bluuebunny/crossref_metadata_2025 huggingface dataset:
Contribution of Transesophageal Echocardiography in the Etiological Diagnosis of Ischemic Stroke: Retrospective Study of 56 Cases
Authors:   Department of Cardiology, Aristide Le Dantec Hospital University, Senegal, Mingou Joseph
Published: December 2021

Introduction: Strokes constitute a public health problem. Ischemic strokes are caused by cardioembolic diseases in 20% of cases. We have realized this study in order to situate the role of transesophageal echocardiography in the search of cardioembolic diseases during ischemic strokes. Materials and Methods: We have realized a retrospective study in the Cardiology Department of “Hopital Général de Grand Yoff” at Dakar, during two years from June 2003 to July 2005. Our patients received benefits from medical examination, biological exams, an ECG, a recording ECG, a transesophageal echocardiography, transthoracic echocardiography, a brain scan and echodoppler of neck vessels. Results: Fifty-six cases have been identified. The average age was of 60.3 ± 14.3 years (extremes: 21–87 years). The sex-ratio (men over women) was of 0.75. The cardiovascular risk factors were dominated by blood hypertension and diabetes. On the standard electrocardiogram, we noted eleven cases of atrial fibrillation and one case of atrial flutter. Two patients have presented a paroxystic atrial fibrillation on recording electrocardiogram and six (10.7%), either a significative stenosis or carotid thrombosis at neck vessels echodoppler. The board number V is the summery of the etiology of ischemic strokes found by transesophageal echocardiography.
Non-ST-Elevation Acute Coronary Syndrome and Predictors of Severity Coronary Artery Disease at the Oran University Hospital Center (Algeria)
Authors:   Department of Cardiology, Renaissance University Hospital Center, N’Djamena, Chad, Ali Adam Ahamat
Published: December 2021

Introduction: Non-ST-elevation (NSTE) acute coronary syndrome (ACS) is a common and polymorphic condition. Predicting significant coronary artery disease (CAD) is sometimes difficult. The objective of this study was to identify predictors of CAD severity in patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). Patients and Methods: We prospectively evaluated 296 patients with NSTE-ACS who underwent a coronary angiography. Significant CAD was defined as ≥70% stenosis in at least one major coronary artery. Clinical characteristics in the hospital for 30 days and one-year outcomes were prospectively noted and a multivariate analysis was performed. Results: The study included 296 NSTE-ACS patients. The mean age of the patients was 62.1 ± 12.6 years old while 58.1% of the patients were males. A multivariable analysis for the significant CAD predictors is shown (Figure 1), representing current smoking (ORa = 4.4; 95% confidence interval [CI] = 1.5–13.0, p = 0.007), a diabetic under insulin (Ora = 6.4; 95% [CI] = 2.4–17.4, p < 10-3), typical angina (ORa = 5.4; 95% [CI] = 1.7–16.8, p = 0.003), persistent angina (ORa = 5.3; 95% [CI] = 1.3–21.8, p = 0.019), recurrence of angina (ORa = 8.9; 95% [CI] = 1.5–51.4; p = 0.015), down sloping ST depression (ORa = 6.1; 95% [CI] = 2.4–15.3, p < 10-3), positive troponin (ORa = 4.2; 95% [CI] = 1.9–9.2, p < 10-3), kinetic disorder > 2 segments (ORa = 2.5; 95% [CI] = 1.1–6.0, p = 0.049), intima-media thickness (IMT) > 0.8 mm (ORa = 5.2; 95% [CI] = 2.3–12.1, p < 10-3). Conclusion: In this study, the severity of CAD was predicted by parameters such as typical or recurrent angina pectoris, current smoking, diabetic on insulin, down sloping ST depression, elevation of troponin, kinetic anomaly in more than two segments and the IMT greater than 0.8 mm.
Residential Flashover Prevention with Reduced Water Flow: Phase 1
Authors:   UL Firefighter Safety Research Institute, Madrzykowski Daniel , Dow Nicholas
Published: December 2021

This study was designed to be an initial step to investigate the potential of low flow nozzles as part of a retrofit flashover prevention system in residential homes with limited water supplies. Not all homes have water supplies that can meet the needs of a residential sprinkler system. Current alter- natives, such as including a supplemental tank and pump, increase the cost of the system. These homes could benefit from an effective fire safety system with lower water supply requirements. The experiments in this study were conducted in a steel test structure which consisted of a fire room attached to a hallway in an L-shaped configuration. Three types of experiments were conducted to evaluate nozzles at different flow rates and under different fire conditions. The performance of the nozzles was compared to the performance of a commercially available residential sprinkler. The first set of experiments measured the distribution of the water spray from each of the nozzles and the sprinkler. The water spray measurements were made without the presence of a fire. The other two sets of experiments were fire experiments. The first set of fire experiments were designed to measure the ability of a water spray to cool a hot gas layer generated by a gas burner fire. The fire source was a propane burner which provided a steady and repeatable flow of heat into the test structure. Two water spray locations were examined, in the fire room and in the middle of the hallway. In each position, the burner was shielded from the water spray. The results showed that for equivalent conditions, the nozzle provided greater gas cooling than the sprinkler. The tests were conducted with a fire size of approximately 110 kW, and water flow rates in the range of 11 lpm (3 gpm) and 19 lpm (5 gpm). The second set of fire experiments used an upholstered sofa as the initial source of the fire with the water spray located in the same room. As a result of the compartment size and water spray distribution, the nozzle flowing water at 23 lpm (6 gpm) provided more effective suppression of the fire than the sprinkler flowing 34 lpm (9 gpm) did. The nozzle was similarly effective with the ignition location moved 1.0 m (3.2 ft) further away. However, the nozzle failed to suppress the fire with a reduced water flow rate of 11 lpm (3 gpm). The results of this limited study demonstrate the potential of low flow nozzles, directly flowing water on to the fuel surface, with the goal of preventing flashover. Additional research is needed to examine larger room sizes, fully furnished rooms, and shielded fires to determine the feasibility of a reduced water flow flashover prevention system.
Fourteen Threatened Native Trees of Bangladesh: Which Pretreatment Generates Maximum Germination Percent?
Authors: Hasnat G.N. , Hossain M. , Bhuiyan M. , Alam M.
Published: December 2021

