bluuebunny/crossref_metadata_2025 huggingface dataset:
Health-Care Personnel's Perspective on COVID-19 Vaccination – A Cross-Sectional Study
Authors: George Neethu , Shagirunisha Rizvana Abdul Malik , Vignesh Kumar Nawin Jai , Britto Rock
Published: June 2021

Introduction:

The COVID pandemic was a modern world disaster which had physical, psychological, and economical impact among the people. This made the governing agencies and others to rollout vaccine in a prompt basis. The objectives were to assess the attitude of health-care personnel toward COVID-19 vaccination using online survey and to assess the willingness of COVID-19 vaccination and factors affecting it among health-care personnel.

Materials and Methods:

We conducted a cross-sectional study using web-based platforms among 471 health-care personnel's within a period of a month (December 2020–January 2021). The study was conducted after obtaining institution ethic committee approval and informed consent. The questionnaire contains sociodemographic detail, COVID profile section, and questions which reveal the beliefs and attitude toward vaccination particularly COVID-19. The data collected was entered in Microsoft Excel and analyzed using SPSS version 16 software.

Results:

Among the participants, 56 (11.9%) were diagnosed with COVID-19 and 119 (25.3%) were not willing to take vaccine. Participants who were hesitant about the role of vaccine in immunity, afraid of side effects, doubtful about effectiveness and protection and who doubt about the production involving cost and supply have showed unwillingness to vaccination (P < 0.05).

Conclusion:

A quarter of the present study population showed unwillingness to take COVID vaccine, and evidence of uncertainty about the vaccine safety and production was exposed in the study. The results should be looked upon gravely as the issues appeared here can be maximized when the vaccine rollout happens in public.
A Cross-Sectional Study on Physical Activity, Sedentary Behavior, and Sleep among Under-Five Children in Slum Areas of Burdwan Municipality, West Bengal
Authors: Goswami Prosun , Chakraborty Amitava , Das Dilip Kumar , Ray Soumalya
Published: June 2021

Introduction:

Less time in physical activity, increase in sedentary time, and screen time have various negative health consequences and are a matter of concern for childhood health now-a-days. The study was to find out the prevalence of adequate physical activity and sleep, the status of sedentary behaviour and screen time among under-five children residing in the slum areas of Burdwan Municipality and their association with selected demographic and socioeconomic characteristics of study participants.

Materials and Methods:

This cross-sectional study was done among 180 under-five children residing in slums of Burdwan Municipality in Purba Bardhaman District of West Bengal, India, during January to March 2020. A predesigned, pretested schedule was used to collect necessary information on physical activity, sedentary, and sleep behavior of under-five children following the recent guideline by the World Health Organization. Ethical approval was obtained from the Institutional Ethics Committee of Burdwan Medical College and Hospital. Data were analyzed using the Statistical Package for the Social Sciences (SPSS), software version 20.

Results:

Overall 69.4%, 70%, and 63.3% of the children were physically active, restrained themselves in enjoying their sedentary life and screen viewing within recommended timeframe, respectively. 84.4% children had adequate sleep time with nap. Logistic regression revealed that the absence of siblings was associated with inadequate physical activity (adjusted odds ratios [AOR] =3.82 [1.88, 7.77]) and more than recommended sedentary lifestyle (AOR = 5.01 [2.45, 10.26]) while more than recommended screen viewing was associated with age (AOR = 4.84 [2.34, 10.00]) and house condition (AOR = 6.54 [2.32, 18.42]).

Conclusions:

This study put emphasis on the requirement of focussed intervention on increasing physical activity and reduction in screen-based engagement among under-five.
Maternal and Neonatal Risk Factors for Neonatal Jaundice and Readmission – An Indian Perspective
Authors: Kaur Navjot , Dhillon Gurpreet Kaur , Sasidharan Shibu , Dhillon Harpreet Singh
Published: June 2021

Introduction:

Neonatal hyperbilirubinemia is a common neonatal ailment and is mostly benign except in few cases where it might progress to kernicterus. Neonatal jaundice is preventable and treatable if detected in time, and therefore, it is crucial to identify risk factors for developing severe hyperbilirubinemia.

Materials and Methods:

A prospective observational study was conducted with the aim to examine the risk factors for significant jaundice and also for readmission to the hospital.

Results:

A total of 1159 neonates were enrolled, of which 11.2% (n = 134) developed significant neonatal jaundice prior to discharge and 2.1% (n = 25) were readmitted with significant jaundice. The maternal risk factors for significant jaundice were primigravida with age range between 23 and 27 years, "O" blood group, conception by in vitro fertilization and embryo transfer (IVF-ET), antenatal oxytocin use, and lower segment cesarean section delivery. The neonatal risk factors for significant jaundice were late preterm male neonates born with birth weight between 2 and 2.5 kg and delayed cord clamping (DCC). The maternal risk factors for readmisssion jaundice were young primigravida with "O" blood group hailing from North India with antenatal use of oxytocin and gestational diabetes mellitus. The neonatal risk factors for readmission jaundice were low birth weight, DCC, twin pregnancies, neonates discharged between 48 and 72 h after birth.

