bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypnobreastfeeding dan Motivasi Ibu Menyusui
Authors: Astuti Fitria Primi , Windayanti Hapsari , Sofiyanti Ida
Published: October 2021

Berdasarkan data dari Kementerian Kesehatan Republik Indonesia, inisiasi menyusu dini (IMD) meningkat dari 51,8 persen di tahun 2016 menjadi 57,8 persen di tahun 2017. Walaupun terjadi peningkatan itu masih jauh dari target IMD sebesar 90 persen. Angka pemberian ASI eksklusif juga mengalami peningkatan dari 29,5 persen pada tahun 2016 menjadi 35,7 persen pada tahun 2017. Jumlah cakupan itu masih snagat kecil jika mengingat pentingnya Air Susu Ibu (ASI) bagi kehidupan anak di masa periode keemasannya. Kecilnya angka tersebut dapat diatasi dengan adanya motivasi ibu menyusui dalam pemberian ASI. Motivasi merupakan salah satu faktor yang dapat memengaruhi ibu menyusui dalam pemberian ASI secara ekslusif. Pemberian pendidikan kesehatan merupakan upaya untuk meningkatan motivasi ibu menyusui dalam pemberian ASI eksklusif. Penelitian ini bertujuan untuk mengetahui perbedaan motivasi sebelum dan sesudah pemberian pendidikan kesehatan tentang hypnobreassfeeding. Sampel dalam penelitian ini adalah 30 ibu menyusui, metode penelitian yang digunakan adalah dengan metode eksperimen semu (Quasi Experimental) dengan rancangan One Group Pre-test dan Post-test. Uji beda yang digunakan yaitu uji Wilcoxon. Hasil penelitian menunjukkan ada perbedaan motivasi sebelum dan sesudah pemberian pendidikan kesehatan  tentang hypnobreasfeeding.
Efektivitas Pemberian Ikan Gabus Kukus Terhadap Penyembuhan Laserasi Perineum Pada Ibu Postpartum
Authors: Fauziah Fauziah , Fitriana Fitriana , Noorbaya Siti
Published: October 2021

Postpartum, also called the puerperium or puerperium, is the time since the baby is born and the placenta is separated from the uterus until the next 6 (six) weeks, accompanied by the recovery of the organs associated with the womb, which have undergone changes related to childbirth. The changes that occur during the puerperium include all systems including the reproductive organs such as the uterus and vulva, from physiological to pathological changes as a result of complications during the puerperium. Complications of the puerperium are abnormal conditions during the puerperium caused by the entry of germs to the genetalia during labor and the puerperium, one of the complications of the puerperium, namely a rupture, is also called a perineal tear or laceration. This study aims to analyze the effectiveness of giving boiled snakehead fish on the healing of perineal lacerations in postpartum mothers in Samarinda City. In this study, the authors used a quasi-experimental method with a post-test only control group design in which the measurement of variables was given a special intervention, namely giving 100 g of steamed fish a day for 10 days, then observing its effect on post-partum maternal wound healing. As a comparison, also a control group without treatment with inclusion and exclusion criteria. The research location is at Kartika Jaya Clinic, Samarinda City. In this study, the samples were selected using purposive sampling. Data collection methods used in two ways, namely through interviews and observations. The test used Mann Whitney. The results of data analysis using the Mann-Whitney obtained the sig (2-tiled) value of 0.000 <0.05 with the average healing time of the experimental group was 7 days. Meanwhile, the average healing time for the control group was 10 days. So it can be concluded that there is an effect of giving steamed cork fish on the healing of perineal lacerations in postpartum mothers with a difference of 3.2 days. The conclusion of this study is that the administration of steamed snakehead fish is more effective in treating perineal lacerations of postpartum mothers
Gambaran Ibu yang Memijatkan Bayi ke Dukun Bayi di Desa Jambu Kabupaten Semarang
Authors: Yola Sartika  , Ninik Christiani, S.Si T., M.Kes  , Moneca Diah L
Published: October 2021

Baby massage is a direct contact therapy with the body that can provide a sense of security and comfort for babies. The villagers chose to use a shaman as an alternative to baby massage on the grounds that it is affordable and saves time because the shaman can do baby massage at home. To find out the picture of a mother massaging a baby to a shaman in Jambu Village, Semarang Regency.

Method : This research is quantitative descriptive. The population in this study were 20 mothers who had babies in Jambu Village. The sample of this study was 20 mothers who had babies. Purposive sampling technique. The instrument uses a questionnaire. Analysis uses frequency distribution and percentage. Most of the education level of mothers who massaged infants to traditional birth attendants in Jambu Village were 12 respondents (60.0%) of SMK / SMA. The culture of mothers who massage infants into traditional birth attendants in Jambu Village, does not support as many as 10 respondents (50.0%). Most of the economy of mothers who massaged infants to traditional birth attendants in Jambu Village, ≥ UMR (Rp. 2,055,000) were 14 respondents (70.0%). Most of the support from the mother's family to massage the baby to the shaman in Jambu Village, as many as 13 respondents (65.5%). Mothers should massage their baby to health workers who know the anatomy of the correct massage physiology or skilled shaman and have received training from health workers on proper baby massage and do not harm the baby.