Effect of different pre-sowing treatments on germination of fourteen threatened native tree species of Bangladesh was studied to find out the appropriate pre-sowing treatments to speed up germination rate of the required and desired species. Hard coated fruits and seeds of Canarium resiniferum, Castanopsis indica, Protium serratum, Quercus acuminata and Vitex peduncularis were treated with sand paper, nicking, cold water, hot water, H2SO4 and HCl. Seeds of Brownlowia elata, Dichopsis polyantha, Firmiana colorata, Lophopetalum fimbriatum, Pterospermum acerifolium, Pterospermum semisagittatum, Pterygota alata and Sterculia villosa were sown in polybags, propagator house and nursery bed in normal, flat and in 450 angle position. Hard fruits of Castanopsis indica sown in polybags without any treatment showed 25% germination but increased to 67% when fruits were treated with sand paper rubbing at the distal end. Seeds of Lophopetalum fimbriatum germinated only 26% when sown normally in polybags but when sown in propagator house it increased to 90%. Different species response differently with pre-sowing treatments but in general pre-sowing treatments increases the germination percent in all the species.
Improved in vitro propagation of Rose cultivars against varying concentrations of carbon source, agar and plant growth regulators
Authors: Saklani Kumud , Pant Hem , Bisht Vinod , Singh Arun , Rawat Vijay
Published: December 2021

The present study was conducted to improve upon the micropropagation protocol of Rose cultivars by modification of the MS medium through variations in sucrose and agar concentrations thereby enhancing the shoot multiplication and rooting efficiency of the nodal explants. High sucrose concentrations and low agar concentrations favoured shoot mutiplication during the in vitro stages. Enhanced multiplcation and growth was observed on sub culturing the mother explants with regenerated shoots on fresh MS medium containing sucrose (3.5%, w/v) and agar (0.6%, w/v), supplemented with lower concentrations cytokinin combination of BAP and KN (2.5 mgl-1+1.5 mgl-1) respectively. Half strength MS medium containing sucrose (2.0%, w/v) and agar (0.3%, w/v) with NAA and BAP (2.0 mgl-1+0.5 mgl-1) in combination was most effective for rooting.
Gambaran Penyesuaian diri Mahasiswa Baru Universitas Katolik Widya Mandala Surabaya Kampus Kota Madiun Tahun Akademik 2020/2021
Authors: Widodo Bernardus
Published: December 2021

Tujuan dari penelitian ini adalah untuk memberikan gambaran dan menemukan faktor-faktor yang mempengaruhi penyesuaian diri mahasiswa baru 2020/2021 Universitas Katolik Widya Mandala Surabaya Kampus Kota Madiun, dengan Populasi seluruh mahasiswa baru UKWMS Kampus Madiun tahun akademik 2020/2021 sebanyak 140 mahasiswa. Jumlah sampel adalah 32 dari 39 yang seharusnya mengisi kuesioner. Penentuan sampel menggunakan teknik Non Probability Sampling, Hasil penelitian menunjukkan bahwa gambaran penyesuaian diri mahasiswa baru dari aspek (1) overt performance, 24 subjek (75%) menunjukkan penampilan yang positif, dan 8 subjek (25%) dalam penampilannya tidak menjaga sikap dan perilaku, cenderung melanggar aturan, (2) Aspek penyesuaian diri pada berbagai kelompok, 26 subjek (81,25%) menyatakan baik/sangat baik dan nyaman, dan 6 subjek (18,75%) tidak sepenuhnya merasa nyaman dan baik (masih ragu-ragu), (3 ) Aspek sikap sosial. 22 subjek (68,75%) menunjukkan sikap yang baik, proaktif, terlibat dalam aktivitas, dan 10 subjek (31,25) bersikap acuh tak acuh, pasif terhadap aktivitas, (4). Aspek kepuasan diri ditandai dengan pengalaman emosional, 26 subjek (81,25%) menunjukkan pengalaman emosional positif, seperti perasaan senang, bangga, senang, gembira, dan 6 subjek (18,75%) menunjukkan pengalaman emosional negatif, cemas, gelisah, kurang percaya diri, merasa sendiri.
Perspektif Sosiologis Faktor – Faktor yang memengaruhi Kunjungan Ibu Balita ke Fasilitas Kesehatan (Studi Kasus Pada Posyandu Mawar Kelurahan Tombula Kecamatan Tongkuno)
Authors: Imanuddin Imanuddin , Fathuraahman Teguh , Hariani Hariani , Rahmawati Rahmawati
Published: December 2021

Upaya pelayanan kesehatan salah satunya adalah kegiatan Pos Pelayanan Terpadu (posyandu) yang merupakan salah satu upaya untuk mendekatkan masyarakat terhadap jangkauan pelayanan kesehatan primer. Rancangan yang digunakan dalam penelitian ini dilakukan secara observasional analitik dengan pendekatan cross sectional study dan telah dilaksanakan pada pada Tanggal 9 Juni – 12 Juni 2020bertempat di Puskesmas Tongkuno. Sampel yang digunakan dalam penelitian ini yaitu 50 orang.Tehnik sampel penelitian ini yaitu acak sederhana (simple random sampling), kunjungan ibu balita ke posyandu sebagian besar (72%) memiliki kategori tidak baik. Pengetahuan ibu balita sebagian besar (92%) memiliki kategori baik.Pekerjaan ibu balita sebagian besar (68%) kategori bekerja.Peran kader posyandu sebagian besar (78%) kategori aktif.Tidak ada hubungan pengetahuan ibu balita dengan kunjungan ibu balita ke posyandu. Dari hasil penelitian ini di harapkan dapat menambah pengetahuan dan dijadikan sebagai sumber referensi penelitian dan disarankan untuk meneliti faktor-faktor lain khususnya dukungan keluarga atau faktor-faktor lainnya yang terkait.
ANALYSIS OF THE POTENTIAL INCOME OF TOBACCO (Nicotiana tabacum L.) FARMERS IN LIMAPULUH KOTA REGENCY OF WEST SUMATERA PROVINCE
Authors: Latifa Dara , Ispinimiartriani Ispinimiartriani , Soemarsono Soemarsono , Syakib Sidqi M.
Published: December 2021

