bluuebunny/crossref_metadata_2025 huggingface dataset:
Environmental Contaminant Body Burdens and the Relationship with Blood Pressure Measures Among Indigenous Adults
Authors: Zuk Aleksandra M. , Liberda Eric , Tsuji Leonard J. S.
Published: May 2023

Blood pressure (BP) increase cardiovascular disease (CVD) risk. Indigenous Canadians experience slightly higher CVD compared with nonIndigenous Canadians. This study examined the role of polychlorinated biphenyls (PCBs), other organic compound concentrations (OCs), and toxic metals on blood pressure measures among Indigenous Canadians.

Methods: Using data from the Environment-and-Health Study, the sample was restricted to adults with valid BP measures and detectable body burden mixtures. In total, n = 759 participants were eligible, of which, n = 447(59%) were females. Principal Component Analysis (PCA) was used to reduce the complexity of the contaminant data. Orthogonal principal component (PC) variables, and sum (∑) of contaminant compounds were used as independent predictors in modified Poisson regression models with robust variance estimation, deriving prevalence ratios (PR) for hypertension, that is, systolic BP (SBP) ≥140 ml of mercury (mmHg), or diastolic BP ≥90 mm Hg. Additionally, using multivariable generalized linear regression, sex-stratified continuous SBP measure was regressed on ∑ contaminant compounds.

Results: Two PCs were extracted from the PCA analysis. PCBs and OCs positively highly loaded on the first axis (PC-1). Lead loaded positively on the second (PC-2) axis. Hypertension was consistently associated with PC-1 across models, PR = 1.08 (95% confidence intervals = 1.003 to 1.172) fully adjusted model. Examining ∑ of contaminants, the strength of association with hypertension was strongest for ∑OCs compared with ∑PCBs. The measure of effect for continuous SBP measures with ∑ dichlorodiphenyltrichloroethane(p,p'-DDT) and dichlorodiphenyldichloroethylene(p,p'-DDE) concentrations although small was similar for both females and males, β = 0.04 (95% confidence intervals = 0.005 to 0.075) among females; however, for males the estimate is imprecise after adjusting for body mass index.

Conclusion: This cross-sectional analysis found that PCBs and OCs were associated with associated prevalent hypertension; and exposure to OC pesticides, particularity DDT/DDE were found to be associated with prevalent SBP measures among females and not males.
Institutional Engagement Practices as Barriers to Public Health Capacity in Climate Change Policy Discourse: Lessons from the Canadian Province of Ontario
Authors: Awuor Luckrezia , Meldrum Richard , Liberda Eric
Published: May 2023

Public health engagement in the communication, discussion, and development of climate change policies is essential for climate change policy decisions and discourse. This study examines how the existing governance approaches impact, enable, or constrain the inclusion, participation, and deliberation of public health stakeholders in the climate change policy discourse. Using the case study of the Canadian Province of Ontario, we conducted semi-structured, key informant interviews of public health (11) and non-public health (13) participants engaged in climate change policies in the province. The study results reveal that engagement and partnerships on climate change policies occurred within and across public health and non-public health organizations in Ontario. These engagements impacted public health’s roles, decisions, mandate, and capacities beyond the climate change discourse; enabled access to funds, expertise, and new stakeholders; built relationships for future engagements; supported knowledge sharing, generation, and creation; and advanced public health interests in political platforms and decision making. However, public health’s participation and deliberation were constrained by a fragmented sectoral approach, a lack of holistic inter-organizational structures and process, political and bureaucratic influences, irregular and unestablished communication channels for public health integration, and identities and culture focused on functions, mandates, biased ideologies, and a lack of clear commitment to engage public health. We conclude by providing practical approaches for integrating public health into climate change discourse and policymaking processes and advancing public health partnerships and collaborative opportunities.
Privacy Territories in Student University Housing Design: Introduction of the Hierarchy of Isolation and Privacy in Architecture Tool (HIPAT)
Authors: McCartney Shelagh , Rosenvasser Ximena
Published: May 2023

Students’ privacy expectations in university housing have increased, a change that has been reflected in universities shifting from traditional units to increasing numbers of apartments and suites. This study examines privacy and territories in student university housing architecture, using architectural plans of 76 residences, relating the socialization of university students to their academic success by bringing together various literatures—student development, student development practice, and architecture of student housing—to address positivesocializing forms of architecture and effects of crowding and isolation in residence design. The proposed Hierarchy of Isolation and Privacy in Architecture Tool (HIPAT) is a tool for measuring and analyzing levels of privacy and the impact that control mechanisms in the built environment of student university housing have on them. The HIPAT addresses the need to analyze student interactions in residences from an architectural lens that applies a robust privacy literature as well as visualizing primary, secondary, and public territories in student university housing.
Alergia a Lipid transfer proteins e omega‑5-gliadina em doentes com cofatores
Authors:   Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal, Gomes Joana , Lopes Joana ,   Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal, Sousa Maria ,   Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal, Cadinha Susana ,   Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal, Ferreira Ana ,   Serviço de Imunoalergologia, Centro Hospitalar Vila Nova de Gaia/Espinho, EPE, Vila Nova de Gaia, Portugal
Published: May 2023