Conclusion:

The statistically significant factors (P < 0.05) associated with an increased risk of developing significant hyperbilirubinemia requiring readmission included low birth weight, gestational age 35–36 weeks and 6 days, DCC, and IVF-ET conception.
Association of Estrogen and Progesterone Receptors with Clinicopathological Prognostic Factors in Breast Cancer
Authors: Abdul-Kareem Ali Abdul Hadi , Mahdi Qahtan A.
Published: June 2021

Background:

The detection of the estrogen receptor (ER) and progesterone receptor (PgR) in women with breast cancer (BC) is considered a crucial step for prognostic evaluation and treatment choice in clinical practice.

Objectives:

This study aimed to evaluate the expression of the hormonal receptors (ER and PgR), their distribution, and their association with clinicopathologic prognostic parameters in a sample of Iraqi women with BC.

Materials and Methods:

The paraffin-embedded blocks from a total of 80 women diagnosed with primary invasive breast carcinomas with BC were examined by immunohistochemistry to assess the expression of ER and PgR status. Demographic and clinical data were collected from each patient in the preformed questionnaire. The association of steroid receptor expression with clinicopathologic parameters was assessed using binary logistic regression.

Results:

Among 80 BC women involved in the study, 54 (67.5%) and 39 (48.75%) had high expression of ER and PgR, respectively. High ER expression was significantly associated with older age (odds ratio [OR] = 4.8, 95% confidence interval [CI] = 1.16-19.81, P = 0.03), postmenopausal status (OR = 3.6, 95% CI = 1.25–10.33, P = 0.015), smaller tumor (OR = 0.27, 95% CI = 0.09–0.75, P = 0.01), and with noninvolvement of lymph node (OR = 0.11, 95% CI = 0.02–0.51, P = 0.005). High PgR expression, on the other hand, was significantly associated with older age (OR = 4.44, 95% CI = 1.02–19.39) and postmenopausal status (OR = 3.13, 95% CI = 1.24–7.88, P = 0.016). Concomitant overexpression of both receptors was significantly associated with postmenopausal status and noninvolvement of lymph nodes.

Conclusion:

High expression of ER and PgR seems to be a good prognostic indicator because it was associated with less aggressive tumors.
Results of Flexible Nails for Fixation of Tibial Diaphysis Fractures in Children
Authors: Mohammed Mariwan Saleem , Yousif Othman Sami , Barawi Omer Ali Rafiq
Published: June 2021

Background:

Fracture tibia is one of the most common fractures in the pediatric age group. It accounts about 15% of cases. In majority of cases, close reduction and plaster application is the mainstay of treatment.

Objectives:

The objective was to assess the outcome of flexible nails in the treatment of tibial diaphysis fractures in children and to evaluate the results regarding the union rate and complications including limb length discrepancy, angular deformities, and pain.

Materials and Methods:

This prospective descriptive case–control study which included 30 children with 30 unilateral tibial diaphysis fractures in which the physis were open, all were closed, and open (type 1 and type 2) fractures, and with displaced transverse, short oblique, and spiral fractures, in which the trial of close reduction was failed. All patients are admitted and operated at West Erbil Emergency Hospital. Alignment of fractures, any infection, delayed union, nonunion, limb length discrepancy, motion of knee joint, time of complete union, and skin irritation were assessed with minimum follow-up period of 6 months.

Results:

In the current study, the complete union was achieved in 9–11 weeks in 20 (66.7%) patients, while in 6 (20%) patients, achieved in 12 weeks, and in 4 (13.3) patients, achieved in 13–16 weeks that were regarded as a delayed union. In 6 (20%) patients, there were nail protrusion and skin irritation, no shortening more than 0.5 cm was recorded, shortening <0.5 cm recorded in 12 (40%) patients, and no lengthening was recorded. In 3 (10%) patients, the angulations in coronal and sagittal views were 5°–10°. There was no case of nonunion.

Conclusion:

Elastic nails are an effective way for the treatment of the pediatric tibial diaphysis fractures. It is a simple and easy method but with radiation risk, although elastic nails have complications, all are avoidable and minor that will be managed with minimal intervention.
Primary Sinonasal Non-Hodgkin's Lymphoma
Authors: Swain Santosh Kumar , Panda Soumya Surath
Published: June 2021

Background:

Primary sinonasal non-Hodgkin's lymphomas (NHLs) are uncommon malignancies. The lack of specific clinical presentations often causes delayed visit to the clinician and so diagnosis is done in late with advanced stage.

Objective:

The objective of the study was to study the primary sinonasal NHL with respect to clinical presentations, management, and outcome.

Materials and Methods:

This is a retrospective study conducted in a tertiary care teaching hospital from March 2010 to April 2020. The clinical data of the patients of primary sinonasal NHL were evaluated with respect to the age, sex, clinical presentations, staging, diagnosis, treatment, and outcome.

Results:

The mean age of the participants was 62.45 years with male-to-female ratio of 1.5:1. All the cases of sinonasal NHL involved with paranasal sinuses and nasal cavity. Nasal obstruction was the most common symptom. All were diagnosed with large B-cell lymphoma and treated with combined chemotherapy and radiation. Five patients were died during follow-up period.

