bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh pemberian terapi relaksasi otot progresif terhadap stres psikososial keluarga pasien COVID-19
Authors: Samosir Elysabeth Christina Maranatha , Manalu Betty Maria , Anggeria Elis
Published: June 2021

Pandemi COVID-19 tidak hanya mengancam kesehatan fisik bagi penderitanya, hal ini juga berdampak buruk bagi kesehatan psikologis, dan dapat menimbulkan stres psikososial bagi keluarga pasien. Cara untuk menangani stres psikososial yaitu dengan terapi relaksasi otot progresif. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian terapi relaksasi otot progresif terhadap stres psikososial keluarga pasien COVID-19 di RSU Royal Prima Medan.

Penelitian ini menggunakan quasi-experiment melalui pendekatan one group pre-test dan post-test design. Populasi dalam penelitian ini sebanyak 30 orang keluarga pasien COVID-19.Teknik pengambilan sampel dengan Accidental Sampling, dan sampel yang didapat sebanyak 30 orang. Metode pengumpulan data dengan menggunakan kuesioner. Analisa data univariat dalam tabel distribusi frekuensi. Uji normalitas menggunakan uji Kolmogorov Smirnov. Analisa bivariat menggunakan uji Wilcoxon.

Hasil penelitian sebelum dilakukan pemberian terapi relaksasi otot progresif keluarga pasien mayoritas mengalami stres berat sebanyak 50% dan setelah dilakukannya pemberian terapi terjadi peningkatan stres dari 50% menjadi 83%. Perbedaan sebelum dan sesudah dilakukannya pemberian terapi relaksasi otot progresif didapatkan nilai p-value = 0,003, maka Ho ditolak.

Kesimpulan didapatkan ada perbedaan stres psikososial keluarga pasien COVID-19 sebelum dan sesudah dilakukan teknik relaksasi otot progresif. Hasil menunjukkan tidak ada pengaruh teknik relaksasi otot progresif terhadap stres psikososial keluarga pasien COVID-19 karena terjadi peningkatan stres. Bagi peneliti selanjutnya diharapkan memperhatikan faktor-faktor yang mempengaharui stres psikososial pasien.
Literature review : hubungan motivasi dengan kinerja kader posyandu
Authors: Mardhiyah Aina , Wijaya Arif , Roni Faishol
Published: June 2021

Motivasi adalah suatu proses yang terjadi pada diri seseorang yang muncul dengan adanya perasaan sehingga mendorong individu untuk melakukan sesuatu yang disebabkan oleh keinginan, kebutuhan dan tujuan seseorang. Kinerja kader dapat dilihat dari keberhasilan seorang kader dalam melaksanakan tugasnya, untuk meningkatkan kinerja kader posyandu maka harus dikembangkan kemampuan seorang kader. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi dengan kinerja kader posyandu.

Database yang digunakan dalam Literature review adalah google scholar dengan kriteria inklusi sampel, artikel diterbitkan pada tahun 2010-2020, menggunakan jurnal nasional dan internasional, artikel yang menggunakan metode korelasional dengan populasi yang digunakan adalah kader posyandu dan artikel tidak berbayar.

Hasil dan Analisis didapatkan sebanyak 1.650 artikel diidentifikasi, peneliti menemukan 10 artikel yang dapat digunakan dalam Literature review.

Berdasarkan hasil review bahwa motivasi memiliki efek dalam meningkatkan kinerja kader. Saran bagi peneliti selanjutnya, diharapkan dapat dijadikan sebagai bahan literasi dalam profesi atau pendidikan keperawatan.
Data Mining Techniques Based Diabetes Prediction
Authors:   Student, Department of computer science and Engineering, Lakshmi Narain College of Technology Excellence Bhopal, India., Saxena Aditya , Jain Megha ,   Assistant professor, Department of computer science and Engineering, Lakshmi Narain College of Technology Excellence Bhopal, India., Shrivastava Prashant ,   Assistant professor, Department of computer science and Engineering, Lakshmi Narain College of Technology Excellence Bhopal, India.
Published: June 2021

Data mining plays an important part in the healthcare sector disease prediction. Techniques of data mining are commonly used in early disease detection. Diabetes is one of the world's greatest health challenges. A widespread chronic condition is a diabetes. Diabetes prediction is a science that is increasingly growing. Diabetes prediction at an early stage will lead to better therapy. It is necessary to avoid, monitor and increase diabetes consciousness because it causes other health issues. Diabetes of type 1 or type 2 can lead to heart disorders, kidney diseases or complications with the eye. This survey paper reflects on numerous approaches and data mining strategies used to forecast multiple diabetes disorders at an early stage. Become a chronic disease because of diabetes. The patient lives will be spared by an early prediction of this disease. By the use of data mining tools and processes, diabetes is avoided and treatment rates are reduced. The association rule mining, classification, clustering, Random Forest, Prediction as well as the Artificial Neural Network (ANN) are among the most common and important data mining technology. Different data mining methods are available to avoid diseases such as cardiac disease, cancer including kidney etc. This study examines the use of data mining methods to predict multiple disease types.
Role of Retail Price Strategy in Influencing Customer Purchase Intention
Authors:   Assistant Professor, Dept. of Business Management, Yogi Vemana University, YSR Kadapa (AP), India, Saritha Dr. P. , Kumar Karanam Satish ,   Assistant Professor of H & S Dept., SRIT, Aanthapuramu (AP), India, Mazeed* Shaik Abdul ,   Assistant Professor, Dr. B. R. Ambedkar Institute of Management and Technology, Baghlingampally, Hyderabad (Telangana), India.
Published: June 2021