Fundamentos: Os alergénios envolvidos na alergia alimentar exacerbada por cofator (CEFA) variam geogra‑ ficamente; no Sul da Europa, as Lipid transfer proteins (LTP) têm maior relevância e na Ásia a ómega-5-gliadina (ω5G). As características clinicas parecem diferir consoante o alergénio envolvido. Objetivos: Comparação e caracte‑ rização dos doentes com CEFA a LTP (CEFA-LTP) e/ou ω5G (CEFA- ω5G). Métodos: Estudo observacional re‑ trospetivo dos doentes com CEFA-LTP e/ou ω5G, entre 01/2012 e 12/2020. Análise demográfica, sintomas, diagnóstico e seguimento. Resultados: Incluídos 49 doentes: 34 com CEFA-LTP e 15 a ω5G. Grupo CEFA-LTP: média de idades de 30,0±14,7 anos e 50,0% do sexo masculino. O alimento suspeito foi tolerado na ausência de cofatores em 32,4% dos doentes. Os testes cutâneos por picada (TCP) com LTP do pêssego foram positivos em 80,2%. Grupo CEFA-ω5G: média de idades de 40,7±15,9 anos e 67,0% do sexo masculino. Todos toleravam trigo na ausência de cofatores. Os TCP com extrato de trigo foram positivos em 5/12 doentes (41,7%) e com gliadina em 10/12 (66,7%) [valor preditivo positivo (VPP): 90,9%]. O exercício foi o cofator mais frequente (74% CEFA-L‑TP e 87% CEFA-ω5G). A anafilaxia foi manifestação em 62,0% dos doentes com CEFA-LTP (2 com choque) e em 80,0% dos com CEFA-ω5G (5 com choque). Encontrou-se uma associação entre o alergénio envolvido e choque anafilático (p=0,02): os doentes com CEFA-ω5G tiveram oito vezes mais odd de choque anafilático do que os com CEFA-LTP (OR=8,0, IC 95% [1,34-47,7] (p=0,02). Conclusões: As LTP foram os alergénios mais frequentes. Contudo, considerando a tolerância ao trigo na ausência de cofatores, o baixo VPP do TCP com extrato de trigo e associação a reações mais graves, a sensibilização a ω5G deve ser ativamente pesquisada em todos os doentes com CEFA, para além da sensibilização a LTP.
Evaluation of Follow-Up Monitoring Information System Using Hot Fit Model
Authors: Anugrawan Angga , Rahadian Yan
Published: May 2023

This study evaluates the effectiveness of the Follow-Up Monitoring Information System (SIPTL) of the Supreme Audit Agency of the Republic of Indonesia (BPK RI) based on the HOT Fit Model. Evaluation is focused on external SIPTL or from the auditee side. This research is qualitative research with a case study approach, and the object of the research is the Inspectorate of Majene Regency, West Sulawesi. Evaluation is carried out on human aspects (system use and user satisfaction), organization (organizational structure), and technology (system, information, and service quality). In the human aspect of human resources (HR) management, it shows the suitability of the field of experience, knowledge, and competence. In the organizational aspect, controlling access rights is very good in the form of passwords for each admin and SIPTL inputer. In terms of technology, the speed of access between pages and the addition of features in the SIPTL application is very high. Thus, in general, the external SIPTL application at the Majene Regency Inspectorate has been effective based on the HOT Fit Model. The disadvantages of SIPTL at this time are the absence of regular training for users, communication with users that has not been running optimally, the absence of regular password changes, and the absence of regular application updates. Further research is recommended to evaluate the internal SIPTL, namely from the perspective of BPK RI as a user and the addition of research objects as a comparative analysis.
Design and Build a Website-Based Landslide Early Warning System
Authors: Mahardika Fajar , Ghofinda Prasetia Muhammad , Cahniya Sari Puji , Azwan M. , Inayah Inayatul
Published: May 2023

An early warning system is very important to implement to minimize losses received when a disaster occurs, one of which is a landslide disaster. An early warning system for landslides is carried out so that people can find out the signs of a disaster that can be accessed anywhere, so they can prepare themselves. For this reason, a tool is needed that can detect and provide early warning of landslides to the public which can be accessed through the website. In this study, a website-based landslide detector has been designed using a soil moisture sensor to measure it and the MPU6050 sensor to measure the slope of the soil. Sensor data will be displayed on the LCD and sent to the database and can be monitored through the website. The avalanche detector made is powered by a 15 V DC battery to provide 5V output to the NodeMCU ESP8266. Soil moisture sensor, MPU6050, LCD I2C, LED, and relay work at 5V. A Relay is used to turn on the siren at 12V voltage. Based on our research, the soil moisture measurement value between the sensor and the comparison device is around 1.55% and the soil slope measurement value between the sensor and measuring tool is around 0.14%, these two factors influence each other. The measurement error is still fairly normal according to the soil moisture sensor datasheet and MPU6050, which are ±3% together
Development of IoT-Based Temperature and Relative Humidity Monitoring System for Mushroom Cultivation House
Authors: Hendinata Laurentius Kevin , Fikri Ahmad Ilham Rokhul
Published: May 2023

Mushrooms are one of the agricultural products that are in great demand because of their high nutritional content, healthy and delicious taste. Nowadays, mushroom cultivation is increasingly widespread and focuses on understanding the optimal environmental conditions for good mushroom production. The main parameters that affect the growth of fungi are the temperature and humidity of the environment, where the fungus will grow optimally at a temperature of 20 to 30°C and at a humidity of 60 to 90%RH. But unfortunately, mushroom farmers often find it difficult to monitor at any time the environmental conditions where the mushrooms grow. For this reason, an iot-based temperature and humidity monitoring system was developed for use in mushroom cultivation rooms. This system is assembled using a DHT11 temperature and humidity sensor, a NodeMCU ESP3866 microcontroller and WiFi module, and an LCD screen. IoT development is carried out using the Thinger.io platform which allows mushroom farmers as users to monitor room conditions directly through a web page.
The Design of Solar Cell-Based Street Lighting for School Area
Authors: Zakri Azriyenni Azhari , Fauzan Muhammad , Sunanda Wahri , Kurniawan Rudy
Published: May 2023

