bluuebunny/crossref_metadata_2025 huggingface dataset:
Measuring the migration of the components and polyethylene wear after total hip arthroplasty
Authors: Devane P. A. , Horne J. G. , Foley G. , Stanley J.
Published: September 2017

Aims

This paper describes the methodology, validation and reliability of a new computer-assisted method which uses models of the patient’s bones and the components to measure their migration and polyethylene wear from radiographs after total hip arthroplasty (THA).

Materials and Methods

Models of the patient’s acetabular and femoral component obtained from the manufacturer and models of the patient’s pelvis and femur built from a single computed tomography (CT) scan, are used by a computer program to measure the migration of the components and the penetration of the femoral head from anteroposterior and lateral radiographs taken at follow-up visits. The program simulates the radiographic setup and matches the position and orientation of the models to outlines of the pelvis, the acetabular and femoral component, and femur on radiographs. Changes in position and orientation reflect the migration of the components and the penetration of the femoral head. Validation was performed using radiographs of phantoms simulating known migration and penetration, and the clinical feasibility of measuring migration was assessed in two patients.

Results

Migration of the acetabular and femoral components can be measured with limits of agreement (LOA) of 0.37 mm and 0.33 mm, respectively. Penetration of the femoral head can be measured with LOA of 0.161 mm.

Conclusion

The migration of components and polyethylene wear can be measured without needing specialised radiographs. Accurate measurement may allow earlier prediction of failure after THA. Cite this article: Bone Joint J 2017;99-B:1290–7.
Tuberculosis of the spine with severe angular kyphosis
Authors: Wong Y. W. , Samartzis D. , Cheung K. M. C. , Luk K.
Published: September 2017

Aims

To address the natural history of severe post-tuberculous (TB) kyphosis, with focus upon the long-term neurological outcome, occurrence of restrictive lung disease, and the effect on life expectancy.

Patients and Methods

This is a retrospective clinical review of prospectively collected imaging data based at a single institute. A total of 24 patients of Southern Chinese origin who presented with spinal TB with a mean of 113° of kyphosis (65° to 159°) who fulfilled inclusion criteria were reviewed. Plain radiographs were used to assess the degree of spinal deformity. Myelography, CT and MRI were used when available to assess the integrity of the spinal cord and canal. Patient demographics, age of onset of spinal TB and interventions, types of surgical procedure, intra- and post-operative complications, and neurological status were assessed.

Results

All except one of the 24 patients were treated with anti-TB chemotherapy when they were first diagnosed with spinal TB. They subsequently received surgery either for neurological deterioration, or deformity correction in later life. The mean follow-up was 34 years (11 to 59) since these surgical interventions. Some 16 patients (66.7%) suffered from late neurological deterioration at a mean of 26 years (8 to 49) after the initial drug treatment. The causes of neurological deterioration were healed disease in nine patients (56.2%), re-activation in six patients (37.5%) and adjacent level spinal stenosis in one patient (6.3%). The result of surgery was worse in healed disease. Eight patients without neurological deterioration received surgery to correct the kyphosis. The mean correction ranged from 97° to 72°. Three patients who were clinically quiescent with no neurological deterioration were found to have active TB of the spine. Solid fusion was achieved in all cases and no patient suffered from neurological deterioration after 42 years of follow-up. On final follow-up, six patients were noted to have deceased (age range: 47 years to 75 years).

Conclusion

Our study presents one of the longest assessments of spinal TB with severe kyphosis. Severe post-TB kyphosis may lead to significant health problems many years following the initial drug treatment. Early surgical correction of the kyphosis, solid fusion and regular surveillance may avoid late complications. Paraplegia, restrictive lung disease and early onset kyphosis might relate to early death. Clinically quiescent disease does not mean cure. Cite this article: Bone Joint J 2017;99-B:1381–8.
Talking about my generation: dentistry in a multi-generational world
Authors: Redmond Paul
Published: September 2017

What does the future hold for dentistry when Generation Y finally comes of age?
The care and cure of dental phobia: the use of cognitive behavioural therapy to complement conscious sedation
Authors: Newton Tim , Gallagher Jennifer , Wong Ferranti
Published: September 2017

How can CBT help rehabilitate patients who suffer from severe anxiety about dental treatment?
I don’t get no respect
Authors: Simmons Gerald
Published: September 2017

Despite dealing with the pinnacle of the human body, we dentists often find ourselves looked down on by physicians.
World as sacred stage for Sufi ritual: Performance, mobilization and making space with the act of whirling
Authors: Cizmeci Esra
Published: September 2017

This article examines the theoretical and applied relationship between Sufism and performance as embodied acts (including theatrical events comprising dance, theatre, music, praying and meditating and everyday life actions of semazens). I focus on how a Sufi devotee artist, Narin dede with his semazens have come to use performance as a medium for the mobilization of Sufi cultural beliefs and values. Performing their ritual movements as theatrical events outside of Sufi lodges, semazens seek to recognize and embrace world as a sacred stage in which every act is devotional and is embodied and practiced to move closer to God. The analysis of the connection between Sufism and performance shows how Sufism is more than a set of religious doctrines designed solely for Sufi devotion. The connection between Sufism and performance opens a lens through which devotees and non-devotees perceive Sufism’s relationship to different cultures, religions and art forms.
Ziya Azazi’s Dervish-In-Progress and contested choreographies of ‘whirling’ in Turkey
Authors: Bayraktar Sevi
Published: September 2017

