumen yang digunakan pada penelitian ini adalah dengan metode wawancara/ observasi dengan alat pengukuran tinggi badan anak atau Z-score. Analisis data menggunakan uji spearmen rank. Hasil penelitian diperoleh p-value 0,891 sehingga dapat disimpulkan  tidak ada hubungan antara berat badan lahir rendah berat badan lahir rendah dengan kejadian stunting pada batita.
Optimal Control of fed batch bioreactor
Authors: Bonde Durgesh , Inamdar Dr. Satish
Published: August 2021

In this paper, we will consider the problem of optimal control of a fed batch reactor. Our objective is to simulate the fed batch reactor under specified conditions in order to find an optimal control policy. Thus, for any specified initial conditions and parameter values the optimal policy for reactor operation can be obtained from simulation. We have an example system of nosiheptide [1] and used gradient method to find optimal policy. Although the convergence is slow, an optimal solution is obtained and various plots are prepared that illustrate the applicability of the method well.
Desmilitarização das polícias militares brasileiras: o que significa
Authors: Saibert Alexandre Peixoto
Published: August 2021

Este artigo apresenta os resultados de uma pesquisa bibliográfica a respeito da desmilitarização das polícias militares e o que significa de fato essa desmilitarização. O objetivo foi analisar o que significa desmilitarizar as polícias militares brasileiras, explicando como se deu a criação do modelo atual de polícia militar, sintetizar as propostas de desmilitarização e compreender aspectos da cultura policial militar que podem ser afetados pela desmilitarização. Os procedimentos metodológicos concentram-se na revisão de literatura. Os resultados sinalizam que desmilitarizar não é simplesmente acabar com o vínculo das polícias militares com Exército, tornando-as instituições de natureza civil.
Sinopsis de Hyporhicnoda Hebard, 1920 (Blattodea: Blaberinae: Hyporhicnodini), con nuevos datos de Hyporhicnoda ultima Grandcolas, 1993.
Authors:   Julio Cesar Estrada Álvarez, Estrada Álvarez Julio Cesar
Published: August 2021

Es presentada una sinopsis del género Hyporhicnoda Hebard, 1920; proponiendose una nueva sinonimia dentro del género y una guía taxonómica para la separación de las hembras del género; son presentados nuevos datos y registros de H. ultima Grandcolas, 1993, describiendo el sexo femenino de la especie, hasta el momento desconocido.
The Trichadenotecnum corniculum species group from Thailand (Psocodea: Psocidae)
Authors:   Hokkaido University, Kazunori Yoshizawa , Lienhard Charles ,   Geneva Natural History Museum
Published: August 2021

Five new species of the corniculum species group of the psocid genus Trichadenotecnum Enderlein, T. alfonsoi, T. lingens, T. palmula, T. affinifelix and T. separatum were described from Thailand. These species share a couple of male genital apomorphies with the other Oriental species of this species group recorded from China, Hong Kong, Malaysia, Singapore and Indonesia. The Japanese species of the corniculum group are considered to form a different clade placed to the sister of the Oriental species.
Load bearing analysis on Lumbosacral Disc in Pre-operative and Post-operative Thoracic Scoliosis Patient
Authors: Palaniswamy Mohankumar , Shuib Anis Suhaila , Koshy Shajan
Published: August 2021

Scoliosis is a musculoskeletal disorder seen all around the world. It affects both the alignment of the vertebra and intervertebral disc. Scoliosis can be treated conservatively with a cast and brace or surgically with spinal instrumentation. During planning for surgical instrumentation, several factors need to be considered. Among those, biomechanical changes in the non-scoliotic vertebrae and discs are important. This is vital in determining the future degenerative changes of the spine. For this reason, this study was conducted with a finite element model of the lumbosacral joint using CT scan files to find the total deformation and equivalent static strain of the lumbosacral disc between pre and post-operative thoracic scoliosis patient. From the results, it is evident that there is a biomechanical change in the lumbosacral disc and structural change in the vertebral alignment followed immediately after corrective surgery. The correction in the alignment of the scoliotic spine brings changes to the biomechanical functionality and load-bearing capacity of the lumbosacral intervertebral disc before and after surgery.
Reducing Stigma of People with Disabilities: A Systematic Review
Authors: Septian Eriando Rizky , Hadi Ella Nurlaella
Published: August 2021

