bluuebunny/crossref_metadata_2025 huggingface dataset:
UJI ANTI INFLAMASI EKTRAK KOMBINASI TERIPANG PASIR (HOLOTHURIA SCABRA) DAN DAUN KERSEN (MUNTINGIA CALABURA L.) PADA TIKUS (RATTUS NORVEGICUS)
Authors: Burhan Asril , Marwati Marwati , Hardianti Besse , Hasan Waode Ratnasari
Published: January 2021

Teripang pasir (Holothuria scabra) dan daun kersen (Muntingia calabura L.) digunakan sebagai obat tradisional yang memiliki aktivitas antiinflamasi. Penelitian ini bertujuan untuk mengetahui aktivitas antiinflamasi dari kombinasi ekstrak etanol teripang pasir dan daun kersen terhadap penurunan udem pada kaki tikus yang telah diinduksi dengan karagenan 1%. Tikus kemudian dibagi menjadi 5 kelompok dan masing-masing kelompok terdiri dari 3 ekor tikus. Kelompok 1 sebagai kontrol positif, kelompok 2 sebagai kontrol negatif, kelompok 3 sebagai kombinasi ekstrak 1:1 (200 mg/kgBB:200 mg/kgBB), kelompok 4 sebagai kombinasi ekstrak 1:2 (200 mg/kgBB:400 mg/kgBB), kelompok 5 sebagai kombinasi ekstrak 2:1 (400 mg/kgBB:200 mg/kgBB), dan masing-masing kelompok diberikan secara peroral. Pada EK 2:1 memiliki efek antiinflamasi yang sama dengan kontrol positif dengan %DAI, yaitu 4,84%. Sedangkan pada EK 1:2 dengan %DAI 4,24% dan EK 1:1 dengan %DAI 1,81%.
PENGARUH BRIEF COUNSELING FARMASIS TERHADAP AKTIVITAS FISIK DAN HASIL TERAPI PASIEN HIPERTENSI RAWAT JALAN DI POLIKLINIK PENYAKIT DALAM RSUD ULIN BANJARMASIN
Authors: Aryzki Saftia , Ayuchecaria Noverda , Sari Anna Khumaira
Published: January 2021

According to Riskesdas (2013) the prevalence of hypertension in South Kalimantan Province is 30.4%, this means around 1,145,536 people. Risk factors are occupation of less physical activity 26.1% and residents> 10 years consuming less vegetables and fruits. The government invites the entire community to carry out a movement of healthy living people by doing physical activities, consuming vegetables and fruits and checking health regularly. The purpose of this study was to determine the effect of Brief Counseling of Pharmacists on Physical Activity and Therapeutic Results of Hypertensive Patients Outpatient in the Internal Medicine Polyclinic of Ulin Hospital, Banjarmasin.The quasi-experimental study used a prospective two-group pretest and posttest design. Patients were grouped randomly into two groups, namely the group that received the intervention in the form of a pharmacist / researcher briefing and group without intervention (control) followed for one month. Sampling using co-executive sampling method that meets the inclusion and exclusion criteria. The study was conducted at the internal medicine clinic at Ulin Banjarmasin Public Hospital in the period January-March 2018. The instrument used is International Physical Activity Questionnaire (IPAQ).The results of physical activity data analysis in the control group with the Wilcoxon Test which showed data had a significant difference (p <0.05), while in the treatment group with the Wilcoxon Test which showed data did not have a significant difference (p> 0.05). Analysis of blood pressure data in the control group with the Wilcoxon Test which showed data had a significant difference (p <0.05), while in the treatment group with the Wilcoxon Test which showed data had a significant difference (p <0.05).
EVALUASI PENGGUNAAN ANTIBIOTIK PROFILAKSIS PADA PASIEN BEDAH SESAR (SECTIO CAESAREA) DI RSUD ULIN BANJARMASIN TAHUN 2017
Authors: Aryzki Saftia , Nisa Hidayatun , Gamaliana Dian Yunita
Published: January 2021

Cesarean section (Sectio Caesarea) is an attempt to remove the fetus through surgery on the abdominal wall and uterus. The use of inappropriate prophylactic antibiotics will lead to infection and resistance. The purpose of this study was to determine prophylactic antibiotic use, in cesarean section patients, to know prophylactic antibiotic use in cesarean section patients in accordance with antibiotic use guidelines (PPAB) Ulin Hospital in 2017, to know prophylactic antibiotic use in cesarean section patients in accordance with Permenkes RI Number 2406 / PER / XII / 2011. This research is a non-experimental type of descriptive study retrospectively by taking medical record data of cesarean section patients at Ulin Banjarmasin Hospital in 2017 with saturated sampling method, obtained a population of 99 medical records of cesarean section with a total sample of 99 medical records. The use of prophylactic antibiotics in Ulin Banjarmasin Public Hospital is a class of third generation cephalosporins namely ceftriaxone and cefotaxime with doses of 1-2 grams / day and duration of 3-5 days. Comparison of the percentage of prophylactic antibiotic use with the guidelines for drug use in Ulin Hospital in Banjarmasin in 2017 is the name and class of 100% is appropriate and 0% is not appropriate, the dose is 100% appropriate and 0% is not appropriate, the duration of administration is 69.70% is appropriate and 30.30% is not corresponding. Comparison of the percentage of prophylactic antibiotic use with Permenkes RI Number 2406 / PER / XII / 2011 is the name and class of 0% is appropriate and 100% is not appropriate, the dose is 0% is appropriate and 100% is not appropriate, the duration of giving 0% is appropriate and 100 % it is not in accordance with.
UJI EFEKTIVITAS ANTIBAKTERI ESKTRAK ETIL ASETAT BAWANG DAYAK (Eleutherine palmifolia Merr) TERHADAP STAPHYLOCOCCUS AUREUS DENGAN METODE SUMURAN
Authors: Fitriyanti Fitriyanti , Abdurrazaq Abdurrazaq , Nazarudin Muhammad
Published: January 2021