Currently, public street lighting using Solar-based Public Street Lighting has been widely used. Solar-based Public Street Lighting is an off-grid Solar Power Plant application for street lighting. This study aims to use Solar-based Public Street Lighting which has been designed for Inayah Islamic School according to the geographical features of the school. To design this Solar-based Public Street Lighting by considering the economic aspect. From the data obtained directly at the location, the road width is 4.5 meters and the total length is 330 meters. Road size is used to determine the need for lighting quality according to the Indonesian National Standard of 7391:2008. This Solar-based Public Street Lighting has been designed with a pole height of 5 meters and a 1.5-meter pole arm using a 20 Watt 2-in-1 LED lamp and a solar cell capacity of 50 Wp per pole. From the results of the design analysis, the component specifications used in the design have met the requirements according to SNI of 7391:2008, and the required poles for Solar-based Public Street Lighting are 22 points for the Inayah Islamic School Complex area
Penetapan Kadar Fenolik Total Ekstrak Metanol Dan Fraksi Etil Asetat Kulit Bawang Merah (Allium cepa L.)
Authors: Linda Mei , Tutik Tutik , Yusuf Mashuri , Amalia Putri
Published: May 2023

Kulit bawang merah (Allium cepa L.) mengandung senyawa fenolik yang berpotensi sebagai antioksidan. Penelitian ini bertujuan untuk mengetahui kadar fenolik total dari ekstrak metanol dan fraksi etil asetat kulit bawang merah. Penelitian ini dilakukan ekstraksi kulit bawang merah dan pemisahan fraksi etil asetat serta penetapan kadar fenolik menggunakan spektrofotometri UV-Vis. Hasil penelitian diperoleh rendemen ekstrak kulit bawang merah sebesar 2,54%. Pengujian skrining fitokimia terhadap ekstrak metanol kulit bawang merah mengandung alkaloid, flavonoid, saponin, dan tanin. Kandungan fenolik total pada ekstrak kulit bawang merah dan fraksi etil asetat pada konsentrasi 50 ppm, yaitu 0,0181 mgGAE/g ekstrak dan 0,0110 mgGAE/g ekstrak. Setelah di fraksinasi kadar fenolik pada ekstrak 50 ppm berkurang 39,2265 %, Sedangkan hasil kadar fenolik pada ekstrak kulit bawang merah dan fraksi etil asetat konsentrsi 100 ppm, yaitu 0,0349 mgGAE/g ekstrak dan 0,0174 mgGAE/g ekstrak. Setelah di fraksinasi kadar fenolik pada ekstrak 100 ppm berkurang 50,1432 %. Hasil pengukuran kadar menunjukkan bahwa kadar dari fraksi etil asetat lebih rendah dibandingkan ektrak metanol. Hal tersebut disebabkan sifat dari golongan senyawa fenolik yang bersifat polar dapat membentuk ikatan hidrogen dengan air.Kata kunci : Kulit bawang merah, fenolik, fraksi etil asetat, spektrofotometri UV-Vis
ANTIOXIDANT ACTIVITY OF PETAI SELONG (Leucaena leucocephala) USING DPPH (1,1 diphenyl-2-picrylhydrazl)
Authors: Husein Saddam , Safitri Erika Indah , Lestari Yovita Endah
Published: May 2023

Petai selong or petai china (leucaena leucocephala) is populary consumed in southeast asia, such as indonesia, thailand, the philippines and malaysia. This paper aims to anlayze the antioxidant activity of  petai selong (leucaena leucocephala) using DPPH(1,1 diphenyl-2-picrylhydrazl). The antioxidant activity is shown from the phytochemical analysis, degradation of DPPH, and kinetics degradation.  Phytochemical analysis was carried out by dripping petai selong extract with various reagent.DPPH was conducted by mixing the DPPH and extract petai selong with 8 ppm, 12 ppm, 16 ppm, 20 ppm, and 24 ppm. The degradation analysis was conduted using spectrofotometer UV-Vis, and the kinetics degradation were calculated using Langmuir Hinshelwood (L-H). The results show that the petai selong has an antioxidant acitivty. It is stated that the highest degradation occurs at 24 ppm where it degrades about 10 ppm of DPPH, or approximatly about96.14 percent, and the lowest degradation occurs at 8 ppm where it degrades about 2 ppm of DPPH, or approximatly about 0.98 percent. The Langmuir Hinselwood calculations show that the kinetics degradations of DPPH increase with petai selong concentration. It is stated that the higher of petai selong concentrations, the higher of antioxidant effect.
Food Absolute Promotion In The Process Of Perineum Wound Healing Using Counseling Media
Authors: Hidayah Nur , Fitri Dina Martha , Hanum Hanum
Published: May 2023