West Sumatra is one of the tobacco producing provinces in Indonesia and the largest producer is Limapuluh Kota Regency. The majority of the population of Limapuluh Kota Regency livelihoods as farmers and one of them is tobacco farmers. The profession of tobacco farmers is often a seasonal profession for the community. Because the price, production and area of tobacco land are fluctuating. This research aims to find out the potential of tobacco farming to farmers' incomes in terms of income when compared to UMP West Sumatra, business feasibility, minimum land area and price. Research methods are survey using questionnaire instruments. The data used is primary and secondary data. Data analysis methods use income analysis, Z test comparison analysis, feasibility analysis, minimum land area and price. The results showed that the analysis of wet and dry tobacco farm income has the potential to provide benefits for farmers indicated by the value of the R/C feasibility analysis > 1. Comparative analysis with UMP West Sumatra using Test Z showed if the H1 hypothesis was accepted. Analysis of land area and minimum selling price shows that land area and price level appropriate to achieve income level in accordance with UMP West Sumatra.
On The Matter of Begging in Bulgarian Criminal Law
Authors:   St. Kliment Ohridski University of Sofia, Bulgaria, Stavreva Marieta
Published: December 2021

The article addresses two major problems: poverty and begging. Poverty is a state or condition in which a person lacks financial resources and essentials for a minimum standard of living. The deprivation of access to fresh water, food or sanitation forces people into carrying out various life-sustaining activities in public spaces. One of these activities is begging on the streets. Unfortunately, begging has been socially stigmatised in numerous European countries, including Bulgaria, as immoral and deviant behaviour. In Bulgaria, begging has been criminalised under Art. 329, Para. 2 of the Criminal Code. Nevertheless, the issue lies in the fact that criminalising begging will not put an end to poverty. On the contrary, it threatens the existence and the exercise of fundamental human rights, which is why legislators should reconsider the criminal policy and eventually decriminalise begging.
Manifestations of Force Majeure in a State of Emergency Declared in Bulgaria
Authors: Ivanov Momchil
Published: December 2021

The article addresses the current issue of the manifestations of force majeure in the state of emergency in Bulgaria, declared in 2020. The emphasis is on the Law on Measures and Actions during the state of emergency and on overcoming the consequences and orders of the Minister of Health as manifestations of force majeure by analysing its essential features according to Article 306 of the Bulgarian Law on Commerce. A distinction has been made between these forms of force majeure and economic intolerance.
Peranan Gereja dalam Sistem Pemerintahan yang Baik di Indonesia
Authors: Ming David
Published: December 2021

The relationship between the church and a good goverment a very important matter to be discussed both in the academic sphere and in the scope of society in general. The relationship differs from time to time because the relationship between the two causes polemics. This is due to the understanding of the field that the ministry of the church should be limited to theological matters. On the other hand, there are those who argue that church activities cannot be narrowed down to only abstract/theological matters. Instead, the church must show concern for its concern for very concrete social issues, such as how to build good governance. From the results of this discussion, it was found that the Church must continue to provide color in Indonesian politics by continuing to provide inspiration in the midst of a pluralistic society in this nation.
PENDIDIKAN AGAMA KRISTEN DI GEREJA PADA ERA REVOLUSI INDUSTRI 4.0 MENUJU KESEHATAN GEREJA PADA MASA PANDEMI
Authors: Budiono Aryanto
Published: December 2021

Pendidikan Agama Kristen merupakan salah satu cara untuk mendewasakan iman orang percaya sekalipgus sebuah cara untuk menyehatkan sebuah gereja. Gereja yang sehat adalah gereja yang akan bertumbuh. Pertumbuhan gereja bermakna ganda yaitu secara kualitatif (kualitas) dan kuantitatif (kuantisan, jumlah jemaat). Semua itu bisa diukur melalui kehadiran jemaat dalam setiap kegiatan, baik dalam skala besar (ibadah raya) maupun skala kecil (kelompok kecil). Namun sejak Bulan Maret – April 2020, terjadi Pandemi Covid 19 yang mengakibatkan gereja-gereja menutup kegiatan pertemuan langsungnya dan menggantinya dengan kegiatan daring. Beberapa gereja yang jemaatnya gagap teknologi harus mencari cara supaya pelayanan dan persekutuan dapat berjalan terus dan iman jemaat tetap terpelihara meskipun tidak maksimal. Namun syukur kepada TUHAN, pandemi ini terjadi pada masa yang disebut dengan  Revolusi industri 4.0. Pemanfaatan teknologi yang luar biasa ini bisa dijadikan sarana untuk mendewasakan jemaat sekaligus menyehatkan gereja sehingga pertumbuhan yang diinginkan dapat tercapai dengan baik

 

Kata Kunci: Pendidikan Agama Kristen, Kesehatan Gereja, Pandemi Covid-19, Revolusi Industri 4.0
SUPLEMENTASI MIKRONUTRIEN MENUNJANG EFEKTIVITAS TERAPI GIZI PADA PASIEN AKALASIA ESOFAGUS DENGAN HIPOALBUMINEMIA BERAT
Authors: St.Pasriany  , Agussalim Bukhari  , Haerani Rasyid  , A. Yasmin Syauki
Published: December 2021

Pendahuluan

Akalasia merupakan gangguan motilitas berupa hilangnya peristaltik esofagus dan gagalnya sfingter esofagokardia berelaksasi, makanan tertahan di esophagus. Menyebabkan malnutrisi karena asupan tidak optimal.

Laporan Kasus

Laki-laki 64 tahun dirawat dikonsul dengan dyspepsia e.c akalasia esofagus. Keluhan utama, asupan makan berkurang dialami sejak 2 bulan karena sulit menelan dan muntah tiap kali makan. Tidak ada nyeri menelan. Demam, batuk dan sesak tidak ada. Ada penurunan berat badan, besarnya tidak diketahui. Luka pada antebrachium dekstra et sinistra. Pasien tidak menderita diabetes maupun hipertensi.  Sakit sedang, GCS E4M6V5, tanda vital normal. Status gizi severe protein energy malnutrition berdasarkan ukuran LILA (18 cm). Hasil laboratorium didapatkan deplesi berat sistem imun, hipoalbuminemia dan penurunan fungsi ginjal.