Dayak onion (Eleutherine palmifolia Merr.) is a multifunctional medicinal plant for various diseases, one of which is an antibacterial. Dayak Onions (E. palmifolia Merr.) contains an alkaloid, flavonoid, triterpenoid, and saponin compound which has antibacterial properties. This study aims to determine the effect of the ethyl acetate extract of Dayak Onion tubers inhibits the growth of Staphylococcus aureus bacteria. Dayak onion tuber was extracted using ethyl acetate solvent by the maceration method until thick extract was obtained. The concentration extract used were 30 mg/ml;15 mg/ml;7,5 mg/ml;3,75 mg/ml; 1,875 mg/ml; and 0,9375 mg/ml tested for antibacterial effectivity against Staphylococcus aureus using Mueller Hinton Agar (MHA) with the wells method. The result showed that the ethyl acetate of Dayak onion with MEC (Minimum effective concentration) 3,75 mg/ml obtained inhibition zone of 10,367 mm while at the highest concentration of 30 mg/ml had the best antibacterial effectiveness. The effective concentration of ethyl acetate onion of Dayak tuber which is 30 mg/ml obtained inhibition zone of 18,404 mm even in the moderate category.
Measures to Improve the Cybersecurity of Critical Infrastructure in Brazil
Authors: Pereira Evandro Leonel , Carneiro Aristides Sebastião Lopes , Ruschel Eder , Corcovado Marcio De Lima , Paiva Jordan Da Silva , Medved Francisco Eduardo
Published: January 2021

In the current context of global interconnectivity, the cybersecurity of critical infrastructures (CI) is of utmost importance to the private and public sectors. In this regard, based on the analysis of elaborated guidelines and norms, gaps were identified that may hinder the implementation of CI protection measures, facing threats of all kinds, affecting population well-being, economic power and contributing to weakening the reputation of a country in the concert of nations. Considering the dynamic nature and the speed of technological evolution, this study aims to raise subsidies for the improvement of the cybersecurity of CI in Brazil, pointing out norms to be elaborated or adopted, good practices and strategic actions to be followed. The methodology used in the development of this work begins with bibliographic and document research, and through comparative analysis, points out the most relevant, existing standards and initiatives. A diagnosis of the Brazilian situation is provided including field research, a solution proposal and finally an analytical discussion of proposed actions.
IoT Platform for Personal Data Protection
Authors: Suciu George , Istrate Cristiana , Sachian Mari-Anais , Chenaru Oana , Florea Gheorghe
Published: January 2021

Since the establishment of IoT (Internet of Things), a variety of end devices become interconnected with one another, and thus, new types of security challenges appeared which have to be taken care of. Personal data, at the moment, have a higher risk of being hacked by various types of cyberattacks, as a result of the abundance of connectivity in the cloud realm. To face this type of challenges, the European Union decided to implement in 2018 the GDPR (General Data Protection Regulation) that implies that personal data of any kind can be shared with a third party only with their accord and can be, as well, deleted by them, whenever they desire. Henceforth, this paper introduces the PARFAIT project that will take into account this regulation and will integrate a platform with the purpose of protecting the personal data in IoT based applications, especially for smart home, smart office and smart hotel use cases.
Improving Image Transmission by Using Polar Codes and Successive Cancellation List Decoding
Authors: Garcia Álvaro , Alcoforado Maria De Lourdes Melo Guedes , Madeiro Francisco , Da Rocha Jr. Valdemar Cardoso
Published: January 2021

This paper investigates the transmission of grey scale images encoded with polar codes and de-coded with successive cancellation list (SCL) decoders in the presence of additive white Gaussian noise. Po-lar codes seem a natural choice for this application be-cause of their error-correction efficiency combined with fast decoding. Computer simulations are carried out for evaluating the influence of different code block lengths in the quality of the decoded images. At the encoder a default polar code construction is used in combination with binary phase shift keying modulation. The results are compared with those obtained by using the clas-sic successive cancellation (SC) decoding introduced by Arikan. The quality of the reconstructed images is assessed by using peak signal to noise ratio (PSNR) and the structural similarity (SSIM) index. Curves of PSNR and SSIM versus code block length are presented il-lustrating the improvement in performance of SCL in comparison with SC.
Artificial Intelligence Techniques to Prevent Cyber Attacks on Smart Grids
Authors: Bertone Fabrizio , Lubrano Francesco , Goga Klodiana
Published: January 2021