Latar belakang;  Budaya pantang makanan di masa nifas masih banyak terjadi di Indonesia yang menyebabkan lamanya proses penyembuhan luka perineum. untuk menghadapi budaya  tersebut, ibu nifas perlu diberikan penyuluhan. Berbagai media dapat digunakan untuk melakukan penyuluhan  seperti media video dan leaflet yang bertujuan meningkatkan pengetahuan ibu nifas tentang budaya pantang makanan dalam proses penyembuhan luka perineum.Tujuan; mengetahui perbedaan  peningkatan pengetahuan ibu nifas tentang pantang makanan dalam proses penyembuhan luka perineum menggunakan media video dan leaflet Metode: Jenis penelitian yang digunakan Quasi Experimental dengan Pretest-posttest control group design. Lokasi penelitian dilaksanakan di Poskesdes Mahang Sungai Hanyar dengan jumlah sampel 30 orang ibu nifas   yang dibagi menjadi dua kelompok yaitu kelompok eksperimen dengan menggunakan media video, dan leaflet Analisa data menggunakan Uji T Hasil; Hasil analisis didapatkan ada perbedaan rata-rata antara peningkatan  pengetahuan pretest dengan posttest pada media video dan leaflet dengan nilai Sig (2-tailed) sebesar 0.000 < 0.05 dan  nilai rata rata media video (-1.533) serta leaflet (-1.867).Kesimpulan: Ada perbedaan peningkatan pengetahuan dengan  penyuluhan mengunakan media video  dan leaflet Kata kunci : Pantang Makanan, Luka Perineum, Media Video Dan Leaflet ABSTRACT Background; The culture of abstinence from food during the puerperium still occurs in Indonesia which causes the perineal wound healing process to take longer. To deal with this culture, postpartum mothers need to be given counseling. Various media can be used to provide counseling such as video media and leaflets that aim to increase the knowledge of postpartum mothers about the culture of abstinence from food in the perineal wound healing process.Objective; knowing the difference in increasing knowledge of postpartum mothers about food abstinence in the perineal wound healing process using video media and leafletsMethods: The type of research used is Quasi Experimental with Pretest-posttest control group design. The research location was carried out at Poskesdes Mahang Sungai Hanyar with a sample of 30 postpartum mothers who were divided into two groups, namely the experimental group using video media, and leaflets. Data analysis used t TestResults; The results of the analysis showed that there was an average difference between increasing pretest and posttest knowledge on video media and leaflets with a Sig (2-tailed) value of 0.000 < 0.05 and an average value of video media (-1.533) and leaflets (-1.867).Conclusion: There is a difference in increasing knowledge with counseling using video media and leaflets Keywords: Abstinence of Food, Perineal Wounds, Video Media and Leaflets
Penyuluhan tentang Penanganan Diare pada Balita
Authors: Capritasari Rafiastiana , Astuti Febriana , Erfanuzan Erfanuzan , Putri Zahraini Nur Devrinda , Salvito Salvito , Angela Angela
Published: May 2023

ABSTRAK Di negara berkembang seperti Indonesia, diare merupakan salah satu masalah kesehatan yang sering terjadi. Hal tersebut diakibatkan oleh mortalitas dan morbiditas yang cenderung tinggi. Terdapat beberapa faktor yang menyebaban diare, yaitu kontaminasi atau penyebaran kuman melalui minuman dan juga makanan yang tercemar tinja. Selain itu terdapat juga faktor resiko lainya adalah faktor penjamu, faktor perilaku yang tidak baik dalam mencegah diare serta faktor lingkungan. Kurangnya kesadaran masyarakat diakibatkan oleh rendahnya kebersihan lingkungan, makanan yang dikonsumsi serta kurangnya pengetahuan maysarakat. kegiatan ini bertujuan untuk meningkatkan pengetahuan masyarakat terkait penanganan diare khususnya pada balita.  Pengabdian masyarakat ini dilakukan melalui diskusi dan penyuluhan langsung kepada ibu-ibu balita dengan memberikan leaflet edukasi tetang penanganan diare. Pelaksanaan kegiatan berjalan baik dan lancar. setelah mengikuti kegiatan ini maka pengetahuan masyarakat khususnya para ibu terkait penanganan diare semakin bertambah. Kata Kunci: Penangana, Diare, Balita,  ABSTRACT In developing countries like Indonesia, diarrhoea is a health problem that often occurs. It is caused by mortality and morbidity, which tend to be high. Several factors cause diarrhoea, namely contamination or the spread of germs through drinks and food contaminated with faeces. In addition, there are also other risk factors, namely host factors, behavioural factors that are not good at preventing diarrhoea and environmental factors. Lack of public awareness is caused by inadequate environmental hygiene, food consumption, and a lack of public knowledge.  The purpose of this activity is to increase public knowledge regarding the handling of diarrhoea, especially in toddlers.  This community service is conducted through discussions and direct counselling with mothers of toddlers by providing educational leaflets about handling diarrhoea.  The implementation of the activity went well and smoothly.  After participating in this activity, the knowledge of the community, especially mothers, regarding the handling of diarrhoea will increase Keywords: Treatment, Diarrhea, Toddlers
Asuhan Keperawatan Masalah Kurangnya Pengetahuan pada Ibu yang Memiliki Anak Usia Toddler dengan Masalah Resiko Tersedak melalui Pemberian Edukasi Video di Desa Langkapura Kota Bandar Lampung
Authors: Wijaya Desi Eka , Furqoni Prima Dian , Hermawan Dessy
Published: May 2023