For over a decade, Turkey has witnessed a growth in its number of contemporary Sufi communities. Some of them follow traditional religious practices held in convents. Some others detach the whirling practice from the traditional sema ceremony and perform it in cultural centres, associations and dance studios, giving new meanings to the movement and to the social and political relations tied to this practice, and constituting alternative communities based on a kinaesthetic experience of whirling. Among these, Ziya Azazi’s movement technique discerns with the performer’s emphasis on the body’s constant research in a repetitive act of spinning to find deep emotions towards the potential for trance. This article focuses on Azazi’s solo performance, Dervish-In-Progress (D.I.P.), in two different instances: The Ankara State Opera and Ballet concert in 2012 and Istanbul’s Taksim Gezi Park resistance in 2013. By investigating his movement technique through workshops, media footage and individual interviews, this article examines how whirling has the potential to mobilize both performer and audience towards individual and social transformation.
Cover
Authors: Alvarez Silvana
Published: September 2017

Photo of Sophia Coelho dos Reis, child with Rett Syndrome.Photographer: Alessandra Soares
Summary
Authors: Gonçalves Sergio Eduardo de Paiva
Published: September 2017

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Is risk shock a key factor driving business cycles in China?
Authors: Li Zhe , Luo Shuixing
Published: September 2017

This paper studies the impact of risk shock on the Chinese economy using a New-Keynesian model with financial frictions. The study shows that risk shock is an important driving force for the fluctuations of GDP, investment, capital, credit, and credit spread in China. However, the role of risk shock in driving China’s business cycles is not as crucial as in the US economy (see Christiano, Motto, and Rostagno 2014). There are three main reasons that explain the different performance of risk shocks in China and the US: the volatility of risk shock, the effect of equity shock, and the influence of macroeconomic policies are all different in China and in the US. Our paper contributes to an understanding of the business cycles in China during the period from 1999 to 2015, particularly in comparison with business cycles in the US.
Influence of epoxidation conditions on the rheological properties of gel-like dispersions of epoxidized kraft lignin in castor oil
Authors: Cortés-Triviño Esperanza , Valencia Concepción , Franco José M.
Published: September 2017

The modification of castor oil (CO) with lignin was the focus of this research to create a lubricating medium with improved gel-like properties. Namely, an alkali lignin (L) was epoxidized with epichlorohydrin (EP) and the resulting LEPs were dispersed in CO. The parameters of LEPsynthesis were varied and the epoxidation index (EPI) of the LEPs was determined. The LEPs were also submitted to thermogravimetric analysis (TGA), differential scanning calorimetry (DSC) and Fourier transform infrared (FTIR) spectroscopy. Rheological responses of the LEP/CO dispersions were investigated through small-amplitude oscillatory shear (SAOS) tests. Linear viscoelasticity functions are quantitatively affected by the epoxidation parameters, such as temperature, reaction time and L/EP and L/NaOH ratios. In general, lignins with higher EPI show higher values of the SAOS functions, which are indicative of better gel-strength due to a higher cross-linking density between the LEPs and CO. A power-law equation describes well the evolution of the complex modulus, G*, with frequency of gel-like dispersions, where the power-law parameters were found to increase almost linearly with the EPI. The thermo-rheological characterization provides a softening temperature beyond 50°C.
Isolation and structural elucidation of heartwood extractives of Juglans sigillata
Authors: Hu Liqiu , Wang Kai , Li Guangbi , Zhang Rongyan , Luo Yanyan , Si Chuan-Ling , Wang Junhui
Published: September 2017

Juglans sigillata is a deciduous tree in Juglandaceae that grows native in southwestern China. The extracts of J. sigillata are used extensively in folk medicines to treat or prevent various diseases. However, the individual components of J. sigillata heartwood are not known. In this work, the following substances have been isolated from the heartwood: a new trans-feruloyl isoflavone glycoside, namely 3′-methoxy-5′-hydroxy-isoflavone-7-O-(4′′-trans-feruloyl)-β-D-glucoyranoside (I), a known isoflavone glucoside, i.e. 3′-methoxy-5′-hydroxy-isoflavone-7-O-β-D-glucoyranoside (II), and two known flavonol glycosides: kaempferol-3-O-α-L-rhamnopyranoside (III) and myricetin-3-O-α-L-rhamnopyranoside (IV). Chemical structures of extractives I~IV were elucidated mainly based on their spectroscopic [nuclear magnetic resonance (NMR), mass spectroscopy (MS), ultraviolet (UV) and infrared (IR)] and chemical analysis, as well as by comparison with literature data. Compound I was never isolated from any other plant, and it is described the first time in this work. Compound II was not found before in extracts of the genus Juglans, and the compounds III and IV are the first time described as components of J. sigillata extractives.
Disparities in obesity prevalence and obesity-related behaviors among adolescents in Trinidad and Tobago
Authors: Wilson Colwick , Woolford Susan , Wilson Leon , Williams David , Oloo Winetta
Published: September 2017

Objective

African Americans adolescents have disproportionately high rates of obesity compared to their Caucasian peers. Little is known about the rates of obesity among adolescents of African descent in countries with diverse populations. Therefore, we aimed to determine the prevalence of obesity and weight-related behaviors among adolescents in Trinidad and Tobago and to explore differences by race and gender.

Methods

In this cross-sectional study, students from a national stratified sample of high schools (n = 42) in Trinidad and Tobago completed a self-administered survey regarding their health habits. Body mass index (BMI) was calculated from measured height (via a portable stadiometer) and weight (via a digital scale), and BMI percentiles determined using Centers for Disease Control and Prevention (CDC) growth charts. Univariate calculations and χ2analyses were performed to determine obesity prevalence and explore associations between obesity and self-reported demographic factors and weight-related behaviors. One-way analysis of variance (ANOVA) was used to test mean difference in weight status and multivariate analyses explored the role of gender and race after adjusting for covariates.

