bluuebunny/crossref_metadata_2025 huggingface dataset:
THE EFFECT OF AUDIO VISUAL AND WEBTOON EXPLANATION TO KNOWLEDGE AND ATTITUDE ABOUT THE THREE BASIC THREATS OF ADOLESCENT REPRODUCTIVE HEALTH (TRIAD KRR) ON STUDENTS OF SMAN 8 CIREBON CITY, 2021
Authors: Yuhandini Diyah Sri , Khulaidah Nadhifatun
Published: July 2021

The problem of adolescent reproductive health in Indonesia is about sexuality, HIV / AIDS and drugs. The problem occurs due to low knowledge of the TRIAD KRR which will affect the attitudes that adolescents will take in relation to the TRIAD KRR. The low level of knowledge occurs due to the lack of education that adolescents get about TRIAD KRR. The aim of this study was to find out the effect of providing counseling through audio-visual and webtoon on increasing knowledge and attitudes about the three basic threats to adolescent reproductive health (TRIAD KRR). This research is a quasi experimental study using a two groups pretest-posttest design approach. The research sample was students of SMAN 8 Cirebon City. The data analysis used was univariate and bivariate analysis using the Wilxocon test, paired t test and the Man-witney test. The measuring instrument used is a questionnaire. The analysis of the median pretest obtained for knowledge in the audiovisual group was 8.0000 and the posttest was 11,000. In the attitude, the median value for pretest was 36.00 and posttest was 37.00. Bivariate analysis in the audio-visual group, both knowledge and attitude, obtained p value 0.000 (<0.05). In the knowledge of the webtoon group, the p value was 0.000 (<0.05) and for the attitude, the p value was 0.350 (> 0.05). Differences in knowledge of audio visual media with webtoon obtained p value of 0.411 and for attitude that is 0.033. There is no significant difference in knowledge through audio-visual media and webtoon but in attitude there is a difference
THE EFFECT OF HYDROTHERAPY ON THE REDUCTION OF BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION AT THE PRIMARY HEALTH CAREASTANAJAPURA CIREBON DISTRICT IN 2019
Authors: Sholekha Larasyati , Jubaedah Entin , Nurcahyani Lia
Published: July 2021

One of the causes of maternal mortality and morbidity is pregnancy induced hypertension (PIH). One of many hypertension management in pregnancy with non-pharmacological is hydrotherapy, which is soaking the feet using warm water for 20 minutes. This study aims to determine the differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40o - 43 o compared to temperatures of 37 o - 39 o. The study using Quasi-Experimental non-randomized pre-test and post-test with control design on 22 hypertensive pregnant women using purposive sampling technique. Research instruments included observation sheets, sphygmomanometer, stethoscope, and digital water thermometer. Univariate and bivariate data analysis using the Wilcoxon and Mann-Whitney tests. This study showed difference of systolic blood pressure p value 0,000 and difference of diastolic p value 0,013 (p <0,05), therefore there were differences in systolic and diastolic blood pressure in the hydrotherapy group with a temperature of 40 o - 43 o compared to 37 o - 39 o. Hydrotherapy using temperature of 40 o - 43 o is better to use than temperature of 37 o - 39 o. Midwives can use hydrotherapy as an early treatment alternative for hypertensive pregnant women
Analysis of chainsaw cutting patterns
Authors: Bailey James A.
Published: July 2021

While timber thefts occur on both public and private lands, it is difficult to prevent illegal cutting of timber in large forested areas. However, when investigators encounter suspected stolen logs, it may be possible to match the cut ends of the logs to stumps in the forest. While cutting a tree, a chainsaw operator may change saw positions so different directional striation patterns on the cut end of a tree may be produced. In this study, 25 samples were cut from a recently harvested tree. Each sample was ~ 3–6 cm in thickness and approximately 11–15 cm in diameter. A Stihl Model 290 gasoline powered chainsaw with a chipper chain equipped with a 50 cm bar was used to cut the samples. Fifty cut ends were examined for directional striation changes on the cut end. A classification system was devised to characterize the different patterns.
Hidden treasures: Mimallonidae (Lepidoptera) from the Museo Javeriano de Historia Natural, with descriptions of the female of Bedosiallo moengus (Schaus, 1928), and a new species of Gonogramma Boisduval, 1872
Authors: Prada-Lara Liliana , St Laurent Ryan A.
Published: July 2021

We present the first list focused on Mimallonidae from a Colombian biological collection, the Museo Javeriano de Historia Natural “Lorenzo Uribe, S.J.” (MPUJ) of the Pontificia Universidad Javeriana in Bogotá. We report nine species and seven genera, and we highlight the museum’s hidden treasures: the first known female of Bedosiallo moengus (Schaus, 1928) and a new species, Gonogramma faguai nov. sp.
Problematics of law enforcement of union busting criminal action in gorontalo province
Authors: Rais Suardi
Published: July 2021

Although freedom of association has been more than a decade old, workers in Indonesia still face enormous challenges in exercising their collective rights. this is inseparable from the problem of law enforcement against anti-union / labor crime. This study aims to explain and analyze how the form of legal protection of trade unions in Law No. 21 of 2000 concerning Trade Unions / Trade Unions and what are the barriers to law enforcement in the imposition of criminal sanctions against union busting perpetrators in Gorontal Province. The method used in this study is a merger between normative research and empirical research methods. The results of this study indicate that the form of protection and law enforcement against violations or criminal acts against the union that occurred especially in the Province of Gorntalo is still very weak, there has been no decisive action from all law enforcement. The workings of the law are inseparable from the law enforcers themselves, law enforcement against criminal acts of the Anti Trade union basically still encounters several obstacles among which are understanding concepts among law enforcers of Law No.21 of 2000 concerning Trade Unions / Labor Unions and lack of coordination among PPNS Employment investigators and Police Investigators.
Effectiveness to the reversal of the burden proof system in handling corruption case
Authors: Mursanto Deddy , Karim La Ode Muhammad , Mashendra Mashendra
Published: July 2021