ABSTRAK Angka kematian akibat tersedak yang terjadi di Inggris mengalami peningkatan. Faktor dominannya adalah makanan yang menyangkut di kerongkongan. Data office for national Statistic, disebutkan 289 kematian pada tahun 2016 dan naik 17 % dari tahun sebelumnya. Penyebabnya adalah tersedak makanan akibat keselek susu formula atau ASI, permen, daging, tulang, buah dan sayuran. Untuk mengetahui asuhan keperawatan masalah kurangnya pengetahuan pada ibu yang memiliki anak usia toddler dengan masalah resiko tersedak melalui pemberian edukasi video di Desa Langkapura Kota Bandar Lampung. Sebanyak 3 responden anak usia 1-3 tahun. Pemberian edukasi ini menggunakan media video, dijelaskan juga melalui pendidikan kesehatan menggunakan leaflet. Teknik yang diberikan menggunakan teknik abdominal trust, back blow and chest trust. Intervensi dilakukan selama 2 hari dengan pemberian edukasi video penanganan tersedak pada anak usia toddler. Hasil penelitian ini didapat evaluasi hari terakhir didapatkan hasil pretes pada 3 responden dengan skor 16, 11, dan 13 setelah dilakukan penyuluhan berupa edukasi video didapat peningkatan skor pengetahuan sebesar 22,21 dan 20 dengan selisih pretes-postes sebesar 7 dan 10 skor. Setelah dilakukan pre-test dan post-test dalam pengisian kuesioner, pemberian edukasi penanganan tersedak terbukti dapat meningkatkan pengetahuan keluarga. Kata Kunci: Edukasi Video, Tersedak Anak Usia Toddler, Pengetahuan  ABSTRACT The number of deaths from choking in the UK has increased. The dominant factor is food stuck in the esophagus. BPS data mentions 289 deaths in 2016 and an increase of 17% from the previous year. The causes are choking on food due to choking on formula or breast milk, candy, meat, bones, fruit and vegetables. To find out about her care, she lost the problem of lack of knowledge in mothers who have children aged under five with a risk of choking through the provision of educational videos in Langkapura Village, Bandar Lampung City. as many as 3 respondents aged 1-3 years. Providing this education using video media, also explained through health education using leaflets. The techniques given are abdominal trust, back blow and chest trust techniques. The intervention was carried out for 2 days by providing educational videos on handling choking in children under five. The results of this study were obtained on the last day of evaluation, the results of the pretest were obtained for 3 respondents with scores of 16, 11, and 13. After counseling in the form of educational videos, an increase in knowledge scores was obtained by 22.21 and 20 with pretest-posttest differences of 7 and 10 scores. After the pre-test and post-test were carried out in filling out the questionnaire, providing education on choking management was proven to increase family knowledge. Keywords: Video Education, Toddler Age Choking, Knowledge
The Effect of Honey and Zinc Cream as Topical Dressing for Epithelization in Diabetic Foot Ulcer
Authors: Husaini Muhammad , Asrizal Asrizal , Putra Imam Budi
Published: May 2023

ABSTRACT Diabetic foot ulcer is a complication that often serves Diabetes Mellitus patients. Currently, wound care has used dressings to keep the wound environment moist, but in general, foot wound care requires high costs, so it is necessary to figure out the alternative wound care that is really effective and cost-effective in wound healing. One type of alternative therapy for topical treatment of diabetic foot ulcers that can be used is topical honey. The aim of this research was to identify the effect of topical honey and zinc cream on epithelization in the treatment process for diabetic foot ulcers. This type of research is inquiries, namely intervention, and control group design. The sample consisted of 60 respondents consisting of 30 wound care groups using topical honey and 30 wound care respondents using zinc cream with the sampling technique, namely consecutive sampling. Honey was used with 87% honey concentration and lipid tissue epithelialization was measured using the Bates Jensen Wound Access Tool (BJWAT). Data analysis used the Mann-Whitney test as an alternative test for the independent t-test. The results showed that there was no significant difference in wound tissue epithelialization between the wound care group with zinc topical cream and honey topical cream (p-value> 0.05). The Conclusions which is based on the results of analytical tests, wound care using topical zinc cream and topical wound care using honey did not have a significant difference in the epithelialization process of diabetic foot ulcers, but clinically the epithelialization process of diabetic foot wounds with topical honey treatment was faster than using zinc cream. It is recommended that topical wound care using honey can be used as an alternative topical in the treatment of diabetic foot ulcers. Keywords: Diabetic Foot, Honey, Ulcer, Zinc Cream
Hubungan Tingkat Pendidikan dan Pendapatan Orangtua dengan Praktik Pemberian Makan pada Balita dalam Upaya Pencegahan Stunting
Authors: Armansyah Nuraulia Aghnia , Rahayuwati Laili , Witdiawati Witdiawati
Published: May 2023

ABSTRACT Stunting is a chronic malnutrition problem that occurs because of inadequate intake of micro and/or macro nutrients due to inappropriate child feeding practices. Inappropriate child feeding practice can be influenced by individual and household level factors including parent’s education and parental income. This study aims to determine the relationship between the parent’s education level and parental income with the practice of feeding toddler to prevent stunting. This research is a correlative descriptive study with a cross-sectional approach. The population in this study are families with toddlers who live in Sukamulya Village, Bandung Regency. The sample of the study was 76 people chosen by total sampling. The results showed that most of the respondents (81.6%) had secondary education and had low income (56.6%), but the level of child feeding practices was in the poor category (56.6%). It can be concluded that there is no correlation between education level and parental income with child feeding practices (p>0.05). However, the implementation of appropriate child feeding practices should be improved and applied through health education and empowering community groups to prevent stunting.  Keywords: Child Feeding Practices, Stunting Prevention, Education Level, Parental Income  ABSTRAK Stunting adalah masalah kurang gizi kronis yang salah satunya disebabkan karena rendahnya pemenuhan zat gizi mikro dan/atau makro akibat praktik pemberian makan anak yang tidak tepat. Ketidakoptimalan praktik pemberian makan anak dapat dipengaruhi oleh faktor kepentingan tingkat individu dan rumah tangga meliputi pendidikan dan pendapatan orangtua. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pendidikan dan pendapatan orangtua dengan praktik pemberian makan pada balita dalam upaya pencegahan stunting. Penelitian ini merupakan penelitian deskriptif korelatif dengan pendekatan cross-sectional. Populasi dalam penelitian ini adalah keluarga dengan balita yang tinggal di Desa Sukamulya, Kabupaten Bandung. Sampel penelitian diambil dengan metode total sampling sebanyak 76 orang. Hasil penelitian menunjukkan sebagian besar responden (81,6%) berpendidikan menengah dan berpendapatan rendah (56,6%), namun tingkat praktik pemberian makan anak berada pada kategori kurang baik (56,6%). Dapat disimpulkan bahwa tidak ada hubungan antara tingkat pendidikan dan pendapatan orangtua terhadap praktik pemberian makan anak (p>0,05). Meskipun begitu, pelaksanaan praktik pemberian makan anak yang tepat harus tetap ditingkatkan baik melalui pendidikan kesehatan maupun pemberdayaan kelompok masyarakat sebagai upaya dalam mencegah kejadian stunting. Kata Kunci: Praktik Pemberian Makan Anak, Pencegahan Stunting, Tingkat Pendapatan, Tingkat Pendidikan.
Self-Care and Unpleasant Symptoms in Indonesian Postpartum Mothers with Twin Babies: a Case Report
Authors: Marcelina Lina Ayu , Rachmawati Imami Nur , Kurniawati Wiwit
Published: May 2023