Results

Of the 3618 adolescents in the study, 56.3% were female. Race: 31.9% Black-Trinidadian, 33.7% Indo-Trinidadian and 33.4% Mixed-Race. Mean age was 17.6 years. The overall prevalence of obesity was 7%, but this differed by race (Black-Trinidadians 17%, Mixed-Trinidadians 2%, Indo-Trinidadians 1%). Black-Trinidadian girls were most likely to be obese (28.1%) and to engage in obesity related habits than their peers.

Conclusion

Black-Trinidadian girls have a significantly higher prevalence of obesity than their peers. Further work should explore culturally tailored interventions to address obesity prevention and treatment in this group.
Management educators in practice: to be critical or not to be critical, that is the question
Authors: Breen Judith
Published: September 2017

The field of management education has been the focus of much debate in recent times regarding the relevancy of its content and process. How we define relevance has implications for all stakeholders of management. As a result, how applicable are the alternative approaches to management education such as critical management education (CME). This research explores how criticality is perceived, experienced, and translated into the everyday practices of critical management educators. The research found that there was a common theme about criticality relating to questioning taken-for-granted assumptions about management and its practices. However, distinctions were made between those whose interests were more theoretically, politically, or practically oriented. From the findings, two critical educator types emerged. These were the critical experientialists and the critical traditionalists. This research provides an understanding of the critical classroom through educator perceptions and practices. In doing so, it enlightens the management educator further as to what it means to be critical.
A technological advance for 21st century obstetricians: the electronically-controlled vacuum extractor
Authors: Perone Nicola
Published: September 2017

Objective:

To describe an innovative electronically-controlled vacuum extractor (VE) in detail and to illustrate its performance characteristics, as observed in a laboratory study.

Design:

Thirty simulated, vacuum-assisted deliveries.

Main outcome measure(s):

(1) The ability to measure in real-time of the pull applied and to sound an alert, when the traction approaches the negative pressure under the cup, to prevent its detachment. (2) The recording and printing of a graphic representation of the pull applied (vacuum delivery graph). (3) The emission of a warning signal when the 15-min time limit of continuous cup application on the fetal scalp, is reached.

Results:

No cup detachment occurred in any of the 15 vacuum-assisted deliveries, in which traction was kept below the adhesive force of the cup [44 lb (20 kg)], except in three cases, due to loss of negative pressure. In the remaining 15 tests, in which traction was greater than the adhesive force of the cup, “pull-offs” inevitably occurred. Furthermore, upon reaching the 15-min time limit of continuous cup application on the fetal cephalic model, a warning signal was emitted, as programmed.

Conclusions

We demonstrated that the electronically-controlled VE, with its distinctive pull-sensing handle, performs suitably for its intended purposes. The ability of the modernized device to decrease the incidence of cup detachment, secondary to the inadvertent application of excessive traction, may result in considerable safety, medico-legal and didactic advantages.
Jhirī: A ‘Sanskrit-speaking’ Village in Madhya Pradesh
Authors: McCartney Patrick
Published: September 2017

Some scholars consider Sanskrit (ISO 639-3 SAN) to be a “dead” or moribund language. However, Sanskrit has survived as a post-vernacular, second language (L2) for millennia. This is due to its symbolic capital as a perceived language of salvation and liturgy. The stimulus for this paper is the assertion made by several anecdotal news reports that suggest in some remote villages in India “everyone in the village communicates in Sanskrit”, or that “almost all the people always converse in Sanskrit”. These language nests have been established with the assistance of Samskrita Bharati and its parent organisation, the Rashtriya Svayamsevak Sangh (RSS). The Sangh aspires to one day establish the devabhāṣā ‘gods’ language’ as the janabhāṣā ‘people’s language’, then as the rāṣṭrabhāṣā ‘national language’ and, ultimately, as the viśvabhāṣā ‘world language’ or next global lingua franca. This article serves as an entrée to a prospective multi-sited sociolinguistic survey of spoken Sanskrit across North India. The methodology focuses on analysing the encroachment of this prestigious language by identifying sites where Sanskrit is spoken. This will be done so that issues of linguistic vitality, intergenerational transmission, language contact and convergence (including code-mixing and switching, second language acquisition (SLA) and multilingualism) can be explored. This paper focuses on one village, namely Jhiri, which is located in Rajgarh District, Madhya Pradesh. It is suggested in the media that “The 1,000-odd residents of this hamlet, 150 km north of Indore, hardly speak the local dialect, Malvi, any longer. Ten years have been enough for the Sanskritisation of life here” (Ghosh, Aditya. 2008. Sanskrit boulevard. http://www.hindustantimes.com/india-news/sanskrit-boulevard/article1-339234.aspx (accessed 17 April 2009)). However, even though Sanskrit is spoken in Jhiri this does not necessarily make it a “Sanskrit-speaking village” in the way the media represents it; the actual number of speakers is much less than what the media asserts.
Fitting the pieces together – Towards a linguistic prehistory of eastern-central South Asia (and beyond)
Authors: Peterson John
Published: September 2017

This study summarizes preliminary research into the distribution of morphosyntactic patterns in the languages of South Asia from three different families, above all in eastern-central South Asia, in a first attempt to unravel the linguistic prehistory of this part of the subcontinent. To achieve this goal a small, preliminary morphosyntactic database has been compiled on 29 languages from throughout South Asia based on data from published resources, original field work, as well as questionnaires sent out to researchers working on a number of languages from the region. This data base, although still quite limited, will serve as the starting point for a much larger, finer-grained analysis of languages from throughout the subcontinent which will ultimately contribute substantially to our knowledge of the linguistic prehistory of this region.
Organomonophosphines in PtPX3 (X=O, N, Cl, S, I, or Te): structural aspects
Authors: Melník Milan , Mikuš Peter
Published: September 2017