ABSTRAK

Pijat bayi merupakan terapi sentuh kontak langsung dengan tubuh yang dapat memberikan rasa aman dan nyaman pada bayi. Masyarakat desa memilih dukun bayi sebagai alternatif untuk pijat bayi dengan alasan biaya yang terjangkau dan menghemat waktu karena dukun bayi dapat melakukan pijat bayi dirumah. Untuk mengetahui gambaran ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, Kabupaten Semarang. Penelitian ini bersifat deskriptif kuantitatif. Populasi dalam penelitian ini 20 orang ibu yang memiliki bayi di Desa Jambu. Sampel penelitian ini20 orang ibu yang memiliki bayi. Teknik sampling purposivesampling. Instrumen menggunakan kuesioner. Analisis data menggunakan distribusi frekuensi dan presentase. Sebagian besar tingkat pendidikan ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, adalah SMK/SMA sebanyak 12 responden (60,0%). Kebudayaan ibu yang memijatkan bayi ke dukun bayi di Desa Jambu,tidak mendukung sebanyak 10 responden (50,0%). Sebagian besar ekonomi ibu yang memijatkan bayi ke dukun bayi di Desa Jambu, ≥ UMR (Rp. 2.055.000) sebanyak 14 responden (70,0%). Sebagian besar dukungan keluarga ibu untuk memijatkan bayi ke dukun bayi di Desa Jambu,sebanyak 13 responden (65,5%). Ibu diharapkan memijatkan bayinya ke tenaga kesehatan yang mengetahui anatomi fisiologi pemijatan yang benar atau dukun yang terampil dan telah mendapatkan pelatihan dari tenaga kesehatan tentang pijat bayi yang benar dan tidak membahayakan bayi.
Pengelolaan Bersihan Jalan Napas Tidak Efektif pada Anak dengan ISPA di Desa Kebondowo Banyubiru
Authors: Putri Yunanda Pratiwi  , Eka Adimayanti
Published: October 2021

Ineffective airway clearance is a disease characterized by a buildup of secretions in the airways that causes airway insufficiency. This writing aims to provide a description or description of the management of ineffective airway clearance in children with ARI in the village of Kebondowo Banyubiru. The type of management is descriptive with a case study approach in the form of assessment, data analysis, formulating nursing diagnoses, planning, implementation, and evaluation in the handling of ineffective airway clearance. The population is toddler age children with ineffective airway clearance. The sampling technique is 1 person. With the criteria of toddler age children, experiencing cough and cold, composmentis awareness, the patient or patient's family is able to communicate verbally and cooperatively. Ineffective airway clearance management was performed for 3 days in An. A with data collection techniques using interviews, physical examination and observation. Then the nursing plan is carried out, namely chest physiotherapy, postural drainage, percussion, vibration. The final result was RR: 32x/minute, auscultation: vesicular, percussion: sonor. Based on the nursing actions taken, it can be concluded that the ineffective airway clearance has been resolved. It is expected that the community or patient's family always maintains cleanliness and can carry out nursing actions for acute respiratory infections (ARI) independently and utilize health facilities for treatment.

Abstrak

Bersihan jalan napas tidak efektif adalah penyakit yang ditandai dengan adanya penumpukkan sekret pada jalan nafas yang menyebabkan ketidakpatenan jalan nafas. Penulisan ini bertujuan untuk memberikan deskripsi atau gambaran tentang pengelolaan bersihan jalan napas tidak efektif pada anak dengan ISPA di Desa Kebondowo Banyubiru. Jenis pengelolaan deskriptif dengan pendekatan studi kasus berupa pengkajian, analisis data, merumuskan diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi dalam penanganan bersihan jalan napas tidak efektif. Populasi adalah anak usia toddler dengan bersihan jalan napas tidak efektif. Teknik pengambilan sampel 1 orang. Dengan kriteria anak usia toddler, mengalami batuk pilek, kesadaran composmentis, pasien atau keluarga pasien mampu berkomunikasi secara verbal dan kooperatif. Pengelolaan bersihan jalan napas tidak efektif dilakukan selama 3 hari pada An. A dengan teknik pengumpulan data menggunakan wawancara, pemeriksaan fisik dan observasi. Kemudian dilakukan rencana keperawatan yaitu fisioterapi dada, postural drainage, perkusi, vibrasi. Didapatkan hasil akhir RR: 32x/menit, auskultasi: vesikuler, perkusi: sonor. Berdasarkan tindakan keperawatan yang dilakukan, maka dapat disimpulkan bersihan jalan napas tidak efektif sudah terata. Diharapkan masyarakat atau keluarga pasien selalu menjaga kebersihan dan dapat melakukan tindakan keperawatan infeksi saluran pernafasan akut (ISPA) secara mandiri dan memanfaatkan fasilitas kesehatan untuk berobat.
Penerapan Counter Pressure Untuk Mengurangi Nyeri Persalinan Kala I Di Klinik Rahayu Ungaran
Authors: Tya Lestari  , Ari Andayani
Published: October 2021

Pain during labor increases maternal anxiety which can increase the risk of prolonged labor and high rates of secsio caesaria because this is the determining point of whether a mother can undergo a vaginal delivery or end with an action due to complications caused by severe pain.It is very important for the delivery helpers to meet the mother's need for their security and comfort.This study was conducted to find out the effectiveness of Counter Pressure Massage Against Decreased Labor Pain During I Active Phase at Rahayu Ungaran Clinic. This research uses preecperiment research method with the design of one group pretest posttest research. Samples were taken using accidental sampling techniques, namely as many as 20 maternity mothers. The instruments used in this study are SOP sheets (Standard Operating Procedures). The results of this study using Marginal Homogenity Test showed the value of Asymp value. Sig. (2-tailed) acquired 0.000. Based on statistical test criteria: If a Significant value > 0.05 then there is a difference or H0 is accepted. So 0.000 > 0.05 means in this case there is a difference before and when counter pressure technique or H0 is accepted. There is an effect of Counter Pressure Massage on the reduction of labor pain during the I active phase at Rahayu Ungaran Clinic. It is expected that future researchers will carry out a Counter Pressure Massage for mothers so that they can be used as a method of effective pain reduction.