Conclusion:

Primary sinonasal NHLs are extremely uncommon clinical entity. The diagnosis is based on the histological examination with immunohistochemical study. Early diagnosis and prompt treatment with chemo-regimen and radiotherapy are essential to achieve an optimum outcome. Early diagnosis and treatment improves the treatment outcome.
Nonadherence to Guideline-Directed Anticoagulations in Atrial Fibrillation in Iraq
Authors: Mohammad Ameen M. , Nerway Delshad A. Ramadhan
Published: June 2021

Background:

Anticoagulations remain an essential step to minimize the mortality and morbidity associated with thromboembolic phenomena in atrial fibrillation (AF). Nevertheless, the adherence to OAC stands for (Oral Anticoagulant) throughout the paper is not universal among the different populations. In Iraq, there are no data about adherence to (OAC) in patients with AF.

Objectives:

This study aimed to assess the adherence to oral anticoagulants (OAC) based on the American College of Cardiology/American Heart Association performance measures in eligible patients with a CHA2DS2-VASc ≥2 in patients with AF in Duhok, Iraq.

Materials and Methods:

A total of 132 patients who were diagnosed with AF were consecutively reviewed during 2018–2019 in Azadi Teaching Hospital, Duhok, Kurdistan Region, Iraq. For eligibility of taking an OAC, the VAS score derived from CHA2DS2-VASc for all patients was calculated.

Results:

The mean age of the patients was 65.29 (standard deviation [SD]: 17.18 years). The average duration of AF was (2.0) years. The mean of VAS score was 2.97 (SD: 1.75, ranged between 0 and 8.0). 78.0% of all patients were eligible for OAC at admission. Only 15.9% of the patients were on OAC. In the logistic regression analysis, none of the patient's characteristics predict significantly the nonadherence to OAC.

Conclusion:

The present study showed that a high percentage of AF patients were eligible for OAC. However, only a small percentage of them were receiving OAC at admission in our area.
Relationship between the ABO Blood Group and Lung Cancer Susceptibility
Authors: Hussein Zahir Salih
Published: June 2021

Background:

Lung cancer (LC) is one of the well-known fatal malignant neoplasms worldwide.

Objective:

The objective of this study was to determine the potential relationship between ABO and Rhesus blood groups with LC.

Materials and Methods:

A retrospective case series study was done on 500 patients diagnosed with LC using hospital case reports of both Nanakali Hospital and Rizgary Teaching Hospital and 182,408 healthy blood donors in Erbil city of Iraqi Kurdistan Region.

Results:

Blood groups of 500 LC patients were as follows: blood group A, 156 (31.2%); blood group B, 111 (22.2%); blood group O, 196 (39.2%); and blood group AB, 37 (7.4%), whereas blood groups of healthy donors were as follows: blood group A, 56,546 (31%); blood group B, 43,413 (23.8%); blood group O, 68,221 (37.4%); and blood group AB, 14,228 (7.8%). The difference was statistically not significant by Pearson's Chi-square (P = 0.909). Rh of patients was as follows: Rh negative in 42 patients (8.4%) and Rh positive in 458 patients (91.6%), whereas Rh of healthy donors was as follows: Rh negative in 18,241 patients (10%) and Rh positive in 164,167 patients (90%). The difference was statistically not significant by Pearson's Chi-square (P = 0.381).

Conclusion:

According to the results of the study, we found that there was no statistically significant relationship between ABO-Rhesus blood groups' LC susceptibility in general and also between different histopathological types.
Parents' Knowledge and Attitudes toward Seasonal Childhood Influenza Vaccination for Children Aged Below 5 Years in Hilla City/Iraq
Authors: Hameed Huda Ghazi , Jubair Ruaa Sabah
Published: June 2021

Background:

Seasonal influenza is an acute, highly infectious viral infection. Immunization of the children can protect not only the children but also the community from seasonal influenza. Parents' knowledge and attitudes can play an important role in the immunization coverage.

Objectives:

To assess parents' knowledge and attitudes toward childhood seasonal influenza vaccination for children aged below 5 years in Hilla governorate and to determine the relationship between them and socioeconomic status.

Materials and Methods:

A cross-sectional study was done on 288 parents who visited a six randomly selected primary health care centers in Hilla city and who had children aged between (6 and 59) months. Data were collected from May 1, 2018, to August 4, 2018, by interviewing parents using a questionnaire form after taking their consent, including a full assessment of parents' attitude and knowledge toward seasonal childhood influenza vaccination.

Results:

The results showed that 92.7% (n = 260) of the participants had moderate and good knowledge about seasonal childhood influenza vaccination with significant association with mother's education, age, and family income and 88.9% (n = 256) of them had a positive attitude toward the vaccine which was significantly associated with the family residence, the coverage rate of the seasonal childhood influenza vaccine was 30.6%.

Conclusions:

The majority of participants had good and moderate knowledge and a positive attitude toward seasonal childhood influenza vaccination. Higher knowledge level was reported in mothers of younger age. A very low percentage of illiterate mothers had good knowledge. The majority of parents with good knowledge had low family income.
“Primary Care Physicians” Perspective on Placebos in Clinical Practice
Authors: Karim Syed Irfan
Published: June 2021

Background:

Global patterns in the clinical use of placebos differ due to physicians' conceptual differences, culture, region, and setting. This study aimed to evaluate the attitudes, beliefs, and prescribing habits of primary care physicians toward the use of placebos.