Corruption is an act that can harm State finances and cause losses to the people's economy. This study aims to determine the arrangement of the burden of proof reversals system of corruption according to the applicable provisions and the proper regulation in implementing the system of reversing the burden of proof to be done optimally. This study uses a normative juridical research methodology with a statute approach. This research's data analysis method is descriptive qualitative by describing the problems and facts in writing from the literature. The study indicates that the burden of proof reversal system concerning the Eradication of Corruption Crimes contained in Law no. 20 of 2001 is limited only to the offense of gratification regulated in Article 12 B paragraph (1) letter a. The withdrawal presumption proof can also be extended to the defendant's property, which is claimed to be connected to the accused's case (Article 37 A) and the property of the defendant (who has not been charged) which is not accused of corruption as a result of a criminal act (Article 38 B). Reversal of the burden of proof in the law of corruption is a reversal of the burden of proof impartial public prosecutor and the defendant alike must prove but / the same element proved different.
The effectiveness of the implementation of diversion on children who conflict with the law at the level of the state court in gorontalo province
Authors: Lampatta Muhammad Rizal , Sulaiman Herlina
Published: July 2021

Diversion is a step or legal remedy aimed specifically at children who are in conflict with the law. As perpetrators of criminal acts, children need to be treated differently from adults. This is due to the psychological condition of children who are considered unable to accept criminal sanctions. Even children who have committed criminal acts, Act No. 11 of 2012 on the Criminal Justice System Children continue to provide collateral in the form of diversion efforts so that children avoid criminal prosecution. Diversion is carried out at the police, attorney and court levels. Not all cases of child offenders who enter the PN level can be diversified because there are already rules in the SPPA Law, Perma No. 4 of 2014 and PP. 65 of 2015. Likewise in the implementation of diversion at the District Court level in Gorontalo Province, some were successful and some were not. This study aims to determine the effectiveness of the implementation of diversion to child offenders at court level in Gorontalo Province. As well as to find out the obstacles in the implementation of diversion against child offenders at the District Court level in Gorontalo Province.
An Analysis of The Offense of Unpleasant Action in Article 335 Paragraph (1) of The Indonesian Criminal Code
Authors: Nugraha Xavier , Raharjo Kusuma Wardani , Ardhiansyah Ahmad , Raharjo Alip Pamungkas
Published: July 2021

The Constitutional Court as the guardian of the constitution and the guardian of human rights has the duty to ensure that the Law does not contradict the constitution and does not violate human rights. One of the manifestations of this can be seen in the Constitutional Court Decision Number 1 / PUU-X / 2013, where the Constitutional Court removed the element "Some other deeds or unpleasant treatment/act" in Article 335 paragraph (1) of the Criminal Code. With the removal of the core elements of Article 335 paragraph (1) of the Criminal Code, raises questions related to the existence of the offense whether it still exists or not. Based on this, this study will examine 1) Application of Article 335 of the Criminal Code Before the Decision of the Constitutional Court Number 1 / PUU-X / 2013 and 2.) Application of Article 335 of the Criminal Code After the Decision of the Constitutional Court Number 1 / PUU-X / 2013. This research is a normative legal research with a statute approach, conceptual approach, and case approach. Based on this research, it was found that after the Constitutional Court Decision Number 1 / PUU-X / 2013 that offenses of unpleasant acts had been reconstructed into forced offenses.
The Legal Annalysis of Married Dispensation in The Perspective of Law Number 35 of 2014 Concerning Childhood Protection
Authors: Dahlan Saharuddin
Published: July 2021

The research method used in this research is Normative Empirical research, Empirical Normative research type. The purpose of this research is to know the determination of the marriage dispensation seen from the child protection law and to know the judges' considerations in determining the marriage dispensation what is seen from the child protection law The results of this study indicate that the determination of the dispensation of marriage, seen from the Child Protection Law, can be seen from two things, namely, first, the application for dispensation is in accordance with recommendations and benefits for children in applying for dispensation so that judges in deciding applications always pay attention to benefits. Second is the Factor Causing Marriage Dispensation Which, when viewed from the Child Protection Law, is the factor of children who really want to get married due to sexual misconduct and pregnancy outside of marriage and the factor of concern about religious law where religion is a reference for enjoying even underage children.
Responsiveness of Criminal Law to Skimming Crimes in The Era of Industrial Revolution 4.0 (Four Point Zero)
Authors: Suryadi Ahmad
Published: July 2021

This study aims to: 1)Analyze and understand the responsiveness of criminal law in entering the era of industrial revolution 4.0 (four point zero), 2)Enforcement of criminal law in cyber crime,  criminal acts in cyber crime, criminal responsibility of cyber crime perpetrators. This research is normative-empirical research which is basically a merger between normative legal approach with the addition of empirical elements as the implementation of normative law in its action on every legal event that occurs in society. The results of this study show that cyber crime is a special crime. Cyber Crime has the intent as a crime in the realm of computer technology and internet networks as targets. The basis of law enforcement considerations in cyber crime is based on Law No. 11 of 2008 concerning Information and Electronic Transactions in the Act as amended into Law No. 19 of 2016 on Information and Electronic Transactions (ITE) on Information and Electronic Transactions. Criminal liability for perpetrators of  cyber crime crimes always pay attention to the enactment of Law No. 11 of 2008 on Information and Electronic Transactions in as amended into Law No. 19 of 2016 on Information and Electronic Transactions (ITE) on Information and Electronic Transactions and pay attention to the methods of criminal law. In the process of law enforcement on cyber crime must always prioritize legal certainty as a form to provide protection and security in the process of transactions through the internet for the public at large.
Arquitetura Sensível ao Autista: Quais diretrizes de projeto adotar?
Authors: Neumann Helena Rodi , Miyashiro Larissa Akemi Silva , Pereira Larissa Victorino
Published: July 2021