ABSTRAK

Nyeri persalinan dapat menimbulkan stres yang dapat menyebabkan pelepasan hormon yang berlebihan seperti ketokolamin dan steroid. Nyeri dapat dikurangi dengan teknik farmakologi dan teknik nonfarmakologi. Teknik farmakologi dengan menggunakan obat analgesik, sedangkan teknik nonfarmakologik adalah pengendalian nyeri dengan menggunakan teknik counterpressure yang mengurangi sensasi nyeri dengan menghambat rasa sakit dari sumbernya. Penelitian ini dilakukan untuk mengetahui efektivitas Counter Pressure Massage Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di Klinik Rahayu Ungaran. Penelitian ini menggunakan metode penelitian preeksperimen dengan rancangan penelitian one group pretest posttest. Sampel diambil menggunakan teknik accidental sampling, yaitu sebanyak 20 ibu bersalin. Instrumen yang digunakan dalam penelitian ini adalah lembar SOP (Standar Operasional Prosedur). Hasil penelitian ini menggunakan uji Marginal Homogenity Test menunjukkan nilai nilai Asymp. Sig. (2-tailed) diperoleh 0.000. Berdasarkan kriteria pengujian statistik: Jika nilai Signifikan > 0.05 maka terdapat perbedaan atau H0 diterima. Jadi 0.000 > 0.05 berarti dalam hal ini  terdapat perbedaan sebelum dan saat dilakukan teknik counter pressure atau H0 diterima. Ada pengaruh Counter Pressure Massage terhadap penurunan nyeri persalinan kala I fase aktif di Klinik Rahayu Ungaran. Diharapkan ibu bersalin peneliti yang akan datang untuk melakukan Counter Pressure Massage sehingga dapat dijadikan metode pengurangan rasa nyeri yang efektif.
Kajian Pengaruh Pelarut Terhadap Aktivitas Antioksidan Alga Coklat Genus Sargassum dengan Metode Dpph
Authors: Ni Putu Yunika Candra Riskiana  , Rissa Laila Vifta
Published: October 2021

Brown algae of the genus Sargassum contain phenolic, chlorophyll and carotenoid compounds that function as the most effective antioxidants. The withdrawal of active compounds from natural ingredients is influenced by the nature of the polarity of a solvent. This study aims to examine the effect of solvent variations on antioxidant activity and secondary metabolites in the genus sargassum using the DPPH method.  : This research was conducted using a journal review method using secondary data The solvents used were ethanol and methanol (polar), ethyl acetate (semi polar) and n-hexane (non polar). Antioxidant activity Sargassum in ethyl acetate solvent, namely IC50 = 68.89 mg/L, methanol = 69.27 mg/L, ethanol = 239.51 mg/L and n-hexane = 148 ,16 mg/L. The content of secondary metabolites that have antioxidant activity is phenolic compounds of 1,348.18 mg GAE/g, chlorophyll of 2.84 mg/g and carotenoids of 2.69 mol/g. The solvent variation has an influence on the antioxidant activity.

ABSTRAK

Alga coklat genus Sargassum mengandung senyawa fenolik, klorofil dan karotenoid yang berfungsi sebagai antioksidan yang paling efektif. Penarikan senyawa aktif dari bahan alam dipengaruhi oleh sifat kepolaran suatu pelarut. Pada penelitian ini bertujuan untuk mengkaji pengaruh variasi pelarut terhadap aktivitas antioksidan dan senyawa metabolit sekunder pada genus (Sargassum) dengan metode DPPH. Penelitian ini dilakukan dengan metode review jurnal menggunakan data sekunder. Pelarut yang digunakan yaitu etanol dan metanol (polar), etil asetat (semi polar) dan n-heksan (non polar). Aktivitas antioksidan (Sargassum) pada pelarut etil asetat yaitu IC50 = 68,89 mg/L, methanol = 69,27 mg/L, etanol = 239,51 mg/L dan n-heksan = 148,16 mg/L. Kandungan senyawa metabolit sekunder yang memiliki aktivitas antioksidan adalah senyawa fenolik sebesar 1.348,18 ± 2.57 mg GAE/g, klorofil  sebesar 2,84 mg/g dan karotenoid sebesar 2,69 µmol/g. Variasi pelarut memberikan pengaruh terhadap aktivitas antioksidan.
Gambaran Pengelolaan Risiko Perilaku Kekerasan pada Penyandang Disabilitas Mental di Desa Sidoarum
Authors: Lestari Silvia Putri , Ana Puji Astuti
Published: October 2021

The risk of violence is a destructive action that requires proper handling. This can happen to people with mental disabilities. People with mental disabilities can usually be seen from several characteristics, namely disturbances in the function of thought, emotion, and behavior, including: psychosocial; personality disorders; and social. The impact of improper handling is injuring oneself, others and the environment. The aim to be achieved is to describe how to manage violent behavior approaches to mental disabilities..The preparation of this scientific paper uses a case study approach using a descriptive method. Data collection is done by using 5 nursing processes which include assessment, determining nursing diagnoses, planning nursing, carrying out nursing actions and conducting nursing evaluations.Patients who have been treated for 3 days can control violent behavior by physical means: deep breathing, can control violent behavior by means of real drugs and also verbal means. Suggestions from this research is that the public can seek information, study, and support mental patient treatment therapy.