Price sensitivity was consistently a matter of worry for retailers when planning pricing strategies. The expectant reaction towards changing price is high felt among the middleclass purchasers and impact more on their purchasing decisions in India. This research plans to decide, regardless of whether the estimating special technique for the key-esteem classification, acquires a huge change in the offer of key-esteem things or not. The examination is decisive and applied the quantitative method to approve the proposed speculation. An organized poll comprising 21 inquiries was utilized to gather information through an online review. The Snowball inspecting strategy was utilized to gather information from respondents, including youthful workers, homemakers, and entrepreneurs, and gathered reactions towards the incessant value limits offered by driving hypermarkets chains and general stores in the country. The straight relapse is directed utilizing SPSS programming. Discoveries of the exploration presumed that as the Indian center section is exceptionally evaluated touchy, henceforth tremendous value limits impel brand agitating among them and even impact the pre-purchasing choice for procurement. The significant limitations of the examination were that it centered uniquely around contemplating the effect of cost special proposals on deals which is exceptionally relevant and restricted to item classes, wherein there are different factors additionally which can altogether affect deals. We have decided the effect of one develop over another under the shadow of key-esteem classifications, while further exploration can check the effect separately or on different classifications too. The exploration is absolutely experimental and directed interestingly by the analyst to imply the significance of value advancement procedure in consonance to deals. The newly gathered essential information utilized for approval.
الاستراتيجيات الحضرية لإدارة أزمة تفشي فيروس كورونا
Authors: Aljaffan Mohammad Alaa
Published: June 2021

تعتبر إدارة أزمة انتشار فيروس كورونا إحدى التحديات الرئيسية في العالم اليوم، وذات أهمية متزايدة نظراً للانتشار الواسع للوباء وتداعياته سلبية على المجتمعات المحلية وصحة السكان في جميع أنحاء العالم، الأمر الذي وضع الإدارات المحلية في الخطوط الأمامية للتصدي للجائحة وتولي زمام المبادرة في التخفيف من أثارها. ويحاول البحث وضع نموذج تطبيقي لإدارة أزمة تفشي فيروس كورونا في المناطق الحضرية من خلال رصد وتحليل أشكال استجابة الإدارات المحلية للجائحة. كما يعد البحث مساهمة علمية مستفادة من التجارب العالمية في إدارة الجائحة من خلال صياغة منهجية علمية على شكل استراتيجيات حضرية وتوضيح أهدافها المباشرة ومراحل عملها، وآلياتها التطبيقية على المستوى الحضري لتكون بمثابة قاعدة تستند عليها الإدارات المحلية في عملها وصولاً إلى مرحلة التعافي.
TERAPI MUSIK INSTRUMENTAL DAYAK TERHADAP PENGURANGAN NYERI HAID (DISMESNORHOE) PADA REMAJA PUTRI KOTA PALANGKA RAYA
Authors: Bingan Eline Carla Sabatina
Published: June 2021

ABSTRAK

 Latar Belakang : Menstruasi pertama biasanya terjadi pada wanita usia 12-16 tahun. Nyeri saat menstruasi mengganggu aktivitas di sekolah pada hari pertama dan kedua menstruasi untuk mengatasi permasalahan tersebut dapat dilakukan dengan melakukan terapi non farmakologis yaitu menggunakan terapi musik Dayak sebagai pereda Nyeri Haid (Dismenorhoe).

Tujuan Penelitian : Untuk mengetahui pengaruh Terapi Musik Dayak terhadap pengurangan nyeri haid (Dismenorhoe) pada Remaja Putri di Kota Palangka Raya.

Metode : Penelitian ini merupakan penelitian eksperimen semu (Quasi- Experiment), dengan rancangan kelompok tidak diberikan intervensi sebagai kontrol dan kelompok yang diberikan intervensi. Sampel dilakukan penilaian skala nyeri sebelum intervensi dan setelah intervensi relaksasi nafas dalam. Desain penelitian ini adalah Pre-Post Test with Control Group Design (Sugiyono, 2012).

Hasil : Hasil analisis statsitik bivariat menunjukkan bahwa ada Pengaruh Terapi Musik Dayak terhadap Pengurangan Nyeri Haid (Dismenorhoe) pada Remaja Putri di Kota Palangka Raya dengan nilai P Value 0,000 (α < 0,05).

Simpulan : Musik Instrumental Dayak memunculkan respon relaksasi perasaan yang tenang sehingga dapat mengalihkan keadaan nyeri Haid dan dapat mengontrol rasa sakit yang di rasakan.
PROGRAM SKRINING KESEHATAN TERTENTU DI KOTA BOGOR, JAWA BARAT
Authors: Wahidin Mugi , Febrianti Rini , Sukoco Noor Edi Widya
Published: June 2021

Latar Belakang: Skrining kesehatan tertentu meliputi Inspeksi Visual dengan Asam Asetat (IVA), Pap Smear, krioterapi, dan pemeriksaan gula darah termasuk pogram deteksi dini penyakit tidak menular.  Kota Bogor, Jawa Barat telah melaksanakan program skrining tersebut sejak 2010. Penelitian bertujuan untuk mengatahui gambaran program skinning kesehatan di Kota Bogor dari sisi sumber daya manusia, peralatan, dan capaian skrining.

Metode: Desain penelitian cross sectional. Sumber data berasal dari Dinas Kesehatan dan Puskesmas di Kota Bogor, Jawa Barat. Tempat penelitian di Kota Bogor, Jawa Barat, dilaksanakan pada Februari –November 2018. Seluruh 25 Puskesmas se-Kota Bogor menjadi populasi dan sampel dalam penelitian ini. Analisis dilakukan secara deskriptif-kuantitatif dan analisis komparatif.