ABSTRACT Postpartum mothers with twin babies are in a critical condition in terms of maternal health because of their need to adapt to the presence of two babies at once. To describe nursing processes in five cases of postpartum mothers with twin babies. We reported nursing processes in five cases of postpartum mothers with twin babies, addressing the nursing care and self-care applied and referring to the theory of unpleasant symptoms. The five mothers presented to two hospitals in Jakarta, Indonesia.  During three days of treatment, the postpartum mothers were able to perform regular self-care without assistance, even though their self-management and time management were not optimal. However, they suffered unpleasant symptoms, including postpartum discomfort, breast engorgement, lack of support from husbands, and anxiety. Interventions were conducted via relaxation techniques, lactation management, and health education related to maternal and infant care for twin babies, together with family involvement and the provision of support from health-care providers and assistants. Time and self-management skills in postpartum mothers with twin babies need to be strengthened. Health-care providers are recommended to facilitate family assistance while the mother is in the hospital postpartum ward and to provide home visits as a form of follow-up. Keywords: Postpartum, Self-Care, Twin Babies, Unpleasant Symptoms
Analisis Implementasi Strategi Dots (Directly Observed Treatment Short-Course) sebagai Pengendalian Tuberkulosis: Systematic Review
Authors: Dwiyovita Rizka , Kartasurya Martha Irene , Nurjazuli Nurjazuli
Published: May 2023

ABSTRACT Indonesia is one of the countries with the highest burden of TB in the world. The DOTS strategy has been applied to control TB disease, but the implementation of the DOTS strategy has not been optimal due to the obstacles that have arisen. To analyze the implementation of DOTS strategy as tuberculosis control. This research is a systematic literature review using indexed articles on Google Scholar, Science Direct, Pub Med, and Garuda. Articles were selected using PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Analysis of article quality using the Critical Appraisal Skills Program (CASP). Eight articles were obtained that were in accordance with the research, indicating that the implementation of the DOTS strategy as tuberculosis control on political commitment in terms of funding, case detection, drug taking supervisor (PMO), as well as recording and reporting has not run optimally, while the drug distribution has been going well. Implementation of the DOTS strategy can run optimally by increasing cross-sectoral collaboration in tuberculosis control. Keywords: Directly Observed Treatment Short-Course Strategy, Qualitative, Tuberculosis Control.  ABSTRAK Indonesia menjadi salah satu negara yang memiliki beban tertinggi TB di Dunia. Telah diterapkan strategi DOTS untuk penanggulangan penyakit TB, akan tetapi implementasi strategi DOTS belum optimal disebabkan oleh adanya hambatan yang muncul. Untuk menganalisis implementasi strategi DOTS sebagai pengendalian tuberkulosis. Penelitian ini merupakan kajian pustaka sistematik dengan menggunakan artikel terindeks pada Google Scholar, Science Direct, Pub Med, dan Garuda. Artikel yang dipilih menggunakan PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses). Analisis kualitas artikel menggunakan Critical Appraisal Skills Program (CASP). Diperoleh delapan artikel yang sesuai dengan penelitian, menunjukkan bahwa implementasi strategi DOTS sebagai pengendalian tuberkulosis pada komitmen politik dalam hal pendanaan, deteksi kasus, pengawas minum obat (PMO), serta pencatatan dan pelaporan belum berjalan optimal, sedangkan pada pendistribusian obat sudah berjalan baik. Implementasi strategi DOTS dapat berjalan optimal dengan meningkatkan kerjasama di lintas sektor dalam pengendalian tuberkulosis. Kata Kunci: Directly Observed Treatment Short-Course Strategy, Kualitatif, Pengendalian Tuberkulosis.
Dry-column Vacuum Chromatographic Removal of Hg2+ from Wastewater Based on an Acridino-crown Ether-modified Spherical Silica Gel Adsorbent
Authors: Vezse Panna , Kalóczkai János Attila , Ster Dániel , Bezúr László , Golcs Ádám , Huszthy Péter , Tóth Tünde
Published: May 2023