Methods:

This was a cross-sectional study. An anonymous web-based survey questionnaire was used to collect the information of primary care physicians (2017–2018). Descriptive statistics and frequency distributions were calculated using the Chi-square and Fisher's exact tests.

Results:

The mean age of the participants was 41.3 ± 12 years. Male physicians (67%) outnumbered their female counterparts. There were 87/108 (80.5%) physicians who responded. Minority of the physicians (21%, n = 18) had used a placebo in clinical practice, and only 25% indicated placebo prescription to be ethically acceptable. The most common reasons for placebo use were to satisfy a complaining patient (27.6%), calm the patient (23%), and as a supplemental treatment to other medicines (20.7%). A significant association was found between the age (P = 0.03) and years of experience (P = 0.01) with the placebo prescribing practice. Majority (43.8 %) of non-Saudis compared to 15.5% of Saudi respondents reported using placebos (P = 0.01, odds ratio = 6.35). Majority (75%) of the respondents believed that placebos can be used in clinical practice without giving prior information to the patient.

Conclusion:

Minority of the physicians used placebos in clinical practice. Clinical experience and cross border variation were seen among physicians in placebo prescribing practices. Physicians used placebos primarily for psychological benefit.
Variceal Banding
Authors: Emegoakor Chiemelu D. , Chukwurah S. N. , Nzeako H. C.
Published: June 2021

Esophageal varices can present with life-threatening hemorrhage and can be managed by surgery or medically. Banding is an endoscopic treatment for variceal bleeding and is a known management option for variceal bleeding but is not widely available in Nigeria due to lack of expertise and equipment. Previously, patients relied on medical management and surgery for treatment; however, these were not effective as mortality rates were high. Few centers in the country are known to offer this procedure to their patients and none has been reported in Southeast Nigeria, hence the justification for reporting our experience managing two cases of bleeding esophageal varices. We report two cases of variceal bleeding on the background of decompensated liver cirrhosis of alcohol and viral etiology, respectively. The first patient was on propranolol, but it was not effective in preventing variceal bleeding. The second patient was not on prophylaxis. Both the patients had variceal banding in NAUTH, Nnewi, and no complications were reported. Variceal banding is a safe procedure and is an effective measure in control of bleeding varices.
A Review of the Sociodemographic Characteristics of Children Immunized with the Rotavirus Vaccine in Adonai Hospital, Karu Local Government Area, Nasarawa State, North-Central Nigeria
Authors: Obute Godwin Adakole , David Esther , Kanmodi Kehinde Kazeem
Published: June 2021

Introduction:

There is a dearth of literature on existing rotavirus immunization services offered in Nigeria; with only very little information has been documented about it. This study aims to conduct a clinical audit of all children immunized with rotavirus vaccine in Adonai Hospital, Karu Local Government Area, Nasarawa State, north-central Nigeria.

Materials and Methods:

This study was a hospital-based study which adopted a retrospective study design. The population included in this study was children who had received rotavirus vaccine at Adonai Hospital. The study instrument was a data extraction form which obtained information about the sociodemographic data and clinical data of the children registered in the child immunization register. Only the data of all children immunized with rotavirus vaccine at the facility were obtained.

Statistical Analysis Used:

Data collected were analyzed using SPSS version 20 software.

Results:

A total of 111 children had been immunized with rotavirus vaccine in the health facility, 51.4% of them were males, 20.7% were from Igbo ethnicity, 86.5% came from Christian families, and all were residing in urban areas. All the children were within the age of 6 weeks to 40 weeks as the time of rotavirus vaccination. The dropout rate for rotavirus vaccine among the immunized children was 17.1%. Only 2.7% of all the children that received the vaccine developed an adverse event following immunization (AEFI), of which all were minor AEFIs.

Conclusions:

This study recorded a low rate of AEFI among children immunized with rotavirus vaccine in Adonai Hospital. Furthermore, the observed dropout rate in our facility is relatively very low when compared with the general dropout rate observed among children receiving immunization services in Nigeria. Notwithstanding, we recommend that investigations need to be done to explore the reasons why some children have dropped out of the rotavirus vaccination program at the surveyed facility.
Ocular manifestations in acute stage Stevens-Johnson syndrome/toxic epidermal necrolysis - A retrospective study in a tertiary hospital in South India
Authors: Pradeep Thanuja Gopal , Shetti Samyakta A.
Published: June 2021

PURPOSE:

To describe the ocular manifestations in the acute stage of Stevens-Johnson syndrome/ toxic epidermal necrolysis.

MATERIALS AND METHODS:

We reviewed all the medical records of patients diagnosed with Stevens-Johnson syndrome/ toxic epidermal necrolysis and erythema multiforme between 2012 and 2019. Demographics, ophthalmic manifestations, and the treatment given systemically and locally were reviewed and analyzed.