Hasil: Hasil penelitian menunjukkan rata-rata SDM per Puskesmas untuk IVA, gula daraah, dan krioterapi adalah masing-masing 4,5 orang, 2,4 orang, dan 0,3. Belum ada SDM Pap smear. Rata-rata peralatan per Puskesmas untuk IVA (meja ginekologi) 1,08, speculum 10,3, Pap smear 0,28, krioterapi 0,32, dan gula darah 1,08. Capaian skrining IVA sebesar17,4% dari targettahun 2018. Rata-rata pemeriksaan IVA 890 per Puskesmas, krioterapi 4,9, pemeriksaan gula darah 837. Tidak ada pemeriksaan Pap smear. Hasil analisis komparatif menunjukkan tidak ada perbedaan rata-rata pemeriksaan IVA antarkecamatan di Kota Bogor

Kesimpulan: SDM dan peralatan skrining IVA dan gula darah tesedia di semua Puskesmas, tetapi tidak untuk krioterapi dan Pap smear, capaian skrining IVA lebih rendah dari target, semua Puskesmas melakukan pemeriksaan IVA, krioterapi, dan gula darah tetapi tidak ada Pap smear. Tidak ada perbedaan rata-rata pemeriksaan IVA antar kecamatan.
PENGARUH TERAPI MUSI K TERHADAP PENURUNAN INTENSITAS NYERI PADA IBU INPARTU KALA I FASE AKTIF
Authors: Mawaddah Sofia
Published: June 2021

the time leading up to labor, especially in the first stage (when opening), the pain occurs because of the great activity in the mother's body to expel the baby. This pain is getting stronger and stronger, the handling and supervision of labor pain, especially in the first phase of the active phase is very important, because this is a determining point whether a maternity mother can undergo a normal delivery or be assisted with an action due to complications.

Method: This study uses a Quasy Experiment with the design of the Two Experiment Pre-Post Test. There were 2 groups in this study, 17 in the first phase active mothers who were given Baluwung distilled music therapy and 17 in the first phase active mothers who were given aromatherapy therapy in rose essential oil. Bivariate analysis using the Mann Whitney test.

Results: The study showed the intensity of pain after rose essential oil therapy in First Stage Inpartu mothers The active phase with the resulting probability was 0.623, so it was higher than the intensity of pain after music therapy for First Stage Inpartu mothers active phase.

Conclusion: The provision of music therapy is more effective in reducing the intensity of pain in mothers Inpartu Kala I Active phase than the administration of rose essential oil therapy.

Keywords: Music Therapy, Labor Pain, Active Phase I Stage
RESEARCH GAP DAN MODEL FAKTOR YANG MEMPENGARUHI TINGKAT FERTILITAS: SUATU STUDI LITERATUR
Authors: Jumliadi Muhamad
Published: June 2021

Latar Belakang: pada dasarnya masalah kependudukan Indonesia berkaitan dengan tiga aspek utama yaitu, kuantitas, kualitas dan mobilitas, dari aspek kuantitas jumlah penduduk duduk dunia dari tahun ke tahun mengalami peningkatan termasuk juga di Indonesia. Penyebab pertambahan penduduk yang utama karena adanya kelahiran (Fertilitas). Tujuan penelitian ini adalah untuk mengindentifikasi faktor-faktor yang berhubungan dengan tingkat fertilitas serta mengidentifikasi beberapa research gap guna untuk penelitian yang akan datang.

Metode: Penelitian ini merupakan studi literature dengan menelaah 25 jurnal dengan tema yang sama.

Hasil: analisis penelitian ini menunjukkan bahwa faktor-faktor yang mempengaruhi kesuburan beberapa literatur terdiri dari Faktor Tidak Langsung, yaitu: Pertama, Faktor Demografis (variabel kontrol); Kedua, Faktor Sosial dan Ekonomi; Ketiga, Faktor Mortalitas (kematian); Keempat, Faktor Norma; Kelima, Faktor Lingkungan (program); dan Faktor Langsung, yaitu: Pertama, hubungan seksual (intercourse), Kedua, Konsepsi (konsepsi), dan Ketiga, Kehamilan (gestasi). Terdapat gap dalam metodologi, dimana mayoritas peneliti sebelumnya mayoritas menggunakan metode kuantitatif, serta terdapat gap dalam objek penelitian, dimana mayoritas penelitian – penelitian terdahulu umumnya hanya fokus pada PUS dengan umur 15-49 (pasangan usia subur).

Kesimpulan: faktor-faktor yang yang mempengaruhi tingkat fertilitas di ambil dari beberapa literature dapat disimpulkan bahwa tinggi rendahnya tingkat fertilitas di suatu daerah atau wilayah adalah hasil dari keputusan individu untuk membatasi kelahiran. Keputusan ini tidak terlepas dari interaksi proses perubahan sosial, budaya, norma, kepercayaan, ekonomi dan pertumbuhannya, urbanisasi dan modernisasi..

Kata kunci : Fertilitas, Studi Literatur
PEMBERIAN BISKUIT MAKANAN TAMBAHAN MENINGKATKAN BERAT BADAN ANAK SEKOLAH DASAR DI KOTA SIBOLGA
Authors: Chahyanto Bibi Ahmad
Published: June 2021

Latar Belakang: Program Pemberian Makanan Tambahan dalam bentuk biskuit (BMT) merupakan salah satu upaya yang dilakukan untuk mengatasi masalah gizi kurang pada anak usia sekolah di Indonesia. Penelitian ini bertujuan untuk menganalisis perubahan berat badan anak sekolah setelah pelaksanaan program BMT di Kota Sibolga.

Metode: Penelitian menggunakan desain eksperimental semu dengan rancangan one group pretest-posttest. Total responden sebanyak 203 orang dari penggabungan data hasil 2 kali program BMT pada tahun 2017 (Oktober – November) di SD Negeri 081228, 084082, dan 084083 (139 responden) dan tahun 2018 (Maret – April) di SD Negeri 081226 dan 081235 (64 responden). BMT terstandar sesuai acuan Peraturan Menteri Kesehatan Nomor 51 Tahun 2016 yang diberikan kepada responden sebanyak 1 bungkus (10 keping) per hari selama maksimal 36 hari.