People with Disability are having limited access to participation. The most significant barrier for people with disabilities to participate is stigma. However, there is a limited source of existing intervention to reduce stigma on people with disabilities. Indonesia, home of more than 20 million people with disabilities, is still having no effort in reducing stigma yet. Therefore, it is important to provide Indonesia with insight of interventions to reduce stigma on people with disabilities. The objective of the study was to provide insight of interventions to reduce stigma on people with disabilities around the world through a systematic review. The study employed a systematic review following the methodological framework provided by Prisma multistep using electronic databases (PubMed, ScienceDirect, ProQuest), reference lists, and journals to locate studies. Inclusion criteria were based on title and content through keyword search with stigma, disability, and intervention as its keyword. The study revealed that from 449 articles that are found online, only 17 are eligible with the inclusion criteria. Most of the interventions are targeting to reduce stigma from the general population towards people with disabilities. Mental disability is the most type of disability addressed by the intervention. The study concluded that education intervention has proven to be the most effective and efficient type of intervention in reducing stigma toward people with disabilities. Especially in Indonesia, a fourth most populous country, increasing impact area by targeting the general population can be seen as the most efficient way in reducing stigma.
International Experience in Staff Management in the Process of Staff Recruitment for Vacant Positions with the Application of Social Networks in the Conditions of Digitalisation
Authors: Klietsova Nataliia , Mykhailova Iiubov
Published: August 2021

The article researches the international practice of human resources management in the context of digitalisation. The method of expert assessments and analytical methods are used. The basic advantages of finding employees for vacant positions in social networks are revealed, which allowed the authors to propose the algorithm of an HR manager’s staff recruitment for an enterprise’s vacant position in social networks. In contrast to existing approaches, this methodology involves five basic steps. The usage of this algorithm will enable HR managers and executives to avoid the stage of work with staff agencies, will reduce the enterprise’s costs on staff recruitment for the vacant position, will form a staff reserve and, at the same time, will make the process of staff recruitment mobile in conditions of digital economy.
การวินิจฉัยภาวะแอนาฟิแล็กซิส (Anaphylaxis) ผิดพลาดในผู้ป่วยเด็กโรงพยาบาลบุรีรัมย์
Authors: Tearprasert Lalita
Published: August 2021

บทนำ: อุบัติการณ์ภาวะแอนาฟิแล็กซิสในเด็กมีความแตกต่างกันตามพื้นที่ อีกทั้งพบการวินิจฉัยผิดพลาดและการรักษาไม่เหมาะสม

วัตถุประสงค์: เพื่อทราบอุบัติการณ์ ลักษณะทางคลินิก และปัจจัยที่มีผลต่อการวินิจฉัยภาวะแอนาฟิแล็กซิส ในผู้ป่วยเด็กโรงพยาบาลบุรีรัมย์

วิธีการศึกษา: การวิจัยเชิงพรรณนาโดยทบทวนเวชระเบียนย้อนหลังของผู้ป่วยเด็กที่วินิจฉัยภาวะแอนาฟิแล็กซิสในโรงพยาบาลบุรีรัมย์ตั้งแต่เดือนมกราคม พ.ศ. 2560 จนถึงเดือนธันวาคม พ.ศ. 2562