Esta pesquisa tem como objetivo buscar diretrizes projetuais para edifícios distintos voltados ao Transtorno do Espectro Autista (TEA), que possuem transtornos sensoriais, isto é, seus sentidos não compreendem o ambiente de forma típica, gerando disfunções de comportamento e adaptação ao meio. Apresenta-se medidas espaciais para facilitar o dia-a-dia do autista. A fundamentação teórica descreve como é dada a percepção do espaço pelos seres humanos e quais as dificuldades da síndrome. Em seguida, expõe-se uma revisão bibliográfica de autores que já indicaram soluções projetuais benéficas para este público. Dois estudos de caso, então, serão analisados: Centro Integr.Aut, em Campo Grande (MS) e Centro Cultural Sensível, em São Paulo (SP). Após uma discussão sobre as diretrizes presentes nesses, toda informação é sintetizada em uma tabela, a fim de guiar arquitetos que busquem informações sobre como projetar espaços para o público autista.
Electromagnetic research in the Altai-Sayan mountain region
Authors: Babushkin Sergei , Nevedrova Nina , Seleznev Viktor , Liseikin Aleksei
Published: July 2021

A new software-measuring complex has been developed for recording non-stationary electromagnetic soundings based on mobile modules created on the basis of 24-bit ADCs, with built-in GPS receivers, with recorders located directly at the field sensors, arithmetic sampling step and recording of all signal realizations. The deep structure of the Uimon depression in Gorny Altai has been studied based on the time-domain electromagnetic sounding. Research is relevant due to the high seismic hazard of the area, and is also in demand for prospecting and exploration of predicted minerals here. To construct geoelectric models, data from several years of measurements were used, during which more than 60 soundings were performed. At this stage, the interpretation was performed using computer systems within the framework of a horizontally layered model. The interpretation results are presented in the form of sections and threedimensional visualizations, which clearly reflect the structure of the depression. Further, three-dimensional
modeling and additional measurements are planned to verify and refine the results obtained.
La educación en la Constitución Política de 1991 y algunas realidades
Authors: Forero Hernández Derly Janeth
Published: July 2021

El presente texto expone a modo general una explicación acerca de la constitucionalización del derecho educativo en Colombia, así como de algunas realidades que se están presentando respecto de la infraestructura y cobertura del servicio público a la educación.
DETERMINAN MANAJEMEN LABA PADA PERUSAHAAN PUBLIK DI BURSA EFEK INDONESIA
Authors: Pradana Fakhri Alif
Published: July 2021

Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi manajemen laba. Sampel yang digunakan adalah 12 perusahaan jasa sektor infrastruktur, utilitas, dan transportasi yang terdaftar di Bursa Efek Indonesia periode 2014-2018. Variabel independen yang digunakan adalah mekanisme GCG yang diukur dengan komisaris independen, kepemilikan institusional dan kepemilikan manajerial, leverage, free cash flow, dan ukuran perusahaan sedang variabel dependennya adalah manajemen laba. Teknik analisis yang digunakan adalah regresi data panel. Hasil menunjukkan bahwa secara parsial hanya variabel free cash flow yang berpengaruh terhadap manajemen laba. Secara bersama-sama variabel Komisaris Independen, Kepemilikan Institusional, Kepemilikan Manajerial, Ukuran Perusahaan, dan Free Cash Flow berpengaruh terhadap Manajemen Laba. Manajemen Laba perusahaan jasa sektor infrastruktur, utilitas, dan transportasi yang terdaftar di Bursa Efek Indonesia bisa dijelaskan oleh Komisaris Independen, Kepemilikan Institusional, Kepemilikan Manajerial, Leverage , Free Cash Flow, dan Ukuran Perusahaan sebesar 8,4%.
PENGARUH PENILAIAN KINERJA, KOMPENSASI DAN KEPUASAN KERJA TERHADAP KINERJA PEGAWAI (STUDI KASUS PADA DIREKTORAT JENDERAL PAJAK AREA KOTA PANGKALPINANG)
Authors: Nugraha Surya , Reniati  , Diki
Published: July 2021

Penelitian ini bertujuan untuk menganalisis pengaruh penilaian kinerja, kompensasi, dan kepuasan kerja terhadap kinerja pegawai pada Direktorat Jenderal Pajak area Kota Pangkalpinang. Desain penelitian ini menggunakan pendekatan kuantitatif. Populasi adalah pegawai Direktrorat Jenderal Pajak area Kota Pangkalpinang sejumlah 71 pegawai. Pengambilan sampel dilakukan dengan teknik purposive sampling, sehingga jumlah sampel yang diambil berjumlah 58 pegawai. Pengumpulan data dilakukan dengan menyebar kuesioner pada Bulan Februari 2021. Teknik analisis data yang digunakan adalah analisis regresi linier berganda. Hubungan keeratan antara penilaian kinerja, kompensasi, dan kepuasan kerja terhadap kinerja pegawai adalah kuat, R = 0,806 atau sebesar 80,6%. Pengaruh (R Square / R ²) penilaian kinerja, kompensasi, dan kepuasan kerja terhadap kinerja pegawai adalah sebesar 0,650 atau 65,0%. Sisanya sebesar 35,0% dipengaruhi faktor lain yang tidak diteliti dalam penelitian ini. Simpulan penelitian ini adalah (1) penilaian kinerja berpengaruh terhadap kinerja pegawai, (2) kompensasi tidak berpengaruh terhadap kinerja pegawai, dan (3) kepuasan kerja berpengaruh terhadap kinerja pegawai Direktorat Jenderal Pajak area Kota Pangkalpinang.
PENGARUH PENERAPAN ELECTRONIC DATA PROCESSING AUDIT, AUDIT CAPACITY STRESS, DAN SIKAP SKEPTISME AUDITOR TERHADAP KUALITAS AUDIT (STUDI EMPIRIS PADA KANTOR AKUNTAN PUBLIK DI PROVINSI BALI)
Authors: Suryawan I Komang Andy Pasek , Prianthara Ida Bagus Teddy
Published: July 2021