RESULTS:

We had forty-five patients admitted to our hospital between Jan 2012 to Dec 2019 with SJS/TEN as a diagnosis. Twenty-six (57.5%) of them were females, and 19(42.2%) were males. The mean age was 27.5 years. Forty (88.9%) of our cases were diagnosed as Stevens-Johnson syndrome, and five (11.9%) as toxic epidermal necrolysis. We found antiepileptics as a triggering agent in thirteen cases (28.8%). Fever (84.4%) and mucosal lesions (86.7%) were the most common presenting symptom. We found ocular symptoms in only 22 (48.9%) patients. The treating physicians referred only thirty-one cases to the ophthalmologist, out of which 22 cases were referred within three days of admission. The most common ocular involvement was conjunctival congestion (69%). Ocular grading showed that mild grade included 42.9%, moderate grade 28.6%, and severe grade 28.6% of the cases. The ocular treatment involved medical management with lubricating drops (100%), topical steroids (58.6%), and topical antibiotics (68.9%). Five individuals with a severe grade of ocular involvement underwent amniotic membrane transplantation.

CONCLUSION:

Ocular examination and grading are essential in the acute stage of SJS/TEN. It helps the ophthalmologist recognize the sentinel findings and institute appropriate treatment in the acute stage as early as possible.
Fitness Analysis Of Water Suitability For Seaeed Cultivation Kappahycus Alvarezii In South Buton Regency, Southeast Sulawesi
Authors: Fadhli Insani Ihsan  , Hasni Y. Azis  , Ansar Amran
Published: June 2021

Seaweed cultivation in Indonesia is more focused on the production of Kappaphycus alvarezii species as a carrageenan producer. Land suitability analysis is an important stage in the preparation of spatial planning for coastal areas. This study aims to determine the appropriate location of the waters based on physical and chemical parameters using GIS. The research method is survey methods to get actual data related to seaweed cultivation activities. The spatial analysis of land suitability was carried out with a geographic information system based on the results of the x-weight score. The results of the analysis show that the spatial distribution that can be used for seaweed cultivation in the Batauga sub-district is 280 ha (very suitable) and Sampolawa 519 ha (very suitable), 838 ha (suitable), 234 ha (unsuitable).
Manufacture Glycerol Byproducts From Waste Cooking Oil Through The Transesterification Process In Various Brands Of Oil In The Indonesian Market
Authors: Suryani Monica
Published: June 2021

Abstract.

 

Waste cooking oil is oil that has been used repeatedly, up to 2-4 times in the frying pan. The large number of Indonesian people who often consume waste cooking oil due to economic factors. The use of oil repeatedly reduces the nutritional value and affects the quality and value of fried food ingredients. However, this waste is very useful, it can be processed into glycerol which is useful in the cosmetic industry. The objective of this research is to prove that the glycerol byproduct of waste cooking oil with various oil brands in the Indonesian market has similar functional groups to commercial glycerol. The research was carried out experimentally by making glycerol using waste cooking oil. Glycerol is made using a transesterification process. Transesterification (alcoholic reaction) is a vegetable fat or oil that is reacted with alcohol to produce an ester and glycerol as a byproduct with the help of an alkaline catalyst. Evaluation of glycerol includes organoleptic, specific gravity, viscosity, glycerol content, ash content, moisture content, and sugar content. The results of the study using FTIR showed that the commercial glycerol wave number was 3291cm-1, brand X at 3291cm-1, and brand Y at 3267cm-1, which indicated the presence of an OH (hydroxyl) group. Commercial glycerol absorption bands at 2931 and 2877 cm-1, brand X at 2933 and 2879 cm-1, and brand Y at 2931 and 2877cm-1, indicating the presence of aliphatic (alkyl) CH groups. Based on the research results, it can be concluded that the glycerol byproduct of waste cooking oil using the Indonesian market brands X and Y has similar functional groups to commercial glycerol. However, glycerol is the byproduct of waste cooking oil brand X which has the most similarities with commercial glycerol.

 

Keyword: waste cooking oil, glycerol, transesterification, oil Indonesian market
The Analysis of Stunting Incidence Factors in Toddlers Aged 23-59 Months in the Work Area of the Padang Tiji Community Health Center, Pidie Regency, 2020
Authors: Andika Fauziah
Published: June 2021

Aceh is ranked third nationally for child stunting, behind East Nusa Tenggara (NTT) and West Sulawesi (Sulbar). Currently, he explained, the government is aggressively campaigning for the prevention and handling of stunting. This is because the prevalence of stunting for infants under five years of age (toddlers) in Indonesia in 2018 was 30.8%. Based on a report from Puskesmas Padang Tiji in 2018, there were 114 (18.4%) toddlers aged 23-59 months who experienced stunting, while in 2019 it increased to 138 (20.9%) toddlers with stunting. The purpose of this study was to analyze the incidence of stunting in children aged 23-59 months in the Padangtiji Community Health Center in 2020. This research method uses a case control approach. In the study, the control samples were toddlers who came to Posyandu who were randomly selected. The research sample was 50 cases and 50 controls, namely 1: 1. This research was conducted on December 10, 2020 to December 21, 2020. The statistical test used is the chi-square test by looking at the OR value and data analysis using univariate and bivariate analysis. The results of this study were the relationship between the incidence of stunting with exclusive breastfeeding (P = 0.016) (OR = 3.071), birth weight (P = 0.678), infectious diseases (P = 0.523) and birth spacing (P = 0.043) (OR = 2,421). The conclusion of this study is that there is a relationship between exclusive breastfeeding and birth spacing with the incidence of stunting in toddlers aged 23-59 months in the working area of Puskesmas Padang Tiji in 2020. The suggestions are expected to further improve health promotion in the form of counseling related to the causes and prevention of stunting in order to increase knowledge mothers regarding stunting and prevention related to infectious diseases in reducing morbidity that can lead to stunting.
Analysis of Mortality Factors in COVID-19 Patients; Systematic Review
Authors: Yunita Liana  , Pariyana  , Mariana
Published: June 2021

Abstract.