ผลการศึกษา: ผู้ป่วยเด็ก 113 ราย วินิจฉัยภาวะแอนาฟิแล็กซิส 131 ครั้ง วินิจฉัยผิดพลาด 46 ครั้ง (ร้อยละ 35.1) ทั้งหมดเป็นการวินิจฉัยเกิน อุบัติการณ์การเกิด คือ 110 ต่อ 100,000 ราย พบเป็นเพศชายมากกว่า อายุเฉลี่ย 10-14 ปี ส่วนมากแสดงอาการทางระบบผิวหนังและเยื่อบุ (ร้อยละ 99.2) สาเหตุจากแพ้อาหารมากที่สุด (ร้อยละ 35.1) โดยปัจจัยที่มีผลต่อการวินิจฉัยถูกต้อง คือ อาการแสดงในระบบทางเดินหายใจ (p=0.002) และระบบหัวใจหลอดเลือด (p=0.019) การทราบสาเหตุการแพ้ และวิธีสัมผัสสารก่อภูมิแพ้ (p=0.000) ส่วนการวินิจฉัยเกินเป็นการวินิจฉัยโดยกุมารแพทย์มากกว่าแพทย์ทั่วไป (p=0.021)

สรุป: อุบัติการณ์การเกิดภาวะแอนาฟิแล็กซิสในโรงพยาบาลบุรีรัมย์มากกว่าโรงพยาบาลอื่นในประเทศไทย การวินิจฉัยผิดพลาดทั้งหมดเป็นการวินิจฉัยเกิน โดยปัจจัยที่มีผล คืออาการแสดง สาเหตุและวิธีสัมผัสสารก่อภูมิแพ้ แพทย์และสถานที่วินิจฉัย ยังพบการรักษาไม่ถูกต้องตามแนวทาง และการนัดตรวจติดตามไม่เป็นระบบ ซึ่งจะได้นำไปใช้เพื่อจัดทำแนวทางการวินิจฉัยและรักษาต่อไป
The CDC Clear Communication Index Health Education Materials Assessment Tool
Authors: Fakkheaw Leenawat , Suwanwaree Jedsada , Moungngern Yuwarat , Thintip Kanthika , Mirattanaphrai Supalak
Published: August 2021

The health education material assessment tool is an important instrument that media contributors use to reexamine communication elements that are crucial to readers’ understanding of the message. Consequently, readers may be able to identify the key message, then recognize the purpose and/or the concept, and finally put the information into use, which is the indication of a successful communication. Health literacy experts recommend many health education material assessment tools such as The Suitability Assessment of Materials (SAM)2, The Patient Education Materials Assessment Tool (PEMAT)3 and the CDC Clear Communication Index4. In this article, the CDC Clear Communication Index tool developed from the synthesis of communication elements by the US National Centers for Disease Control and Prevention was demonstrated. The tool is trusted and widely used. Furthermore, research has shown that it promotes the clarity and readers' understanding of a key message. However, author team has not yet found implementation of CDC Clear Communication Index in Thai articles, so introducing the material assessment tool has rather been encouraged. The CDC Clear Communication Index in this article has been translated and adapted to fit into Thai context in order to be well practiced on the targeted demographics.
Refined method for determining the current agricultural machinery tire wearing surface area
Authors:   Pustovoyt All-Russian Research Institute of Oilseeds, Revenko V.Yu. , Frolov S.S. ,   Pustovoyt All-Russian Research Institute of Oilseeds, Tkachenko A.N. ,   Pustovoyt All-Russian Research Institute of Oilseeds, Ivanov A.B. ,   Rosinformagrotekh
Published: August 2021

It has been established that the predictive assessment of the level of impact on the soil of tractors and agricultural machines is based on the calculation of the specific pressure equal to the ratio of the vertical load to the propeller contact surface area. A mathematical model is proposed that has been developed based on the results of field tests of a large number of samples of agricultural tires. The adequacy of the model was assessed using the Nash-Sutcliffe efficiency coefficient.
Analysis of the market for hose reel sprinklers
Authors:   Raduga All-Russian Research Institute, Turapin S.S. , Kostovarova I.A. ,   Raduga All-Russian Research Institute
Published: August 2021