ABSTRAK

Risiko perilaku kekerasaan merupakan suatu tindakan yang bersifat dekstruktif yang memerlukan penanganan yang tepat. Hal ini dapat terjadi pada penyandang disabilitas mental. Orang dengan disabilitas mental biasanya dapat dilihat dari beberapa karakteristik yaitu terganggunya fungsi pikir, emosi, dan perilaku, antara lain: psikososial; gangguan kepribadian; dan sosial. Dampak penanganan yang tidak tepat adalah melukai diri sendiri, orang lain maupun lingkungan. Tujuan yang ingin dicapai adalah untuk menggambarkan bagaimana pengelolaan risiko perilaku kekerasan pada disabilitas mental. Penyusunan karya tulis ilmiah ini menggunakan pendekatan studi kasus dengan menggunakan metode deskriptif. Pengumpulan data yang dilakukan yaitu dengan menggunakan 5 proses keperawatan yang meliputi pengkajian, menentukan diagnosis keperawatan, melakukan perencanaan keperawatan, melaksanakan tindakan keperawatan dan melakukan evaluasi keperawatan. Pasien yang telah dilakukan pengelolaan selama 3 hari dapat melakukan cara kontrol perilaku kekerasan dengan cara fisik: nafas dalam, dapat mengontrol perilaku kekerasan dengan cara 5 benar obat dan juga dengan cara verbal. Saran dari penelitian ini adalah agar masyarakat dapat mencari informasi, mempelajari, serta mendukung terapi perawatan pasien jiwa.
DEVELOPMENT OF ECOLOGICAL DENIM BLEACHING
METHODS
Authors: İvedi I. , Yağci K. , Tağaç E.
Published: October 2021

Although the textile industry has many products to offer to humanity, it consumes a lot of energy and indirectly causes greenhouse gas emissions. With increasing environmental awareness, parameters such as the cost and performance of each industrial activity to society, as well as the use of natural resources and the possibility of causing global environmental problems to have become more frequently considered factors. In the denim bleaching process, the desired effect is usually obtained with the help of sodium hypochlorite. Sodium metabisulfite is then used for the neutralization process. Since these processes are carried out at high liquor ratios, the waste load resulting from the consumption of necessary chemicals and water is also high. In this study, ecological bleaching methods have been developed as an alternative to the conventional sodium hypochlorite bleaching method by reducing the use of water and chemicals with low liquor and spraying bleaching methods. Denim garments subjected to bleaching with low liquor and spraying methods were compared with denim garments applied to sodium hypochlorite bleaching in industrial washing machines according to exhaustion method. In the spraying method, the mixture coming out of the narrow nozzle is mixed with the compressed air by means of a specially designed spray gun and sprayed in very small droplets. Thus, a good atomization is ensured, and a low liquor ratio water cloud is created.
DEVELOPMENT OF MULTIFUNCTIONAL YARN FROM THE
FUNCTIONALIZATION OF ORGANIC RAW COTTON FIBERS
WITH ZINC NANOPARTICLES
Authors: Ferreira S. , Silva P. , Bessa J. , Cunha F. , Castro C. , Aguilar A. , Fangueiro R.
Published: October 2021

The emergence of increasingly contagious diseases in these days, such as COVID-19, increased the need to develop more effective personal protection equipment’s (PPEs). Therefore, the goal is to create textile materials capable to act against bacteria, virus or fungi, with a long-lasting performance but, at the same time, that could be comfortable and safe for their users. In this sense, based on the advantages of nanotechnology, the aim of this work was to functionalize organic raw cotton fibers with zinc nanoparticles
(NPs) and previously tretated with NaOH, for the further production of multifunctional yarns with antimicrobial activity. Thereby, the fibers functionalization was tested using 1% w/w and 2% w/w of zinc NPs aqueous dispersion, being subsequently evaluated their distribution, chemical nature and zinc concentration by SEM/EDS and Atomic Absorption Spectroscopy, respectively. Subsequently, using the functionalized fibers, a yarn was spinned and their structural, mechanical and moisture management properties determined. Also, to assess the influence of the produced yarn on the properties of a fibrous structure, a single jersey knit sample was further produced and evaluated regarding their mechanical, moisture management and antibacterial properties. Based on the methodology used it was possible to develop a yarn with a tenacity 24% higher and a knit sample 28% more breathable and with a water evaporating ratio 37% higher than the one without any
treatment or functionalization, but mainly with a strong antibacterial activity against both gram-negative (Klebsiella Pneumoniae) and gram-positive (Staphylococcus Aureus) bacteria, presenting therefore potential to be used in the production of effective PPEs.
DEGRADATION OF NONWOVEN FABRICS
SUITABLE FOR WET WIPES BURIED IN SOIL
Authors: Sülar V. , Keçeci B.
Published: October 2021

In this research, biodegradation behaviour of nonwoven fabrics suitable for wet wipes having different
fibre types such as regenerated cellulose (viscose and Tencel), polyethylene terephthalate (PET) and their blends
were investigated. Each nonwoven fabric was buried in soil and test samples were controlled in regular periods.
Visual appearance was reported and examined by photographs and microscopic views. According to the changes
in visual appearance and weight loss, biodegradation was examined in a systematic way. It has been observed
that regenerated cellulose nonwoven fabrics and the PET nonwoven fabrics show big difference under the same
degradation conditions. PET fibre content delays biodegradation in the soil and degradation behaviour is
similar the content of PET fibre in fabric structure. The higher PET, lower degradation, and the higher cellulosic
fibre, the higher degradation was determined for nonwoven fabrics suitable for wet wipes.
Analysis of leading commodities from capture fisheries resources at Bitung Oceanic Fishing Port, North Sulawesi
Authors: Kusumaningrum Arianda , Lumingas Lawrence L.J. , Sumilat Deiske A. , Budiman Johnny , Luasunaung Alfret , Warouw Veibe
Published: October 2021

