bluuebunny/crossref_metadata_2025 huggingface dataset:
Nutritional Value and Technological Parameters of Milk From Organic and Conventional Farms in Poland
Authors: Barłowska Joanna , Wójcik-Saganek Anna , Litwińczuk Zygmunt , Brodziak Aneta , Teter Anna , Kędzierska-Matysek Monika
Published: January 2024

The aim of the study was to assess the nutritional value and technological parameters of milk produced in organic and conventional farming systems, taking into account the breeds of cow, feeding system, and season of production in Poland. A total of 413 milk samples were analysed, of which 220 were from Simmental cows raised on organic farms and 193 were from conventional farms, including 64 from Polish Black-and-White cows fed in a traditional system, as well as 65 from Simmental cows and 64 from Holstein-Friesian cows fed in a TMR (Total Mixed Ration) system. The milk was analysed for content of fat, protein, lactose, and urea; somatic cell count; suitability for processing (active and titratable acidity, casein content, protein-to-fat ratio, heat stability, and rennet coagulation); and content of biologically active substances (whey proteins, fatty acids, and macro- and microelements). Simmental cows from organic farms had the lowest daily milk yield, with the lowest concentrations of basic nutrients. However, it was a richer source of α-lactalbumin, lactoferrin and lysozyme and had the highest content of PUFA s. It also had a favourable protein-to-fat ratio and the shortest rennet clotting time, but it contained less Ca, Mg and Zn than milk from farms using a TMR system. The season of production had a greater influence on the composition, nutritional value and technological parameters of milk from farms using traditional feeding, including organic farms, compared to those using a TMR diet. Milk from organic farms obtained in the summer season contained more dry matter, including total protein, β-lactoglobulin, α-lactalbumin, lactoferrin, and lysozyme. It was also characterised by a more preferable fatty acid profile, i.e. lower content of SFA and higher of UFA, including MUFA and PUFA . In turn, milk from the winter season contained more fat and showed better heat stability. At farms using traditional feeding regimens, both organic and conventional, the production period had a more significant impact on the differentiation of the content of mineral components in milk (mainly macroelements).
Morphology of the enamel-cementum microvascular junction of the mouse incisor
Authors: Wong Ronnie S.F. , Sims Milton R.
Published: January 2024

Scanning electron microscopy of methyl methacrylate vascular perfusion casts with stereopair imaging has been used to provide three-dimensional morpholgy of the mouse incisor periodontal ligament microvascular bed. Both the cementum and enamel related incisor vascular beds have a distinct vascular architecture demarcated by a “boundry zone” of anastomsing vessels extending along the length of the tooth. The microvascular bed overlying the enamel is separated from the alveolar wall by a dense venour system. This investigation provides the first description of the rodent incisor “boundry zone” and the related vasculature using plastic injection replicas.
Articulator mounting and adjustments
Authors: Barnett Frederick C.
Published: January 2024

With the recent introduction of cheaper plasterless articulators, there is now a convenient method for orthodontists to study the occlusion of patients in more detail. Therefore an overview of articulators will be presented. The use of semi-adjustable articulators in a team approach to occlusal, T.M.J. and orthognathic problems will also be discussed. The articulator is another diagnostic aid which may be combined with the history, the radiographs and clinical observation to provide a better assessment of the patient in certain circumstances.
Evaluation of fumigant and non-fumigant nematicides for management of Rotylenchulus reniformis on sweetpotato
Authors: Watson Tristan T. , Hamm Caleb S. , Cole Gregorie J.
Published: January 2024

Reniform nematode (Rotylenchulus reniformis) is a major pest of sweetpotato in many production regions in Southern United States. Applying soil fumigants and non-fumigant nematicides are the primary management strategies available to growers. This study compared the relative efficacy of nematicides (1,3-dichloropropene, fluopyram, oxamyl, fluazaindolizine, aldicarb, Majestene, and fluensulfone) for management of reniform nematode on sweetpotato. Fumigating soil with 1,3-dichloropropene consistently reduced soil population densities of reniform nematode at the time of planting in both trial years (31 – 36% reduction relative to the untreated control); however, the duration of suppression varied greatly by growing season. A similar trend was observed with fluopyram (56 – 67% reduction) and aldicarb (63 – 65% reduction), which provided season-long suppression of reniform nematode population development in 2021 but had no impact in 2022. In 2021, nematicide application had no impact on yield; however, in 2022, oxamyl and aldicarb increased the yield of U.S.#1 grade sweetpotato. Overall, soil fumigation with 1,3-dichloropropene and in-furrow application of fluopyram and aldicarb provided the most consistent suppression of reniform nematode on sweetpotato.
Computational Intelligence-based Data Analytics for Sentiment Classification on Product Reviews
Authors: Al-Fatlawy Ramy Riad
Published: January 2024

Computational Intelligence (CI) is a sub-field of Artificial Intelligence (AI) that concentrates on the development of intelligent techniques and models to solve complex problems. When it comes to data analytics, CI techniques can be highly effective in handling large volumes of data, extracting meaningful patterns, and making accurate predictions. An increasing number of online reviews were being posted on the Internet every day with the rapid growth of Electronic Commerce (E-Commerce) and social networks. In the fastest growing research area, Sentiment Analysis (SA) is one among them that helps consumers in making better decisions relating to purchases through proper analysis and understanding of shared sentiments from social media and the web. In recent times, several approaches were modelled for acquiring insights from such datasets. But still, there comes a problem in managing text of large size; hence, precise polarity recognition of consumer reviews was an exciting and ongoing issue. This article introduces a novel Sentiment Analysis on Product Reviews using Enhanced Grasshopper Optimization with Deep Learning (SAPR-EGODL) approach. The objective of the SAPR-EGODL approach lies in the identification and classification of different sentiment types that exist in product reviews. At the initial stage, data preprocessing takes place which transforms the product review data into meaningful data. Next, the SAPREGODL technique employs Multi-Head Attention-based Bidirectional Long Short Term (MHABLSTM) technique for sentiment classification. In this study, the EGO model is exploited for improving the classification accomplishment of the MHABLSTM technique. A sequence of simulations was accomplished on different datasets for examining the advanced sentiment classification results of the SAPR-EGODL technique. The comprehensive relative research exhibited the promising accomplishment of the SAPR-EGODL model compared to current techniques.
Co-channel Interference Evaluation for Coexisting Public-Safety Networks and 5G Commercial Network
Authors: Narmeen Ramsha , Ahmad Ishtiaq
Published: January 2024