Energy is one of the main elements that allows society to maintain its living standards and continue as usual. For this reason, the energy distribution is both one of the most important and targeted by attacks Critical Infrastructure. Many of the other Critical Infrastructures rely on energy to work reliably. Some states are particularly interested in getting stealth access to -and take control of- energy production and distribution of other Nations. This way they can create huge disruption and get a significant advantage in case of conflict. In the recent past, we could observe some real-life demonstrations of this fact. The introduction of smart grids and ICT in the management of energy infrastructures has great benefits but also introduces new attack surfaces and ways for attackers to gain control. As a benefit, we can also collect more data and metrics to better understand the state of the grid. New techniques based on Artificial Intelligence and machine learning can take advantage of the available data to help the protection of the infrastructures and detect ongoing threats. Smart Meters which are connected intelligent devices spread over the grid and the geographical distribution of the population. For this reason, they can be very useful data collection assets but also a target for attack. In this paper, the authors consider and analyze various innovative techniques that can be used to enhance the security and reliability of Smart Grids.
Artificial Neural Networks for Airport Runway Safety Systems
Authors: Bekasov Denis
Published: January 2021

This paper presents the analysis of the existing approaches to ensuring the safety of aircraft`s takeoff and landing at airport runways using video surveillance systems. The subject area is formalized, and security threats and measures to prevent them are assessed. Optional architecture of the system designed for detection and classification of moving objects in the airport runway area is presented. The architecture is based on Neural Networks with AI elements. Also the original method of runway objects’ trajectory tracking is proposed. And finally, the research results of the applicability of the proposed architecture are presented.
The Model for Assessing the Security Level of Instant Messaging Information Systems
Authors: Sychev Svyatoslav , Bekasov Denis
Published: January 2021

The analysis of existing information systems for transmitting multimedia messages is carried out, a generalized conceptual definition for describing the architectures of such systems is proposed. The classification of messaging systems and their architectures is given. The key threats that should be considered when developing messaging systems in various application domains are identified. Based on the analysis of threats, a set of criteria has been determined for assessing the architectures of information systems for transmitting messages. A model which allows to make an assessment of parameters affecting the security of instant messaging information systems based on the characteristics of its elements is proposed.
Your hospital needs you: Eliciting positive cybersecurity behaviours from healthcare staff
Authors: Branley-Bell Dawn , Coventry Lynne , Sillence Elizabeth , Magalini Sabina , Mari Pasquale , Magkanaraki Aimilia , Anastasopoulou Kalliopi
Published: January 2021

Staff behaviour plays a key role in the cybersecurity position of an organisation. Despite this, behaviour-change interventions are not commonly applied within the field of cybersecurity. Behaviour change technique could be particularly beneficial given increasing concerns around healthcare cybersecurity risks; particularly following the 2017 WannaCry ransomware attack which had devastating results on healthcare services. Cyber-risk is particularly concerning within healthcare given the criticality of medical systems and the potential impacts of a cyberbreach or attack. In worst case scenarios, cybersecurity incidents could result in patient harm or even fatalities. Whilst there has been concerted investment in improving healthcare’s technological defences against cyberthreat, the same level of investment has not been made in healthcare staff. This has left staff behaviour as a vulnerability which can be exploited by attackers. This paper introduces a structured approach to help organisations work through four key steps that we refer to as the AIDE approach to Assess, Identify, Develop and Evaluate behaviour change techniques to facilitate more secure behaviour. We include a worked example of how we are applying this approach to the development of interventions to mitigate insecure cybersecurity behaviours in a healthcare context.
Prevalence and Family History Characteristics of Type 1 Diabetes Mellitus in Children and Adolescents: A Nigerian Tertiary-Healthcare Based Study
Authors: Oyenusi Elizabeth Eberechi , Onyiriuka Alphonsus Ndidi , Alkali Yahaya Saidu
Published: January 2021

Background: Family history of diabetes mellitus is a useful tool for detecting children and adolescents at risk of the disease. The aim of this study is to determine the prevalence and describe the characteristics of family history of diabetes mellitus in Nigerian children and adolescents with type 1 diabetes. Methods: A retrospective chart review of children and adolescents newly diagnosed with type 1 diabetes was conducted in three tertiary-healthcare institutions in Nigeria. In addition to the review of charts of old patients, other children and adolescents who presented with new-onset diabetes during  the review process were also included. An interviewer-administered questionnaire was used in obtaining information from the patients and their parents. Using the criteria suggested by Scheuner et al, the family history risk category was stratified into average, moderate and high. Results: Out of a total of 65 children and adolescents with type 1 diabetes, 29(44.6%, 95% CI= 32.6-56.7) had a positive family history of diabetes mellitus. Of the affected family members, 42.9% were first-degree relatives. The frequencies of family history risk category were average 65.5%, moderate 27.6% and high 6.9%. Among the affected family members in whom information on their diabetes status was available, 19(86.4%) had type 2 diabetes and only 3(13.6%) had type 1 diabetes. Conclusion: Four out of every ten patients with type 1 diabetes in the paediatric age group, have a first- degree relative with a positive family history of diabetes.
Neuro-Enteric Dysfunction in Children with Severe Neurological Impairment
Authors: Taib Fahisham , Nik Ismail Nik Zainal Abidin
Published: January 2021