Terapi nutrisi berupa diet 1430 kkal, protein 1.2g/kgBBI/hari dalam bentuk makanan cair via oral dan nutrisi parenteral. Kebutuhan cairan 1400ml/24 jam. Suplementasi vitamin B kompleks, zinc 20mg, pujimin 450mg, vitamin A 20.000IU, Vitamin C 300mg dan Curcuma 400 mg/8jam. Pemantauan asupan, toleransi saluran cerna, tanda vital dan keseimbangan cairan setiap hari.

Setelah perawatan 41 hari, pasien dapat menelan makanan lunak, luka pada antebrachium menutup, tidak terjadi perburukan status gizi, albumin dan protein total meningkat.  

Kesimpulan

Hipoalbuminemia pada pasien akalasia esofagus, efusi pleura bilateral, skin and soft tissue infection terkoreksi dengan asupan protein 1,2 gr/kgBBI/hari, Zinc 20 mg, vitamin B kompleks, Pujimin 450 mg, Vitamin A 20.000 IU, Vitamin C 300 mg dan Curcuma 400 mg/8 jam/oral.
PEMBERIAN NUTRISI ENTERAL DAPAT MEMPERTAHANKAN KADAR ALBUMIN NORMAL NAMUN TIDAK MEMPERBAIKI KADAR TLC PADA PASIEN KARSINOMA NASOFARING
Authors: Lusi Makaba  , Suryani As’ad  , Nurpudji A Taslim  , A. Yasmin Syauki
Published: December 2021

Pendahuluan

Malnutrisi pada keganasan kepala dan leher sering terjadi yang ditandai dengan penurunan berat badan 10% selama menjalani terapi. Intervensi nutrisi dapat mencegah malnutrisi.

Laporan Kasus

Tn.M, umur 35 tahun dikonsulkan dari THT-KL dengan diagnosa karsinoma nasofaring stadium IV B dengan keluhan utama sulit  menelan selama 2 hari sebelum dikonsul dan penurunan berat badan dalam 2 minggu. Pemeriksaan Antropometri: panjang badan: 171 cm, lingkar lengan atas: 22 cm, berat badan ideal: 63,9 kg, berat badan aktual: 45 kg, indeks masa tubuh:15,3 kg/m2. Pemeriksaan fisik didapatkan: massa tumor pada leher kanan, kehilangan lemak subkutan, muscle wasting. Status gizi: gizi buruk. Pemeriksaan laboratorium: kolesterol total 224 mg/dL,LDL190 mg/dL.

Intervensi nutrisi dengan kebutuhan energi terkoreksi 2200 kkal dengan komposisi  karbohidrat 50 %, protein 17% dan  lemak 33 %. Diet diberikan 50 % via nasogastric tube berupa makanan saring, susu formula, jus buah. Selanjutnya, diet akan ditingkatkan sesuai toleransi sampai kebutuhan energi terkoreksi tercapai. Setelah perawatan 14 hari, pada pasien ini terjadi peningkatan lingkar lengan atas pada awal perawatan 22 cm menjadi 22.5 cm, berat badan aktual 45 kg menjadi 46 kg. Hasil laboratorium didapatkan perbaikan profil lipid.

Kesimpulan

Terapi nutrisi pada pasien karsinoma nasofaring dengan gizi buruk dapat meningkatkan berat badan dan mencegah adanya malnutrisi energi-protein yang berat.
PERBAIKAN ANEMIA PADA PASIEN HIV STADIUM III DAN STATUS GIZI KURANG DENGAN PEMBERIAN ASUPAN TINGGI PROTEIN DAN MULTIPLE MICRONUTRIENT SUPPLEMENT
Authors: Maria Ingrid Budiman  , Agussalim Bukhari  , R Sutrisno  , A. Yasmin Syauki
Published: December 2021

Latar Belakang

Anemia normositik normokrom terjadi pada 60% hingga 80% pasien HIV. Anemia dapat menurunkan survival, mempercepat progresivitas penyakit, dan meningkatkan mortalitas pada pasien HIV. Pemberian asupan tinggi protein dan multiple micronutrient supplement diperlukan untuk memperbaiki kadar hemoglobin dan mencegah perburukan anemia.

Laporan Kasus

Seorang pasien berjenis kelamin laki-laki, umur 25 tahun dikonsulkan dari bagian penyakit dalam dengan diagnosis HIV stadium III untuk terapi nutrisi. Keluhan utama asupan makan berkurang sejak satu bulan terakhir akibat nafsu makan berkurang. Pasien mengeluh batuk, sesak, dan demam.  Pasien tersebut memiliki riwayat berganti pasangan, dan sedang dalam pengobatan OAT hari ketiga. Asupan 24 jam 769 kkal. Dari pemeriksaan laboratorium, didapatkan anemia (Hb 9,5 g/dl), deplesi berat sistem imun (TLC 613/µL), dan hipoalbuminemia (2,1 g/dl). Status gizi pasien ini adalah gizi kurang berdasarkan ukuran lingkar lengan atas (73% LLA). Terapi nutrisi diberikan melalui oral dengan energi 2200 kkal, protein 2gr/kgBBI/hari(17%), karbohidrat 50% dan lemak 33% berupa makanan lunak, buah, dan susu formula. Suplementasi yang diberikan adalah zinc 20mg/24jam, vitamin A 6000/24jam, vitamin B1 100 mg/24jam, vitamin B6 200 mg/24jam, vitamin B12 200 µg/24jam, vitamin C100mg/24jam, dan ekstrak ikan gabus 2kapsul/8jam. Setelah perawatan selama 13 hari, pasien dipulangkan dengan status gizi: gizi kurang (IMT 18,36kg/m2), anemia (Hb 11,6 g/dl), deplesi berat sistem imun (TLC 462/µL), dan hipoalbuminemia (3,1 g/dl).