Penelitian ini memiliki tujuan untuk menguji pengaruh penerapan Electronic Data Processing (EDP) audit, audit capacity stress, dan sikap skeptisme auditor terhadap kualitas audit pada Kantor Akuntan Publik di Provinsi Bali. Sampel dalam penelitian ini adalah para auditor yang bekerja pada Kantor Akuntan Publik di Provinsi Bali. Teknik penentuan sampel menggunakan purposive sampling diperoleh sebanyak 66 auditor. Penelitian ini menggunakan sumber data primer dengan menggunakan kuesioner dimana jawaban didapat langsung dari responden. Teknik analisis data menggunakan analisis regresi linear berganda. Hasil dari penelitian menunjukkan bahwa secara parsial penerapan EDP audit berpengaruh terhadap kualitas audit, audit capacity stress tidak berpengaruh terhadap kualitas audit, dan sikap skeptisme auditor berpengaruh terhadap kualitas audit. Secara bersama – sama (simultan) penerapan EDP audit, audit capacity stress, dan sikap skeptisme auditor berpengaruh terhadap kualitas audit.
PERAN DARI STORE IMAGE DAN SERVICE QUALITY DALAM MENIMBULKAN MINAT BELI ULANG KONSUMEN PADA STUDIO PHOTO HARMONY CIANJUR
Authors: Irpansyah Muhamad Alvi , Sukoco Iwan , Muftiadi R. Anang
Published: July 2021

Penelitian ini bertujuan untuk menganalisis pengaruh dari citra merek dan kualitas pelayanan dalam meningkatkan minat beli ulang dari konsumen. Metode penelitian yang digunakan adalah deskriptif dan asosiatif, dengan pendekatan kuantitatif. Probability sampling merupakan teknik pengambilan sampling yang digunakan dalam penelitian ini. Sampel dikumpulkan dari 186 responden. Teknik analisis data yang digunakan yaitu teknik analisis regresi linier berganda serta uji hipotesis dilakukan secara parsial dan simultan. Hasil penelitian ini menunjukkan bahwa diperoleh pengaruh antara store image terhadap minat beli ulang dan pengaruh antara service quality terhadap minat beli ulang. Pengaruh secara serentak antara citra merek dan kualitas pelayananan terhadap minat beli ulang sebesar 65,6 % dan dipengaruhi oleh variabel independen lainnya atau variabel yang tidak diteliti adalah sebesar 34,4%.
The influence of internal installation solutions in single-family housing on the "EP" factor in the light of the new requirements of WT 2021
Authors: Biała Aneta
Published: July 2021

The first part of the article presents the upcoming changes in the regulations regarding energy consumption by single-family housing. Current and forthcoming requirements in 2021 for building insulation and maximum EP primary energy demand factor were indicated. The second part of the paper presents the results of research aimed at determining what type of heat source for heating purposes and the type of ventilation will be able to meet the latest requirements. The analysis was based on the determination and comparison of the EP factor in the considered single-family building for selected heating variants assuming two different types of ventilation: gravitational and mechanical supply-exhaust with heat recovery system. Based on the results obtained, an attempt was made to determine the tendency of changes in the design of single-family buildings in terms of choosing the type of heating and ventilation.
DIFFERENT REPRESENTATIONS OF HEPATIC HYDATIDS AND THEIR MANAGEMENTS
Authors: Roy Nipun , Acharyya Arindam
Published: July 2021

Introduction: Hydatid disease is a parasitic infestation by a tape worm of the kind echinococcus. The larval form of cestode, Echinococcus
granulosus, manifesting as cyst located mainly still not exclusively, in the liver (up to 80%) is the reason of disease in the mankind. Echinococcus
can involve any organ, but liver is the most common organ follow by the lungs. Our study showed the different clinical presentations of hydrated
cyst of liver, we showed the various complications and their management and the treatment options especially surgical methods.
Materials And Method: This study of 30 patients with hydrated cyst of liver included the patients admitted in the Department of General Surgery
In M.G.M Medical College and L.S,K Hospital in a period between august 2014 to September 2016. Patient of all ages and both sexes are included
in this study. Department of General Surgery in M.G.M Medical College and L.S.K Hospital, Kishanganj
Results & Analysis: Our study showed that 1 patient had Retained cyst complications, 2 patients had Biliary stula complications, 2 patients had
Post operative cholangitis complications and 2 patients had Surgical site infection. 29 patient had modality of treatment is surgery, 30 patient had
modality of treatment is Preoperative Chemotherapy and 30 patient had modality of treatment is Postoperative Chemotherapy.
Conclusion: The largest cyst was 14.5x14x11 cm. in right lobe of liver. Most common modality of treatment is surgical, with pre & post operative
chemotherapy. The scolicidal agents most commonly used are combination of 0.5 % Certied and 0.05 % of chlorhexidine (SAVLON) TM. The
chemotherapeutic agents were Albendazole in doses of 10 mg /kg. body wt. twice daily for 28 days for 3 -4 cycles with an interval of 14 days in
between the cycles. All the patients were monitored for liver dysfunctions and granulocytopenias. So, for symptomatic hydatid cyst of liver, open
surgical method is the best modality of management. And in this study out of 30 patients 29 recovered well and due to associated comorbidities 1
patient was not operated, who was managed conservatively.
STUDY OF RESULT OF FROZEN SHOULDER SYNDROME TREATED WITH INTRAARTICULAR STEROIDS
Authors: Singh Yashpal , Meena Mahaveer , ghilley Sanjay kumar
Published: July 2021