Bitung City is one of the centers of fishery production in Indonesia. Analysis of capture fisheries resources, especially at the Bitung Oceanic Fishing Port (BOFP) as a fish landing center in Bitung city, needs to be done scientifically in order to find out the need for sustainable capture fisheries. The purpose of this research is to analyze the potential of the types of superior commodities that have the opportunity to be developed. Data was collected using survey methods and in-depth interviews with fishermen and local stakeholders. Analysis of the potential of fish resources was carried out using the surplus production method. From the results of the study, it is found that there are 8 (eight) types of leading commodities in BOFP which can be developed with different potentials. They are: 1) Marlin with a sustainable potential of 159 tons, utilization rate of 44%; 2) Tongkol with sustainable potential of 10.485 tons, utilization rate is 58%; 3) Kembung with a sustainable potential of 183 tons utilization rate of 61%; 4) Big-eye tuna with sustainable potential of 111 tons utilization rate of 69%; 5) Selar with sustainable potential of 450 tons utilization rate of 85%; 6) Yellow Fin Tuna with a sustainable potential of 15.251 tons utilization rate of 86%; 7) Layang with sustainable potential of 7.152 tons utilization rate of 95%, and 8) Cakalang.Indonesian title: Analisis komoditas unggulan dari sumber daya perikanan tangkap di Pelabuhan Perikanan Samudera Bitung, Sulawesi Utara
Anatomical characteristics of macroalgal species from Bombuyanoi Island, East Bolaang Mongondow Regency, North Sulawesi
Authors: Patra Frian , Kepel Rene Ch. , Lumingas Lawrence J.L. , Gerung Grevo S. , Kondoy Khristin F. , Sumilat Deiske A. , Undap Suzanne L.
Published: October 2021

This research aims to study the anatomical structure of macroalgae. Sample of macroalga was collected by using Line Intercept Transect (LIT) method with sampling quadrat. Macroalgae samples were dried and separated from the roots, stems, leaves and receptacles (if present). Samples were cut transversely and longitudinally at each section and observed under binoculared microscope of Olympus CX with monitor. Based on the histology, anatomical structure of macroalgae species can be divided into two tissues from outside to inside, namely cortex and medullary cells. The cortex is composed of one layer or more. The cortex is the area between the epidermis and the central column. The medulla cells only have one layer which is the largest layer. Based on the observation result of cells type from observed spesies Eucheuma denticilatum, Gracilaria arcuata, Hydropuntia edulis, G. salicornia, Hypnea valentiae, Turbinaria deccurens, and T. ornata, it shows that cells of medulla become small toward cortex.Indonesian title:  Karakteristik anatomi jenis makroalga dari Pulau Bombuyanoi, Kabupaten Bolaang Mongondow Timur, Sulawesi Utara
COVID-19 ASSOCIATED MUCORMYCOSIS (CAM) AND IT’S MANAGEMENT
Authors: Tomar Sanjeev , Tomar Upma
Published: October 2021

AIM - The onset of COVID-19 pandemic second wave, there have been multiple reports across the country of high incidence of
MUCORMYCOSIS among the recovered patients of COVID-19, especially those who are diabetics or those who have received steroids therapy
extensively. In this paper, we review about COVID-19 ASSOCIATED MUCORMYCOSIS (CAM) and its management.
DISCUSSION - COVID 19 infection may be associated with a wide range of bacterial as well as fungal infections, post- covid. These infections
are result of complex interplay of factors such as pre-existing disease such as Diabetes, previous respiratory pathology, use of immune -suppressive
therapy. Additionally, the wide spread use of steroids/broad spectrum antibiotics as part of the regimen against COVID-19, may exacerbate the
opportunistic fungal infections. COVID-19 ASSOCIATED MUCORMYCOSIS (CAM) has been associated with high morbidity and mortality,
resulting in exorbitant treatment cost and also leads to shortage of anti-fungal drugs.
RESULT - Successful management of this fatal infection requires early identication of the disease and aggressive and prompt medical and
surgical interventions. Therapeutic agents should be used cautiously and closely monitored to achieve desired results.
ANALYSIS AND INTERPRETATION OF SPIROMETRY OF PATIENTS ATTENDING RESPIRATORY MEDICINE OPD IN A TERTIARY CARE CENTER: A RETROSPECTIVE STUDY
Authors: Jobanputra Vidhi , Deshmukh Hafiz , Deshmukh Ashish , Jadhav Sunil , Kasat Shivprasad , Purnima Ravinuthala
Published: October 2021

OBJECTIVE: To study the various spirometry ndings and look for its association with smoking history and use of biomass fuels.
METHODS: Spirometry ndings of 375 patients who attend Respiratory medicine OPD from year 2017- 2019 were studied.
RESULTS: Out of 375 patients, 95 patients were diagnosed as COPD, 62 as bronchial asthma, 149 had normal spirometry and 69 had restriction.
CONCLUSION: In this study we concluded that spirometry plays an intergral role in the diagnosis of bronchial asthma, COPD and restrictive
lung diseases. It gives an overview of the decline of lung function with increasing age, smokers, occupational lung exposures, family history of
bronchial asthma. Restrictive patterns were most commonly seen in patients who came for pre operative evaluation.
COMPARATIVE STUDY ON DIURETIC ACTIVITY OF DIFFERENT PLANT SOURCES USED AS MORAT [CONTROVERSIALAYURVED PLANT]
Authors: Ninad B Nangare , Manasi M Deshpande , S Arulmozhi , Manisha A Kurulkar
Published: October 2021

Morat is considered as a signicant medicinal plant in the Indian system of medicine [Ayurveda] as it is very effective in various Urinary
disorders. Under the name of Morat, botanical identity such as Leea macrophylla Roxb., Saccharum officinarum L., Alangium lamarkii
Thw. Marsdenia tenacissima Wight. & Arn., Maerua arenaria Hook, Chonemorpha macrophylla (Roxb) G. Don are considered as they
exhibit same medicinal properties. The purpose of this work was to differentiate the plants which are known as Morat by determining and
comparing their diuretic activity by Lipschitz method. Two positive control Furosemide (standard drug) & Cystone (herbal plant compound) were
compared. The effect on electrolytes changes and urine output were measured. In the result, decoction of all plants has shown diuresis except M.
tenacissima. In inter comparison C. macrophylla decoction produced most signicant diuresis & excretion of electrolytes. This suggest that use of
C. macrophylla root as “Morat”; most effective diuretic plant.
A RETROSPECTIVE ANALYSIS OF EXTRAPULMONARY TUBERCULOSIS PATIENTS WITH INVOLVEMENT OF DIFFERENT ANATOMICAL SITES ATTENDING TERTIARY CARE CENTRE
Authors: Purnima Ravinuthala , Deshmukh Hafiz , Deshmukh Ashish , Jadhav Sunil , Kasat Shiv Prasad , Varughese John Robin
Published: October 2021