 Kesimpulan

Terapi nutrisi yang adekuat dapat memperbaiki anemia pasien HIV stadium III.
JUDICIALIZAÇÃO DAS POLÍTICAS PÚBLICAS DE SAÚDE: EFETIVAR DIREITOS SEM VIOLAR A ISONOMIA DOS ENTES FEDERATIVOS
Authors: Bezerra André Augusto Salvador , Saraiva Fabiane Borges
Published: December 2021

Este artigo traça um panorama da judicialização dos conflitos na área da saúde pública no Brasil, com foco na possibilidade de o fenômeno levar a uma quebra da isonomia entre os entes federativos, obstando os na implementação de políticas aptas a efetivar direitos. O trabalho utiliza-se de revisão bibliográfica e de citações jurisprudenciais. Quanto a estas últimas, abordamos especialmente o Tema n. 793 do Supremo Tribunal Federal, que elidiu a lógica da solidariedade do direito privado na exigibilidade de políticas de saúde a todos os entes da Federação. Sustentamos que a consolidação desse entendimento indica um caminho possível para a efetivação do direito à saúde pela via judicial, pois considera a isonomia federativa e, consequentemente, reduz os impactos desestabilizadores causados pelo excesso de litigiosidade.
Perbedaan Kualitas Hidup Lansia yang Aktif Mengikuti Posyandu Lansia dengan yang Tidak Aktif Mengikuti Posyandu Lansia di Kelurahan
Authors: Rambu Malairu Salestin , Pitoyo Joko
Published: December 2021

Problems often faced by eldery is decreasing ability is like physical health, or decrease ability to socialize with others. Health Service Centre is one of  activities aimed to elderly to get health services easily.Objective aim to know differences from quality of life of  active elderly with inactive elderly on follow health service centre in Mojolangu Village Of Lowokwaru District, method is design research is used a Cross Sectional design. Sample are 40 elderly, taking sample is using purposive sampling. Samples divided to 2, that is 20 elderly who are active, and 20 elderly who are inactive Data analysis is using Chi Square test. The results showed there are 5 (25%) respondents who are actively follow elderly  Health Service Centre had a good quality of life, while 1 (5%) respondents who are inactively follow elderly Health Service Centre had a good quality of life. Respondents with a good quality of life average attendance participed in elderly  Health Service Centre by 7 times, while inactive elderly as much as 3/4 times. Chi Square test results obtained by the value of p = 0,002, so concluded there is a differences from quality of life of active elderly with inactive elderly on follow health service centre in Mojolangu Village of Lowokwaru. Suggestion from this study are further researchers can use this research and more developed.

Keywords: Quality of Life, Elderly, Health Service Centre
Hubungan Frekuensi Kunjungan ke Posyandu dengan Status Gizi Balita
Authors: I Putu Raditya Agustiawan  , Pitoyo Joko
Published: December 2021

Status gizi dinyatakan sebagai keadaan tubuh yang merupakan akibat dari konsumsi makanan dan penggunaan zat-zat gizi, status gizi balita sangat berpengaruh dalam beberapa aspek. Gizi kurang pada balita dapat memberi dampak negatif bagi fisik maupun mental yang dapat menghambat prestasi belajar. Upaya yang dilakukan untuk mengenal, mencegah dan mengatasi masalah gizi adalah dengan menimbang berat badan secara teratur, memberikan ASI saja kepada bayi sejak lahir sampai umur 6 bulan, makan beraneka ragam, menggunakan garam beryodium, dan pemberian suplemen gizi sesuai anjuran petugas kesehatan. Tujuan penelitian untuk mengetahui hubungan frekuensi kunjungan ke Posyandu dengan status gizi Balita yang berkunjung ke Posyandu didalam  Cakupan Puskesmas Arjuno. Jenis penelitian ini menggunakan jenis kuantitatif dengan desain analitik korelasi dengan pendekatan cross sectional. Jumlah sampel 30 responden yang diambil dengan cara teknik Simple Random Sampling. Teknik pengambilan data dengan menggunakan buku KMS dan observasi pengukuran berat badan dan tinggi badan. Hasil uji Spearman didapatkan nilai (p = 0,000 ; ɑ = 0,05 ; r = 0,905) artinya ada hubungan frekuensi kunjungan ke posyandu dengan status gizi balita di Posyandu Asri RW 4 dengan sangat kuat, dimana semakin  tinggi tingkat frekuensi kunjungan ke Posyandu maka akan semakin baik pula tingkat perkembangan status gizi Balita tersebut. Diharapkan Agar orangtua Balita dapat meluangkan waktu untuk melakukan kunjungan ke Posyandu serta memanfaatkan Posyandu yang tersedia sebagai sarana konsultasi kesehatan Balita dan sebagai deteksi dini adanya gangguan perkembangan pada Balita
Faktor-Faktor Yang Mempengaruhi Proses Penyembuhan Luka Pada Pasien Post Operasi Sectio Caesaria
Authors: Riandari  , Susilaningsih Susilaningsih , Agustina Wiwik
Published: December 2021

Sectio caesarea adalah proses persalinan dengan cara melahirkan janin melalui insisi pada dinding abdomen (laparotomi) serta dinding uterus. Pada luka sectio cesaria dapat terjadi infeksi. Infeksi merupakan salah satu penghambat proses penyembuhan luka insisi pada luka sectio caesaria. Terdapat berbagai faktor  yang mempengaruhi penyembuhan luka operasi seperti usia, status gizi, dan mobilisasi. Tujuan penelitian untuk mengetahui faktor-faktor internal yang meliputi usia, status gizi, dan mobilisasi yang mempengaruhi proses penyembuhan luka pada pasien post sectio caesaria di RS Permata Bunda Kota Malang. Desain penelitian adalah deskriptif dan populasi dalam penelitian ini adalah seluruh ibu post sectio caesaria yang berjumlah 75 orang. Besar  sampel yang memenuhi kriteria inklusi sejumlah 35 responden yang diambil dengan cara teknik Total Sampling. Teknik pengambilan data dengan menggunakan kuesioner dan lembar observasi (ceklist). Hasil dari uji Spearman faktor-faktor internal yang mempengaruhi proses penyembuhan luka post SC didapatkan ada hubungan status gizi dengan nilai (ρ= 0.00) dan mobilisasi dengan nilai (ρ= 0.00) pada proses penyembuhan luka post operasi sectio caesaria di RS Permata Bunda Malang tahun 2019. Sedangkan usia tidak terdapat hubungan dengan nilai (ρ= 0.12). Diharapkan ibu post SC dapat mengetahui faktor-faktor yang mempengaruhi proses penyembuhan luka post operasi sectio caesaria, sehingga ibu post SC dapat berantisispasi agar luka post sectio caesaria tidak mengalami infeksi yang dapat mempengaruhi proses penyembuhan luka menjadi lambat.