Dry-column vacuum chromatographic technique is introduced for remediation of wastewater for the first time. A previously prepared chemically modified silica gel containing covalently immobilized Hg2+-selective acridino-crown ether selector molecules was used as an adsorbent. Removal of Hg2+ from highly contaminated river water was carried out to study practical applicability. Adsorption capacity, preconcentration factor, pH-sensitivity and selectivity in separation were determined. The adsorbent proved to be outstanding in selectivity, only Ag+ and Cu2+ interfered among 29 cations, was inert toward organic contaminants, exhibited regenerability and pH-independency between 3.0 ≤ pH ≤ 7.0. The proposed method showed a moderate efficiency in both adsorption (32 mg Hg2+ / 1 g adsorbent) and preconcentration (preconcentration factor of 100). A maximum 10 L of wastewater / 1 g adsorbent ratio is recommended as an upper limit for applicability. The described method showed a unique robustness and simplicity compared to conventional ion-chromatographic methods and an improved selectivity over physical interaction- or simple functional group-based adsorptions.
СЛІДАМИ ПОРОЖНЕЧІ: АРХІВНІ ФІЛЬМИ СЕРГІЯ ЛОЗНИЦІ ЯК АУДІОВІЗУАЛЬНІ UNIVERSALGESCHICHTE
Authors: Ребгандл Бертольд
Published: May 2023

Фільм Сергія Лозниці «Бабин Яр. Контекст» (2021) доволі чітко демонструє схему перипетії, оскільки відтворює події німецької окупації Радянської України у 1941-1944 роках та її наслідки. Перипетійна структура часто включає події, про які розповідається (або які навіть насправді відбуваються) двічі, з перспективи «до» і «після». Плакати з Гітлером, які спочатку чіпляються, а потім зриваються, можуть слугувати найяскравішим (і водночас метонімічним) прикладом у «Бабин Яр. Контекст». Інший – захоплення Києва Вермахтом, а потім Червоною Армією. Фільм Лозниці по суті складається з двох половин приблизно по одній годині кожна, відносно яких події у Бабиному Ярі знаходяться в середині, є центром. Але наративно цей центр є майже порожнім. Масове вбивство, контекстом якого є хронологія Лозниці, є одночасно перипетією його монтажу та порожнечею в ньому. Автор розглядає спробу Лозниці в аспектах архівології та наратології.
Un rosa carne
Authors:   Universidad del Azuay, Zapata Cristóbal
Published: May 2023

Cristobal Zapata escribe como siguiendo la línea de la belleza. Como un copista medieval cuyo texto original fuera el mundo de los sentidos, su poesía busca mediar entre la experiencia sublime y un registro narrativo donde la luz (mística, física o metafórica) formula conjuros sobre lo cotidiano, lo íntimo, lo secreto. Un rosa carne es la ampliación de un campo de batalla espiritual, que también es un campo de pluma y estilo. La inteligencia expresiva de este libro siempre se desborda ligeramente de su copa verbal, rompiendo la tensión superficial del lenguaje, provocador, vibrante. Zapata no grita, ni susurra: canta, como un río de montaña, como los ríos que atraviesan los páramos, leyendo de experiencia vital en postales rigurosas, espléndidas. 92 páginas ISBN: 978-9942-618-72-6 e- ISBN: 978-9942-618-73-3
La inclusión educativa en números: Zona 1: Esmeraldas, Carchi, Imbabura y Sucumbíos
Authors:   Universidad del Azuay, Huiracocha-Tutivén Karina , Machado Solís María Paz ,   Universidad del Azuay, Vintimilla-Cueva Mónica Andrea ,   Universidad del Azuay
Published: May 2023

La inclusión educativa constituye un abordaje de interés mundial, puesto que se enfoca en la defensa de los derechos de las personas con necesidades educativas diferentes a ser incluidos en los procesos educacionales, en el presente caso, en lo que concierne a niños en edad escolar, contribuyendo de esta manera a la construcción de una sociedad más justa y solidaria. El desarrollo del proyecto, en gran medida, se posibilitó gracias al convenio de cooperación establecido entre la Universidad del Azuay y la Secretaría Técnica de Discapacidades del Ecuador, SETEDIS, organismo que, entre otras acciones, facilitó la colaboración del Ministerio de Educación, y posibilitó el desarrollo de las actividades planificadas tanto a nivel local como nacional. 60 páginas ISBN: 978-9942-822-01-7 E-ISBN: 978-9942-822-09-3
A percepção da importância da inserção da odontologia hospitalar na grade curricular do curso de odontologia: um relato de experiência
Authors: Martins Gabryelle Ferreira , Santos Marília Jaci Azevedo de Oliveira , Vanzo Ketlin Lara Tosta , Pereira Yamba Carla Lara
Published: May 2023

Objetivo: A higiene bucal efetiva de pacientes internados em Unidades de Terapia Intensiva (UTI) são primordiais, visto que o biofilme bucal tem uma proliferação rápida e é comum a redução da higienização natural da cavidade bucal. Metodologia: Sendo assim, a instituição privada de ensino superior ofertou aos acadêmicos do 9º período de Odontologia a Disciplina de Odontologia hospitalar, disciplina essa que tem como objetivo aumentar o conhecimento dos alunos sobre a importância de um atendimento integral ao paciente em vulnerabilidade. Foram ofertadas 40 vagas aos acadêmicos, na qual as atividades iniciaram em setembro de 2022 e realizadas nas terças feira. Os alunos foram divididos em grupos acompanhados de uma profissional responsável. As práticas foram executadas em Hospitais privados que atendem a capital do estado de Tocantins. Resultados: Evidenciou-se que é de suma importância a higiene oral em todos os pacientes internados em leito hospitalar, pois eles estão muito susceptíveis às doenças externas, sendo a doença periodontal a mazela infecciosa de origem bucal mais prevalente e que pode causar grandes problemas para a saúde do indivíduo. Conclusão:  Diante tudo que foi exposto ainda há uma certa resistência quanto a sua integração na equipe multiprofissional, tornando isso um grande desafio.
A COST-EFFECTIVENESS COMPARISON OF THE OPEN AND LAPAROSCOPIC APPENDECTOMIES FOR PEDIATRIC PATIENTS
Authors: BHADAURİA Amita , BHATNAGAR Amogh
Published: May 2023