OBJECTIVE: Adhesive capsulitis or frozen shoulder is a common condition that presents with pain and progressive limitation of both active and
passive shoulder movements. In this study, we investigate the efcacy of intraarticular steroid injection in case of frozen shoulder.
Material & Methods: Study is done on 32 patients of frozen shoulder attended Orthopedic OPD at Jhalawar Medical college, Jhalawar from July
2018 to June 2019. Intra-articular injection of steroid (methyl prednisolone acetate 80 mg) given & results analyzed.
RESULTS: Patient follow up done every 2 weeks after giving Intraarticular steroid & advised to exercise of shoulder. Improvement in shoulder
pain & movement of shoulder analyzed & recorded up to 12 – 24 weeks.
CONCLUSION: Intraarticular injection for frozen shoulder is good, safe & efcient method. For better result corticosteroid injection is given in
the early stages when pain is the predominant presentation.
MECONIUM STAINED LIQOUR AND ITS IMPACT ON PERINATAL OUTCOME
Authors: Sharma Ranjana , Agarwal Manju
Published: July 2021

Background- The occurrence of meconium-stained amniotic uid (MSAF) during labor has long been considered the predictor of adverse fetal outcomes such as meconium aspiration syndrome and perinatal asphyxia, which leads to perinatal and neonatal morbidity and mortality Methods- A Prospective observational study was carried out in Smt. Hira Kunwar Ba Mahila Hospital, Jhalawar attached to Jhalawar Medical College,over one year from January 2020 to January 2021. Total 278 cases taken at random basis having following inclusion criteria Result- MSL is responsible for neonatal morbidity in 15.1% of cases. Rate of neonatal morbidity was higher in thick meconium group (24.9%) as compared to thin meconium group (6.2%) and this difference was statistically signicant. In our study birth asphyxia (5.8%) was the most common complication followed by MAS (4%), Pneumonitis (3.6%) and Sepsis (1.8%). Conclusion- Passage of meconium still remains as an enigma to the obstetrician and equally worries the paediatrician. As shown in the study, thick meconium is associated with increased operative intervention, low apgar score, increased rate of NICU admission and increased risk of neonatal morbidity and mortality as compared to thin meconium.
PREVALENCE OF PSYCHIATRIC MORBIDITIES AMONG COVID -19 PATIENTS IN A TERTIARY CARE HOSPITAL, CHENNAI, TAMIL NADU.
Authors: Roshan S Anupama , M Priyasubhashini. , Mathivanan M
Published: July 2021

Background: Due the lack of treatment options, isolation guidelines and fear about the disease, the cases with COVID 19 may experience high
psychiatric related disorders. Hence this study was conducted to assess the prevalence of psychiatric morbidities among the cases with COVID 19
in a tertiary care hospital.
Methods: Cross sectional study in the Department of Psychiatry at Government Medical College , Omandurar Government Estate, Chennai, a
tertiary care teaching hospital during the period of April 2020 to September 2020. A total of 11,704 cases with COVID-19 were included in the
study. Demographic details and psychiatry related clinical prole were assessed and entered in a proforma. Data was entered and analyzed using
Statistical Package for Social Sciences (SPSS) version 20.
Results: Overall prevalence of psychiatric morbidities among the COVID 19 cases was reported as 24.4% with signicant difference in prevalence
among males and females. Most common psychiatric illness reported was COVID related anxiety (16.5%) followed by COVID related depression
(6.6%), insomnia (0.87%), alcohol dependence syndrome (0.3%), acute stress reaction (0.03%), intellectual disability (0.03%), psychosis (0.02%)
and hemophobia (0.008%). The difference in proportion of cases with various psychiatric morbidities like insomnia, COVID related anxiety,
COVID related depression, and alcohol dependance syndrome among the male and female genders was found to be statistically signicant.
Conclusion: Almost one fourth of the COVID cases are suffering from psychiatric morbidities. It can be recommended that all the cases with
COVID can undergo screening and counseling for the psychiatric disorders.
CHALLENGES OF PATIENTS WITH PACEMAKER FOR IPSILATERAL BREAST CONSERVING SURGERY FOR CARCINOMA BREAST – A CASE SERIES
Authors: Kulkarni Anita , Pathak Soumi
Published: July 2021

Pacemakers, implanted cardiac debrillators and ventricular assisted devices are frequently used for managing heart failures and patients with
rhythm disorder. While managing such patients coming for oncosurgeries and cancer treatment, there are several issues related to equipment
characteristic whose understanding is a must for the anaesthesiologist. There is a possibility of malfunctioning of these devices, however timely
intervention can prevent catastrophic outcomes.
BILATERAL FUSION OF PRIMARY MANDIBULAR CANINE AND FIRST MOLAR: A RARE OCCURRENCE
Authors: Ghiya Komal
Published: July 2021

Objective: Fusion is a developmental anomaly of the teeth. It is dened as the union of two independently developing primary or permanent teeth.
Aberrations in morpho differentiation stage of tooth development leads to abnormal forms and sizes of teeth. This paper reports a rare case of
bilateral fusion of mandibular primary rst molar and canine. A 10 year old boy reported with the chief complaint of difculty in chewing due to
mobility of teeth in lower back teeth region. Intraoral, radiographic and histopathological examinations indicated fusion of mandibular deciduous
canine and deciduous rst molar on both sides. According to the treatment plan, the fused teeth were extracted. Fusion of teeth is caused by various
etiological factors, can be diagnosed by amalgamation of clinical, radiological and histopathological examinations and can be treated by
multidisciplinary approach. Accurate diagnosis of dental anomalies helps in prompt treatment, which in turn avoids future orthodontic
complications and better prognosis.
TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.
Authors: Chaudhary Ayeshwarya , Deshmukh Aashish , Bavaskar Manasi , Bhoye Mehul , Shinde Rajwardhan
Published: July 2021

Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open
reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and
compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures.
Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to
two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters
assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque
accumulation.
Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws.
Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred
during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant
difference between the two groups; higher in the arch bar group.
Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich
arch bars for temporary intermaxillary xation in mandibular fractures.
EFFICACY AND SAFETY OF URSLAND MINI-PCNL FOR TREATMENT OF IMPACTED LARGE UPPER URETERAL CALCULI: A PROSPECTIVE STUDY.
Authors: Singh N. Jitendra , Singh Kh. Ibomcha , Sholay Meitei Kangjam
Published: July 2021

Background: For the management of large impacted upper ureteral calculi, the available minimally invasive endourologic methods are minipercutaneous nephrolithotomy (Mini-PCNL), ureteroscopic lithotripsy (URSL), and laparoscopic ureterolithotomy. This study aimed to compare
Mini-PCNLand URSL, and to evaluate the better choice for large impacted upper ureteral calculi.
Methods: Between January 2017 and December 2020, at the Urology Unit, Department of Surgery, Jawaharlal Nehru Institute of Medical
Sciences (JNIMS), Porompat, Imphal, 40 patients with large impacted upper ureteral calculi (>15 mm) who were consecutively enrolled were
included. The patients were randomly divided (1:1) into Mini-PCNL and URSL groups. The primary endpoint was the success of stone removal
measured 1 month postoperatively and the secondary endpoints were intraoperative and postoperative parameters and complications.
Results: Eight patients after URSLand 2 patients after Mini-PCNLneeded auxiliary ESWLtreatment. The stone clearance rate in the Mini-PCNL
group was 95 % (19/20) and 75 % (15/20) in the URSL group. Operation-related complications were similar among the two groups (all p > 0.05).
Hospital stay was shorter in the URSL group compared with Mini-PCNL (p < 0.001). However, the mean operative duration was shorter in the
URSLgroup compared to the Mini-PCNLgroup (p < 0.001).
Conclusions: Mini-PCNL and URSL are suitable treatment options for impacted upper ureteral calculus with a diameter of >15 mm. Though the
success rate and stone clearance rate are lower but acceptable, URSL could be considered if the patient is not suitable for general anesthesia and
with other comorbidities, or if it is the patient's preferred treatment option
Empirical Mode Decomposition (EMD) for Platform Motion Compensation in Remote Life Sensing Radar
Authors: Islam Shekh Md Mahmudul
Published: July 2021

Radar sensing of respiratory motion from unmanned aerial
vehicles (UAVs) offers great promise for remote life sensing especially in
post-disaster search and rescue applications. One major challenge for this
technology is the management of motion artifacts from the moving UAV platform.
Prior research has focused on using an adaptive filtering approach which
requires installing a secondary radar module for capturing platform motion as a
noise reference. This paper investigates the potential of the empirical mode
decomposition (EMD) technique for the compensation of platform motion artifacts
using only primary radar measurements. Experimental results demonstrated that
the proposed EMD approach can extract the fundamental frequency of the
breathing motion from the combined breathing and platform motion using only one
radar, with an accuracy above 87%.
Hubungan Faktor Fisik, Penyakit Komorbid, dan Faktor Psikis Terhadap Kualitas Hidup Lansia dengan Osteoartritis
Authors: Rasyidin Nur Laelatul , Julianti Hari Peni , Ngestiningsih Dwi , Purwoko Yosef
Published: July 2021

ABSTRAK

 

LATAR BELAKANG: Osteoartritis merupakan penyebab disabilitas keempat di dunia pada tahun 2020. Pembatasan aktifitas fisik yang terjadi pada lansia dengan osteoartritis dapat mempengaruhi aspek sosial-ekonomi lansia sehingga menyebabkan penurunan health-related quality of  life (HRQoL). Selain osteoartritis studi terbaru menunjukkan adanya hubungan antara riwayat hipertensi, diabetes, dan dukungan keluarga terhadap kualitas hidup lansia.

TUJUAN: Menganalisis hubungan faktor fisik,  penyakit komorbid, dan faktor psikis terhadap kualitas hidup lansia dengan osteoartritis lutut.

METODE: Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross sectional. Sampel adalah penderita OA lutut yang menjalani terapi di Rumah Sakit William Booth Semarang dan Rumah Sakit Nasional Diponegoro yang memenuhi kriteria inklusi penelitian. Subjek penelitian sebanyak 61 responden dipilih melalui consecutive sampling. Uji analisis dilakukan dengan metode Chi-square dan regresi logistik dengan nilai p dianggap bermakna apabila p<0.05. Instrumen yang digunakan pada penelitian ini adalah kuesioner karaktersitik demografi, VAS, family APGAR, dan OPQOL-35.

HASIL: Terdapat hubungan yang signifikan pada penilaian tingkat nyeri dan fungsi keluarga terhadap kualitas hidup lansia dengan OA lutut (p=0.003 dan p=0,042). Penilaian faktor fisik lainnya yang terdiri atas jenis kelamin (p=0.637), lama sakit (p=0.2), dan derajat radiologi (p=0.532) serta faktor komorbid yang terdiri atas hipertensi (p=0.37) dan diabetes (p=0.663) menujukkan hubungan yang yang tidak signifikan terhadap kualitas hidup lansia dengan OA lutut. Faktor dominan yang memengaruhi kualitas hidup lansia dengan OA lutut adalah tingkat nyeri (p=0.022) dengan nilai OR= 14.1.

SIMPULAN: Faktor yang memengaruhi kualitas hidup lansia dengan OA lutut adalah tingkat nyeri dan fungsi keluarga.