In this paper, we deploy the public-safety network which is overlapped with 5th-gerneration (5G) commercial network. Note that 5G commercial networks is assumed to operate on 700 MHz frequency band to observe the effect on public-safety network. Our main focus is to evaluate the interference on public-safety user equipment (UEs) (which are distributed outside the tunnel) from the 5G base stations (gNBs) (which are deployed inside the tunnel). Considering the aforementioned scenario, we compare it with the coexisting scenario of public-safety, and railway networks. In second scenario, we deploy the railway eNBs without tunnel and evaluate the co-channel interference on public-safety UEs. Radio access network sharing is an important candidate to consider for coexisting next-generation wireless communication networks. For the coexisting LTE networks (public safety verses railway) and 5G commercial network, which are assumed to utilize the same spectrum, active radio access network sharing should be considered. In this chapter, we evaluate the co-channel interference on two types of scenarios, i.e., (i) coexisting public-safety and railway networks, (ii) coexisting public-safety and 5G commercial networks. Moreover, we compare these scenarios by considering the radio access network sharing and non-radio access network sharing by public-safety UEs to evaluate the co-channel interference. The system-level simulations are performed to evaluate the UE average throughput, UE received interference, and UE outage probability. By activating the radio access network sharing, some improvement in throughput, and reduction in interference and outage performances, can be achieved. Simulation results validates the effectiveness of radio access network sharing for coexisting public-safety networks and 5G commercial networks.
Substance Pressure Material Module-el Discovery Learning to Improve the Critical Thinking Ability of Middle School Students
Authors: Rohmah* Seffy Mufidatur , Jumadi Jumadi , Nurohman Sabar , Borhan Mohamad Termizi
Published: January 2024

The low critical thinking ability of Indonesian students is known based on the acquisition of PISA and TIMMS assessments with positions in the lower middle rankings. The lack of teaching materials that facilitate the improvement of critical thinking skills is one of the contributing factors. The purpose of this research and development is to produce a substance stress module to improve the critical thinking skills of junior high school students using model discovery learning. The development model used is 4-D, with stages including define (definition), design (planning), develop (development), and disseminate (spread). Data collection was carried out through a literature review, validation assessment, and e-module practicality response questionnaires. Data collection was carried out through instruments in the form of validation assessment sheets by practitioners and student practicality response questionnaire sheets. Practitioners assess the validity of teaching materials, while their practicality is assessed by students. The results of the material validation were 89.2% (very valid), the media validation was 90% (very valid), the student practicality questionnaire was 76.2% (practical), and the N-gain score was 0.46. These results indicate that the science modules developed are valid and practical for use in science learning
Analysis of Students’ Chemical Literacy Skills with Scientific Information: Case Study During Covid-19
Authors: Melati* Husna Amalya , Erlina Erlina , Thongsan Nuchsara Choksuansup
Published: January 2024

Chemistry education students as a future chemistry teacher should have a good science literacy/chemical literacy in order to deliver chemistry knowledge to be applied in the future. Therefore, this study describes the chemical literacy skills of students of the Chemistry Education Study Program. The aim of this study is to investigate the chemical literacy levels related to chemistry concepts through a case study of global information during the covid-19 pandemic. A range of chemical literacy aspects is measured, which include nominal (recognizing chemistry concepts); functional (defining key concepts); conceptual (utilizing chemistry knowledge to describe daily phenomena); multi-dimensional literacy (utilizing chemistry knowledge to analyze information in a short article or other reading sources). The research method of this study is quantitative descriptive. Participants of the study were 112 students of the Chemistry Education Program who had already taken basic chemistry courses. The instrument used to obtain data on students’ chemical literacy levels was questionnaires using the Likert scales (three options) and open-ended questions. The findings show that the percentage of students’ nominal, functional, conceptual, and multi-dimensional literacy skills are 78.21, 60.54, 51.48, and 44.08% respectively. The findings indicated that students’ chemical literacy skills are in the average range and need to be improved
Analysis Scientific Knowledge of The Process Making Jenang Kudus and Its Potential for Empowering Logical Thinking Skills
Authors: Ainuzzahroh Naila Zulfa , Suciati* Suciati , Utami Budi , Silvita Silvita , Prasetyo Opik , Rachman Hening Triandika
Published: January 2024