 

Kata kunci: umur, status gizi, mobilisasi, proses penyembuhan luka post operasi  sectio caesaria
PROFESIONALISME PEMANDU DALAM MENINGKATKAN PELAYANAN KUNJUNGAN ISTURA PADA ISTANA KEPRESIDENAN TAMPAKSIRING BALI
Authors: Arimbawa Dewa Gede
Published: December 2021

Profesionalisme sangat ditentukan oleh kemampuan seseorang atau individu dalam melakukan suatu pekerjaan menurut bidang tugas dan tingkatannya masing-masing. Hasil dari pekerjaan itu lebih ditinjau dari segi sesuai porsi, objek, bersifat terus menerus dalam situasi dan kondisi yang bagaimanapun serta jangka waktu penyelesaian pekerjaan yang relatif singkat. Dalam penelitian ini menggunakan metode deskriptif kualitatif. Teori yang digunakan dalam penelitian ini adalah Teori Parasuraman (2001) yang menyatakan 5 indikator pelayanan yaitu bukti fisik, keandalan, daya tanggap, jaminan dan empati.

Hasil penelitian menunjukkan bahwa Profesionalisme pemandu dalam meningkatkan pelayanan kunjungan istura pada Istana Kepresidenan Tampaksiring Bali telah berjalan dengan baik sesuai dengan hasil analisis menggunakan Teori Pelayanan. Tetapi masih perlu dilakukan beberapa evaluasi, hal itu karena dari 5 indikator terdapat 1 indikator pelayanan yang harus dievaluasi yaitu perlunya penambahan sarana kebersihan sehingga tidak mengganggu kebersihan sebagai salah satu bentuk pendukung pelayanan. Sedangkan 4 indikator yang telah memenuhi yaitu adanya pemandu yang telah memiliki keterampilan dalam memandu, memandu dengan baik sehingga mudah dimengerti, memberikan kesempatan kepada pengunjung untuk bertanya serta memperhatikan kebutuhan informasi dari pengunjung. Kendala dari profesionalisme pemandu dalam meningkatkan pelayanan kunjungan istura pada Istana Kepresidenan Tampaksiring Bali adalah masih kurangnya jumlah pemandu dan masih kurangnya kemampuan pemandu dalam berbahasa asing.
Kapasitas Aparatur Pemerintah Desa Dalam Inovasi Upaya Penanggulangan dan Pencegahan Penyebaran Corona Virus Disease 2019 (Covid-19)
Authors: Utama Sasmito Jati
Published: December 2021

Pemerintah pusat melalui Kementerian Desa, Pembangunan Daerah Tertinggal dan Transmigrasi memberikan instruksi untuk pencegahan Covid-19 ditingkat desa melalui Surat Edaran Nomor 8 Tahun 2020 tentang Desa Tanggap Covid-19 dan Penegasan Padat Karya Tunai Desa. Adapun ruang lingkup Surat Edaran ini meliputi (1) Penegasan PKTD, (2) Desa Tanggap COVID-19; dan (3) Penjelasan perubahan APBDes..Tulisan ini mengkaji mengenai kapasitas aparatur pemerintah desa dalam inovasi penanggulangan dan pencegahan penyebaran Corona Virus Disease 2019 (Covid-19) di wilayahnya, melalui studi literatur, yang berfokus pada kapasitas-kapasitas aparatur khususnya pemerintah desa dalam upaya pencegahan dan penanganan COVID-19berdasarkan praktek terbaik di Indonesia. Kapasitas aparatur pemerintah desa yang diperlukan sebagai inovasi dalam upaya penanggulangan dan pencegahan penyebaran Corona Virus Disease 2019 (Covid-19) di wilayahnya dapat disimpulkan bahwa seorang kepala desa membutuhkan kapasitas responsif, kapasitas ekstraktif, kapasitas regulatif, kapasitas distributif dan kapasitas kolaboratif.

Kata Kunci:kapasitas, aparatur, ekstraktif, responsive, Covid-19
EFEKTIVITAS PROGRAM TEMPAT OLAH SAMPAH SETEMPAT (TOSS) DALAM PENGELOLAAN SAMPAH DI DESA GUNAKSA, KABUPATEN KLUNGKUNG
Authors: Marsitadewi Komang Ema , Sudemen I Wayan
Published: December 2021

Kabupaten Klungkung menjadi salah satu contoh wilayah yang mengembangkan pembangkit listrik alternatif melalui program Tempat Olah Sampah Setempat (TOSS). Program ini telah dijalankan 3 tahun dan  pelaksanaannya, program TOSS ini mengalami banyak hambatan seperti kemampuan pengelolaan desa masing-masing, dana hingga keterbatasan pengadaan alat pengelolaan sampah. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif. Data diperoleh dengan menyebarkan kuisioner kepada 98 orang dan dari laporan-laporan, artikel ilmiah atau penelitian sejenis yang berhubungan dengan Program TOS). Keefektifan TOSS dilihat dalam tiga bagian yakni:  input, proses, dan output. Dari sisi input, hasil penelitian menunjukkan jenis sampah yang diperoleh melalui pemilahan sampah memperoleh rata-rata skor sebesar 2,28 hal ini menandakan bahwa masyarakat kurang baik dalam melakukan pemilahan sampah. Dari sisi proses, pengumpulan sampah oleh petugas sudah menunjukkan kategori baik. Hal ini didukung oleh tersedianya kendaraan pengangkut sampah ke tempat pengolahan. Sedangkan pengelolaan sampah yang dilakukan petugas menunjukkan bahwa seluruh pekerja TOSS menyatakan secara rutin dan terus menerus mengolah sampah yang masuk ke TOSS Desa Gunaksa. Dari sisi output, perubahan volume sampah yang dihasilkan masyarakat menunjukkan rata-rata skor 2,66 yang berarti  berada dalam kategori baik. Dengan demikian maka dapat dikatakan  perubahan volume sampah semakin berkurang dengan adanya TOSS di Desa Gunaksa ini.