In this review the structural parameters of 20 mononuclear Pt(II) coordination complexes with an inner coordination sphere of PtPX
Halogen bonds and π–π interactions in the crystal structure of 1,3,5-trifluoro-2,4,6-triiodobenzene–N,N-dimethylformamide (1/1), C9H7F3I3NO
Authors: Dang Limin , Yang Jiangnan , Liu Hui , Wang Weizhou
Published: September 2017

C9H7F3I3NO, monoclinic, P21/n (no. 14), a = 7.5581(4) Å, b = 20.9303(11) Å, c = 9.3548(5) Å, β = 92.208(5)°, V = 1478.78(13) Å3, Z = 4, R
gt(F) = 0.0336, wR
ref(F2) = 0.0610, T = 290 K.
Crystal structure of 8-((E)-((4-((E)-1-((benzyloxy)imino)ethyl)phenyl)imino)methyl)-7-hydroxy-4-methyl-2H-chromen-2-one, C26H22N2O4
Authors: Li Jing , Jia Hao-Ran , Sun Yin-Xia
Published: September 2017

C26H22N2O4, triclinic P1̅, a = 8.035(3) Å, b = 10.387(4) Å, c = 13.126(5) Å, α = 83.831(10)°, β = 78.214(10)°, γ = 81.470(10)°, Z = 2, V = 1101.78(19) Å3, R
gt(F) = 0.0663, wR
ref(F
2) = 0.1830, T = 296(2) K.
The crystal structure of (Z)-2-(3-(2-(4-chlorobenzoyl)hydrazono)-2-oxoindolin-1-yl) acetic acid, C17H12ClN3O4
Authors: Wang Su , Liu Han-Yu , Sun Juan
Published: September 2017

C17H12ClN3O4, monoclinic, P21/c (no. 14), a = 6.8425(7) Å, b = 14.1931(16) Å, c = 17.0132(17) Å, β = 101.044(3)°, V = 1621.1(3) Å3, Z = 4, R
gt(F) = 0.0522, wR
ref(F
2) = 0.1171, T = 296 K.
Nonprofits in a Time of Turbulence: Challenges and Opportunities
Authors: Laforest Rachel , Smith Steven Rathgeb
Published: September 2017

We have entered a period of turbulent economic and political change. Internationally, slower growth coupled with youth unemployment and rising inequality have driven a renewed interest in social policy. In the US, the preferred policy approach since the 1990s has been to move away from cash assistance to direct service provision spurring demand for nonprofit services at the local level (Smith 2015, “Managing Human Service Organizations in the 21st Century.” Human Service Organizations: Management, Leadership, & Governance 39 (5):407–411). Recently, however, we have observed a power backlash against trade, immigration and economic insecurity that is reshaping politics and bringing about significant cuts in social service programs and health care at a time when the need is high. Fiscal scarcity will no doubt create an additional burden for nonprofits working with communities in need. In Canada, the federal government is moving in the opposite direction with greater investment in the social policy fields, including healthcare, childcare, housing and poverty reduction initiative. These investments will mean a greater flow of resources to the nonprofit sector, but the government has been clear that in exchange they want to tie funding to results and performance.
Ichthyoplankton community of the Dardanelles Strait, Turkey
Authors: Daban İsmail Burak , Yüksek Ahsen
Published: September 2017

An ichthyoplankton survey was conducted between March 2012 and February 2013 along the Anatolian coast of the Dardanelles Strait, with the aim of describing the species composition and temporal variation of fish eggs and larvae. For this purpose, monthly samples were collected at three sites using a WP-2 plankton net equipped with 500 µm mesh during a one-year period. Biodiversity indices were calculated to understand differences in biodiversity. A total of 50 teleost fish species belonging to 25 families and 7 orders were identified. The highest species richness of fish eggs was recorded in spring, whereas the highest species richness of fish larvae – in spring and summer. On the other hand, species richness of fish eggs and larvae were at a minimum in the fall. The most dominant species recorded in the Dardanelles were Sprattus sprattus as fish eggs and Engraulis encrasicolus as fish larvae. The relatively lower abundance of eggs and lack of earlier egg phases indicate that Engraulis encrasicolus does not spawn in the Dardanelles Strait, and the spawned eggs develop while drifting from the spawning grounds in the Marmara Sea to the sampling area.
Uncertainty in the housing market: evidence from US states
Authors: Christidou Maria , Fountas Stilianos
Published: September 2017

Housing is distinct from other financial assets, since it is a durable consumer good for households. Due to the irreversible nature of housing investment, uncertainty should be an important determinant of housing investment. From a theoretical point of view, though, this impact is ambiguous. This paper extends previous empirical work by employing the techniques of bivariate Generalized Autoregressive Conditional Heteroskedasticity (GARCH) models in a group of forty-eight US states. In particular, we use data on housing permits as a proxy for housing investment and the house price index for the forty-eight contiguous US states and estimate bivariate GARCH models (BEKK) for each state, in order to obtain proxies of housing investment and house price uncertainty. Moreover, we use the Economic Policy Uncertainty index as an alternative measure of uncertainty. This setup allows us to test for the impact of uncertainty on housing investment growth and house price inflation and examine whether the effects differ across the different states. In general, we find that in most states uncertainty tends to increase housing investment growth and to decrease house price inflation. The cross-state differences in results may be due to variation in the degree of speculation in housing markets.
Performance Seeking Control of Propfan Engines Based on Modified Cuckoo Search
Authors: Wang Yiwei , Huang Xianghua
Published: September 2017