The low knowledge of students' local wisdom, especially jenang kudus, has an impact on Indonesia's identity in the future. In addition, Indonesian students have low logical thinking skills, this also affects the fading of local wisdom in Indonesia, students have difficulty filtering foreign cultures carried by globalization. This study aims to: (1) analyze the scientific knowledge contained in the process of making jenang Kudus; (2) analyze the potential of scientific knowledge contained in the process of making jenang Kudus to empower junior high school students' logical thinking skills; (3) analyze the relationship of scientific knowledge contained in the process of making jenang Kudus to the material in science learning. This research is a descriptive qualitative research with an ernographic approach. The data sources include informants and articles. The sampling technique was done with snowball sampling technique. Data collection was collection using interview, observation, documentation and journal analysis. The data validity test technique was carried out using triangulation techniques. Data analysis techniques using interactive analysis techniques. The results of this study show that the process of making Jenang Kudus contains scientific knowledge of science from three aspects including biology, chemistry and physical. Scientific knowledge in the process of making jenang Kudus has the potential to empower logical thinking skills which include 5 indicators including ordering, comparing, contrasting, evaluating, selecting. Scientific knowledge in the process of making jenang Kudus is related to junior high school science materials including temperature and heat, mixtures, physical and chemical changes, additives, and food substances.
Enhancing Scientific Literacy Through Guided Discovery with SELWAN Application in Science Learning
Authors: Sulaihah* Sulaihah , Mulia Mala , Widodo Wahono , Sukarmin Sukarmin , Dalee Abdullah D
Published: January 2024

Scientific literacy is one of the crucial skills in digitalization era. Scientific literacy is one of parameters in International Student Assessment Program (PISA). Indonesia was still far from the average PISA assessment. Pupils' scientific literacy abilities are now judged to be at a poor level. The major goal of this study is to know the effectiveness of using the guided discovery with the SELWAN app in improving pupils' scientific literacy. This research used a non-equivalent control group design and was a quasi-experiment. During the school year 2022-2023, this inquiry was carried out at Nazhatut Thullab Middle School. All seventh-grade pupils from Nazhatut Thullab Middle School are included in the study. The experimental group consists of 25 pupils from class VII E, and the control group consists of 23 pupils from class VII F. For data analysis, the independent sample t-test is used to examine pupils' scientific literacy abilities. The findings show that deploying the guided discovery in conjunction with the SELWAN application has a detectable influence on pupils' scientific literacy. The SELWAN app's guided discovery learning received a resoundingly favorable reaction from pupils, with 81.06% falling into the ideal category
Unsettling in Norrland
Authors: Carless Tonia , Serjeant Robin
Published: January 2024

This research uses film, photography and projection to analyse the changing space of Northern Sweden (Norrland). This peripheral region is one of the most rapidly reconfiguring spaces in Europe, with on-going programmes of corporate and state investment to exploit space and natural resources for settlement and extraction.

The images are part of an archive of the moving of buildings, a common practice in the region. Buildings are moved in relation to changing environmental conditions and now urban land values and global property speculation. It is understood to be a distinct process of what David Harvey has described as “remaking capitalism’s geography”1

Images analyse the material conditions, ideology and power in this frontier economy. The project considers an architecture of de-growth2, challenging ideas of the expanding urbanisation of Norrland. As land values and modes of occupation change, buildings are displaced from the urban centre to increase occupation density through speculative investment. This process displaces social space and previous land formations. The city of Kiruna has been entirely displaced by expanding mine workings. The practice of relocation also has the capacity to shift large-scale historic architectures, as a distinct form of caretaking.

In this moment of new waves of investment in mining and forestry, of urbanisation of parts of the region, predicated on an underlying and largely uncontested agenda of ‘development’, the archive offers other conceptions of space and architectural production.

The images consider the wrenching of a house from its location and moving it to another location, documenting this process of detachment. It records the re-arrangements of space between land and building. Displacement is illuminated through projections to unsettle, by superimposing architectures onto previous conditions. Keywords: Unsettling, de-growth, relocation, house-moving, displacement.

Cover image: Robin Serjeant, “Midwinter projection inside the house.”, Degernäs, December 2021, Film stills
Other Interpretations on Tower H
Authors: Maria Fabbriani Julia
Published: January 2024

The essay ‘Other Interpretations on Tower H’ is the result of a keen interest in exploring the multiple interpretative possibilities concerning a specific abandoned residential building in Rio’s Barra da Tijuca district. Tower H was part of modernist architect Oscar Niemeyer’s ‘Centro da Barra’ project (1969), developed in this up-and-coming neighbourhood at that time. The research for this text began in 2021, while the tower was under structural inspection. As a result of it, I identified ‘ambiguous’ and ‘open’ aspects of the building that relate to Ignasi de Solà- Morales’ terrain vague concept. The recent demolition of the tower’s sealing surface and the subsequent excavation of a landfilled area next to the tower have changed the city’s perception and memory fluxes of the building: from the past to the present; from closed to exposed interiors; from covered to excavated landfilled sand that was buried since the tower construction. All of this brings back memories of the neighbourhood’s landscape not only during the presence of this imposing building but also prior to its existence. A photographic experiment promoted a tactical experience inside this enigmatic architectural object. Additionally, it analysed displacement operations from the last two years, allowing new interpretations on this landmark.
Penggunaan Jarum Spinal Atraumatic dalam Menurunkan Kejadian Post-dural Puncture Headache: Telaah Sistematis
Authors: Pragra Maria Preicilia , Parami Pontisomayaa , Sutawan Ida Bagus Krisna Jaya , EM Tjahya   Aryasa , Utara Hartawan I Gusti Agung Gede
Published: January 2024