Objectives: Laparoscopic appendectomy (LA) is preferred to open appendectomy (OA), as it is less invasive. However, it is debatable whether LA is more cost-effective. We compared the cost-benefits of LA with OA, using the entire pediatric inpatient hospital data in USA.Methods: The Kids' Inpatient Database (KID) shows that 51,007 pediatric patients were subjected to laparoscopic appendectomy and 12,668 to open appendectomy during 2010-12 across the USA. This dataset was used to assess the cost-effectiveness of LA and OA, while controlling for the demographic characteristics of patients (e.g. age and gender), their background (e.g., place of residence), and complexity of surgery (e.g., number of procedures).  Results: We found that patients with laparoscopic surgery saved ~0.46 days of hospital stay, but paid $3641 more compared to patients with open surgery. Conclusions: Surgeons prefer to use the technologically advanced laparoscopic appendectomy  (80% of patients). Our analysis shows that the cost-benefit of laparoscopic appendectomy is marginal.  Hence, for making a fully informed decision, patients should be provided with both clinical and cost comparison data.
EVALUATION OF BED UTILIZATION PERFORMANCE OF HOSPITAL DEPARTMENTS IN TURKEY WITH GREY RELATED ANALYSIS
Authors: YİĞİT Arzu
Published: May 2023

The aim of this study was to analyze the bed utilization performance of hospital departments in Turkey with grey relational method. Grey relational analysis was used to determine the bed utılization performance levels of surgery and internal clinics in Turkey. In this study, hospital performance indicators are used as variables; bed occupancy rate, bed turnover rate and average length of stay. Research data were obtained from the Statistical Report of Public Hospitals Unions. Data were analyzed using MS Excel, SPSS 18 software. In this study, bed occupancy rate (%), average length of stay (day) and bed turnover rate performance indicators of clinics were found to be 67.3; 5.6 and 63.4, respectively. According to the grey relational analysis, the section with the most desirable characteristics represents the sections with the highest scores. The highest grey relational grade score was found to be obstetrics and gynecology (0.904) and the lowest score dermatology (0.474) departments. In multidimensional analysis, it was evaluated in two categories as efficient and inefficient in evaluating the bed use performance of departments. Hospitals are the most resource-consuming element of a health care system. The hospital's bed utilization performance has a positive impact on the hospital's financial success.  A significant portion of the cost of operating in hospitals is due to unnecessary patient hospitalization. In order to reduce hospital costs, patient beds need to be used optimally. Hence, hospital managers should regularly audit bed utilization.
Managing the Unexpected and Unforeseen in Educational Situations: Emergency as New Normal
Authors:   University “G. d’Annunzio” of Chieti, Italy., Pentucci Maila , Magnoler Patrizia ,   Pegaso” Telematic University, Italy., Capolla Lorenza ,   University of Macerata, Italy., Giuseppe Rossi Pier ,   University of Macerata, Italy.
Published: May 2023

The paper starts from the reflections that educational research has been able to perform collecting data and analyzing emergency didactic situations activated during the pandemics to understand how educational contexts would have become at the end of the world health crisis. The starting idea is the following: at this point it seems impossible to get back to a longed-for normality or to a supposed balance remembered as the code of the world – not just the educational one – before March 2020. Emergency is the new reality, as Covid-19, more than an isolated event, is the epiphenomenon of a not overcome ecologic and social crisis and therefore harbinger of a situation characterized by the sequencing and overlapping of several emergencies, with different granularity and scalarity that have to be managed though in their being previously unknown, unforeseen, and unexpected. In this situation the culture of one’s own professional culture seems impaired. How can research and education offer useful tools to teachers and educators to understand and manage the new complexity? Keywords: Emergency, learning ecosystem, vicariance, learning design, teachers’ professionalisation.
Classification of microvascular invasion of hepatocellular carcinoma: correlation with prognosis and magnetic resonance imaging
Authors: Hwang Yoon Jung , Bae Jae Seok , Lee Youngeun , Hur Bo Yun , Lee Dong Ho , Kim Haeryoung
Published: May 2023

Background/Aims: The microvascular invasion (MVI) of hepatocellular carcinoma (HCC) involves a wide histological spectrum, and it is unclear whether the degree of MVI correlates with patient prognosis or imaging findings. Here, we evaluate the prognostic value of MVI classification and analyze the radiologic features predictive of MVI.Methods: Using a retrospective cohort of 506 patients with resected solitary HCCs, the histological and imaging features of MVI were reviewed and correlated with clinical data.Results: MVI-positive HCCs invading ≥5 vessels or those with ≥50 invaded tumor cells were significantly associated with decreased overall survival (OS). The 5-year OS, recurrence-free survival (RFS), and beyond Milan criteria RFS rates were significantly poorer in patients with severe MVI compared with those with mild or no MVI. Severe MVI was a significant independent predictive factor for OS (odds ratio [OR], 2.962; p<0.001), RFS (OR, 1.638; p=0.002), and beyond Milan criteria RFS (OR, 2.797; p<0.001) on multivariable analysis. On MRI, non-smooth tumor margins (OR, 2.224; p=0.023) and satellite nodules (OR, 3.264; p<0.001) were independently associated with the severe-MVI group on multivariable analysis. Both non-smooth tumor margins and satellite nodules were associated with worse 5-year OS, RFS, and beyond Milan criteria RFS.Conclusions: Histologic risk classification of MVI according to the number of invaded microvessels and invading carcinoma cells was a valuable predictor of prognosis in HCC patients. Non-smooth tumor margin and satellite nodules were significantly associated with severe MVI and poor prognosis.