 

Coronavirus disease 2019 (COVID-19) is a highly contagious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. The increase in the number of COVID-19 cases is progressing quickly and has been spread between countries. As of October 14, 2020, there are 213 countries/regions around the world that have reported Covid-19 with a total of 38,002,699 confirmed cases of which 1,083,234 died. The purpose of this study was to determine the relationship between mortality factors and mortality in COVID-19 patients to predict the patient's prognosis. This research method is a systematic review through a literature review on mortality factors in COVID-19 patients Literature searches were accessed through internet searches using the Pubmed database based on the preferred reporting items for systemic review and meta-analysis (PRISMA). A systematic search was carried out on 18 October - 20 October 2020 with the keywords “COVID-19” AND “Death” OR “Decease” AND “Factor Associated”. There were 8 literature selected that met the inclusion and exclusion criteria. Based on the findings of the eight journals, mortality is old age, male, has a clinical condition of hypertension, obesity, diabetes, cardiovascular disease, lung disease, neurological disease, lymphophenia laboratory test results, hyperlactate dehydrogenase, increased procalcitonin, increased neutrophils, increased C-reactive protein, and increased D-dimer. All literature reported that a p value <0.05 was obtained from the analysis of the relationship between mortality factors and cases of death in COVID-19 patients. There is a significant relationship between mortality factors and the death of COVID-19 patients, where the mortality factors are elderly, male, have a clinical condition of hypertension, obesity, diabetes, cardiovascular disease, lung disease, neurological disease, lymphophenia laboratory test results, hyperlactate dehydrogenase, increase in procalcitonin, increase in neutrophils, increase in C-reactive protein, and increase in D-dimers in which the prognosis of patients who have mortality factors tends to be worse.

Keywords: Mortality, Coronavirus, COVID-19
Geographic Information Systems Practice Midwife In Merauke Regency Android-Based Method Using Spherical Law of Cosines
Authors: Tatik Melinda Tallulembang
Published: June 2021

Health is a resource for the daily life of the community. Because without health, a person can not run the activity with the good. To that end, the society can not be separated from the figure of health that play a role in manifesting the life of a healthy society as a midwife. One of the reasons people really need a midwife is the cost of the examination or the cost of labor is affordable. Therefore, it is needed a Geographic Information System Midwife Practice in Merauke Regency Android-Based Method Using Spherical Law of Cosines can help and facilitate user to search, and know the location of the midwife practice and service information available at the place of such practices as well as the closest distance to the user. Geographic Information system Midwife Practice in Merauke Regency Android Based on the design by using Eclipse with the java programming language, and using a MySQL database. The method used to search the nearest distance of the user with the location of the midwife practice using the method of Spherical Law of Cosines, and the method of testing using the method of blackbox and questionnaires. The result of this research is to produce a geographic information system application based on android to handle mapping the location of the midwife practice as well as data information midwife online which is accessible to the public in Merauke Regency.
Framing Improvement of Emergency Services RSKJ Soeprapto Hospital with Lean and WAM Modification
Authors: Erlina Puspitaloka Mahadewi  , Ade Heryana  , Fori Yumita  , Mulyo Wiharto  , Lia Amalia
Published: June 2021

The present study reports the first comprehensive research on covid19 emergency services model. Healthcare services inside hospitals during pandemic can apply the Lean Hospital and Waste Assessment Model (WAM) modification, which is a new method that can be used to identify waste in the hospital service process flow and operational of emergency service. The purpose of this study is to provide recommendations for improving emergency services in the covid19 era. The method used in this research is a descriptive qualitative analysis carried out through observing the service flow of patients who will be hospitalized from the emergency, confirming the service flow by in-depth interviews and looking at secondary data and giving a questionnaire on a modification of eight waste relationship at 15 persons expert who understands the emergency service process. The results showed that the critical waste of emergency services at RSKJ Soeprapto hospital is a waste of human skills of 17.5%. The reasons for the emergence above are because the covid19 team has not yet been formed, the absence of special officers to conduct primary triage before the patient enters the emergency unit, and many officers who do not understand the flow of emergency services in the covid19 pandemic era. In order to improve hospital services in the future, it is necessary to form a covid19 team, to develop a standard emergency service guide, to conduct continuous socialization to all the hospital staff through education and training programs, which are recommendations for improving emergency services at RSKJ Soeprapto Hospital Bengkulu in the pandemic era and new normal preparation.
The Potential Of Internationalization Of Small And Medium Micro Enterprises In SAWO Leather Crafts, Magetan District, East Java, Indonesia
Authors: Hari Purwanto
Published: June 2021