 

Kunci: OA lutut, Kualitas Hidup, Lansia
Perbedaan Skor OSDI Pre dan Post Senam "PERMATA-KU" pada Computer Vision Syndrome
Authors: Uyun Fuadah , Rahmi Fifin Luthfia , Saubig Arnila Novitasari , Julianti Hari Peni
Published: July 2021

ABSTRAK

Latar Belakang: Computer Vision Syndrome (CVS) merupakan kumpulan masalah pada mata dan penglihatan akibat dari penggunaan komputer, telepon seluler, tablet, dan e-reader yang berkepanjangan. Dry eye (mata kering) merupakan salah satu gejala yang biasa muncul pada CVS. Pada penelitian ini dilakukan senam ‘PERMATA-KU’ (Pelihara Mata–Kendorkan Bahu) sebagai senam tambahan untuk mengurangi gejala dry eye pada CVS.

Tujuan: Membuktikan adanya perbaikan skor OSDI (Ocular Surface Disease Index)  sebelum dan setelah senam “PERMATA-KU” pada CVS.

Metode: Jenis penelitian adalah penelitian ekperimen kuasi dengan Pre-Post with Control Design. Subjek penelitian adalah mahasiswa Fakultas Kedokteran UNDIP yang mengalami CVS dan memenuhi kriteria inklusi dan eksklusi yang  dikelompokkan menjadi kelompok perlakuan dan kelompok kontrol secara acak. Kelompok perlakuan diberikan intervensi edukasi ergonomis penggunaan komputer dan senam PERMATA-KU selama 14 hari. Kelompok kontrol diberikan intervensi edukasi ergonomis penggunaan komputer. Skor OSDI diukur sebelum dan setelah intervensi menggunakan kuesioner Ocular Surface Disease Index.

Hasil: Subjek penelitian berjumlah 32 orang dengan 16 orang pada kelompok perlakuan dan 16 orang pada kelompok kontrol. Satu orang pada kelompok kontrol dan satu orang pada kelompok perlakuan drop out karena tidak dapat menyelesaikan prosedur penelitian sehingga hanya 30 subjek penelitian yang dianalisis. Skor OSDI setelah intervensi pada kelompok perlakuan mengalami penurunan signifikan (p<0,05). Skor OSDI setelah intervensi pada kelompok perlakuan lebih baik daripada kelompok kontrol (p<0,05). Perbaikan skor OSDI pada kelompok perlakuan lebih baik dibandingkan dengan kelompok kontrol tetapi tidak signifikan (p=0,595).

Kesimpulan: Senam PERMATA-KU yang dilakukan selama 14 hari dapat memperbaiki skor OSDI pada Compter Vision Syndrome.

 

Kata Kunci: Compter Vision Syndrome (CVS), Ocular Surface Disease Index (OSDI), dry eye, Senam PERMATA-KU
Perbedaan Kadar Gula Darah Sewaktu pada Pasien Skizofrenia yang Mendapat Terapi Antipsikotik Generasi Kedua Selama kurang dari Empat Bulan dan lebih dari Empat Bulan
Authors: Rahayu Rani , Fulyani Faizah , Jusup Innawati , Fitrikasari Alifiati
Published: July 2021

ABSTRAK

 

LATAR BELAKANG : Skizofrenia merupakan gangguan mental dengan mortalitas dua sampai tiga kali lipat lebih tinggi dibandingkan populasi umum. Antispikotik generasi kedua merupakan salah satu terapi untuk skizofenia, namun memiliki efek samping gangguan metabolik yang lebih tinggi dibandingkan antipsikotik golongan pertama, seperti peningkatan kadar gula darah.

 

TUJUAN : Mengetahui perbedaan kadar gula darah sewaktu pasien skizofrenia yang mendapatkan terapi antipsikotik generasi kedua selama kurang dari empat bulan dan lebih dari empat bulan.

 

METODE : Penelitian ini merupakan penelitian observasional analitik dengan desain potong lintang. Sampel adalah data rekam medis 67 pasien skizofrenia di RSJD Amino Gondohutomo Semarang yang memenuhi kriteria inklusi. Subjek dibagi menjadi dua kelompok yaitu yang mendapatkan terapi kurang dari 4 bulan dan yang mendapatkan terapi selama lebih dari 4 bulan. Uji statistik menggunakan uji Mann Whitney untuk mengetahui perbedaan antara kedua kelompok.

HASIL :  Kadar gula darah sewaktu pada kelompok yang mendapat terapi antipsikotik generasi kedua selama kurang dari empat bulan lebih rendah (116 mg/dl) dibandingkan dengan yang mendapatkan terapi lebih dari  empat bulan  (118 mg/dl). Meskipun demikian, perbedaan tersebut tidak bermakna secara statistik (p>0.05).

 

KESIMPULAN : Tidak terdapat perbedaan kadar gula darah sewaktu pada pasien skizofrenia yang mendapatkan terapi antipsikotik generasi kedua kurang dari empat bulan dan lebih dari empat bulan.

 

Kata Kunci    : skizofrenia, antipsikotik, gula darah sewaktu
POLA PEMBERIAN ANTIBIOTIK DI ERA PANDEMI COVID-19 (STUDI KASUS DI RUMAH SAKIT NASIONAL DIPONEGORO)
Authors: Putra Dominikus Evano , Pramudo Setyo Gundi , Arkhaesi Nahwa , Retnoningrum Dwi
Published: July 2021

Latar Belakang: Penggunaan antibiotik yang tidak tepat dapat meningkatkan kejadian resistensi antibiotik yang pada akhirnya meningkatkan morbiditas, mortalitas, dan biaya kesehatan. WHO telah merekomendasikan untuk dilakukan kajian rasionalitas penggunaan antibiotik dalam rangka mengatasi masalah resistensi antibiotik.