Visceral hyperalgesia, intestinal dysfunction and unexplained irritability in neurological impaired children is a medical enigma for many healthcare professionals. The neuro-medical management can be challenging and difficult, due to poor understanding of the underlying aetiology and pathophysiology of the condition. Neuro-enteric axis has been proposed as emerging physiologic mechanism in the pathogenesis of many gastrointestinal diseases. The bidirectional connection between enteric and central nervous system may represent a direct relationship between neurological system and gut physiology. Insult to the brain indirectly contribute to the ongoing gut and brain axis sequalae. Microbiota has been an important modulator in the brain-gut axis. Irritability episodes in severe neurological impairment children has been commonly associated with pain originated from gastrointestinal pathology. Management of such condition requires a holistic approach to tackle multidimensional factors that has contributed to the ‘totality’ of the symptoms.
Management of Palatal Fracture and Airway Challenge in A Child — A Red Flag
Authors: Min Jim Lim , Tengku Shaeran Tengku Aszraf , Eu Chong Soon
Published: January 2021

Airway managements in maxillofacial fracture patients are complex and crucial. Trauma to the maxillofacial region may cause hemorrhage, swelling which may lead to pulmonary aspiration and airway obstruction. Airway managements in maxillofacial fracture patients are complex and crucial. Besides being uncooperative, presence of fractures and soft tissue injuries posed challenges in managing pediatric patient who already have smaller airway opening. This condition is an important red flag which required extra caution from the treating clinicians. A 6-year-old boy was involved in a road traffic accident and presented with profuse bleeding from the oral cavity and nostrils. Physical examination showed oozing of blood with step deformity of the midpalate. Multiple attempts in intubation resulted in failure before succeeding with the aid of suction devices. After intubation was done, intraoral bleeding was successfully managed with transpalatal wiring and nasal packing. The patient was ventilated in the intensive care unit and was extubated two days later. He was discharged well from hospital after one week of admission. Airway management is a rush against time, particularly in a pediatric patient suffering from a palatal fracture. The need for helping hands for suction and child control must be emphasized to ensure the patient’s survival.
Unresolved Tachypnoea: A Presentation of Congenital Cor-Triatriatum
Authors: Taib Fahisham , Abdul Rahman Nur Atiqah , Mohd Zain Mohd Rizal
Published: January 2021

Cor-triatriatum is a rare cardiac anomaly. In literature, majority case reports on the condition focused on its late presentation in adulthood. It can be easily corrected by surgical intervention to avoid pulmonary congestion and subsequent pulmonary hypertension. We report a rare case of cor-triatriatum with severe pulmonary hypertension in a 7-week-old baby who presented with persistent tachypnoea.
Unilateral Congenital Choanal Atresia: A Rare Missed Cause of Chronic Nasal Discharge
Authors: Wan Draman Wan Nur Anis , Mat Baki Addina , Ismail Hashimah , Moses Shamina Sara , Mohamad Irfan
Published: January 2021

Choanal atresia is an uncommon malformation of the upper airway. Bilateral choanal atresia usually detected earlier as it is often associated with severe asphyxia immediately after birth. The diagnosis is often delayed in unilateral type, and mostly presented with unilateral chronic nasal discharge. This condition is rarely encountered but should be considered as a possible differential diagnosis of persistent nasal discharge. We present a case of unilateral congenital choanal atresia in a 4-month-old baby girl presented with persistent unilateral nasal discharge. Diagnostic investigation and possible surgical treatment techniques were discussed.
Concealed Foreign Body Aspiration: A Master of Disguise
Authors: Sugunan Pravin , Jeganathan Netia , Devesahayam Philip Rajan
Published: January 2021

Aspiration of a foreign body is rare in school-age children. This reports the 21-day journey of an 8-year-old girl who had a foreign body aspiration. She presented to our hospital after five days of respiratory distress.  She subsequently required mechanical ventilation and was supported with triple inotropes. After 18 days, a foreign body was removed via rigid bronchoscopy, followed by a rapid recovery of the patient.
Congenital Giant Cell Fibroma – A Case Report
Authors: Mohd Razi Mohd Ridzuan , Harith Nabilah Sawani , Mohd Tahir Nur Fazilah , Selvaraj Nishanti
Published: January 2021

Background: This paper aims to report a rare case of congenital giant cell fibroma (GCF). To the best of our knowledge, this is the first reported case of GCF in new-born. Case Report: A healthy one-month-old baby boy was referred to Department of Paediatric Dentistry for management of swelling on the upper left alveolar region which presented since birth. Clinical examination demonstrated a well define firm swelling over the upper left alveolar ridge, otherwise the swelling was asymptomatic. Patient was monitored periodically. At 1 year and 9 months of age, there were episodes of ulcerations and bleeding from the lesion as a result of trauma from eruption of opposing teeth. Surgical excision of the lesion was carried out under general anaesthesia. The histopathological examination (HPE) report interpreted the lesion as GCF. Conclusion: GCF is rare fibrous lesion that could be diagnosed only on HPE. Although it is an uncommon congenital lesion, GCF should be considered as one of differential diagnosis of swelling over the gingiva.
Survival of Children with Acute Leukaemia: A Single Centre Experience
Authors: Nasir Ariffin , Zahari Nor Fadhilah , Taib Fahisham , Mohamad Norsarwany
Published: January 2021