The analysis of the market of hose reel sprinklers of domestic and foreign make for the period 20152019 is presented. An assessment of the quantity, cost and geography of supplies of sprinklers to Russia has been performed. The dynamics of deliveries to the domestic market of the country of hose reel sprinklers by foreign and domestic manufacturers is identified.
Analysis of trends in development of a process for distribution of feed on pig farms
Authors:   Institute of Livestock Mechanization, a branch of VIM, Tsoi I.M. , Rasskazov A.N. ,   Institute of Livestock Mechanization, a branch of VIM, Kuzmina T.N. ,   Rosinformagrotekh
Published: August 2021

The trends in the development of feed distribution processes at pig breeding enterprises are shown. The technical means used for the distribution of liquid and dry feed, their specifications, advantages and disadvantages, as well as the peculiarities of feeding pigs at the current lev el of development are presented. The necessity of import substitution of the technical base for feeding pigs has been substantiated.
Quantification of Heavy Metal Accumulation in Water and Edible Fish Tissue Samples Collected From the River Tawi, Jammu, India
Authors: Sharma M , Gandotra R , Jangral S
Published: August 2021

The present study estimated the concentration (in ppm) of heavy metals of Zn, Fe, Cu and Pb in water samples and edible tissue of Labeo boga; both collected from the non polluted (Station I) and polluted (Station II) locations of river Tawi, Jammu, India. The mean concentration of heavy metals (Zn, Fe, Cu, Pb) at Station I were 0.048±0.008 (ppm); 0.016±0.001 (ppm); 0.157±0.002 (ppm) and 0.0001±0.0001 respectively; while at Station II, these values were 0.133±0.001 (ppm); 0.022±0.002 (ppm); 0.206±0.002 (ppm) and 0.002±0.001 (ppm) respectively; the statistical difference between the stations were significantly higher (p<0.05). The order of heavy metal load obtained in water samples at both the stations was found to be Fe>Zn>Cu>Pb. Also, the mean bioaccumulation of heavy metals viz. Zn, Fe, Cu and Pb in the edible tissue of fish at Station I was found to be 0.374±0.011 (ppm), 0.105±0.02 (ppm); 0.094±0.04 (ppm) and0.001±0.0001 (ppm) respectively; on the other hand, mean bioaccumulation was 0.539±0.013 (ppm); 0.156±0.04 (ppm); 0.121±0.023 (ppm) and 0.0013±0.0001 (ppm) respectively at Station II. Even though bioaccumulation of the heavy metals in the experimental sites did not exceed the acceptable limits recommended by the agencies like FAO and WHO, the present results showed an increasing trend of the accumulation, which definitely poses a serious threat to the survival of aquatic organisms in the study area.
J. Bio-Sci. 29(2): 19-29, 2021 (December)
Cytotoxicity Assessment of Heritiera Littoralis (Aiton), Madhuca Longifolia (König) Macbr., Nerium Indicum Mill. And Sapium Indicum (Willd.) Leaves on Artemia Salina (L.)
Authors: Fatema N , Hasan K , Islam A , Yasmin N , Nesa M , Islam N
Published: August 2021