OBJECTIVE: To assess the number of new cases of Extrapulmonary tuberculosis, by characterizing patients based on anatomical site.
METHODS: This is a retrospective, descriptive study of diagnosed patients of EPTB of all age groups and was conducted in the MGM medical
college and hospital, Aurangabad, a tertiary care hospital. Data for this study was obtained from JAN 2018 to DEC 2020.
RESULTS: This study showed that out of all EPTB cases, the incidence of Lymph node T.B is higher followed by Pleural T.B. The incidence of
EPTB is higher in younger population.
CONCLUSION: Our study points out the population which is at higher risk of EPTB. Since diagnosing EPTB is difcult as the samples taken
from the affected organs are paucibacillary giving rise to higher chance of misdiagnosing such patients. Astrong clinical suspicion plays a crucial
role in the early diagnosis and treatment of such patients.
A COMPARATIVE STUDY OF STRESS AND COPING STRATEGIES AMONG UNDERGRADUATE MEDICAL STUDENTS DURING PRE AND POST COVID-19 PANDEMIC LOCKDOWN.
Authors: Mushtaq Neha Farheen , Kumar B K. Shiva , HR. Vinay , D Honnugudi Bramaramba
Published: October 2021

Background: Medical students are facing huge challenge due to COVID-19 pandemic which has impacted their learning and has become vital
stressor and affecting their psychological well-being. The objective of this study was to assess the perception of the stress among the undergraduate
medical students and their coping strategies pre and post lockdown.
Materials and Method: A cross-sectional study was conducted on 321 undergraduate medical students at Adichunchanagiri Institute of Medical
Sciences, Mandya, Karnataka, India. This study was initiated after getting approval from the Institutional Ethical Committee. After obtaining
consent the extent of the students stress was assessed using Perceived Stress Scale and Brief COPE was used to assess their coping strategies.
Scores were analysed using paired t test in Microsoft excel/ SPSS software.
Results: On paired 't' t test the mean difference in total score was 0.68 and the p value was 0.166 for scores of perceived stress scale, similarly the
mean difference in scores of sub groups under coping strategies was 0.90 and 0.49 with 'p' value 0.173 and 0.498 respectively.
Conclusion: Overall, there was not much of difference in scores of perceived stress scale and coping strategies before and after lockdown. Except
for minor difference across age group and scores of specic coping strategies which was again not statistically signicant.
LAPAROSCOPIC STUDY OF CHOLECYSTECTOMY IN SITUS INVERSUS TOTALIS
Authors: Ranjan Rajeev , Kumar Sahu Kamlesh , Prasad V.S.
Published: October 2021

BACKGROUND: Situs inverses totalis is a rare congenital anomaly with transposition of major organs to opposite side of the body. Due to
atypical clinical presentation and due to contra lateral presence of the gall bladder, it causes clinical challenge to operate with complete
reorientation of anatomy. Visual motor skills are particularly tested when it comes to lapararoscopy.
MATERIAL AND METHODS: A 25 year, lady presented with left hypochondriac pain and diagnosed as calculus cholecystitis with situs
inverses total is. After ruling out associated anamolies patient underwent elective laparoscopic cholecystectomy. Around 60 cases of situs inverses
total is with cholecystectomy have been reported till date. These cases cause technical and visuo-motor difculty due to contra lateral deposition of
gall bladder in left hypochondrium during laparoscopic cholecystectomy. Consumption of extra time also been reported during calot's dissection,
as it's like operating on a mirror image, Department of General surgery Darbhanga medical college and Hospital Laheriasarai Darbhanga Bihar.
CONCLUSION: Laparoscopic cholecystectomy, the gold standard treatment for cholelithiasis, is a feasible option even in cases with SIT; in the
hands of good experienced, ambidextrous laparoscopic surgeons
EFFICACY OF THORACIC JOINT UNILATERAL VERTEBRAL PRESSURE AS ADJUNCT TO CENTRAL VERTEBRAL PRESSURE ON MIDDLE AND LOWER TRAPEZIUS MUSCLE STRENGTH. A RANDOMIZED CONTROLLED TRIAL
Authors: Gawande Krishna B. , Babu V. Sarath
Published: October 2021

INTRODUCTION: A joint must have normal mobility in order for its corresponding muscles to work efciently. Weakness of lower trapezius is
common clinical nding. Manual therapy has a potential to achieve reexogenic changes in muscle and enhance the motor activity and strength.
PURPOSE OF THE STUDY: To nd out the efcacy of thoracic joint unilateral vertebral pressure on middle and lower trapezius muscle strength.
STUDY DESIGN: A Randomized Controlled Trial.
METHOD: Hundred normal male individuals were included in the sample. The subjects were randomly assigned into two groups. Experimental
(EX) group n=50 received Postero-anterior unilateral vertebral pressure along with Postero-anterior central vertebral pressure. Control (CON)
group n=50 received Postero-anterior central vertebral pressure.
RESULTS: The mean difference of pre and post of middle and lower trapezius mobilization pressure biofeedback unit was signicant < 0.0001
and < 0.0001 in EX and CON group respectively.
The mean value and standard deviation (SD) of middle trapezius mobilization PBU value between EX and CON group was non-signicant, post
treatment value was 34.54+9.57 and 34.82+9.16 respectively.
The mean value and standard deviation (SD) of lower trapezius mobilization PBU value between EX and CON group was non-signicant, posttreatment value was 37.04+10.47 and 36.60+9.91 respectively.
CONCLUSION: The study concluded that both postero-anterior central vertebral pressure and Postero-anterior central vertebral pressure along
with postero-anterior unilateral vertebral pressure were effective in increasing strength of middle and lower trapezius. But when compared
between experimental (EX) group and control (CON) group there was no difference in strength of middle and lower trapezius muscle. Adding of
postero-anterior unilateral vertebral pressure did not gave additional benet in increasing muscle strength.
IS THERE STILL A DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY? — AN EXPLORATIVE AND DESCRIPTIVE STUDY TO IDENTIFY RISK FACTORS AND TO ESTABLISH A SCORING SYSTEM FOR DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY.
Authors: Umakanth Suhas , Subbarayappa Srinath , Nagaraja Jayanth Bannur
Published: October 2021