Introduction: Acute leukaemia in children accounts for 25-30% of malignant diagnosis. Survival from acute leukaemia continue to improve. Treatment outcome depends on factors like gender, age at diagnosis, parental education, the initial total white cell count (TWC), cerebrospinal fluids (CSF) infiltration, immunophenotype and treatment response. Objectives: The objectives were to evaluate the survival of children with acute leukaemia who received chemotherapy and identify relevant factors. Methodology: The study was a retrospective record review at the Paediatric Oncology Unit, Hospital Universiti Sains Malaysia (Hospital USM). The data collected depending on pre-set research proforma from the year 1990 to 2010. Survival analysis of each type of leukaemia was completed using multiple Cox regression model. Results: A total of 334 cases were identified, only 283 patients received treatment at Hospital USM. There were 224 patients with acute lymphoblastic leukaemia (ALL) and 59 with acute myeloid leukaemia (AML). Overall survival (OS) rate at 3 months for ALL and AML were 89.3% and 72.9% respectively. The event-free survival (EFS) rate for ALL at 1, 3, and 5 years were 69.6%, 54.1% and 47.8% respectively. For AML, the EFS rate at 1, 3, and 5 years were 52.0%, 42.4% and 38.1% respectively. Multiple Cox regression model showed children’s age at diagnosis and early response to steroid therapy were the most significant prognostic factors for ALL survival, whereas the spleen size and treatment protocol were the most significant prognostic factors for AML. Conclusion: Survival rate in this study was comparable to developing countries. ALL had better outcome compared to AML.
A Virtual Pet Serious Game in Motivating Children with Cancer in Treatment and Self-Care: A Conceptual Design
Authors: Chai Carmen, Wang Er , Lau Bee Theng , Al Mahmud Abdullah , Kit Tsun Mark Tee
Published: January 2021

Childhood cancer is the number one cause of death by illness in children. However, despite being such a deadly disease, survival from childhood cancer is high with cancer treatment. Unfortunately, undergoing cancer treatment can result in many treatments related side-effects. Daily self-care such as maintaining a balanced diet, drinking enough fluids, practicing proper hygiene and getting enough rest, can be effective in lowering the severity of these symptoms. It is found that existing interventions for cancer patients do not target treatment adherence in children. Therefore, the aim of the research is to design an intervention which is able to motivate children to adhere to treatment and encourage daily self-care. To enhance the design of such an intervention, the article explores the potential of virtual pet games as a health intervention, and the use of the Protection Motivation Theory and Social Learning Theory’s observational learning in increasing the intervention’s effectiveness. Finally, the design considerations, game objectives and overall conceptual architecture of the proposed intervention are discussed. A conceptual comparison is also made between the proposed game and existing serious games for cancer patients. Future work is required to develop this design into a working prototype, and to evaluate its effectiveness on improving treatment adherence and promoting daily self-care with childhood cancer patients.
Paediatric Extensive Cervical Plexiform Neurofibroma Mimicking a Parotid Lesion
Authors: Lim Iu Tong , Mohan Singh Avatar Singh , Ramasamy Viji , Abdul Rahim Suhana , Ang Piao Piao , Mohamad Irfan
Published: January 2021

Neurofibromatosis Type 1 (NF1), also known as von Recklinghausen’s disease is a multisystem genetic disorder that occurs with an incidence of 1 in 4000 live births. Plexiform nmeurofibroma (PN) is a rare important variant of NF1, seen in 5 to 15% of cases. We report a 7-year-old boy, without family history of neurofibromatosis presented with left neck swelling associated with multiple café au lait spots for one-year duration. Computed tomography of head and neck revealed an extensive soft tissue lesion involving the left parapharyngeal, carotid space and parotid space encasing the left internal and common carotid artery until its origin at the arch of aorta with erosion of the basiocciput. He underwent transcervical excision of the lesion, which was confirmed histopathologically as PN.
Prevalence of Anaemia in Children Treated in Kepala Batas, Penang
Authors: Othman Tan Suria Emilia Suhana , Ishak Nurul Nadiah , Mohd Yusoff Narazah
Published: January 2021

Objective: This study aimed to determine the prevalence of anaemia in children aged six months to fifteen years old treated in a single centre from 2008 to 2018. Methods: A retrospective study was conducted among 274 children age six months to fifteen years old, treated in Advanced Medical and Dental Institute (AMDI), Universiti Sains Malaysia (USM) from 2008 to 2018. The data was obtained from computerised hospital data (CARE2X), Laboratory Information System (LIS) or medical record. Parents of the eligible participants were called for any incomplete data and verbal consents were obtained. Descriptive analysis was conducted to determine the prevalence whereas the relationship between independent variables with types of anaemia were examined using simple logistic regression. Results: The prevalence of anaemia was 22.3%. Among the anaemic children, the predominant morphology form was hypochromic microcytic anaemia (82%) followed with normochromic normocytic anaemia (18%). Iron deficiency anaemia (IDA) was found to be the commonest cause (24%) of hypochromic microcytic anaemia, followed by IDA with concomitant thalassaemia (14%) and thalassaemia alone (8%). In simple logistic regression analysis, no significant association was found. Conclusions: The prevalence of anaemia was 22.3%, which is considered as moderate public health problem according to WHO. Hypochromic microcytic anaemia was the predominant red cell morphology (82%) and IDA was the commonest causes (24%).
Delayed Diagnosis of Rare Cyanotic Cardiac Lesion in A Hypoxemic but otherwise Asymptomatic Infant
Authors: Sahadan Dayang Zuraini , Wei Ng Ee , Ooi Yinn Khurn
Published: January 2021