Petroleum ether, CHCl3 and CH3OH extracts of leaves of Heritiera littoralis (Aiton), Madhuca longifolia (König) Macbr., Nerium indicum Mill. and Sapium indicum (Willd.) were subjected to assess cytotoxicity against Artemia salina (L.) nauplii. The petroleum ether extract of H. littoralis leaves showed LC50 values 273.77, 97.27, 51.60, 37.12, 14.60 and 12.59 ppm after 12, 18, 24, 30, 36 and 42 h; the CHCl3 extract showed LC50 values 733.25, 105.51, 40.72 and 18.20 ppm after 6, 12, 18 and 24 h whereas CH3OH extract showed 73.05, 30.62, 24.56, 20.85, 16.21 and 6.71 ppm after 6, 12, 18, 24, 30 and 36 h of exposure respectively. The petroleum ether extract of M. longifolia leaves possess LC50 values 259.35, 115.17, 56.84 and 8.73 ppm after 12, 18, 24 and 30 h; the CHCl3 extract possess LC50 values 585.43, 205.86, 112.74, 75.62, 52.84and 47.34 ppm after 12, 18, 24, 30, 36 and 42 h but CH3OH extract possess LC50 values 185.87, 60.70, 30.11 and 15.39 ppm after 12, 18, 24 and 30 h of exposure respectively. The petroleum ether extract of N. Indicum leaves recorded LC50 values 249.82, 146.07, 80.23, 54.21 and 40.19 ppm after 18, 24, 30, 36 and 42 h; the CHCl3 extract gave LC50 values 36.13, 21.72, 19.03, 16.81 and 16.34 ppm after 12, 18, 24, 30 and 36 h but CH3OH extract recorded LC50 values 394.90, 129.69, 81.50, 73.10 and 37.51 ppm after 18, 24, 30, 36 and 42 h of exposure respectively. Similarly, the petroleum ether extract of S. indicum leaves showed LC50 values 24.79, 13.18 and 4.61 ppm after 12, 18 and 24 h; the CHCl3 extract were 50.45, 42.64, 21.20 and 14.93 ppm after 18, 24, 30 and 36 h of exposure and the CH3OH extract showed LC50 values 306.37, 217.18, 149.38, 73.52, 54.45 and 22.91 ppm after 12, 18, 24, 30, 36 and 42 h of exposure respectively. The intensity of efficacy of the extracts could be arranged in the following descending order of S. indicum (petroleum etroleum ether extract) >H. littoralis (CH3OH extract) >M. longifolia (petroleum ether extract) >N. indicum (CHCl3 extract).
J. Bio-Sci. 29(2): 139-149, 2021 (December)
Study of Conjunctival Microbial Flora in Patients of Intensive Care Unit
Authors: Ramani Kadambari , Kaliaperumal Subashini , Sarkar Sandip , Sistla Sujatha
Published: August 2021

Purpose: The objective of the study was to evaluate the type of conjunctival microbial flora in intensive care unit patients and their antimicrobial sensitivity pattern.Methods: A total of 272 samples (conjunctival swabs) were taken from patients in various intensive care units and sent for culture and sensitivity. An ocular examination was done to look for lagophthalmos, conjunctival discharge, exposure keratitis, and corneal perforation.Results: Majority (82.1%) of the samples showed at least one microbial isolate while 29 (10.7%) samples showed multiple microbial growth. The most common microbes were coagulase negative Staphylococcus spp. (41.5% of isolates), diphtheroids (11.0% of isolates), and Staphylococcus aureus (9.6% of isolates) which are the usual commensals of the ocular surface. Of the other microbes isolated, Pseudomonas aeruginosa (4.0%) was the most common. Eighty-four percent isolates of coagulase negative Staphylococcus sp., 81.8% isolates of diphtheroids and 100% isolates of Staphylococcus aureus were penicillin resistant. All isolates of Enterococcus fecalis were sensitive only to vancomycin. Two hundred and twenty eyes (80.9%) had varying degrees of lagophthalmos. Nineteen (7.0%) had severe corneal exposure changes leading to infectious corneal ulcer and perforation in all of them.Conclusions: The isolates in patients of intensive care units were no different from the normal conjunctival flora though few pathogenic organisms such as Pseudomonas aeruginosa and Acinetobacter sp. were also isolated. Most of the isolates were penicillin resistant. This knowledge will help take appropriate prophylactic measures to contain ocular infections in the intensive care units.
Chinese Arts-Based Psycho-Oncology: A Translational Systemic Meta-Synthetic Perspective
Authors: Mastnak Wolfgang , Mao Qi
Published: August 2021