Hasil: Hari Makan Anak (HMA) dalam studi ini berkisar antara 24 – 36 hari dengan rata-rata sebesar 32.50 ± 2.73 hari. Penelitian ini membuktikan bahwa terdapat hubungan yang signifikan (p<0,05) antara umur dengan jumlah HMA, namun tidak terdapat hubungan yang signifikan (p>0,05) antara jenis kelamin dengan jumlah HMA. Terjadi peningkatan rata-rata nilai z-score indeks IMT/U dan Berat Badan secara signifikan setelah intervensi BMT (p<0,05).

Kesimpulan: Pemberian BMT mempengaruhi peningkatan Berat Badan anak sekolah dasar di Kota Sibolga.
PERBEDAAN TINGKAT KECEMASAN MAHASISWA DIPLOMA KEPERAWATAN DALAM MENGHADAPI PEMBELAJARAN KLINIK KEPERAWATAN
Authors: Sari Yunita
Published: June 2021

Latar belakang: Pembelajaran klinik merupakan bagian utama dari pendidikan keperawatan. Tujuan dari pembelajaran klinik adalah untuk dapat mengembangkan proses berfikir kritis mahasiswa serta untuk mengintegrasikan antara teori dengan praktik. Untuk dapat melakukan pembelajaran klinik dengan baik, mahasiswa perlu mempersiapkan aspek fisik dan psikologisnya. Kecemasan merupakan salah satu perasaan yang muncul yang biasa dialami oleh mahasiswa sebelum menjalani pembelajaran klinik. Penelitian ini bertujuan untuk mengidentifikasi perbedaan tingkat kecemasan antara mahasiswa tingkat I dan II dalam menghadapi pembelajaran klinik di AKPER Yatna Yuana Lebak.

Metode: Penelitian ini merupakan penelitian deskriptif analitik komparasi dengan pendekatan cross sectional. Data dikumpulkan dengan menggunakan kuesioner untuk mengukur kecemasan yaitu Hamilton Rating Scale For Anxiety (HRSA). Uji statistik bivariat dengan menggunakan T test Independent.

Hasil: Hasil menunjukkan bahwa terdapat perbedaan tingkat kecemasan yang signifikan antara mahasiswa tingkat I dan II dalam menghadapi pembelajaran klinik (p value 0,000).

Kesimpulan: tingkat kecemasan mahasiswa dalam menghadapi pembelajaran klinik terdapat perbedaan.

Kata kunci: kecemasan, mahasiswa, pembelajaran klinik
PENGGUNAAN BUKU SAKU SEBAGAI MEDIA UNTUK MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN MENCUCI TANGAN ANAK
Authors: Taamu Taamu , Nurjannah Nurjannah - , Wijayanti Fitri -
Published: June 2021

Background Background: One of the aspects fundamental that relates to the health of children is a problem of cleanliness hand. The behavior of a child who likes to play and often interact as directly with the environment of the potential for exposure to germs of bacteria that can stick in hand . By because it's cleanliness children's hands must always be kept clean . It is to do with accustom children to wash hands with the correct corresponding six- step systematic which is recommended by WHO with the use of soap on water flow. The importance of washing hands with properly in children can improve health, create the environment that is safe, and prevent the onset of various diseases such as diarrhea, diseases of skin, intestinal worms, an infection i tract respiratory above, and various kinds of disease infection more.

Methods: This type of research is a Quasi experimental design with a pretest-posttest control group design. Research is conducted at the School of Basic State 33 Kendari subdistrict Abeli city of Kendari. The population is all students in the School of Basic State 33 Kendari in lesson 201 8/2019 which amounted to 349 people. The number of samples is 60 people. Withdrawal of the sample with the technique of simple random sampling.

Results: The results showed that the descriptive majority of children in the treatment group that is 86,7% had knowledge that good about washing hands, and all the children that is 100% skilled wash hands after given the book pocket wash hands, whereas in the group k ontrol majority of children that 50% had knowledge that is enough about washing hands and the majority of children is 43.3% are not skilled in washing hands.

Conclusion: based on the research results can be concluded that the provision of book pocket effectively improve knowl knowledge and skills of children Schools Elementary State 33 Kendari to wash hands.

Keywords: Pocket Books, Skills, Washing Hands
THE DOCTOR-PATIENT RELATIONSHIP: EXPLORING THE PERSPECTIVES AMONG RESIDENT DOCTORS AT A TERTIARY CARE HOSPITAL
Authors: Huda Farhanul , Manoj Joshua Lokavarapu , Gajula Bhargava , Kumar Navin
Published: June 2021

Background: Doctor patient relationship is important in that it facilitates better care and improves
compliance of patients to treatment. In the current medical world there is strain on the doctor patient
relationship as evidenced by increased litigation rates. Patients have also grown increasingly demanding of their doctors.
Studies assessing the knowledge of doctors on doctor patient relationship and patient centeredness are required thus the aim
of the current study.
Material And Methods: Resident doctors working in clinical departments of AIIMS Rishikesh are given a validated selfadministered questionnaire, structured in three sections. The First section contains a paired statement representing views on
the doctor-patient relationship. . The second section have questions regarding the various ways how resident doctors have
learned to develop relationships with patients. The third section will explore the resident's knowledge on patient centered
consultations.
Results: Out of the total 230 resident doctors in various clinical departments, 116 residents participated in the study. The mean
age of the participants was 29.2, with 28 % being Females and mean years of practice post MBBS of 3.2 years. The participants
in the study are of opinion that patient has nal say in deciding between treatment options and they always take time to explore
patient ideas. Majority of the participants learned to develop relationship of patients by their own experience or by observing
the practice of seniors.32% of the participants are unaware of the concept of patient centeredness and only 12 % of individuals
know all aspects of patient centeredness.
Conclusions: Knowledge on patient centeredness and communication skills required to maintain a good doctor patient
relationship is inadequate among residents. This study emphasizes the need for undergraduate training in communication
skills by didactic lectures and practice exercises using standardized patients.
THE ROLE OF INTERMEDIATE IRRIGANTS IN THE PREVENTION OF THE FORMATION OF ORANGE-BROWN PRECIPITATE, FORMED DUE TO INTERACTION BETWEEN SODIUM HYPOCHLORITE AND CHLORHEXIDINE: A SPECTROPHOTOMETRIC ANALYSIS.
Authors: Annapoorna Annapoorna , M Manjunatha , N Shubhashini , V Blesy , S Keerthana , K Prerana
Published: June 2021