Performance seeking control benefits propfan engine by generating optimal performance in different flight status. It is based on engine model, control model and optimization model. The control scheme of propfan engine is different from those of turbofan engines, for the thrust of propfan engines is mainly produced by propfans. After analysing the control structure of propfan engines, a control scheme for the propfan engine is proposed. The control scheme works well in flight envelope and the simulation results show that the overshoot of power shaft rotation speed is less than 2 % and the settling time is less than 0.9s. Based on this, a control scheme in performance seeking mode is proposed. A Modified Cuckoo Search method, which modifies the search step size and abandonment rate, is applied in the control scheme in maximum thrust mode and minimum fuel flow mode. The control scheme in performance seeking mode can reduce 2 % fuel flow, compared with the control scheme in torque-compensation mode. Performance of the scheme is better than standard Cuckoo Search and Genetic Algorithm.
FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN HIPERTENSI USIA PRODUKTIF (25-54 TAHUN)
Authors: Agustina Riska , Raharjo Bambang Budi
Published: September 2017

Hipertensi di Puskesmas Kedungmundu meningkat dari tahun ke tahun. Tujuan penelitian ini adalah untuk mengetahui faktor risiko yang berhubungan dengan kejadian hipertensi usia produktif (25-54 tahun) di wilayah kerja Puskesmas Kedungmundu tahun 2013. Jenis penelitian ini adalah survey analitik dengan pendekatan case control. Sampel berjumlah 30 orang pada masing-masing kelompok kasus dan kontrol yang diambil dengan teknik accidental sampling. Analisis data menggunakan uji chi square dengan derajat kemaknaan (α) = 0,05. Hasil penelitian menunjukkan bahwa faktor risiko yang berhubungan dengan hipertensi usia produktif (25-54 tahun)  adalah faktor genetik (p value=0,019, OR=4,125), obesitas (p value=0038, OR=3,5), kebiasaan merokok (p value=0,017, OR=6,0), konsumsi garam (p value=0,004, OR=5,675), penggunaan minyak jelantah (p value=0,009, OR=4,929) dan stress psikis (p value=0,002, OR=6,417). Variabel yang tidak berhubungan adalah aktifitas fisik (p value=0,065), konsumsi alkohol (p value=0,148), jenis pekerjaan (p value=0,333), pendapatan keluarga (p value=0,531) lama kerja (p value=0,588). Saran bagi penderita hipertensi usia produktif (25-54 tahun) di Kedungmundu supaya lebih meningkatkan status kesehatan dengan lebih teratur memeriksakan kesehatannya, khususnya tekanan darah. Bagi Puskesmas untuk meningkatkan pengetahuan masyarakat tentang hipertensi. Bagi peneliti lain untuk menambah faktor risiko lain yang berhubungan dengan hipertensi usia produktif.

Hypertension  at Kedungmundu Puskesmas was ascending from year to year. The purpose of this study is to find risk factors which related to the Hypertension productive age (25-54 years) at working area health centers Kedungmundu Year 2013. This is a research of analytical survey with casecontrol approach. Sample of 30 people in each case group and controlgroup who were taken using accidental sampling technique. Data analysis using chi square test with degrees of significance (α) = 0,05. The study results show that the risk factor which related to the Hypertension productive age (25-54 years) genetic factor  (p value=0,019, OR=4,125), obesity (p value=0,038, OR=3,5), smooking habit (p value=0,017, OR=6,0), salt consumption (p value=0,004, OR=5,675), use jelantah oil (p value=0,009, OR=4,929) and psychological stress (p value=0,002, OR=6,417). The risk factor which are not related are physical activities (p value=0,065), alcohol consumption (p value=0,148), type of work (p value=0,333), family’s income (p value=0,531) and duration of employment (p value=0,588). The advice to patient hypertension productive age (25-54 tahun) at Kedungmundu to improve their health status by having themselves checked on more regular basis, particularly for their blood pressure. For the public health center to improve knowledge of the hypertension to the public. For the other researcher could find out another risk factors relate to the hypertension.
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEMATIAN AKIBAT DEMAM BERDARAH DENGUE
Authors: Hikmah Mamluatul , Kasmini H Oktia Woro
Published: September 2017

Kematian akibat Demam Berdarah Dengue (DBD) di RSUD Tugurejo Semarang meningkat dari tahun 2012-2014. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan kejadian kematian akibat demam berdarah dengue (DBD). Jenis penelitian ini adalah survei analitik dengan pendekatan case control. Sampel berjumlah 62 orang, 31 kelompok kasus dan 31 kelompok kontrol yang diambil dengan teknik simple random sampling. Analisis data menggunakan uji chi square dengan derajat kemaknaan (α) = 0,05. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian kematian akibat demam berdarah dengue (DBD) adalah umur penderita (p value=0,022, OR=3,8), pendapatan (p value=0,022, OR=3,8), akses pelayanan kesehatan (p value=0,019), riwayat penyakit penyerta (p value=0,021, OR=3,9), keterlambatan pengobatan DBD (p value=0,042, OR=3,3) dan derajat beratnya penyakit (p value=0,021, OR=3,9). Variabel yang tidak berhubungan adalah jenis kelamin penderita (p value=0,611) dan riwayat pernah menderita DBD (p value=0,668). Saran bagi peneliti lain untuk menambah sampel penelitian dan menambah variabel lain yang ada kaitannya dengan faktor yang berhubungan dengan kematian akibat DBD.