The Magetan leather handicraft business is one of the long-established and surviving SMEs and contributes to the creation of employment and income for the community. Currently, the marketing of leather handicraft products is still limited to meeting local and national needs so that limited market demand makes leather handicraft difficult to develop. Globalization and increasingly advanced information technology have become opportunities for the Magetanleathercraft industry to penetrate the international market, however, various obstacles arise considering that penetrating the global market is not easy for small businesses that have many limitations. The purpose of this case study is to examine the opportunities and obstacles of the Magetan leather handicraft business to penetrate the international market. This research approach is qualitative with case studies.owner of leather handicraft, owner of leathercraft marketing shop, the buyer of leathercraft, an employee of leathercraft. Data analysis includes (1) data collection (2) data display (3) data reduction and (4) conclusions.[1]The results showed that there were obstacles to the internationalization of the Magetan leather handicraft business, namely complicated international trade procedures for SMEs, No marketing channels abroad for SMEs, Limited SME resources. The solution that can be offered from this problem is not to let SMEs directly penetrate the global market independently given the limitations they have, but by providing a mediator that can bridge SMEs with foreign consumers with a Marketplace, Exporters, or Cooperatives.
Classification of Teachers and Lecturers Engagement on Webinar during the Pandemic using the Utilization of Big Data
Authors: Ida Afriliana  , Nurohim
Published: June 2021

The Pandemic had a big impact on education in Indonesia and also in the world. In early 2020, during this pandemic, face-to-face meetings have turned into virtual or online meetings for both the learning process and seminars or workshops. The rapid development of technology supports this change in the world of education, this can be seen from the number of online seminars conducted to improve the competence of lecturers or teachers. The development of this online seminar allows the circulation of information that is increasingly large, fast, and almost unlimited by time and space. This causes a large amount of information to be scattered in the virtual world in various fields. With this very fast information technology, trillions of bytes of data are created every day from various sources such as on social media, especially those related to applications that are often used in website-based seminar media. This is called unstructured big data. In this study, big data will be implemented to classify educators' engagement of online seminar participants during an early pandemic. The activity stages in big data management and data processing support are acquired, accessed, analytical, and applied. The method for this study is the Adaptive Neuro-Fuzzy Inference System (ANFIS) to classify the engagement of teachers and  lecturers an online seminar.  The results of the training error obtained from ANFIS are 0.273482 with the ANFIS structure 4-12-12-12-1 or 4 inputs, 12 hidden layers, and 1 output.
Contribution core stability and strength to the performance athlete Slalom Number Water Ski in terms of gender Characteristics
Authors: Uzizatun Maslikah  , Fahmy Fachrezzy  , Haris Nugroho
Published: June 2021

The purpose of this study is to find out the contribution of core stability and strength to the performance athletes slalom number Water Ski in Jakarta in terms of gender characteristics. This research is a  survey study using correlational design,   while this study was conducted in lake Sunter  Jakarta with a sample number of  15  male athletes slalom number water ski. This research instrument uses core stability and strength tests and measurements.  For core stability use the ability to fight prisoners' lumbar-pelvic-hip muscles and to strength using tests sit_up and Push ups for  60  seconds. The data analysis in this study uses descriptive analysis and inferential analysis.    Descriptive analysis aims to obtain average values,standard deviations, minimum values, and maximum values,  while for inferential analysis using simple regression and multiple regression at a significant level  α=0.05  overall data analysis using  SPSS  version  23. The results of this study show that:(1) there is a  contribution of core stability to the performance of male athletes;  (2)  there is a core stability contribution to the performance of male athletes, and (3) there is a   simultaneous contribution of core stability strength to the performance of male athletes slalom number Water Ski in the Jakarta. However, this study only involved a few physical components, for further research to consider the social environment,   psychology athletes, and those associated with improving the performance of athletes athlete reviewed from gender.
The Level Of Education Is Able To Determine The Behavior Of The Use Masks As A Prevention Of Coronavirus Disease 2019 in the City of Batam Kepulauan Riau
Authors: Victor E. D Palapessy  , Muhammad Rakib Latuconsina  , Sahrir Sillehu
Published: June 2021

Cases of covid-19 in Indonesia, first appeared on June 02 March 2020 as much as 2 cases. In May 2020, the number of deaths is still rising despite also cure the patient. Until September 11, 2020, the case of positive covid-19 increased by as much as 3.737. So a total of 210.940 people. While for the case of recovery, there are the addition of as much as 2.707 the person bringing the total to 150.217 people. Then for patients who died increased to 88 people so that the total of patients who died 8.544 people (Compass, 2020). One way the most easy to do to prevent the virus's spread in the community is to use a mask, but still often seen there are some people who go without using a mask. The purpose of this study is to determine the influence of age, gender, education, employment status, type of mask of the behavior of the use of masks as a prevention of coronavirus disease 2019 in the City of Batam. This Research is a quantitative research, using the approach of the study cross sectional. The sample in this study as many as 100 respondents. The instrument used was a questionnaire. Data analysis in this study using SEM PLS. The results of the research showed that gender, type of mask, education, employment status and age have a positive and significant impact on the behavior of use of the mask. The variables that most influence the variable behavior of the use of the mask that the education variable (0,316), employment status (0,275), age (0,216), gender (0,212), and the type of mask (to 0.149). Education last owned by a person can affect the behavior of existing in itself, in this case associated with the use of the mask.
Constructivist Didactics Of Leadership Management In The Covid 19 Pandemic Era To Improve Work Communication In Educational Institution
Authors: Zahdi  , Sulthan Syahril  , Subandi  , Ida Umami  , Siti Patimah  , Koderi
Published: June 2021