Tujuan: Menganalisis kualitas dan kuantitas penggunaan antibiotik di instalasi rawat inap Rumah Sakit Nasional Diponegoro (RSND).

Metode: Penilaian kualitas dan kuantitas penggunaan antibiotik dilakukan berdasarkan DDD/100 pasien–hari dan kriteria van der Meer–Gyssens. Penelitian dilakukan secara retrospektif pada 86 rekam medis pasien yang didapatkan dengan metode consecutive sampling.

Hasil: Terdapat 141 peresepan antibiotik dalam 86 rekam medis. Azithromycin, levofloxacin, dan ceftriaxone merupakan antibiotik terbanyak yang digunakan dengan nilai DDD/100 pasien–hari 48,12; 44,01; dan 21,13. Berdasarkan kriteria Gyssens, 35,4% penggunaan antibiotik dengan bijak, 51,1% penggunaan antibiotik dengan tidak bijak, dan 13,5% tidak ada indikasi penggunaan antibiotik. Berdasarkan tipe terapi didapatkan ADE 89,4% dan ADET 10,6%.

Kesimpulan: Secara kuantitas, antibiotik yang paling banyak digunakan adalah azithromycin. Secara kualitas, 35,4% antibiotik digunakan dengan bijak berdasarkan kriteria Gyssens.

 

Kata kunci: DDD/100 pasien-hari; kriteria Gyssens; penggunaan antibiotik; penyakit dalam
Full Text Volume 8 Nomor 2 Juli 2021
Authors: Hospital Kariadi General
Published: July 2021

Full Text Volume 8 Nomor 2 Juli 2021
Perencanaan Rumah Susun pada Masa Pandemic Covid-19 dengan Meningkatkan Fasilitas dan Pola Aktifitas Masyarakat Rumah Susun
Authors: Napitupulu Daniel
Published: July 2021

Covid-19 membuat semua kegiatan aktifitas, pola hidup dan ekonomi bahkan perancangan dalam pembangunan mengalami perubahan yang sangat drastis. Pada saat seperti ini hal yang paling ditakuti adalah tidak diterapkannya protokol kesehatan dalam perancangan bangunan, terutama pada perancangan dan perencanaan rumah susun yang berkaitan erat dengan kebiasaan pola hidup masyarakat yang secara berkelompok dalam satu bangunan. Dalam pembangunan sangat diperlukannya survey terhadap lapangan dan mencari data literatur terkait hal-hal yang akan direncanakan, di dalam artikel ini akan membahas tentang solusi desain fasilitas perencanaan pada rumah susun dengan perubahan pola hidup masyarakat rusun tersebut. Melalui sistem perencanaan rumah susun terkait dampak Covid-19 sangat membantu dalam meminimalisir hal hal yang tidak diinginkan untuk terjadi, dalam perencanaan ini juga Sangat membantu dalam sirkulasi kesehatan rumah susun dengan fasilitas yang lengkap dan siap untuk menghadapi masa pandemik yang menyerang.
Internet of Things (IoT) pada Sistem Monitoring Kualitas Air dan Nutrisi pada Tanaman Hidroponik
Authors: Irawati Irawati , Irmawati Diar , Arya Permana M. Ganda , Riziq Amri Mohamad
Published: July 2021

Penduduk semakin bertambah setiap tahun. Hal ini berdampak pada pengurangan lahan pertanian untuk membudidayakan tanaman. Penelitian ini bertujuan untuk memadukan sebuah konsep yang bertujuan untuk memperluas manfaat dari konektivitas internet yang tersambung secara terus-menerus. Berdasarkan jangka panjang, penyempitan lahan pertanian akan berdampak pada kelangkaan hydroponic NFT (Nutrient Film Technique) merupakan model budidaya dengan meletakkan akar tanaman pada lapisan air yang dangkal. Air tersebut tersikulasi dan mengandung nutrisi sesuai kebutuhan tanaman. Penelitian ini memadukan tanaman hidroponik dengan bantuan teknologi Internet of Things (IoT) menggunakan teknik penanaman hidroponik. Perakaran dapat berkembang di dalam larutan nutrisi,karena di sekitar perakaran terdapat selapis larutan nutrisi maka sistem dikenal dengan nama NFT. Kelebihan air akan mengurangi jumlah oksigen dan nutrisi yang terlarut. Penggunaan alat ukur manual yang sebenarnya menyita waktu jika si pemilik sedang sibuk. Berdasarkan latar belakang tersebut penulis mendapat ide untuk membuat suatu sistem monitoring kualitas air dan nutrisi pada tanaman hidroponik yang dapat diakses melalui mobile phone.
Cognitive rehabilitation effectiveness for severe to moderate traumatic brain injury: case series
Authors: Hamami Ahlam Ibrahim
Published: July 2021

Objective: This case series study aimed to investigate the effectiveness of a holistic approach of a computer-assisted and traditional neuropsychological rehabilitation program in improving some cognitive functions in patients who sustained a traumatic brain injury (TBI).

Methods: The case series study followed a single-case design, with an A-B-A-B design and was conducted in the rehabilitation center at King Fahad Medical City-Saudi Arabia between Aug 2015 and March 2016. Participants comprised 5 males with moderate-to-severe TBI and persistent cognitive impairments. The computerized model included known software programs for cognitive rehabilitation to improve this rehabilitation process. The program period was six weeks for each case, all focusing on executive functions, memory, and attention.

Results: three out of the five cases improved remarkably in their attentional, executive, and related memory functions; with one showing moderate improvement and the five-case showing little improvement.

Conclusion: The holistic approach of the neuropsychological rehabilitation program is effective for some TBI cases in improving their cognitive and psychosocial functioning, alongside vocational outcomes, as reported in the follow-up interviews of the patients and their families. More research is required to contribute to the current literature and for the study's findings to be further analyzed for these interventions.