Background: Gallstone disease is among the most common gastrointestinal illness requiring hospitalization. Laparoscopic cholecystectomy is
now the preferred approach to its treatment. When performing laparoscopic cholecystectomy, the surgeon should have the low threshold for open
conversion in case of difculty. The aim of the study was Pre-operative prediction of difcult laparoscopic cholecystectomy using clinical,
ultrasonographic and intraoperative parameters.
Methods:This study was done on 200 patients presenting with symptomatic cholelithiasis who underwent laparoscopic cholecystectomy. A
prospective analysis of parameters including the patient demographics, laboratory values, radiologic data and intraoperative parameters was
performed.
Results: The factors which were considered a difculty parameter were males, age>60years, preoperative ERCP, rised amylase, sonographic
features of contracted or distended gallbladder and pericholecystic collection. Intraoperative parameters were adhesions around gallbladder,
contracted or distended gallbladder inamed gallbladder.
Conclusions: The above mentioned factors must be adequately studied and the surgeon and the patient should be prepared for difcult
laparoscopic cholecystectomy.
RADIOLOGIC- PATHOLOGIC CORRELATION OF DEPTH OF INVASION IN TONGUE CARCINOMA
Authors: Bhandari Pranay , Rangole Ashwin , Shrivastava Tanuj , Bihani Ameya , Pawar Pratiksha
Published: October 2021

Introduction: th In tongue carcinoma according to AJCC 8 guidelines depth of invasion is included in staging, therefore there is need of imaging
which can accurately assess the pretreatment stage of tumor. The objective of this study was to correlate the depth of invasion reporting by MRI and
postoperative HPR. Methods: In MRI DOI was measured by drawing perpendicular lines from the reference line to the point of maximal tumor
projection in the tongue medially, histologically DOI was measured from the level of the basement membrane of the closest adjacent normal
mucosa. Results: Paired t test was done on the DOI of MRI and HPR. The two tailed P value is less than 0.0001. This difference is considered to be
extremely statistically signicant. The mean of group one (DOI-MRI) minus Group 2 (DOI-HPR) equals 6.860. 95% condence interval of this
difference is from 5.200 to 8.520. Conclusion: In our study we nd there is statiscally signicant difference between DOI reports in MRI and
postoperative HPR.
STUDY OF INFLAMMATORY MARKERS IN RELATION TO RADIOLOGICAL FINDINGS IN COVID 19
Authors: Koneru Kalyanisri. , Ogirala V M Kiran , Kalyani Madhuri Kommavarapu. , Rekha Bokam. Bhanu
Published: October 2021

BACKGROUND Currently, the Coronavirus disease 2019 (COVID-19) has become pandemic globally. Elevated inammatory markers are
observed and are a common pathophysiological response to acute illness. Chest X-ray changes are also commonly seen in COVID -19 patients. The
present study was undertaken to determine the relationship between inammatory markers to chest X-ray ndings in COVID-19 patients.
METHODS This is a prospective observational study of COVID-19 patients admitted to tertiary care hospital from may 2020-November 2020.
Comorbidities, inammatory markers, and Chest X ray were collected and analyzed. Correlations between radiological and inammatory markers
were studied.
AIMS & OBJECTIVES:
Ÿ Correlation of inammatory markers to radiographic ndings and their outcome in COVID 19 patients
Ÿ The outcome was studied in terms of:
Ÿ Patients requiring oxygen/ NIVsupport
Ÿ duration of hospital stay
Ÿ Number of patients Recovered/death
RESULTS:
Ÿ Out of 500 patients studied, the mean age was 49.41 years, and (295)59% of patients were male,(205)41% were females. (455)91% patients
discharged and (43)8.6% died. We found a positive correlation between inammatory markers and Chest X-ray ndings at the time of
admission with a signicant statistical P-value. The inammatory markers CRP, ESR, D-Dimer & Sr.ferritin compared with the mode of
ventilation(O2 & NIV, duration of hospital stay and outcome also showed signicant statistical P-value.
CONCLUSIONS
We conclude that in patients with raised inammatory markers there were increased abnormalities on Chest X-rays which required an increase in
oxygen or NIVsupport. This can be a useful predictor of the severity of the disease and assessment of outcome.
Self-Organizing Representation Learning
Authors: kermiche noureddine
Published: October 2021

Using data augmentation techniques, unsupervised
representation learning methods extract features from data by training artificial
neural networks to recognize that different views of an object are just
different instances of the same object. We extend current unsupervised representation
learning methods to networks that can self-organize data representations into
two-dimensional (2D) maps. The proposed
method combines ideas from Kohonen’s original self-organizing maps (SOM) and
recent development in unsupervised representation learning. A ResNet backbone with
an added 2D Softmax output layer is used to organize the data
representations. A new loss function
with linear complexity is proposed to enforce SOM requirements of
winner-take-all (WTA) and competition between neurons while explicitly avoiding
collapse into trivial solutions. We show that enforcing SOM topological
neighborhood requirement can be achieved by a fixed radial convolution at the
2D output layer without having to resort to actual radial activation functions
which prevented the original SOM algorithm from being extended to nowadays neural
network architectures. We demonstrate that when combined with data augmentation
techniques, self-organization is a simple emergent property of the 2D output
layer because of neighborhood recruitment combined with WTA competition between
neurons. The proposed methodology is demonstrated on SVHN and CIFAR10 data sets.
The proposed algorithm is the first end-to-end unsupervised learning method
that combines data self-organization and visualization as integral parts of unsupervised
representation learning.
Enhancing the Speed of Response in Digital Money Transactions using Distributed Blockchain System
Authors: Chen Joy Iong-Zong , Yeh Lu-Tsou
Published: October 2021