 

Kata Kunci: Efektivitas, Pengelolaan Sampah, Tempat Olah Sampah Setempat, Kabupaten Klungkung.
Procesión y misa del Domingo de Ramos en el monasterio de San Millán de la Cogolla (s. XI ex.-s. XV). Música, liturgia y espacios.
Authors: Urones Sánchez Vicente
Published: December 2021

El proceso de implantación y asimilación del rito romano en la península ibérica, llevado a cabo de manera irregular y asincrónica, se prolonga en muchos lugares durante todo el siglo XII. El análisis y estudio de tres fuentes litúrgico-musicales de esta época procedentes del monasterio de San Millán de la Cogolla -el misal mixto E-Mh Cód 18 (s. XI ex.) y los antifonarios de la misa E-Mh Cód 51 (s. XII in.) y E-Mh Cód 45 (s. XII ex.)- y de la consueta E-Mh Cód 36 (c. 1437), nos permite conocer el proceso de estabilización y codificación del rito romano en esta institución, y especialmente el de las liturgias estacionales, como la del domingo de ramos, que, por su complejo sistema cultual, desarrollado en diversos espacios, requiere un reglamento especial.
The effect of systematic screening of the general population on TB case notification rates
Authors: Telisinghe L. , Shaweno D. , Hayes R. J. , Dodd P. J. , Ayles H. M.
Published: December 2021

BACKGROUND: Understanding how TB case notification rates (TB-CNR) change with TB screening and their association with underlying TB incidence/prevalence could inform how they are best used to monitor screening impact.METHODS: We undertook a systematic review to identify
articles published between 1 January 1980 and 13 April 2020 on TB-CNR trends associated with TB screening in the general-population. Using a simple compartmental TB transmission model, we modelled TB-CNRs, incidence and prevalence dynamics during 5 years of screening.RESULTS: Of
27,282 articles, seven before/after studies were eligible. Two involved population-wide screening, while five used targeted screening. The data suggest screening was associated with initial increases in TB-CNRs. Increases were greatest with population-wide screening, where screening identified
a large proportion of notified people with TB. Only one study reported on sustained screening; TB-CNR trends were compatible with model simulations. Model simulations always showed a peak in TB-CNRs with screening. Following the peak, TB-CNRs declined but were typically sustained above baseline
during the intervention. Incidence and prevalence decreased during the intervention; the relative decline in incidence was smaller than the decline in prevalence.CONCLUSIONS: Published data on TB-CNR trends with TB screening are limited. These data are needed to identify generalisable
patterns and enable method development for inferring underlying TB incidence/prevalence from TB-CNR trends.
Identification of Interruptions in Urban Drainage Systems and Their Sustainable Solutions for Alleviating Flood Risk in Mumbai, an Indian Megacity
Authors: Gaurkhede Namrata , Adane Vinayak S. , Khonde Shraddha
Published: December 2021

Indian cities, in recent times, have been grappling with pressing natural disasters such as urban flooding and the dichotomy of acute water shortage. 24x7 water supply is a distant dream for the authorities involved. With an ever-increasing population leading to greater water demands, stormwater is increasingly considered an ‘asset,’ a resource that needs to be harvested. Mumbai, India’s financial capital, being prone to chronic flooding, is a colossal problem for the country’s economy. This review paper aims to identify direct and indirect interruptions in the stormwater drainage system of Mumbai, which in turn is leading to chronic flooding issues. This research identifies causative factors for flooding and observes that dilapidated and old-fashioned drainage systems are major hindrances in flood-free Mumbai. The traditional approach to urban infrastructure management needs to be reviewed and re-imagined. The identified interruptions in the drainage system were, thus, studied in detail to finally suggest some sustainable solutions, based on analysis and learnings from international success stories of cities having similar problems.
Experimental Study of Automatic Weapon Vibrations when Burst Firing
Authors: VO Bien Van , MACKO Martin , DAO Hung M.
Published: December 2021

The article presents a new approach to finding the dynamic characteristics of automatic weapons, mainly in case of burst firing. The experiments were tested out on a 30 mm AGS-17 grenade launcher mounted on a tripod in the event of a shot. The obtained results are the basis for evaluating the firing stability of an automatic weapon when burst firing, which allows modernising the existing weapons and evaluating similar weapon systems. Furthermore, the outputs can be used to validate a dynamic model of an automatic weapon system mounted on the tripod. The procedure can be used as an example of practical technique and methodology for other weapon systems.
G-Force Test Stand for the Evaluation of Weapon Component Strength
Authors: GOŁOŚ Damian , JASIŃSKI Michał , ZAWADA Paweł , NOGA Janusz
Published: December 2021

This paper discusses the design of a G-force test stand intended to examine of the effects of mechanical loads present during firing of a weapon and applied to the electronic components contained in the 155 mm calibre guided projectile. The G-force test stand is used to develop and test the effects of using high mechanical loads by decelerating a test specimen through the use of a purpose-designed fender assembly. For the purpose of testing, it is irrelevant whether a load is developed by acceleration or deceleration of the test specimen, as a test result obtained by the deceleration of a test specimen is equivalent to a test result obtained by the acceleration of a test specimen, as used in a 155 mm calibre artillery guided projectile. The G-force test stand was used to test and determine the velocities developed by the test specimens and the G-forces applied to them. The maximum velocity to which a test specimen was accelerated was approx. 72 m/s. The test stand was able to propel the test specimens to velocities an order of magnitude higher than the velocities obtained with a Kast and Masset ram. The tests were performed with rubber and copper fender assemblies. The effect of the specific fender used was demonstrated on the trend of the generated G-force. The test stand could develop G-forces in excess of 10,000 with a duration of more than 500 µs.
Implementation and Evaluation of Online Learning at the Faculty of Dental Medicine and Health, Osijek, Croatia
Authors: Jakab Jelena , Včev Aleksandar , Volarić Nikola , Žulj Marinko , Smolić Robert , Smolić Martina , Pezerović Davorin
Published: December 2021