The causes of neonatal hypoxemia are usually either pulmonary or cardiac pathologies. We report a case of a 2-month-old boy with oxygen dependency since birth. He would desaturate down to 88-90% whenever supplemental oxygen was weaned off. Initial screening echocardiograms described only a small atrial septal defect, thus lung disease was thought to be the aetiology. Eventually, a detailed echocardiogram and CT angiography revealed anomalous right superior vena cava (RSVC) draining into the left atrium (LA). Echocardiography with bubble study injected via the upper extremities showed brisk filling of “bubbles” in the left heart, confirming fixed right-to-left shunting. Anomalous RSVC drainage into the LA is an extremely rare form of anomalous systemic venous drainage whereby unexplained hypoxemia is present and is sometimes the only clinical manifestation. Surgical correction of this anomaly is indicated to prevent complications of cyanosis and risk of systemic embolization. The surgery generally carries low risk and is associated with good long-term prognosis.
COVID-19 in a Leukemic Child
Authors: Muhd Helmi Muhd Alwi , Taib Fahisham , Nik Yusof Nik Khairulddin , Nasir Ariffin , Mohamad Norsarwany
Published: January 2021

The newly emerged SARS-CoV-2 Betacoronavirus strain has infected more than one million people worldwide. The COVID-19 infection in children was reported to be less severe compared to adults. At this point, there were limited data available to describe the effect of COVID-19 infection in immunocompromised children. We reported a case of SARS-CoV-2 infection in an immunocompromised child with a delayed virus clearance. The report signifies the variability in the severity of SARS-CoV-2 infection in immunocompromised children together with a prolonged period of viral clearance.
The Garuda Strikes Back : Indonesian Economic Diplomacy to Tackle European Union Protectionism on Crude Palm Oil
Authors: Ichlas El Qudsi Mohammad , Kusumawardhana Indra , Kyrychenko Volodymyr
Published: January 2021

Abstract This paper analyzes Indonesia's economic diplomacy in overcoming trade barriers to Indonesian palm oil commodities carried out by the European Union. Until now, the Indonesian Crude Palm Oil (CPO) industry has experienced tremendous pressure from the European Union (EU) as one of the main export destinations for Indonesian CPO. In order to secure Indonesia's national interests, instead of taking a cooperative approach, the Indonesian government has responded to the EU's discriminatory attitude towards palm oil commodities with a series of assertive economic diplomacy approaches. This assertive economic diplomacy approach is understood by this paper as a form of the “Power-Play End” strategy articulated by Indonesia to secure its national interests in mainland Europe. The main question in this paper is how can Indonesia use this strategy in overcoming trade barriers imposed by the EU on palm oil commodities? Using the concept of Economic Diplomacy which emphasizes three elements, namely the use of political influence and relations, the use of economic assets, the consolidation of the political climate and the international environment - this paper will examine Indonesia's economic diplomacy in related issues. Key Words: Palm Oil, Economic Diplomacy, Trade Barriers, Indonesia, European Union
Industrial Policy as the Application of State Defense in the Era of Industrial Revolution 4.0
Authors: Afrimadona  , Darmastuti Shanti , Rukmi Dwi Astuti Wiwiek
Published: January 2021

Abstract The rapid change in the information technology in the age of Industry 4.0 requires the government to produce an innovative and competitive industrial policy in order to push for an independent economic development. Amids the trend of industry 4.0, states are faced with a challenge of advancing national industries, such as the energy, food and beverage, automotive, electronics, chemical, textile and textile products industries. Using literature review over a number of cases of industrial policies in East Asia, this article argues that a national interest-based industrial policy can be seen as an implementation of the so-called state defense. This is because industrial policy is the product of the thoughts of individual policy-makers who are also the citizens to whom the obligation of state defense applies. Thus, rather than simply asking the general individual citizens to do state defense, the state, represented by the individual policy-makers should also think of their policy in terms of state defense, that is the defense of public interest. Key Words: industrial policy, industry 4.0, state defense, national interest
Analysis of the sources of emissions and the level of atmospheric pollution from the activities of the waste sorting plant
Authors:   ООО ", Saakian Alexander ,   БАЛАНС ПРОФИ"
Published: January 2021

As part of the concession agreement, which meant the creation of a new environmental cluster in the Tyumen region in waste management, a new waste sorting plant is being launched in the city of Tobolsk. The economic activity of the plant will be accompanied by a negative impact on the environment. This article presents an analysis of the impact of the waste sorting plant on the atmospheric air, which showed that when the design capacity of the plant is reached, the amount of pollutants will be 31.87 tons/year, however, the excess of 0.8 MPC in the protected area is not observed. The size of the approximate sanitary protection zone should be 1000 m Keywords: WASTE SORTING PLANT, SOURCES OF EMISSIONS, MAXIMUM PERMISSIBLE CONCENTRATION, POLLUTANTS, ATMOSPHERIC POLLUTION
La logoaudiometría en Gallego
Authors: Párraga Alonso , San Román Gómez Laura
Published: January 2021