The mortality caused by Dengue Haemorhaege Fever (DHF) in RSUD Tugurejo Semarang incresed from 2012 to 2014. The objective of this study to find out factors of mortality that are caused by dengue. The research method of this study was analitic survey by case control. In this research, the sample was 62 people where 31 people were included in cases and the others were in controls. The sample was randomly taken by simple random sampling technique. The data analysis used chi-square with the level of independence (α) = 0,05. The result of this research showed that factors of mortality which were caused by dengue was age of patients (p value=0,022, OR=3,8), income (p value=0,022), access of health care (p value=0,019), case history (p value=0,021, medical tardiness of DHF (p value=0,042, OR=3,3) and degree of disease (p value=0,021, OR=3,9). The variables which were not related to factors of mortality were sex of patients  (p value=0,611) and case  history of  DHF (p value=0,668). Some suggestions for other researchers, they may develop the similar research in different dimensions such as adding the sample and variable which are related to factors of mortality that are caused by dengue.
GAMBARAN KECEMASAN TERHADAP KEMAMPUAN SEKS PADA AKSEPTOR KONTRASEPSI MANTAP PRIA/VASEKTOMI (STUDI DI KECAMATAN GUNUNG PATI KOTA SEMARANG)
Authors: Faris Ahmad Dzakia , Indarjo Sofwan
Published: September 2017

Vasektomi merupakan metode kontrasepsi dengan jumlah akseptor terkecil secara umum. Vasektomi dapat mengurangi kecemasan akan terjadinya kehamilan, namun  diikuti dengan kecemasan lain yang dapat muncul yaitu kecemasan terhadap potensi seksual dan kecemasan akan kemampuan fungsi sebagai pria akan terganggu pasca kontrasepsi mantap. Penelitian ini menggunakan metode penelitian kualitatif dengan teknik pengambilan informan purposive sampling. Informan utama berjumlah 4 orang dan informan triangulasi berjumlah 4 orang. Teknik pengambilan data menggunakan teknik wawancara mendalam, dan studi dokumentasi. Hasil penelitian ini adalah : Pertama, Kecemasan terhadap potensi seks yang dialami oleh akseptor Vasektomi di Kecamatan Gunung Pati masih berada dalam fase adaptif. Kedua, Kecemasan terhadap menurunnya potensi seksual tidak berdampak signifikan pada kehidupan seksual akseptor vasektomi karena hal tersebut tidak terbukti terjadi secara langsung pada akseptor vasektomi. Bagi masyarakat disarankan agar lebih aktif untuk menggali informasi-informasi dengan mengikuti penyuluhan-penyuluhan, menambah sumber bacaan agar tidak mudah terpengaruh oleh mitos-mitos yang salah.

Vasectomy is a method of contraception with the lowest number of acceptors. Vasectomy can reduce the anxiety of pregnancy but followed with other anxiety which can appear such as anxiety against sexual potency and anxiety against decreasing function as men after secure contraceptive. This type of research was applied qualitative study method with receipt of the informants used purposive sampling method. The informants in this research consist of 4 vasectomy acceptors, 4 vasectomy acceptors wife as informants triangulation. The information collection technique used an in-depth interviews, and study documentation. The result of this research were: the first, anxiety about the potential sex experienced by vasectomy acceptors gunungpati district still in adaptive phase. Second, anxiety against the decline in sexual potency sexual life had no significant impact on vasectomy acceptors because it was not proved happened directly at vasectomy acceptors. It was recommended for people to be more active to search information by following the counseling, increase source of reading to be unaffected by wrong myth.
EFEKTIVITAS PENYULUHAN KESEHATAN DENGAN METODE CERAMAH DISERTAI PEMANFAATAN MEDIA BOOKLET DALAM UPAYA MENINGKATKAN PENGETAHUAN IBU TENTANG PENYAKIT PNEUMONIA PADA BALITA DI KELURAHAN BANDARHARJO KECAMATAN SEMARANG UTARA KOTA SEMARANG TAHUN 2014
Authors: Mayasari Maria Listri , Wahyono Bambang
Published: September 2017

Pneumonia penyebab terbesar kematian pada anak-anak dibawah umur lima tahun. Salah satu penyebab meningkatnya kejadian pneumonia adalah kurangnya pengetahuan mengenai penyakit pneumonia. Jenis penelitian ini eksperimen semu dengan rancangan Non-Equivalent Control Group design. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki balita dengan stratum pendidikan antara SD-SMA yang tercatat bertempat tinggal di RW 02 Kelurahan Bandarharjo yang berjumlah 97 ibu. Sampel sejumlah 60 responden dengan mengacu pada teori rule of thumb, sampel minimal 30 subyek penelitian pada tiap kelompok penelitian. Pengumpulan data dengan metode test yaitu pre-test dan post-test. Pengolahan data melalui t-test dimana hasil penelitian menunjukkan efektif dalam meningkatkan pengetahuan ibu tentang penyakit pneumonia pada balita dengan p value (0,001<0,005). Berdasarkan hasil penelitian, ditarik kesimpulan bahwa media booklet efektif dalam meningkatkan pengetahuan ibu tentang pneumonia di Kelurahan Bandarharjo Kota Semarang Tahun 2014 dengan p value (0,001<0,05), dimana hasil post-test kelompok intervensi jumlah ibu berpengetahuan baik 17 orang (56,67%), berpengetahuan cukup 13 orang (43,33%), dan tidak ada ibu yang berpengetahuan kurang (0%). Saran yang diajukan adalah ibu balita yang menjadi responden dapat menyampaikan ilmu dan media booklet tersebut pada para ibu balita lain di Kelurahan Bandarharjo.Pneumonia is the biggest cause of death in children under five years old. One of the causes of pneumonia incidence rates rising further is the lack of knowledge about pneumonia. This research is Quasi Experimental wirh Non-Equivalent Control Group design program, the population in this study are all the mothers who have babies with the level of education among elementary school up to high school’s origin and resides in RW 02 village of Bandarharjo with totaling 97 mothers. Samples taken as many as 60 respondents with reference to the theory rule of thumb with a sample of at least 30 research subject in each study group. The collection of information by the method of the test that is pre-test and post-test. The processing of information through the t-test with the result showed effective in improving maternal knowledge about pneumonia in Bandarharjo Village Semarang city 2014 with p value (0,001<0,05), when the result post-test of experimental group the number of knowledgeable good mother as many as 17 peoples (56,67%), mothers knowledgeable enough 13 peoples (43,33%), and there are no mothers who are less knowledgeable (0%). The proposed suggestions is respondent convey information and booklets on the other toddler’s Mom.
PENGEMBANGAN RISK ASSESSMENT DALAM EVALUASI MANAJEMEN PENANGGULANGAN KEBAKARAN MELALUI FAULT TREE ANALYSIS
Authors: Addawiyah Annisa Sholikhatul , Windraswara Rudatin
Published: September 2017