AbstrakPost-dural puncture headache (PDPH) merupakan salah satu komplikasi pasca anestesi spinal yang ditandai dengan nyeri kepala. Kejadian PDPH dipengaruhi oleh beberapa faktor salah satunya adalah jenis jarum spinal. Telaah sistematis ini bertujuan untuk mengetahui peran penggunaan jarum spinal atraumatic terhadap kejadian PDPH dibandingkan dengan jarum spinal traumatic pada pasien anestesi spinal.Pencarian literatur studi randomized controlled trial (RCT) dari tahun 2015 sampai 2020 yang membandingkan kejadian PDPH menggunakan jarum atraumatic dan jarum traumatic pada pasien anestesi spinal dilakukan melalui Google Scholar, PubMed, dan hand-searching secara manual. Seleksi studi dilakukan berdasarkan panduan diagram alir PRISMA 2009. Risiko bias masing-masing studi dinilai menggunakan Jadad Scale. Sintesis data didapatkan dari 19 studi dengan jumlah total sampel 4.414 pasien tanpa adanya batasan umur dan jenis kelamin.Berdasarkan studi yang ditemukan, seluruhnya menyatakan bahwa kejadian PDPH dengan jarum atraumatic lebih rendah dibandingkan dengan jarum traumatic dan ditemukan paling tinggi pada pasien operasi cesar. Kejadian PDPH tertinggi sebesar 22% dengan jarum traumatic 25G quincke, sedangkan kejadian terendah sebesar 0% dengan jarum atraumatic 25G sprotte, 27G sprotte, 25G whitacre, dan 27G whitacre. Kegagalan anestesi spinal ditemukan lebih tinggi pada jarum atraumatic dibandingkan dengan jarum traumatic, akan tetapi perbedaan tersebut tidak signifikan. Oleh karena itu, penggunaan jarum atraumatic lebih direkomendasikan dalam tindakan anestesi spinal untuk mencegah terjadinya PDPH.Kata kunci : post-dural puncture headache, anestesi spinal, jarum atraumatic
Profil Lipid Pada Pasien Diabetes Melitus Tipe 2 di RSUP Sanglah Denpasar Tahun 2019
Authors: Siorcani Putu Tasha , Suastika Ketut , Gotera Wira , Pande Dwipayana I Made
Published: January 2024

Prevalensi dislipidemia dua kali lebih tinggi ditemukan pada diabetes melitus. Studi potong lintang dengan teknik consecutive sampling menggunakan data sekunder seperti data rekam medis dari pasien diabetes melitus tipe 2 di RSU Pusat Sanglah tahun 2019. Dari 138 sampel ditemukan 69.6% laki-laki dan 30.4% perempuan. Prevalensi dislipidemia pada total sampel berturut-turut yaitu hiperkolesterolemia sebesar 42%, peningkatan kolesterol LDL sebesar 75.4%, penurunan kolesterol HDL sebesar 67.4%, dan hipertrigliseridemia sebesar 54.3%. Berdasarkan analisis uji korelasi ditemukan bahwa glukosa darah puasa memiliki hubungan yang sangat lemah terhadap trigliserida (r=0.177, p=0.045), sedangkan glukosa darah puasa tidak signifikan memiliki hubungan terhadap kolesterol total, kolesterol HDL, dan kolesterol LDL (r=0.167, p=0.058; r=0.101, p=0.253; r=0.042, p=0.636). Selain itu HbA1c tidak signifikan memiliki hubungan terhadap profil lipid (r=0.050, p=0.585; r=0.080, p=0.385; r=0.048, p=0.601; r=-0.068, p=0.463). Simpulan pada penelitian ini bahwa glukosa darah puasa memiliki hubungan terhadap trigliserida, namun glukosa darah puasa tidak memiliki hubungan terhadap kolesterol total, kolesterol HDL, dan kolesterol LDL. Sementara HbA1c tidak memiliki hubungan terhadap profil lipid dari pasien diabetes melitus tipe 2 di RSU Pusat Sanglah tahun 2019.

 

Kata kunci: Profil Lipid, Glukosa Darah Puasa, HbA1c
FAKTOR RISIKO YANG MEMPENGARUHI KEJADIAN ANEMIA DEFISIENSI BESI : A SYSTEMATIC REVIEW
Authors: Suryadinata Putu Yoga Arya , Suega Ketut , Wayan I , Gde Dharmayuda Tjokorda
Published: January 2024

Anemia akibat defisiensi zat besi masih menjadi masalah penyebab anemia tersering di hampir setiap kasus anemia. Anemia defisiensi besi utamanya lebih banyak terjadi pada wanita namun tak memungkiri juga dapat terjadi pada pria. Banyak faktor yang menyebabkan terjadinya anemia akibat defisiensi besi diantaranya pada wanita yang sedang menstruasi,  ibu hamil, dan beberapa faktor lain yang menjadi potensi untuk meningkatnya prevalensi anemia pada wanita usia subur khususnya. Tujuan dari systematic review ini adalah untuk mengetahui faktor risiko apa saja yang menjadi penyebab terjadinya anemia defisiensi zat besi. Pencarian menggunakan database Google schoolar dan database PubMed mencari artikel dari tahun 2015 hingga 2020. Eligibility menggunakan PICOS. Hanya ulasan yang berfokus pada faktor risiko yang dapat memicu terjadinya anemia defisiensi besi yang diekstraksi, dianalisis, dan didiskusikan. Hasil dari 6 artikel yang memenuhi kriteria inklusi dan eksklusi didapatkan bahwa faktor risiko yang menyebabkan terjadinya anemia defisiensi zat besi berdasarkan rangkuman artikel yaitu terdapat hubungan antara lama haid, status gizi, kebiasaan sarapan pagi, asupan zat besi, asupan protein, serta pola konsumsi inhibitor penyerapan zat besi.