This study aimed to assess the efciency of intermediate irrigants in the prevention of formation of precipitate, formed due to the interaction of sodium hypochlorite and chlorhexidine when used as root canal irrigants.The formation of orange brown precipitate, due to the reaction of 3% sodium hypochlorite and 2% chlorhexidine was assessed using spectrophotometric analysis. Three intermediate irrigants were then assessed for their capabilities to prevent the formation of the precipitate. Group A- 6.25% sodium metabisulphite, Group B- 10% sodium ascorbate and Group C- saline were used at different volumes and the values were recorded by measuring their optical density. An invitro analysis was further carried out on single rooted teeth, to verify the efcacy of intermediate irrigants. The teeth which were subjected to the tests were sectioned and observed under stereomicroscope for the presence of remnants of orange brown precipitate in the root canals. Results: The spectrophotometric analysis showed peak value at 450nm and the precipitate formation was found at 60µl of 2% chlorhexidine and 1 ml of sodium hypochlorite. There was statistical difference in the optical density values between the groups, with saline having highest optical density values followed by 6.25% sodium metabisulphite and 10% sodium ascorbate group. Wherein 10% sodium ascorbate solution prevented the formation of orange brown precipitate than other two group. It was concluded that 10% sodium ascorbate played a vital role in the reduction of formation of parachloro-aniline, when used as an intermediate irrigant. 6.25% Sodium metabisulphite also prevented the precipitate formation, to a lesser extent than sodium ascorbate. However, saline did not eliminate the formation of the precipitate.
CLINICAL PROFILE AND THE CIRCULATING GENOTYPES OF HEPATITIS C VIRUS IN A TERTIARY CARE HOSPITAL IN WEST BENGAL
Authors: Sarkar Kumkum , Chatterjee Rupak , Sinha Sumanta , Pramanik Netai
Published: June 2021

Background and objectives- Hepatitis C virus (HCV) infection is a major cause of chronic liver disease
worldwide, with majority of the patients being asymptomatic and when they present to clinicians, they
have already advanced liver disease in form of cirrhosis or hepatocellular carcinoma. Data from developing countries on this
evolving global health problem are sparse. Hence this study was planned with the aim to determine the HCV genotypes
prevalant in patients attending a tertiary care hospital with their clinical prole.
Materials and Methods- Detailed history taking and clinical examination were done of consecutive 30 patients who attended
out-patient department or admitted at in- patient department of Tropical Medicine with chronic hepatitis C. Laboratory
investigations like LFT, viral serology (HBsAg, AntiHCV, HIV), prothrombin time, ultrasonography of upper abdomen, HCV- RNA
Quantative assay with genotyping were done. Data were collected and then analysed using standard statistical methods.
Result- Of proposed 30 sample size, complete data could be collected of 28 patients and accordingly, analysis was done. Of the
28 HCV seroreactive individuals, majority (20) were males. The mode of transmission was unknown in 19 patients, blood
transfusion in 5 patients who were thalassemic and hemodialysis in remaining 4 patients. Most of the patients (18/28) were
asymptomatic even if their viral load was high. Most common presenting symptom was dyspepsia. LFT showed signicant
transaminitis in 50% of the patients. Of the 28 seroreactive patients, 15 (53.57%) were HCV RNA positive based on RT-PCR. HCV
rNA was below detectable level in 13 patients. HCV genotype 3 was the predominant genotype found in 11 individuals followed
by genotype 1 found in 3 and genotype 2 was seen in one individual.
Conclusion- Community screening specially among high risk individuals is needed for early diagnosis and prompt treatment
of chronic hepatitis C to prevent its several complications and also to prevent community spread.
UPDATE ON CARDIOVASCULAR IMPLICATIONS OF COVID 19
Authors: Radhakrishnan Pradeep Kumar , Ananyajyothi Ambat Gayathri , Ambat Roshini , Basha Syed Ilas , Prakash Hema , Padmaja Jyothi , Raju Raju , Padmakumar Padmakumar , Vijay Kumar Arun , Murugan U S , Nazer Y A , V Venugopal
Published: June 2021

On March 11 2020 WHO declares corona viral disease as a global pandemic .COVID 19 pandemic has
taken the world by storm and many countries like India is now experiencing a second surge due to mutant
strains. Global health emergency has been precipitated by this corona virus disease caused by SARS CoV2.Acute and
intermediate effects on cardiovascular system are becoming obvious with progression of time. SARS-CoV-2-related endothelial
dysfunction results in an augmented risk for venous thromboembolism, systemic vasculitis, endothelial cell apoptosis, and
inammation in various organs. Acute infections have troponin elevation more due to indirect cardiac damage though denite
patterns of direct damage do exist. Intermediate evaluation in patients with resolved infections shows increased incidence of
exercise induced arrhythmias and residual cardiovascular symptoms. The virus with its zoonotic origin based upon its genomic
identity to bat derived SARS corona virus has a human to human transmission mode.ACE 2 receptors facilitate cellular entry
and has been implicated in direct and indirect myocardial damage. Myocarditis, acute myocardial injury, arrhythmias and
thromboembolism dominates the clinical picture. Role of imaging must be dened in relation to relevant clinical ndings. With
arrival of vaccine and widespread vaccination global programs, we can look forward to understanding and managing long
term complications of this disease. Prognostic implications of a resolved disease need to be evaluated by future studies.
A CROSS-SECTIONAL STUDY TO EVALUATE THE ETIOLOGICAL PROFILE OF HEMOPTYSIS AND IT’S CORRELATION WITH SEVERITY
Authors: Kumar Gupta Dharamendra , Jenaw R.K
Published: June 2021