Fault tree analysis adalah suatu penilaian risiko yang mampu mengidentifikasi potensi bahaya secara spesifik, fokus, rinci pada satu kejadian yang tidak diinginkan, dan mengetahui penyebab kejadian tersebut beserta angka probabilitasnya. Tercatat mulai tanggal 1 Januari – 30 April 2014 terjadi kebakaran sebanyak 10 kali di divisi spinning PT. Apac Inti Corpora dengan kasus tertinggi di unit spinning V (50% kejadian).Tujuan penelitian ini adalah mengetahui faktor penyebab kebakaran, mengembangkan penilaian risiko, dan mengetahui gambaran umum sistem manajemen penanggulangan kebakaran di unit spinning V PT. AIC. Desain penelitian ini adalah kualitatif eksplanatoris. Hasil pengembangan bagan fault tree analysis didapatkan 41 basic event, 24 intermediate event, 1 conditioning event, dan 1 undeveloped event yang secara matematis melalui persamaan aljabar boolean akan menghasilkan 35 single minimum cut sets dan 5 double component cut sets, dengan perhitungan angka probabilitas sebesar 0,3552. Hasil kesesuaian sistem manajemen penanggulangan kebakaran didapatkan 76 poin dari 81 poin standar regulasi yang berlaku di Indonesia. Simpulan penelitian ini adalah kemungkinan terjadinya kebakaran di spinning V sebesar 35,52%. Saran dari penelitian ini adalah dilakukannya evaluasi terhadap kegagalan deteksi dini dan kegagalan teknis.

Fault tree analysis has advantages in identifying potential hazards in specifics, focus, detail on a potential undesirable event that called top event, and was able to find out the causes with the value of probability. Recorded at January 1th – April 30th, 2014, there had been 10 cases of fires in the spinning PT. Apac Inti Corpora with the highest cases at spinning V (50% event). The purpose of this research was find out the cause of fires, develop a risk assessment, and learn an overview of fires countermeasures management system in spinning V. This research was a qualitative – explanatory design. Result of development fault tree analysis brings about 41 basic event, 24 intermediate event, 1 conditioning event, dan 1 undeveloped event  by boolean algebra, mathematically generates 35 single minimum cut sets and 5 double component cut sets, with the value of probability is 0,3552. Whereas the countermeasure of fire management system conformity obtained 76 points is according from 81 points of regulatory standards in Indonesia. Summary, spinning unit V had the possibility of going fires is 35,52%. Advice, conducted evaluation of failure from early detection and technical failures in the production process.
BUKU GIZI BRAILLE SEBAGAI MEDIA PENDIDIKAN UNTUK MENINGKATKAN PENGETAHUAN ANAK TUNANETRA
Authors: Wahyuni Resa , Prameswari Galuh Nita
Published: September 2017

Anak tunanetra memiliki resiko yang sama seperti anak normal untuk mengalami masalah gizi karena kurangnya pengetahuan gizi, sehingga diperlukan pendidikan gizi beserta media tepat untuk dapat meningkatkan pengetahuan gizi anak-anak  tunanetra. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan signifikan antara pengetahuan gizi buah dan sayur sebelum diberi dan setelah diberi media buku gizi braille pada anak tunanetra di Madrasah Ibtidaiyah Luar Biasa (MILB) Budi Asih Semarang. Jenis penelitian yang digunakan adalah pra eksperimen dengan pendekatan one group pretest posttest design. Pengambilan sampel pada penelitian ini dilakukan dengan total sampling karena jumlah populasi yang terbatas, yaitu sebanyak 7 sampel. Diperoleh rata-rata skor untuk pre test sebesar 10,57, dan rata-rata skor post test sebesar 16,71. Berdasarkan uji t test berpasangan yang telah dilakukan, diperoleh nilai sig (0,018) < 0,05 hal ini berati terdapat perbedaan yang signifikan antara skor sebelum diberi media buku gizi braille dan setelah diberi media buku gizi braille.