 Kata kunci: Faktor risiko, Anemia, Defisiensi Besi
DESCRIPTION OF ANXIETY LEVELS AMONG THE FIRST SEMESTER STUDENTS OF FACULTY OF MEDICINE UDAYANA UNIVERSITY IN FACING OBJECTIVE STRUCTURED CLINICAL EXAMINATION
Authors: Harisutha Made Dwiki Pradnyana , Diarthini Ni Luh Putu Eka , Laksemi Dewa Ayu Agus Sri , Wardani Ni Putu
Published: January 2024

Anxiety experienced by medical students when compared to the general population of the same age has a greater prevalence and is at a higher level. Anxiety can be one of some factors that can affect exam performances which can be a determining factor in medical students’ academic achievement. One of the conditions that can cause medical students to experience anxiety in the educational process is the result of stress in facing the Objective Structured Clinical Examination (OSCE). The OSCE results can be affected by students’ exam performances. This study aims to describe the anxiety levels in first semester students of the Udayana University Faculty of Medicine in facing OSCE. This study applied cross-sectional descriptive method using primary data of anxiety levels on first semester medical students who will face OSCE for the first time dan secondary data of students’ OSCE results. Zung Self-Rating Anxiety Scale (ZSAS) questionnaire were used to collect the primary data which were retrieved only once for each student. During the study, 106 respondents data were collected, consisting of 17 to 21 years range of age, and most of them were females (61.32%). This study was resulting in the form of a description of the level of anxiety towards OSCE with the most occur anxiety level towards OSCE in medical students is mild anxiety level (84.91%), followed by moderate anxiety level (14,15%), and severe anxiety level (0,94%). The results can be used to present a basic data to conduct further research in Udayana University Faculty of Medicine as a contribution for improving student readiness in facing OSCE.

Keywords: anxiety levels, objective structured clinical examination, medical students.
HUBUNGAN TINGKAT PENGETAHUAN TENTANG KANKER SERVIKS DENGAN PERILAKU DETEKSI DINI PADA PEGAWAI YANG BEKERJA DI FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Widyasari Putu Kartika , Budiana I Nyoman Gede , Megadhana I Wayan , Putra I Wayan Artana
Published: January 2024

Kanker serviks ialah penyakit yang disebabkan karena infeksi Human Papilloma Virus (HPV) tipe onkogenik. Kasus kanker serviks menempati urutan ke-2 kasus kanker terbanyak di Indonesia. Diantara 32.469 ribu kasus kanker serviks baru yang ada terdapat 18.279 ribu kasus pasien yang meninggal dunia. Penyakit ini merupakan penyakit yang dapat dicegah melalui deteksi dini. Meningkatnya prevalensi kanker serviks di Indonesia diakibatkan oleh rendahnya pengetahuan dan kewaspadaan masyarakat terhadap penyakit ini. Selain itu, tingkat pengetahuan yang adekuat juga mempengaruhi keikutsertaan para perempuan untuk melakukan deteksi dini terhadap penyakit ini. Fakultas kedokteran merupakan fakultas yang paling dekat dengan isu kesehatan dan aktif untuk mengedukasi masyarakat terkait kesehatan. Oleh karena itu seluruh civitas akademika di dalamnya diharapkan dapat sadar serta peduli terkait kesehatan diri masing-masing. Tujuan penelitian yakni untuk mengetahui hubungan antara tingkat pengetahuan tentang kanker serviks dengan perilaku deteksi dini pada pegawai yang bekerja di Fakultas Kedokteran Universitas Udayana. Model studi penelitian ini yaitu studi observasional menggunakan metode penelitian cross-sectional dan pengambilan data menggunakan total sampling. Hasil dari penelitian didapatkan hubungan yang signifikan dengan p-value <0,05 antara tingkat pengetahuan responden dengan perilaku deteksi dini kanker serviks. Sebanyak 8 orang (80,0%) tergolong kelompok responden dengan pengetahuan yang kurang menyatakan tidak pernah melaksanakan deteksi dini kanker serviks. Sedangkan sebanyak 21 orang (61,8%) kelompok responden dengan pengetahuan yang tinggi menyatakan sudah pernah melaksanakan deteksi dini kanker serviks.

Kata kunci :  pengetahuan, kanker serviks, deteksi dini, pegawai.
Effects of Ketamine as Adjuvant Analgesia in Postoperative Patient: A Systematic Review
Authors: Anwar Meirisa Afifah Nurmalia
Published: January 2024

Postoperative pain usually is not handled properly and it may cause discomfort to the patient. The role of analgesia to relieve pain in postoperative patients then becomes very crucial. Ketamine, an NMDA antagonist, is currently gaining attention as an adjuvant analgesia in the management of acute pain. This review will discuss further about the effects of ketamine as an adjuvant analgesia in postoperative patients. Searching literature was performed on the PubMed, Cochrane, and ProQuest databases identifying journals published from 2016 to 2020 that determined the results of ketamine as an adjuvant analgesia in postoperative patients. Writing of this systematic review is based on the systematic review guidelines by the Cochrane Textbook of Systematic Review. There were 6 studies used in this review. Participants involved in this study were patients who received surgery and ketamine intervention as adjuvant analgesia. There were 907 participants who were involved in this study, ranging in age from 18 years to 65 years. There are 4 studies reporting that ketamine can reduce postoperative pain and 2 studies that report no significant effect on postoperative pain. Based on the review conducted, ketamine as an adjuvant analgesia is considered beneficial in reducing postoperative pain in several studies, but the results are not all significant. Thus, it cannot be stated that low doses of ketamine can be effective in reducing postoperative pain.
Multidrug-Resistant Pseudomonas aeruginosa Pada Intensive Care Unit Di Asia Tenggara: A Systematic Review
Authors: Suarisavitra Ida Ayu Andhira Dewi
Published: January 2024