Se presenta el material fonético necesario para la determinación del umbral de recepción verbal y la discriminación en adultos y listas de palabras infantiles para la discriminación en niños, recopilado en disco compacto digital para la realización de la logoaudiometría. Material y método.- Seguimos los criterios expuestos en 1952 por Hirsch, Davis y Silverman (6): igual dificultad entre una palabra y otra en el material para umbral de recepción verbal y para el material de discriminación, composición fonética de cada lista, curvas y parámetros de referencia preliminares, grabación correcta del material seleccionado, método de calibraje de la grabación; y los criterios recogidos por Mª Rosa de Cárdenas y Victoria Marrero (4) para confeccionar y grabar las listas de palabras (polisí- labas para el umbral y ponderadas para discriminación) en castellano y en disco digital. Para el idioma Gallego seguimos las listas de la Dra Isabel Alvaro (5) en su tesis doctoral, modificadas y ampliadas por nosotros. Utilizamos un audiómetro Belton 2000 de dos canales y un reproductor de discos compactos, aplicando las normativas IEC de 1979 y la ISO 8253-3 de 1992. Resultados.- Presentamos en DC las listas de palabras en Gallego de la siguiente forma: Pista 1 de calibrado, pistas 2 y 3 listas de palabras para la determinación del umbral de recepción verbal, pistas 4 a 13 listas de palabras para la discriminación, pistas 14 al 19 listas de palabras infantiles para la discriminación. Conclusiones.- Presentamos un material fonético en Gallego no existente hasta la actualidad editado en disco compacto para la realización de la logoaudiometría de forma estable, reproducible y con la ventaja de ser una grabación digital.
Las Funciones Auditivas Centrales
Authors: Zenker Castro Franz , Barajas del Prat José Juan
Published: January 2021

Los Trastornos de las Funciones Auditivas Centrales (TFAC) resultan de un déficit en el procesamiento sensorial que afecta a la escucha, la comprensión del habla y el aprendizaje. Estos déficit son producto de la incapacidad o falta de habilidad para atender, discriminar, reconocer o comprender la información de origen auditivo. El estudio de las funciones auditivas centrales resulta compleja toda vez que no constituye una entidad unitaria atribuible a una sola categoría nosológica. Los déficit observados en el procesamiento de la información auditiva a nivel central pueden expresarse de muy distinta forma y responder a múltiples etiologías. El estudio de la audición como fenómeno central implica una aproximación desde una perspectiva funcional que requiere de un acercamiento a la audición como proceso y un amplio conocimiento acerca de las correspondencias anatómico funcionales de la audición. La evaluación audiológica de estos trastornos comprende el uso de pruebas psicoacústicas y electrofisiológicas seleccionadas según la historia clínica del paciente. Las intervenciones propuestas para los pacientes diagnosticados con TFAC se basan en la utilización de los recursos centrales en la mejorara de las capacidades lingüísticas y cognoscitivas, desarrollo de aptitudes auditivolingüísticas, desarrollo del metalenguaje, utilización de estrategias compensatorias y desarrollo de estrategias de escucha y metacognición.
Sobre el concepto de discapacidad. Una revisión de las propuestas de la OMS
Authors: Cáceres Rodríguez Celsa
Published: January 2021

El concepto de discapacidad ha sido recientemente revisado por la Organización Mundial de la Salud (OMS), como consecuencia de la necesidad de ajustar los procedimientos de diagnóstico a las nuevas realidades, aquí se expone una breve revisión de la evolución que este concepto ha tenido desde la primera clasificación internacional de deficiencias, discapacidades y minusvalías (CIDDM).
Desarrollo de un sistema portátil para adquisición de respuestas evocadas del tronco cerebral en pacientes con implante coclear
Authors: Álvarez Ruiz Isaac Manuel , De la Torre Vega Ángel , Sainz Quevedo Manuel
Published: January 2021

Este artículo presenta un sistema portátil diseñado con el propósito de medir la respuesta evocada del tronco cerebral auditivo (EABR) en pacientes portadores de implante coclear. El sistema ha sido desarrollado para superar las limitaciones que presentan los equipos convencionales de registro de potenciales cuando se usa con pacientes implantados. En este caso, no se puede hacer uso de la técnica de rechazo de artefacto que estos equipos suelen incluir. Haciendo uso del hardware desarrollado y de un software asociado ejecutado en un ordenador portátil podemos almacenar el electroencefalograma completo. Posteriormente, la señal es procesada para minimizar el artefacto de estimulación antes de realizar la promediación de las distintas respuestas para obtener el registro EABR.
Condiciones para el rescate, fomento y preservación de una lengua nativa en educación básica
Authors: Sánchez Trujillo Magda Gabriela , Hernández Ángeles Jessica
Published: January 2021

El objetivo del presente estudio es identificar cuáles son las condiciones que facilitan el rescate, fomento y preservación de la lengua Hñahñu en la Escuela Primaria Bilingüe Francisco I. Madero, ubicada en una comunidad en el Valle del Mezquital en el Estado de Hidalgo, México. Se toma como marco de referencia el Plan y los Programas de Estudio de la Educación Básica 2011 que perfila el aprendizaje de las lenguas indígenas reconocidas en México. Metodológicamente se realizó una investigación exploratoria con enfoque cualitativo. Los resultados indican que tanto docentes como alumnos tienen disposición para rescatar la lengua, ya que la consideran parte de su cultura ancestral.
Redes sociales y relaciones digitales, una comunicación que supera el cara a cara
Authors: Barón Pulido Mireya , Duque Soto Álvaro , Mendoza Lozano Frederick , Quintero Peña Wilmar
Published: January 2021