Introduction:- Hemoptysis is the spitting of blood that originated in the lungs or bronchial tubes.The patient's history should help determine the amount of blood and a focused physical examination can lead to the diagnosis in most cases. Chest radiographs often aid in diagnosis and assist in using two complementary diagnostic procedures, fiberoptic bronchoscopy and high-resolution computed tomography, which are useful in difficult cases and when malignancy is suspected. Materials and Methods: -We prospectively evaluated 100 patients with hemoptysis,aged ≥18 years,presented in our hospital during 1-year study period. After applying inclusion and exclusion criteria, study population was selected. Patient underwent thorough clinical,general and respiratory examination.Initial routine blood,sputum and radiological evaluation was done in form of chest radiographs. Further chest computed tomography (CT) and bronchoscopic evaluation was done to find the etiology in cases diagnosis was not confirmed in chest radiograph. Final diagnosis was made, and association is seen between various demographic characteristics, comorbidities, severity of hemoptysis, radiological findings and diagnostic yield of different modalities was made. Results:- Tuberculosis was found to be the most common etiology (39%), followed by bronchogenic carcinoma(14%) and bronchiectasis (13%). The majority of the cases had mild (48%) and moderate (39%) hemoptysis with a small proportion of patients (13%) with severe hemoptysis.The diagnostic yield of CT Chest was 73%,that of FOB was 69.5% and the combined yield using both the modalities was calculated to be 82.6%. Conclusion:- Pulmonary tuberculosis remains a leading cause of hemoptysis because of high prevalence but still it is an alarming symptom and require thorough workup to find out the exact etiology.The combined use of bronchoscopy and chest CT probably gives the best diagnostic yield.
EVALUATION OF ANTIBACTERIAL ACTIVITY OF A CYANOBACTERIUM SCYTONEMA SCHMIDTII GOM
Authors: Namdeo Nehul Janardhan
Published: June 2021

Scytonema schmidtii,a cyanobacterium was isolated from the collected soil samples from different locations of
Ahmednagar district of Maharashtra state (India). Identification was carried out using morphological variation and
taxonomical approaches according to Desikachary (1959) and Prescott (1962) .The axenic culture of Scytonema
schmidtii was obtained by using the method recommended by Bolch and Blackburn (1996). The isolated Scytonema
schmidtii was grown autotropically in BG-11 medium as described by Rippka et al.,(1979) and incubated at 30±2°c.After
25 days, biomass was harvested by filtration through double layered muslin cloth and dried using air blower. The
biomass of this Scytonema schmidtii species was used for the assessment of antibacterial activity against Escherichia coli,
Bacillus subtilis, Staphylococcus aureus, Pseudomonas aeruginosa, Micrococcus flavus and Proteus mirabilis. The
antibacterial activity was studied by disc diffusion method (Anonymous,1996).Methanol extract of Scytonema schmidtii
showed the activity against all the tested bacterial strains.Maximum zone of inhibition (23±1.9 mm) was recorded with
methanol extract of Scytonema schmidtii.
ROLE OF CBNAAT IN DIAGNOSIS OF GENITAL TUBERCULOSIS IN WOMEN
Authors: Kousar Simran , Khanna Anuradha
Published: June 2021

Objective: Female genital TB referring to TB of the uterus,fallopian tubes and/or Ovaries.It poses a diagnostic dilemma
because of its varied presentations and lack of sensitive and specific methods of diagnosis,though CBNAAT gives rapid
result. India is a country sharing one fourth of the global incidence of tuberculosis. It is much easier to diagnose
pulmonary cases, but challenges are with extrapulmonary cases. Genital tuberculosis is considered as an important
cause of infertility in young females in India and difficult to diagnose.It requires incorporation of different modalities that
should correctly,timely and rapidly diagnose the case.Methods:This study was conducted prospectively from October
2016 to June 2018 on 200 endometrial samples from reproductive age group females attending Obstetrics and
Gynaecology OPD in obstetrics and gynaecology department of SSH, BHU. Nucleic acid amplification technique was
done and their sensitivity in diagnosis of genital tuberculosis was ascertained. Results: Out of 200 samples, 1 samples
were found positive with CBNAAT.Unlike Pulmonary TB, role of CBNAAT in the diagnosis of female genital TB is limited.
Conclusion: Infertility in young female per se is usually heart breaking and distressing. Therefore, it is essential to
diagnose and treat the cases of genital tuberculosis before irreversible damage of tube may happen. Although,
advancement in diagnostic field is there from microscopy to molecular method,but still diagnosis of genital tuberculosis
is challenging. Correct diagnosis prevents young female from mental trauma and toxicity of anti-tuberculosis drugs
given on suspicion in high prevalence country like India.
ETHICAL CONSTRAINTS FOR CONDUCTING RESEARCH IN PEDIATRIC AGE GROUP – A REVIEW
Authors: Ashok Tadvi Shefali , Jayantilal Thesia Foram , Jitendra Tiwari Saloni , Rajendrakumar Joshi Vishwashi
Published: June 2021