The incidence  of Multidrug-resistant Pseudomonas aeruginosa is increasing in various countries requires further attention to find out the right choice of antibiotics. This review will discuss more about Pseudomonas aeruginosa resistance at the Intensive Care Unit (ICU) in Southeast Asia. The research was carried out on the PubMed, ScienceDirect, and Google Scholar databases identifying journals published from 2015 to 2020 that focus on MDRPA at the ICU  in Southeast Asia. In order to obtain a relevant study, the keywords used were accompanied by eleven Southeast Asian countries. There are 7 studies that are relevant in this study. From the study, there were 5 countries that had complete data for further analysis, namely Vietnam, Indonesia, Malaysia, Philippines, and Thailand. The prevalence of VAP is 64,7%, CAUTI 20,9%, and BSI 3,8%. Antimicrobial resistance was commonly found in sulfamethoxazole-trimethoprim (95%), linezolid (73,7%), ticarcillin-clavulanate (67,8%), amoxicillin-clavulanic acid (66,7%), and ceftriaxone (52,9%). Colistin and polymyxin B have a low resitsance rate compared to other antibiotics. It is hoped that more researchers will be researching about MDRPA in Southeast Asia in the future and increase the sample size.
Terapi Pseudoexfoliation Glaucoma
Authors: Wirananda Setiawan Nyoman Budhi , Suryaningrum I Gusti Ayu Ratna , Sutyawan I Wayan Eka , Mendala Deasy Sucicahyati
Published: January 2024

translator

Afrikaans

Albanian - shqipe

Arabic - ???????????

Armenian - ???????

Azerbaijani - az?rbaycanca

Basque - euskara

Belarusian - ??????????

Bengali - ?????

Bulgarian - ?????????

Catalan - català

Chinese - ????????

Chinese - ?? (????)

Croatian - hrvatski

Czech - ?eština

Danish - dansk

Dutch - Nederlands

English

Esperanto - esperanto

Estonian - eesti

Filipino

Finnish - suomi

French - français

Galician - galego

Georgian - ???????

German - Deutsch

Greek - ????????

Gujarati - ???????

Haitian Creole - kreyòl ayisyen

Hebrew - ?????????

Hindi - ??????

Hungarian - magyar

Icelandic - íslenska

Indonesian - Bahasa Indonesia

Irish - Gaeilge

Italian - italiano

Japanese - ???

Kannada - ?????

Korean - ???

Latin - Lingua Latina

Latvian - latviešu

Lithuanian - lietuvi?

Macedonian - ??????????

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Latar Belakang: Pseudoexfoliation glaucoma adalah salah satu jenis secondary open-angle glaucoma yang disebabkan oleh akumulasi protein fibril pada trabecular meshwork. Obat, bedah, laser, atau kombinasi terapi merupakan pilihan terapi yang tersedia saat ini. Review sistematik ini bertujuan untuk membandingkan beberapa terapi-terapi tersebut terhadap tekanan intraokular serta komplikasi/efek samping pada pasien dengan pseudoexfoliation glaucoma. Metode: Kami mengambil sumber data berupa studi primer dari database elektronik yaitu MEDLINE dan Cochrane dalam rentang tahun 2010-2020, berbahasa Inggris, dengan desain studi clinical trial atau observasional. Setelah dilakukan ekstraksi data maka dilanjutkan dengan penilaian terhadap abstrak, desain studi, partisipan, outcome, risk of bias, dan strength of evidence. Hasil: Outcome dalam penelitian sangat bervariasi yang kami kelompokkan menjadi dua variabel yaitu tekanan intraokular dan komplikasi/efek samping. Rata-rata penurunan TIO berkisar antara 4,71 mmHg (dengan SLT pada perilimbus) hingga 14,00 mmHg (dengan trabekulektomi + bevacizumab). Komplikasi yang umum ditemui yaitu inflamasi pada anterior chamber. Limitasi: Banyak studi memaparkan outcome yang heterogen dan beberapa partisipan penelitian tidak murni menggunakan pasien pseudoexfoliation glaucoma. Kesimpulan: Beberapa terapi obat, bedah, laser, maupun kombinasi untuk pseudoexfoliation glaucoma efektif dalam menurunkan tekanan intraokular. Meskipun demikian, perlu adanya perhatian untuk dokter umum maupun dokter spesialis mata terkait beberapa komplikasi yang dapat muncul akibat terapi-terapi tersebut.
HUBUNGAN DERAJAT DYSMENORRHEA DENGAN KONSISTENSI FECES PADA MAHASISWI KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Driansha Cindy Liora , Adiatmika I Putu Gede , Dinata I Made Krisna , Purnawati Susy
Published: January 2024

Gastrointestinal symptoms such as fecal consistency change commonly found in menstrual women. Women who have dysmenorrhea are likely to experience it than women without dysmenorrhea. This study aims to identify relationship between dysmenorrhea intensity with fecal consistency change among medical students of Udayana University. The hypothesis of this study is there is relationship between dysmenorrhea intensity with fecal consistency change among medical students of Udayana University. This study used analytic cross-sectional design. Questionnaires given to all medical students of Udayana University consists of questions about respondents’ identity, exclusion criteria, dysmenorrhea intensity in last menstruation based on Verbal Multi-dimensional Scoring System, and fecal consistency category based on Bristol Stool Scale. A total of 389 questionnaires collected and selected to rule out ineligible data. Eligible data were analyzed using descriptive test and Fisher Exact Test. Respondents involved in this study were female students aged 18-25 years. A number of 22.6% of respondents did not experience dysmenorrhea, while 59.1% had grade 1 dysmenorrhea, 16.5% grade 2, and 1.7% grade 3. A number of 14.8% of respondents had abnormal hard fecal consistency, 84.3 % normal, and 0.9% abnormal soft. There was no significant relationship between dysmenorrhea intensity and fecal consistency with P value equals to 0.238. This can caused by various factors such as diet, physical activity, sleep quality, stress, and different defecation habits of each respondents. Based on the results, it is concluded that there is no significant relationship between the dysmenorrhea intensity and the fecal consistency among medical students at Udayana University.
Latihan Yoga Suryanamaskara Meningkatkan Keseimbangan Statis Remaja di Sekolah Menengah Atas Negeri 1 Semarapura
Authors: Rahita Dewa Ayu Agung Mas Berliana , Griadhi I Putu Adhiartha , Adiputra Luh Made Indah Sri Handari , Sundari Luh Putu Ratna
Published: January 2024