Children with visual impairment have the same risk as eyesight children to have a nutrition problems because the lack of nutrition knowledge, in order to the nutrition education is required with the appropriate media to be able to improve theirs nutrition knowledge. This study aimed to know the significant different about nutrient of fruits and vegetables knowledge before and after given nutrient book in children with visual impairment at Madrasah Ibtidaiyah Luar Biasa (MILB) Budi Asih Semarang. The type of this research was pre experiment with one group pretest posttest design approach. Sampling was used total sampling because the population was limited, there were 7 samples. The mean of pre test score was 10,57 dan post score was 16,71. Based on the paired t test, the value of sig (0,018) <0,05 it means there were significant differences between score before given nutrient media braille book and score after given nutrient media braille book.
HUBUNGAN STATUS VAKSINASI BCG, RIWAYAT KONTAK DAN PERSONAL HYGIENE DENGAN KUSTA DI KOTA PEKALONGAN
Authors: Susanti Kurnia Ningrum , Azam Mahalul
Published: September 2017

Kusta masih menjadi masalah kesehatan masyarakat di berbagai negara umumnya negara berkembang, termasuk Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara status vaksinasi BCG, riwayat kontak dan personal hygiene dengan kejadian kusta. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan kasus kontrol secara retrospektif. Pada penelitian ini menggunakan total sampling pada kelompok kasus dan accidental sampling pada kelompok kontrol, dengan jumlah masing-masing 64 orang. Analisis data dilakukan secara univariat, bivariat dan berstrata dengan uji chi square (α=0,05) dan menghitung nilai Odds Ratio (OR). Dari hasil penelitian didapatkan bahwa faktor yang berhubungan dengan kejadian kusta adalah status vaksinasi BCG (p=0,000;OR=3,621), riwayat kontak (p=0,000;OR=5,800) dan lama kontak (p=0,000; OR=15,815). Sedangkan personal hygiene (p=0,077) tidak berhubungan dengan kejadian kusta. Variabel umur, tingkat pendidikan dan status sosial ekonomi tidak terbukti sebagai variabel perancu dalam hubungan antara status vaksinasi BCG. Akan tetapi pendidikan merupakan variabel perancu dalam hubungan antara personal hygiene dengan kejadian kusta. Saran bagi petugas bagian P2PL adalah meningkatkan kegiatan surveilans epidemiologi penyakit kusta. Bagi kepala puskesmas diharapkan untuk meningkatkan penemuan penderita secara aktif, meningkatkan penyuluhan kepada masyarakat tentang penyakit kusta dan meningkatkan cakupan vaksinasi BCG. Bagi peneliti selanjutnya untuk menghindari bias recall dan bias seleksi.

Leprosy remains a public health problem in many developing countries, including Indonesia. The purpose of this study was to determine the relation between BCG vaccination status, contact with patient, and personal hygiene and leprosy. This study was an observational analytic study with approach case control restropectively. This study used total sampling in case group and accidental sampling in control group, in total 64 peoples each group. Data analysis used univariate, bivariate and stratified by chi square test (α = 0,05) and calculated the odd ratio (OR). The result showed that the factors related with the leprosy were BCG vaccination status (p=0,000;OR=3,621), contact with patient (p=0,000;OR=5,800) and duration of contact (p=0,000; OR=15,815). While personal hygiene was not associated with the leprosy (p=0,077). Variables of age, education and socioeconomic status did not proven as a confounding variable in relation between BCG vaccination status and leprosy. But education was confounding variable in relation between personal hygiene and leprosy. Recommendation for P2PL officer is to improve epidemiological surveillance of leprosy. For the head of the health center is expected to increase active case detection, improving counseling to society about leprosy defect and increasing the coverage of BCG vaccination. For the other researchers to avoid recall bias and selection bias.
FAKTOR KONSUMSI YANG BERHUBUNGAN DENGAN KEJADIAN GANGGUAN AKIBAT KEKURANGAN YODIUM PADA ANAK SEKOLAH DASAR (Studi Kasus di MI Depokharjo Parakan Kabupaten Temanggung)
Authors: Kusuma Septa Tiara , Budiono Irwan
Published: September 2017

Gangguan Akibat Kekurangan Yodium (GAKY) merupakan salah satu dari empat masalah gizi utama di Indonesia. Tujuan penelitian ini adalah untuk mengetahui hubungan antara konsumsi makanan tinggi yodium, makanan yang mengandung zat goitrogenik, protein, dan pengunaan garam beryodium dengan kejadian GAKY di MI Depokharjo Parakan Kabupaten Temanggung. Jenis penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Populasinya adalah seluruh siswa di MI Depokharjo sejumlah 66 siswa. Sampel penelitian  sejumlah 40 orang dengan teknik two stage simple cluster sampling  dan purposive sampling. Instrumen yang digunakan adalah formulir recall konsumsi 2x24 jam, food frequency questioner dan checklist. Data yang diperoleh diolah menggunakan uji  statistik chi square. Dari hasil penelitian menunjukkan bahwa faktor konsumsi yang berhubungan dengan kejadian GAKY adalah konsumsi makanan yang mengandung zat goitrogenik (p value = 0,000), konsumsi protein (p value = 0,006), penggunaan garam beryodium (p value = 0,003). Variabel yang tidak berhubungan adalah konsumsi makanan tinggi yodium (p value = 1,000). Saran yang diajukan adalah bagi instansi terkait agar mengadakan penyuluhan tentang zat goitrogenik dan untuk masyarakat agar mengurangi konsumsi zat goitrogenik.

 

Iodium Deficiency Disorder (IDD) was one of four main problems of nutrition in Indonesia. The purpose of this research was to know the relationship between consumption of food high in iodine, food containing goitrogenik substance, protein, and use iodized salt with IDD in MI Depokharjo Parakan Regency Temanggung. Kind of research was analytic observational with cross sectional approach. The population in this research was all elementary student at MI Depokharjo many as 66 students. The sample in this research were 40 students with two stage simple cluster sampling and purposive sampling. The instruments in this research was  recall consumption 2x24 jam form, food frequency questioner, and checklist. The data process used the statistic chi square. The results showed the consumption factors related with IDD was consumstion of food containing a substance goitrogenik (p value=0,000), consumtion of protein (0,006), iodized salt used (p value=0,003). And then consumtion of food high in iodine was not related with IDD (p value=1,000).Asked for aduice related to hold information abou goitrogrnik substance and to thr public to reduce consumption of food conaining goirogenik substance.