Ethical aspect in pediatric dentistry starts when we as a dentist meet a child patient in the clinic, to whom we should
provide a dental treatment & oral health needs with taking the patient's point of view into consideration. Thus, with
professional ethical codes it is very much concern how we look upon children as individuals and as patients. Clinical
Research in pediatric dentistry is incorporated to increase and revise the current knowledge.The aim of this review is
improve the concept of clinical research in pediatric dentistry with pertinent ethical concern.In the current times where
evidence-based dentistry is known for expertise studies with ethical papers without plagiarism, stress is been
emphasized.Proper Knowledge about ethics while conducting a clinical research in pediatric dentistry is propitious to
the researcher and also the dental community
PRESENTATION AND MANAGEMENT OF HIRSCHSPRUNG'S DISEASE IN INFANTS AT A
TERTIARY CARE CENTRE AND OUTCOME OF PRIMARY PULL-THROUGH IN THESE PATIENTS.
Authors: Mudasir A Magray , Gowhar N Mufti, , Nazia Quyoom , Nisar A. Bhat, , Aejaz A Baba,
Published: June 2021

Hirschsprung's disease is a common cause of neonatal intestinal obstruction. The treatment of Hirschsprung's disease
has evolved to a single stage pull-through. . The aim of study was to evaluate the feasibility of performing the primary
pull-through surgery and to develop an optimum treatment protocol for patients of Hirschsprung's disease (HD)
presenting to our institution.
It was a prospective cohort study of newborn and young infants with features of Hirschsprung's disease conducted in our
department from Oct. 2014, till Oct. 2018. The diagnosis was based on history, clinical examination, water soluble
contrast enema and a definitive rectal biopsy. Transition zone was confirmed by intra-operative frozen section. Patients
with weight of more than 5kgs and absence of features of concurrent enterocolitis, were taken for surgery. Patients
included in the study underwent primary pull-through by different methods were put on strict follow-up protocol for 24
months and results were evaluated.
Out of 40 patients of Hirschsprung's disease presented to SKIMS from Oct. 2014 till Oct. 2017,only 25 patients underwent
primary pull-through. Mean age of patients at the time of pull-through was6.9±7.12 months and mean weight was 8.76
±2.67kg. Delayed passage of meconium was seen in23 patients (92%). Preoperative rectal biopsy was done for
confirmation of diagnosis and intra-operative frozen section for delineation level of aganglionosis. Laparoscopic
transanal pull-through was most common operation done in 13 (52%) patients. Anastomotic leak was seen in 2(8%)
patients, wound infection occurred 2(8%) patients, enterocolitis in1(4%) and constipation in 2 (8%) patients. One
patient who had undergone trans-anal pull-through underwent a redo for a retained cuff.
Primary pull-through is feasible and safe option with excellent results in neonates and infants with Hirschsprungs
disease.
RELATION BETWEEN SERUM URIC ACID LEVELS AND ESSENTIAL HYPERTENSION
Authors: Singh Manjinder , Kumar Amit
Published: June 2021

Hypertension is due to increased oxidative stress.As urate is natural anti-oxidant,increase in level of hypertension is a
case or effect of raised uric acid level.Aim:Aim of the present study was to evaluate serum uric acid levels in cases of
Essential Hypertension and comparison with normal controls in different grades of hypertension. Material and
Methods: 100 subjects were taken out of which 50 were normal healthy control groups and 50 were of Essential
Hypertension. Hypertensive subjects were further subdivided into 2 groups based on the level of Blood Pressure(JNC7). Results: Mean serum Uric Acid levels is found to be 4.8 mg/dl in 50 controls and 5.7 mg/dl in 50 cases of Essential
Hypertension, 5.5 mg/dl in stage 1 hypertension(BP=140-159mmHg) and 5.8759 in stage 2 hypertension
(BP>160mmHg).Conclusion:It is seen that hypertension is related to rise in mean serum uric acid levels and this rise is
directly related to severity of hypertension.Randomized control trials need to be done to see whether lowering serum
uric acid level will ameliorate the level of blood pressure.
A depressão e o risco de suicídio na enfermagem
Authors: Araújo Janaína Sales Barbosa , Barbosa Marlene Rocha , Nogueira Marcia Silva
Published: June 2021

Objetivo: analisar a depressão e o risco de suicídio entre os profissionais da Enfermagem segundo a literatura científica. Método: trata-se de uma revisão integrativa da literatura realizada nas bases de dados eletrônicas: Literatura Latino Americana e do Caribe em Ciências da Saúde, Scientific Electronic Library Online e National Library of Medicine, via Pubmed, buscando artigos publicados entre 2010 a 2020. Resultados: dentre os fatores desencadeantes para a depressão nos profissionais da enfermagem estão: conflitos no trabalho, de interesse e familiar, plantões noturnos, estresse, sobrecarga, relação interpessoal, baixa perspectiva profissional. Já os fatores desencadeantes para o suicídio estão: depressão, Burnout, baixa relação pessoal, uso de medicamentos e ansiedade. Conclusão: a depressão é um problema de saúde pública, em que afeta um grande número de profissionais da enfermagem, sendo mais comum nos técnicos de enfermagem. É preciso que haja criação de políticas públicas para que esse profissional seja atendido semanalmente por psicólogos e rodas de conversas. Desse modo, é de suma importância a detecção precoce de sintomas depressivos e ideação suicida.
Descritores: Depressão; Suícidio; Enfermagem; Depressão entre enfermeiros; Suícidio entre enfermeiros.
Identifikasi Kebutuhan Kompetensi Sumber Daya Manusia Industri Perhotelan Kabupaten Bantul
Authors: Prihatno
Published: June 2021