ABSTRAK

 

Latar belakang: Aktivitas fisik diperlukan untuk mendapatkan kebugaran jasmani yang salah satunya adalah keseimbangan. Keseimbangan statis adalah bentuk keseimbangan saat posisi tubuh tetap. Hal ini perlu dipertahankan dan ditingkatkan agar menjaga kualitas hidup dan menjalankan aktivitas dengan baik. Salah satu aktivitas fisik yang dapat menjaga keseimbangan adalah Yoga Suryanamaskara. Tujuan: membuktikan latihan Yoga Suryanamaskara dapat meningkatkan keseimbangan statis remaja di Sekolah Menengah Atas Negeri 1 Semarapura. Metode: Penelitian ini merupakan penelitian Eksperimental dengan subjek penelitian kelompok kontrol dan perlakuan remaja usia 15-18 tahun, siswi SMA Negeri 1 Semarapura, Kabupaten Klungkung. Sampel dipilih dengan teknik simple random sampling. Yoga Suryanamaskara dilakukan pada bulan Agustus-September 2020. Keseimbangan statis diukur dengan metode Blind Stork Balance Test. Data dianalisis menggunakan uji Wilcoxon dan Independent Samples t-test. Hasil: Berdasarkan hasil penelitian, didapatkan nilai p=0,012 (p<0,05) yang menunjukkan latihan Yoga Suryanamaskara meningkatkan keseimbangan statis remaja di Sekolah Menengah Atas Negeri 1 Semarapura dengan signifikan. Kesimpulan: Berdasarkan hasil penelitian yang telah dilakukan, didapatkan hasil bahwa latihan Yoga Suryanamaskara selama 1 jam, 2 kali seminggu, selama 6 minggu terbukti meningkatkan keseimbangan statis yang signifikan pada remaja usia 15-18 tahun di Sekolah Menengah Atas Negeri 1 Semarapura.

Kata kunci :  Yoga Suryanamaskara, Keseimbangan Statis, Remaja
GAMBARAN PENGGUNAAN LENSA KONTAK PADA MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Cawis Ni Luh Suras Amoura , Surasmiati Ni Made Ayu , Utari Ni Made Laksmi , Sutyawan I Wayan Eka
Published: January 2024

ABSTRAK

Lensa kontak digunakan sebagai alat bantu penglihatan pada gangguan refraksi dan untuk gaya hidup. Penggunaan lensa kontak sering tanpa disertai pengetahuan cara perawatan sehingga menimbulkan komplikasi seperti mata merah. Bertambahnya jumlah pengguna lensa kontak mengakibatkan komplikasi lensa kontak juga meningkat. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan lensa kontak berdasarkan usia, jenis kelamin, jenis lensa kontak, pola penggunaan, intensitas penggunaan, perawatan dan komplikasi. Penelitian merupakan penelitian deskriptif dengan rancangan potong lintang menggunakan data kuesioner dan diolah menggunakan SPSS. Berdasarkan hasil penelitian, didapatkan 232 mahasiswa menggunakan lensa kontak. Hasil penelitian menunjukan bahwa usia pengguna lensa kontak terbanyak adalah 20 tahun sebanyak 46,1%, mayoritas adalah perempuan yaitu sebanyak 94,4%. Sebanyak 96,6% mahasiswa menggunakan lensa kontak lunak dengan pola penggunaan harian sebanyak 100%. Intensitas penggunaan lensa kontak paling banyak adalah kurang dari sekali sebulan yaitu 49,1%. Cara perawatan yang banyak dilakukan adalah dibilas, direndam dan dibersihkan menggunakan enzim pembersih protein sebanyak 53,4%. Mahasiswa yang mengalami mata merah sebanyak 61,6% dan keluhan lain yang banyak dialami adalah gatal dan berair sebanyak 19,4%. Pengguna lensa kontak sebanyak 91,8% tidak berkonsultasi ke dokter mata. Dari penelitian disimpulkan bahwa penting dilakukan pemantauan lanjutan terutama pada mahasiswa yang memiliki risiko guna mengurangi komplikasi pada penggunaan lensa kontak.

Kata kunci :  lensa kontak, mahasiswa, mata merah.
HUBUNGAN ASUPAN JENIS BERAS TERHADAP KADAR GLUKOSA DARAH SEWAKTU PADA PASIEN DIABETES MELLITUS TIPE II
Authors: Utami Dewi Ayu Dian , Sutadarma I Wayan Gede , Wiryanthini Ida Ayu Dewi
Published: January 2024