Psycho-oncology is a quite new discipline in China. Related arts-based approaches significantly involve translational sciences. From a meta-theoretical and epistemological perspective both use pragmatic inferential reasoning alongside systemic meta-syntheses to scientifically substantiate practical models, here particularly for psycho-oncological treatment in clinical and public health areas. This concerns (i) pathological mental conditions as risk factors of cancer and mortality, (ii) psychiatric squeal of cancer, associated changes of the patient’s cognitive and affective states, as well as self-images and socio-cultural inclusion and (iii) mental issues of and social support for family members and caregivers of cancer patients. As concerns underlying mechanisms neuro-oncological, psycho-immunological and epigenetic findings contribute to a multimodal theoretical framework, which includes microbiological, psychological, sociocultural and aesthetic perspectives. Emphasising that efficient and individualised psycho-oncology in practice is inextricably linked with the patient’s cultural and a spiritual background, culturally sensitive psycho-oncology is regarded as an overall key principle and not only as a sub discipline. In this context, music therapy using the traditional Chinese cither Guqin as well as creative and explorative work with the patient’s voice not only provide mindful arts-based models of psycho-oncology but also encourage other cultures to explore the psycho-oncological potential of their traditional and contemporary art
Right and Left-sided Valve Disease: A Case of Subclinical Intrapulmonary Shunt in an Adult with Malignant Carcinoid
Authors: Hansen Ross M , Chapman Gregory D
Published: August 2021

Carcinoid tumors are highly differentiated neuroendocrine tumors (NET) that most commonly originate from the gastrointestinal tract. Liver metastases bypass first-pass metabolism and liberate vasoactive hormones into systemic circulation, causing flushing and diarrhea. Prolonged levels of circulating serotonin may adversely affect the heart by creating fibrotic endocardial deposits on native valves. The remaining serotonin is metabolized in the pulmonary circuit that leads to pathognomonic valvular disease isolated to the right side of the heart. We present a case of an adult male with known carcinoid syndrome who presented with involvement of right, as well as left-sided valves. He was found to have an intrapulmonary shunt on transesophageal echocardiogram (TEE) with bubble study. Intrapulmonary shunt should be considered, in conjunction with right-to-left shunt, lung involvement, and high levels of serotonin, for carcinoid patients with right and left-sided valve disease.
Effect of Immunozin™ therapy on hematological and biochemical parameters of Sickle Cell Disease patients who presented with fatigue, acute bone pain, and acute chest syndrome in Nigeria
Authors: Afolabi Bamgboye M , Zubair Ramatu Aliyu , Gayawan Ezra , Nakorji Haruna Usman , Sali Nana Fatima , Ogunwale Abiodun , Fagbemi Tolulope
Published: August 2021