At present, the accommodation services business has become a service industry and is a labour-intensive business means Human Resources support becomes the mainstay of business success. Improved customer service requires a more professional Human Resource capability. As a standard measure that professionals in the field of tourism including hospitality staff and restaurants is possessed a certificate of competence recognized by the National Agency for Professional Certification. In Bantul Regency this accommodation business is growing very rapidly following the development of tourism. The number of existing hotels and inns has reached 95 units for the class with the number of medium rooms, but if recorded all including lodging in the location of objects that only have one room, the number reaches 261 pieces and may continue to grow in the future With the emergence of objects of new attractions. Bantul regency government tries to formulate its development strategy by conducting a study of the identification of human resource competency requirement for the hotel industry in order to give space for the growth and development of the hospitality industry in Bantul regency in the future. This study was conducted by taking 30 samples from the workforce and the guest response from the type of accommodation in the form of hotels totalling 5 pieces, the only business mentioning the lodgings amounted to 8 pieces, in 9 pieces, cabin 6 pieces and each 1 fruit is Inn and Guest House. The data collected by questionnaire and documentation is then processed using Spencer & spencer competency analysis, especially non-technical competency or soft competency to determine the level of incompetent to very competent while also ranking the competency level required in the hotel industry. From the research results obtained data real needs of hotel industry competence which then rearranged and selected based on priority scale likert between 1-4. By using competency guideline in Indonesia from work competency standard especially hotel and restaurant area mapped to get the requirement of human resource competence for the Hotel Industry in Bantul Regency.
Pengembangan Desa Wisata Gerabah dalam Meningkatkan Pendapatan Masyarakat Pundong Bantul
Authors: Duari Iputu Hardani Hesti
Published: June 2021

Development of the tourism village aims at increasing the social well-being and educating the people in the field of development at the tourism sector, for the purpose is long-term in the next five years on 2021 that Indonesia could bring 10 million foreign tourists with the bases of development of tourist with special interest, one of them is travelled in tourism village. Pesona Indonesia program is designed by the ministry of tourism and creative economy is a program that is designed to encourage the progress and well-being of local society for multi-effect from the development of tourism itself in a recreational area that enables to expand the labour and the business of fields of tourism. It means that how can a program capable of blends of internal elements of socio-cultural-dynamic to the development with developing the sectors. In quantity and quality, the benefits and their impact can be looked at. The success of the village when developing its source has a strategic significance for improvements of socioeconomic for people and regions, thus welfare and continuation of tourism village of pottery can work in accordance with the development that is explorative and not exploitive. Especially when we consider in strategic locations tourist village of pottery is located in one the tourism in Parangtritis coast very phenomenal. The form of the final objective as a special target is growing the interest and the awareness for the village community especially around tourist village of pottery in sub-district Pudong , to develop this tourist village to be a productive village that able to provide the multiplier effect for increasing of income for the surrounding community by the presence of an increasing the employment opportunities, employment sector is as supporting indicator of and it is for support in the development of creative economy community base on local empowerment. The qualitative method is to determine the way to find, collect, cultivate and analyze and understand the social interaction by means of a deep interview so it will find a clear pattern as an approach which is the most effective to accelerate the development that refers to the basis of the basic of rights life for the community
Dinamika Akses Informasi Wisatawan antar Generasi pada Obyek Wisata Minat Khusus di Kabupaten Bantul
Authors: Damasdino Fian
Published: June 2021

Every generation of human has unique experience use information and communication technology. Each generation has different characteristics, such as knowledge, experience and expertise in interacting with the media access to information not only electronic media but also print media and online media. This research is a kind of quantitative research with a survey research method. The research location in 10 tourism destination in Bantul: Banyunibo Waterfall in Pajangan, Mangunan, Pine Forest, Siluk Suspension Bridge in Imogiri, Geospatial Coastal Dune Sand in Parangtritis, Becici Hill in Dlingo, Pulosari Waterfall in Pajangan, Watu Lumbung in Parangtritis, Tri Panjung Hill in Dlingo, Lepo Lake in Dlingo, and Mangunan Hill in Dlingo. Sampling using non-probbably sampling technique because the population in this research is not known for certain. This is due to the absence of data collection of visitor tourist by the local government. Sampling was conducted during May-September 2016 at 10 tourism destination. The collection of data taken with questionnaires, observation, and documentation library. Once the data is collected and processed by quantitative analysis using statistical tools, frequency distributions and cross tables (crosstabs)
Analisis Potensi dan Pengembangan Pariwisata Berbasis Masyarakat di Desa Tulakadi Kawasan Perbatasan Indonesia
Authors: Nugraha Yudha Eka
Published: June 2021

This study aims to identify potential natural, cultural, and artificial tourist attractions in the border area of Tulakadi Rural area, East Nusa Tenggara. Another objective to be achieved in this research is to determine and develop community-based tourism, Tulakadi Village based on a community approach. The method in this research uses descriptive qualitative types for analysis, exploration of tourism potential and tourism development according to community needs. The data technique was carried out through structured interviews and focus group discussions with residents and village officials. The results of this study show that Tulakadi Village has various tourist destination in the border area, especially culture-based such as Sakurai dances, weaving woven with natural colouring, natural landscapes of Alor Island, and artificial attraction, namely PLBN Mota’ain and Man-Made attraction of Asam Jokowi site. Based on the community and the development of a community-based tourism approach, efforts are made through the interaction of stakeholders such as the government, academics through socialization and training for awareness of tourism for the community, and orders from community groups including tourism awareness groups to develop tourism in Tulakadi Village
Pengembangan Potensi Budaya Ekowisata melalui Pemberdayaan Masyarakat Desa Wisata Candirejo Borobudur Jawa Tengah
Authors: Septemuryantoro Syaiful Ade
Published: June 2021

The research that will be proposed has the objective of identifying the development of ecotourism in the Candirejo village. The development of ecotourism in the Village of Candirejo has the goal of making a positive impact in the environment of Candirejo. The positive impact expected by the community and identification of ecotourism development is expected to be a source of income of the Candirejo village. This research uses a descriptive-analytical technique, qualitative approach method is a way to get data and collecting data through Candirejo villagers. Interview techniques and document collection are ways to get data to this research. The technique used to take samples in the study is using the purposive sampling technique, then the data to be collected in the form of observation to the community, interviews and document review. Community empowerment in the village of Candirejo has been going well. Candirejo Village cooperates with related agencies. the collaboration was carried out to develop the potential of the village