World Bank mentioned that the COVID-19 pandemic is threatening and hasgreat potential to make education worse. The pandemic has had a hugeimpact on education by closing schools. However, in overcoming thisdisruption, crises can become opportunities. The first step to successfullyaddressing school closures by protecting health and safety is to preventstudents from losing their learning using distance learning. At the same time,countries need to start planning for school reopening. That meanspreventing dropouts, ensuring healthy school conditions, and using newtechniques to promote rapid learning recovery in key areas once studentsreturn to school. The purpose of this study was to analyze the leadershipmanagement in the COVID-19 pandemic era to improve workplacecommunication. This study used the qualitative case study method. Theinstruments used were observation, interview, and documentation.
Mental Accounting in Household Financial Management (Study in Civil Servants of Senior High School Teachers in Sirimau District Ambon)
Authors: Micrets Agustina Silaya  , Chricella Natalia Joseph  , Dessy Balik  , Debby Likumahua
Published: June 2021

Objectives-Financial management is the process of systematically carrying out financial resources to meet the needs of life. In financial management, a person often thinks partially, thus causing illogical use of money because of the mental accounting aspects of the individual. This research aimed to analyze mental accounting in household financial management of civil servants of senior high school teachers in Sirimau District Ambon. Methods - This research was a descriptive study. The sample in this research was civil servant of high school teachers in Sirimau District Ambon. The research was carried out by distributing questionnaires directly to the high school teacher in Sirimau district Ambon. The analysis technique used in this research is descriptive statistics using frequency distribution. Results - The research results indicate that there is a mental acoounting in household financial management. This can be seen from the behavior that tends to classify and enforce differently depending on where the money comes from. In this research, mental accounting is used as a self control in the sense that it does not have a biased effect but a good one.
Estrategias pedagógicas y motivacionales en los instructores para promover el ingreso y permanencia de aprendices
Authors: Barrera Luis Ernesto , Corrales Cristina Ruiz , Castañeda Gómez Iván Mauricio , Meneses Ramírez Katherine
Published: June 2021

Esta investigación pretende analizar los recursos pedagógicos del instructor que ayudan a la motivación de los aprendices en tres centros de formación del SENA (Centros de formación de Comercio y Servicio Regional Atlántico, Regional Antioquia y Centro Agropecuario y de Biotecnología el Porvenir. Regional Córdoba). El estudio se enmarcó en la investigación cualitativa naturalista para lo cual se escogieron 3 aprendices, 3 instructores, 1 coordinador académico y 3 líderes de bienestar del aprendiz en cada centro de formación del SENA. Los hallazgos significativos son tendientes a las necesidades de: Acompañamiento Docente, Actividades lúdicas, Dinámico, Off line, Imágenes y videos, Fácil acceso, Aprendiz amigo, Empatía, Recompensa, Realidad aumentada, 3D, multimedia, video juegos, Seguimiento al desarrollo integral, Comunicación asertiva, Inteligencia emocional.
Aprendizaje basado en problemas para el desarrollo de las habilidades del pensamiento crítico en la educación actual
Authors: Carbajal Aguilar Diana Emperatriz
Published: June 2021

La educación actual enfrenta grandes cambios tras el impacto de la pandemia por la Covid-19. Los diversos problemas que nuestros estudiantes y maestros enfrentan en este nuevo contexto educativo, exige la aplicación de estrategias metodológicas que, partiendo de un enfoque constructivista, tome en cuenta las necesidades e intereses de los estudiantes en su entorno real. Asimismo, dichas estrategias deben generar un aprendizaje significativo, auto dirigido y autónomo, al mismo tiempo que desarrolla las habilidades del pensamiento crítico.

La presente investigación titulada “Aprendizaje Basado en Problemas (ABP) para el desarrollo de las habilidades del pensamiento crítico en la educación actual”, busca retomar la reflexión sobre los beneficios del ABP en el campo educativo, tras el impacto de la pandemia por la Covid-19. El análisis teórico que se realiza en esta investigación se enmarca en el contexto de las clases remotas y las deficiencias en cuanto a la aplicación de estrategias pedagógicas para el desarrollo del pensamiento crítico. Este artículo analiza los principios psicopedagógicos que sustentan la metodología del ABP, así como también factores involucrados en el desarrollo del pensamiento crítico. Se argumentan aquellos aspectos comunes y relevantes entre sí, con la intención de dar a conocer los beneficios del ABP y cualquier influencia existente sobre el desarrollo de las habilidades del pensamiento crítico en la educación actual. Finalmente la presente investigación, pone bajo discusión, el caso de los posibles beneficios del ABP para el desarrollo del pensamiento crítico en la modalidad de las clases remotas