Introduction: Painful vaso-occlusive crises are frequent complications of sickle cell disease (SCD), which affects about 3% of the Nigerian population with a high mortality in children. Relevance of hematological and biochemical parameters to clinical symptoms of SCD are not often documented. Aims and Objective: This study aimed at determining the prevalence of fatigue, acute bone pains (ABP) and acute chest syndrome (ACS) and to assess the associating hematological and biochemical parameters before and after administration of ImmunozinTM. Materials and Method: This study was a double-blind, two-arm, randomized control pilot study with 30 SCD patients presenting with fatigue, acute bone pains (ABP) and ACS, each of whom was given the study agent. At the first visit, after thorough assessment of each patient had been undertaken and hematological parameters were measured, the study drug was administered to each patient accordingly. This process was repeated monthly for five more monthly visits when the study concluded. At each visit, venous blood sample was collected for hematological parameters, electrolytes, urea and creatinine analyses within 2 hours of collection. Results: Means (±sd) of age and BMI (Kg/m2 ) of the study subjects were 13.0 (5.6) and 16.1 (1.9) respectively with 26 (86.7%) of the patients underweight. At enrollment into the study, 25 (83.3%), 18 (60.0%) and 10 (33.3%) of the patients presented with ABP, fatigue and ACS respectively but at the end of study, post administration of study drug, 11 (36.7%), 8 (26.7%) and 7 (23.3%) presented with ABP, fatigue and ACS. At enrollment, females were less likely to present with moderate fatigue (χ²=2.03, P-value=0.15, OR=0.23, 95% CI: 0.05, 1.18), moderate ABP (χ²=0.09, P-value=0.77, OR=0.80, 95% CI: 0.18, 3.46) and moderate ACS (χ²=0.01, P-value=0.90, OR=0.40, 95% CI: 0.03, 4.96) compared to males. Only one patient each presented with fatigue and ABP at the end of study. The values of many hematological parameters, electrolytes, urea and creatinine significantly varied at the end of the study compared with enrollment values. A significant positive correlation (Pearson’s r=0.40, P-value=0.031) was observed between serum urea and ACS at enrollment, and astonishingly between fatigue and ABP (r=0.52, P-value=0.003) but no notable correlation between any of the clinical symptoms and other variables at the end of study. Conclusion: The significant reduction in proportion of patients with fatigue, ABP and ACS at the end of study, after administration of test drug may suggest the therapeutic consequence of the test drug among SCD patients. There is urgent need to conduct multi-center and multi-disciplinary studies to corroborate these findings.
Potential Clinical Usefulness of CRISPR Cas9 Genome Editing in Cancer Treatment
Authors: Assefi, Marjan , Asvadi Sahar , Almanghadim Hossein Ghahramani , Sehrig Fatemeh Zeinali , Foruzandeh Zahra , Masoumi Shahab , Sheikhi Hadis
Published: August 2021

Cancer is still considered a main challenge regarding morbidity and mortality, although an earlier diagnosis through screening programs and more effective cure modalities have led to decreased mortality rates so the development of new genetic editing techniques such as zinc finger and TALENs or CRISPRCas9 has enabled the production of strong animal genetic models that sums up the cooperating oncogenic lesions influencing genes with a confirmed role in the proliferation and formation. This review presents the mechanisms of separate genome-editing approaches and explains each of the common nucleasebased platforms.
Qualidade higiênico-sanitária de alimentos consumidos em embarcações fluviais no Amazonas
Authors: Souza Kayanne Dantas de , Faria Carolina Arruda de , Lopes Amanda Forster , Chamy Michel Nasser Corrêa Lima
Published: August 2021

Introdução: No norte e nordeste do Brasil, onde localiza-se a região amazônica brasileira, existem altas prevalências de surtos de doenças causadas por micro-organismos patogênicos presentes em alimentos. O armazenamento inadequado destes alimentos é uma das grandes causas de contaminação com consequentes infecções e intoxicações alimentares. Objetivo: Avaliar a qualidade higiênico-sanitária dos alimentos destinados ao consumo em embarcações da linha de navegação Coari-Manaus. Método: Trata-se de uma pesquisa com abordagem quali-quantitativa, com delineamento descritivo-exploratório. Para caracterização microbiológica, foram coletadas amostras de frango, peixe e carne armazenados em duas embarcações, seguida da aplicação do checklist das condições de armazenamento, que forneceu resultados rápidos e confiáveis que permitiram o monitoramento da segurança microbiológica de alimentos. Foram feitas análises de presença dos seguintes micro-organismos: bactérias mesófilas aeróbias, bactérias psicrotróficas, coliformes totais, coliformes termotolerantes, Salmonella, bolores e leveduras. Resultados: As análises das amostras coletadas apresentaram resultados positivos para os microrganismos avaliados, confirmando sua presença nos alimentos armazenados nas embarcações. Conclusão: Os resultados obtidos neste estudo indicam que a intensificação nas fiscalizações nas embarcações ainda se faz necessária, pois as contaminações desses alimentos são de grande risco à saúde dos seres humanos, priorizando-se o monitoramento no local para controle e medidas de prevenção de contaminação a serem adotadas.