Type II DM is a metabolic disease characterized by increase blood glucose level is caused secretion insulin dysfunction and insulin resistance. An increase in the incidence of DM can occur because of an unbalanced diet. Aim this study to determine the relationship of rice type intake with random blood glucose levels in type II DM patients. This study was a cross sectional analytic study which was conducted from September until November 2020 at the Puskesmas Denpasar Barat I and II. The sample in this study were patients with type II DM who met the inclusion criteria is a patient with a consuming rice, and a patient without using insulin. Exclusion criteria were a patient without consuming rice. Samples were obtained using simple random sampling technique and obtained 31 samples that met the inclusion criteria. The study was conducted by asking the sample for informed consent and asking sample to fill out an online questionnaire that contain food intake that the sample consumes in a day. Normality test is using Saphiro-wilk test and bivariate analysis with Rank-Spearman test. White rice type intake was 61,3%, red rice type intake was 35,5% and black rice type was 3,2%. Carbohydrate of rice intake in women amounted to 95,281 grams and in men 101, 810 grams. Calorie intake per day for women was 1226,0 kcal and in men was 1300,6 kcal. From analysis result there is a relationship between rice type intake, calorie, and carbohydrate with random blood glucose level (p= 0,000, p= 0,000, p= 0,000). Strength of correlation (r= 0,717, r= 0,945, r= 0,945). There is a significant relationship between rice type intake on random blood glucose level with a strong correlation.
HUBUNGAN ANTARA SKOR KELAINAN ANATOMI SINUS PARANASAL DAN KAVUM NASI DENGAN SINUSITIS PARANASAL MENURUT GAMBARAN CT-SCAN SINUS PARANASAL PADA PASIEN DENGAN KLINIS SINUSITIS
Authors: Maria Dessy , Asih Made Widhi , Margiani Ni Nyoman , Widiana I Gede Raka , Patriawan Putu , Laksminingsih Nyoman Srie
Published: January 2024

Sinusitis adalah proses peradangan dari satu atau lebih pada membran mukosa sinus paranasal. Penyebab utama terjadinya sinusitis adalah gangguan drainase dan patensi kompleks ostiomeatal (KOM). Variasi anatomi hidung dan sinus paranasalis menjadi faktor predisposisi terhadap kejadian sinusitis. Tujuan penelitian adalah menilai hubungan antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis paranasal menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis. Penelitian ini dirancang sebagai penelitian observasional analitik dengan pendekatan cross sectional retrospektif pada pasien dengan klinis sinusitis di RSUP Sanglah Denpasar pada tahun 2020-2021. Sampel penelitian berjumlah 60 orang dengan usia di atas 21 tahun yang diambil secara consecutive sampling dari rekam medis yang memenuhi kriteria inklusi. Analisis sinusitis dan skor kelainan anatomi sinus paranasal dan kavum nasi masing-masing dilakukan oleh seorang Radiolog Konsultan dilanjutkan dengan analisis data. Dari hasil uji beda proporsi antara kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis maupun antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis didapatkan tidak ada hubungan dengan nilai p>0,05. Pada hasil uji korelasi multivariat antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis setelah dikontrol dengan umur, jenis kelamin dan riwayat alergi secara statistik tampak tidak berhubungan dengan nilai p yang didapat semuanya >0,05. Tidak tampak korelasi antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis dengan nilai p 0,105. Masih diperlukan perbaikan metode penelitian lebih lanjut dengan desain penelitian analitik menggunakan rancangan prospektif.
PREVALENSI TERJADINYA BURNOUT SYNDROME DAN HUBUNGAN DENGAN FAKTOR PENYEBABNYA PADA DOSEN WANITA FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
Authors: Intan Fridayanti Dewa Ayu , Purnawati Susy , Indah Sri Handari Adiputra Luh Made , Tirtayasa Ketut
Published: January 2024

Female workers have a high level of fatigue which can lead to burnout syndrome, especially female workers who are lecturers at Faculty of Medicine Udayana University. This study aims to determine the prevalence of burnout syndrome in female lecturers and the relationship with the causative factors. This study is an analytical observational study with a cross-sectional approach using 94 research samples. The relationship between variables was analyzed using Chi-square. The results of this study indicate that there is no significant relationship between age and burnout syndrome (p=0,140); there is no significant relationship between marital status and burnout syndrome (p=0,780); there is no significant relationship between tenure and burnout syndrome (p=0,238); there is no significant relationship between individual factors and burnout syndrome (p=0,347); there is no significant relationship between organizational factors and burnout syndrome (p=0,331); there was no significant relationship between work environment and burnout syndrome (p=0,202). The conclusion of the study is that there is no relationship between age, marital status, tenure, individual factor, organizational factor and work environment with the occurrence of burnout syndrome
BURN PATIENTS IN REGIONAL PUBLIC HOSPITAL : PROFILE AND TREATMENTS OPTIONS IN REGIONAL PUBLIC HOSPITAL DR. DJASAMEN SARAGIH, PEMATANG SIANTAR FROM PERIOD 2017 - 2019
Authors: Anggriant Vincent , Saragih Rajin , Pinem Sersanta
Published: January 2024

ABSTRACT

Background : Burns are one of the types of trauma which high morbidity and mortality. Burns make skin tissue damaged by various causes such as flame, scald or hot water, electricity, chemicals, and radiation, which still often occur today. Burns are a common health problem in developing and poor countries. The epidemiology of burns that occurs in Indonesia is still quite rarely reported.

Purpose and Objectives :  This study is to report burns at dr. Djasamen Saragih Regional Public Hospital, is a type B regional hospital in North Sumatra, Indonesia.

Methods : This is descriptive analysis with cross-sectional by using medical records of burn patients treated from January 2017 to December 2019. The data are presented in tabular and graphic form.

Results : There were 68 samples in this study. The highest incidence of burns was found in the adult age group as many as 46 cases (67,6%) and dominated by men of 45 persons (66,2%), with the most cases being caused by burns due to scalding injury 39 cases (57,4%). The majority of incidents in this study suffered from second-degree burns, recorded 61 cases (89,7%). Excisional debridement is the most common surgery performed therapy in as many as 42 cases (62%) in this study.

Conclusions : From this study, it was shown that the high-risk groups in cases of burns were adults and men. The number of events that cause high morbidity and mortality can be prevented by increasing knowledge of burns, and implementing preventive measures, especially in low socio-economic communities. 

 

Keywords : Burns, age, sex, etiology, degree, treatments