El presente artículo realiza una revisión bibliométrica de los estudios sobre medios sociales, y hace parte de la fase inicial de una investigación que busca caracterizar el consumo de medios sociales por parte de estudiantes de entre 14 y 17 años, de colegios privados de Bogotá. El proyecto es financiado por la Institución Universitaria Politécnico Grancolombiano-Colombia. El lector encontrará caracterizaciones que involucran la revolución digital, los estilos de vida y los medios y redes sociales (Wolfe, 2011). Nuestro propósito es orientarlo tanto frente a los conceptos hito que emergen tras la revisión bibliométrica (Sitios de Redes Social -SRS-, “Influencers”) como frente a la ruta metodológica y la discusión de resultados. El artículo ofrece gráficos y dendogramas para tener una perspectiva sobre la tendencia que, en los últimos diez años, prevalece en la investigación sobre los medios sociales y su impacto en adolescentes, vistos desde lo pedagógico y comunicativo.
Reflexiones acerca de la evaluación formativa en el contexto universitario
Authors: Hidalgo Apunte María Esther
Published: January 2021

La evaluación formativa plantea nuevos desafíos a la educación universitaria, ya que en este contexto la evaluación aplicada a los estudiantes es mayoritariamente tradicional, controladora y sumativa. Lo que ha provocado perder el horizonte de la verdadera intención de la evaluación, la cual buscar plantear en el andar del proceso de enseñanza aprendizaje orientaciones y modificaciones a las estrategias pedagógicas para mejorar el aprendizaje de los alumnos/as, convertirlo en protagonista activo de su proceso de aprendizaje, y a que este entienda su desarrollo metacognitivo y lo regule.
El interaccionismo simbólico: oportunidades de investigación en el aula de clase
Authors: Piñeros Suárez Juan Carlos
Published: January 2021

El presente artículo de reflexión expone algunas de las situaciones particulares que se presentan en el aula de clase desde la triada enseñanza, saber y aprendizaje. Caracteriza algunas dificultades que se han abordado históricamente en la estructuración del saber pedagógico, sus incidencias en la visión presente de la educación y las afectaciones a la labor docente. Posteriormente se propone un abordaje desde el interaccionismo simbólico como un presupuesto epistémico que puede aportar en la investigación educativa y a su vez, sir ve de apoyo en el mejoramiento de las reflexiones que realiza el docente en el entorno escolar. Para finalizar, se profundiza en la teoría fundamentada como un diseño metodológico que puede ayudar en la sistematización de las experiencias del aula de clase y el desarrollo de los proyectos de investigación en la escuela.
PERBEDAAN KADAR TRIGLISERIDA ANTARA ANGGOTA SENAM BODY LANGUAGE DENGAN ANGGOTA SENAM HIGH IMPACT SETELAH PEMBERIAN ASUPAN MAKANAN YANG SEBELUMNYA MELAKUKAN SENAM BODY LANGUAGE DAN SENAM HIGH IMPACT
Authors: Kurniawati Dewi , Purba Ambrosius , Fatimah Nur Siti
Published: January 2021

The majority of studies has found that aerobic exercise can reduce the increment oftriglyceride postprandial in plasma. Therefore, the author is doing this research to know thedifference of triglyceride concentration in plasma between group who joint high impact exerciseand group who joint body language exercise after given the same amount and dietary compositionwhich had done high impact and body language exercise before. Twenty men (19-39 years old) didhigh impact or body language exercise for 1 hour. Two hours later, they were given dietarycomposition with carbohydrate 60% and fat 25%. Then the triglyceride postprandial concentrations were measured 3, 5, and 6 hours after the given dietary food. The result showedthat the trygliceride concentration of high impact group was higher than body language group 3hours after given dietary food (122.167 17.11627 vs 111.67 7.86554 mg/dL) and there were nodifference between high impact and body language group 5 hours (96.167 7.25029 vs 94.0 16.66133mg/dL) and 6 hours after given dietary food (77.5 8.8261 vs 78.167 14.27469mg/dL).In conclusion, the trygliceride concentration of high impact group was higher than body language group 3 hours after given the same amount and dietary composition. But, there were nodifference between trygliceride concentration of body language group and high impact group 5and 6 hours after given the same amount and dietary composition which had done high impact andbody language exercise before.
PERBEDAAN DAYA TAHAN JANTUNG PARU DAN KOMPOSISI TUBUH; PERSENTASE LEMAK TUBUH ANTARA LANJUT USIA ANGGOTA SENAM TAI CHI, WAI TAN KUNG DAN SEDENTER
Authors: Utami Novi Vicahyani , Lubis Leonardo , . Agustina
Published: January 2021

The benefits of Tai Chi and Wai Tan Kung exercises on cardiopulmonary endurance andbody composition have become a controversial issue. The survey analytical comparasional studywas performed to investigate the differences of cardiopulmonary endurance and body compositionamong elderly members of Tai Chi, Wai Tan Kung and elderly sedenter. The study involved 10elderly members of Tai Chi, 10 elderly members of Wai Tan Kung, and 10 elderly sedenter. TheAstrand-Rhymings step test was conducted to measure the cardiopulmonary endurance. While themeasurement of body composition (body fat percentage) was done using skinfold caliper. The datawere analyzed with unpaired t-test(p<0.05). The results of the study indicated thatcardiopulmonary endurance (VO2 max) and body composition (body fat percentage) of Tai Chielderly members were the best of both Wai Tan Kung elderly members and of elderly sedenter;while cardiopulmonary endurance and body composition of Wai Tan Kung elderly members werebetter than those of elderly sedenter.