Waiting for anything is undesirable by most of the human beings. Especially in the case of digital money transactions, most of the people may have doubtful thoughts on their mind about the success rate of their transactions while taking a longer processing time. The Unified Payment Interface (UPI) system was developed in India for minimizing the typographic works during the digital money transaction process. The UPI system has a separate UPI identification number of each individual consisting of their name, bank name, branch name, and account number. Therefore, sharing of account information has become easier and it reduces the chances of typographic errors in digital transaction applications. Sharing of UPI details are also made easy and secure with Quick Response (QR) code scanning methods. However, a digital transaction like UPI requires a lot of servers to be operated for a single transaction same as in National Electronic Fund Transfer (NEFT) and Immediate Payment Services (IMPS) in India. This increases the waiting time of digital transactions due to poor server communication and higher volume of payment requests on a particular server. The motive of the proposed work is to minimize the server communications by employing a distributed blockchain system. The performance is verified with a simulation experiment on BlockSim simulator in terms of transaction success rate and processing time over the traditional systems.
Desenvolvimento florestal em sistema integrado lavoura-pecuaria-floresta
Authors: Lopes Luciana Christina Alves , Santos Alessandro José Marques , Backes Clarisse , Silva Larissa da Luz , Magalhães Ângelo Ferreira
Published: October 2021

Frente a uma realidade de crescimento populacional e produção com sustentabilidade, os sistemas integrados se apresentam de forma positiva, atentando principalmente ao componente florestal que permanece mais tempo no sistema. Diante a necessidade crescente de produtividade, a integração lavoura pecuária floresta (ILPF) caracteriza-se pela agregação de ciclos agrícolas e pecuários, em sequência na mesma área de produção, e sem afetar os recursos do sistema.  Considerando que apresentam uma sinergia entre si, no ILPF é preciso adequar seus componentes, o nível tecnológico e efetuar um planejamento detalhado para garantia de sucesso do sistema. O integrante florestal deve ser escolhido e instalado com cautela visando o objetivo de produção, e o desenvolvimento dos demais integrantes. A espécie florestal mais utilizada hoje no país é o eucalipto, pois apresenta rápido crescimento, capacidade de adaptação às diversas regiões ecológicas e pelo potencial econômico proporcionado pela utilização diversificada de sua madeira. Algumas das espécies mais difundidas para plantios de eucalipto no país são Eucalyptus cloeziana, comumente usada para reflorestamento, híbridos de E. grandis x E. urophylla (E. Uroghrandis), destinado principalmente para serraria e Corymbia Citriodora, anteriormente classificadas como Eucalyptus, utilizada principalmente para produção de óleos essenciais. Diante da expectativa de produção sustentável do sistema ILPF, são necessárias a síntese de informações técnicas e científicas acerca dos melhores modelos para instalação e condução do sistema em função da diversidade ambiental e socioeconômica. O objetivo deste trabalho é a síntese de informações bibliográficas a respeito do desenvolvimento do sistema ILPF.
A linguagem fascista como estratégia
Authors: Cortes Bustamante João Francisco
Published: October 2021

Jason Stanley (1969 - ) compõe a geração filosófica da transição entre o século XX e o século XXI em que direciona a pesquisa e os estudos acadêmicos para filosofia da linguagem, ética e política. Ao equilibrar filosofia e política com análises conjunturais, Jason Stanley posiciona-se próximo à política vivenciada e, não, a teoria política, ou seja, os fundamentos conceituais advindos da filosofia, da ciência política e da filosofia política são instrumentos em prol de expressar o que se vivencia na política, na sociedade, nos países e no mundo. Ao se interessar em compreender sobre o fascismo, o filósofo concebe a linguagem como um dos elementos da estrutura e da estratégia a fim de servir para as práticas políticas. O objetivo é demonstrar como Jason Stanley expõe uma filosofia da linguagem para emergir a linguagem como estratégia das práticas políticas do fascismo. O estudo centraliza-se no livro Como funciona o fascismo – a política do “nós” e “eles”, e as demais obras e artigos do filósofo norte-americano são complementares. Pretende-se mostrar como Jason Stanley delineia de que há uma linguagem específica do fascismo como estratégia e como é possível estabelecer a razão da linguagem fascista ser uma possibilidade universal e não histórica.
Towards the Development of a Mobile Agriculture System for Poms Poultry Farm (PPF), Oyarifa-Accra, Ghana
Authors: Asabere Nana Yaw , Acakpovi Amevi , Owusu Vida Kumiwaa , Attah Jerry Abudu , Opoku Eugene Kyeremateng
Published: October 2021

This paper seeks to propose the implementation of a mobile agriculture (m-agriculture) system for Poms Poultry Farm (PPF) to solve problems such as low patronage of farm products and customer relationship management among farmers and customers. To corroborate the successful implementation of an m-agriculture system at PPF, we employed a questionnaire research instrument concerning the Technology Acceptance Model (TAM) model as a theoretical framework. Closed-ended questionnaires were administered to a sample size of 130 PPF customers. Based on the responses received, we established optimistic responses towards technological acceptance which paved the way for us to propose and develop a suitable m-agriculture application for PPF. It is envisaged that successful implementation of our proposed system will practically increase productivity and help PPF reach out to their target customers.