This paper presents the report on the project of implementation and evaluation of online learning at the Faculty of Dental Medicine and Health Osijek. The aim of this project was to include online learning in the teaching process at the Faculty of Dental Medicine and Health, and to assess student’s satisfaction with online learning implemented during elective courses in social sciences. Several dislocated study programs were included, where video conferencing equipment was installed and video conference lectures were held during elective courses in social sciences (Health economics, Health management, Quality control) using Carnet video conferencing system. Lectures were recorded and made available for students to access at different times and locations. An anonymous survey assessing students’ experience and perception of online education was conducted after each course as a part of the regular anonymous course evaluation survey. A large proportion of students were satisfied with the online lectures and agreed that online teaching improves education quality.
Three Premodern Concepts of Disease
Authors: Raguž Marija , Alebić Tamara
Published: December 2021

The concepts of health and disease have an impact on the efficiency of
the medical system. Currently, there are no unanimously accepted definitions of
health and disease, despite the fact that many investigations have attempted to
capture their essence. Most of the available research about the concept of
disease relies on the evidence-based disease concept of the modern medicine.
That concept differs from the lay concept of disease or illness. In this
research we use the cognitive linguistic approach to concepts, taking into
consideration the way in which human mind processes the surrounding reality.
Those processes are based on the universal principles because of the embodiment
of cognition. Consequently, concepts are to some extent independent of time and
culture. We have selected three premodern sources with sufficient information
about disease to ascertain whether they have similarities in the comprehension
of the disease. The first source is “Huangdi Neijing” “Suwen” part, from
Chinese ancient medicine, the second one is “Hippocratic Corpus” from ancient Greece,
and the third is “Otok” by Josip Lovretić from 19th century eastern Croatia.
They are products of very different cultures and historical periods. Conducting
comparison of features related to disease in the three sources, we have
recognized that body, change, process and control are related to the common
shared attributes critical for the concept of disease.
TUTELA PROVISÓRIA ANTECEDENTE: EM BUSCA DA EFETIVIDADE DA PROTEÇÃO JURÍDICA DO MEIO AMBIENTE NO CONTEXTO DO ACORDO DE ESCAZÚ
Authors: Andrade Geovanna Carrijo dos Santos Dalefi , Santos Silas Silva
Published: December 2021

This paper seeks to understand the institute of preliminary injunctive relief in the context of the Escazú Agreement. To this end, it comments on the reasons that led to the formation of this agreement and presents some of its most relevant articles. The principles of precaution and prevention, which are intended to protect the environment, are also distinguished. The article also presents the concept of provisional emergency guardianship and demonstrates its species. It analyzes in greater detail antecedent provisional injunctive relief as a tool to ensure effective jurisdiction to protect the environment, concluding that such relief is in line with Brazil's commitments under the Escazú Agreement. In order to carry out this research and reach its objectives, the hypothetical deductive method was applied, producing an essentially exploratory research. To this end, it was based on the reading and analysis of books, scientific articles, legal magazines, laws and jurisprudence.
PLANEJAMENTO PARA RENDA PASSIVA PÓS-EMPREGO POR MEIO DE GESTÃO INDEPENDENTE DE INVESTIMENTOS
Authors: Ramos Manoel Cândido de Lima , Resende Wanderson Wadjô Mendonça de , Silva Alexandre Magno da , Pimenta Daniel José , Oliveira Sidney Lino
Published: December 2021

O presente caso para ensino tem como objetivo propiciar uma reflexão acerca da importância de um planejamento financeiro de longo prazo, visando a obtenção de uma futura renda passiva pós-emprego sustentada por retorno de investimentos proveniente de uma gestão própria, com foco nos jovens que estão iniciando a vida profissional e permitindo um debate sobre finanças pessoais. O perfil do indivíduo ilustrado neste caso é o de um estudante que possui 25 anos, ainda mora com os pais, está ingressando no mercado de trabalho, tem pouco conhecimento em educação financeira, nunca se organizou financeiramente, tampouco realizou controle de gastos, contudo, tem interesse em assuntos relacionados a poupança e investimentos. Assim, a proposta é que os leitores se coloquem no papel deste estudante, e façam uma análise das propostas apresentadas para a alocação de suas reservas financeiras em um plano estruturado para obter sua renda passiva pós-emprego, bem como permitir um debate sobre a importância a respeito do conhecimento sobre finanças pessoais para estabelecer um bom equilíbrio e saúde financeira ao longo da vida. O caso foi elaborado para utilização em cursos com disciplinas que abordam os assuntos de controle financeiro, finanças pessoais ou orçamentos, com objetivo de aprimoramento do aprendizado.
Distopia e(m) paratradução: reescrevendo Margaret Atwood para o público brasileiro
Authors: Salvadori Juliana Cristina , Silva Daiane Alves
Published: December 2021

Este trabalho apresenta as traduções/reescritas de narrativas distópicas da escritora canadense Margaret Atwood, publicados no Brasil pela editora Rocco entre os anos de 2000 e 2019. Analisa-se os paratextos (capas, contracapas e orelhas) para compreender como esses elementos reescrevem a escritora e suas obras para o público brasileiro, criando um cânone doméstico de sua produção. Como fundamentação teórico-metodológica toma-se Even-Zohar (1990) e outros, sobre teoria de polissistemas; Venuti (2019) sobre cânone doméstico; Lefevere (2007), sobre reescrita e tradução literária; Kathryn Batchelor (2020) e Câmara (2014) sobre paratexto e paratradução. Para o gênero distopia, fundamenta-se em Margaret Atwood (2005), entre outros.  Das 6 narrativas distópicas de Atwood, 5 foram publicadas no Brasil pela editora Rocco, e apresentam reedições, em consonância com a maior popularização da escritora, a partir de 2017. As narrativas distópicas de Atwood são publicadas pelo selo principal, e não pelo selo jovem da editora, atestando que a escritora entra no sistema literário brasileiro como escritora de prestígio, e não pelas margens, lócus da literatura traduzida. Com suporte do programa AntConc, observa-se nos paratextos que a escritora e as obras são associadas inicialmente ao gênero de ficção científica e posteriormente à ficção especulativa ou distopia, e destaca-se: a notoriedade da escritora, prêmios recebidos e circulação das obras. O cânone doméstico da autora se concentra nos seus romances, deixando em segundo plano suas outras produções ficcionais e crítico-teóricas, tomadas como base teórica em diálogo com sua reescrita no Brasil.