bluuebunny/crossref_metadata_2025 huggingface dataset:
KARAKTERISTIK BENDA ASING ESOFAGUS DI RSUP SANGLAH PERIODE JANUARI 2019 – DESEMBER 2020
Authors: William . , Dewantara I Putu Santhi , Asthuta Agus Rudi , Sutanegara Sari Wulan Dwi
Published: January 2024

ABSTARK

Latar Belakang: Benda asing esofagus merupakan makanan atau benda yang tajam maupun tumpul yang terhenti di esofagus dan tidak dapat melewati saluran cerna secara spontan dan merupakan kasus kegawatdaruratan. Penderita benda asing esofagus banyak ditemukan pada anak-anak, dimana koin merupakan benda tersering yang ditemukan di daerah servikal atau dibawah krikofaringeus, beragamnya karakteristik pasien dan sedikitnya penelitian terkait benda asing esofagus di Indonesia. Tujuan: Mengetahui jumlah kasus benda asing esofagus dan karakteristik pasien berdasarkan usia, jenis kelamin, lokasi benda asing, keluhan utama, durasi tertelan, jenis benda asing, penatalaksanaan dan komplikasi terbanyak di RSUP Sanglah Denpasar periode Januari 2019 – Desember 2020. Metode: Penelitian ini menggunakan metode deskriptif dengan desain penelitian studi potong lintang secara retrospektif. Hasil: Terdapat 89 kasus penelitian yang didapat secara total sampling, dimana sebagian besar pasien berjenis kelamin perempuan sebanyak 46 pasien (51.7%), berdasarkan kelompok usia anak- anak merupakan kasus tersering sebanyak 40 pasien (44.9%), dan keluhan utama tersering pada seluruh pasien adalah keluhan berupa disfagia sebanyak 52 kasus (58.5%), dan koin merupakan benda asing yang paling banyak ditemukan yaitu 30 kasus (33.6%). Pars cervicalis merupakan lokasi tersering ditemukanya benda asing yaitu dengan jumlah 55 kasus (61.7%), 79 kasus (88.8%) pasien benda asing esofagus menjalani esofagoskopi sebagai penatalaksanaannya, dan 34 pasien (38.2%) tidak mengalami komplikasi dikarenakan sebagian besar benda asing berhasil di ekstrasi dalam durasi waktu 0 – 24 jam, yaitu sebanyak 54 kasus (60.7%). Kesimpulan: Benda asing terjadi terbanyak pada anak-anak dengan jenis benda asing berupa koin, sehingga pentingnya edukasi kepada orang tua untuk meningkatkan kewaspadaan anak-anaknya saat bermain dengan benda yang berpotensial non-organik seperti koin masuk ke dalam rongga tubuh terutama esofagus, dan edukasi kepada masyarakat luas mengenai makan tidak terburu buru dan hati hati.

 

Kata kunci: Benda asing, esofagus, RSUP Sanglah, Denpasar, esofagoskopi, karakteristik.
HUBUNGAN ASUPAN KUNYIT TERHADAP KOLESTEROL TOTAL PADA DEWASA MUDA
Authors: Nurcahya I Gusti Ngurah Metta , Gede Sutadarma I Wayan , Surudarma I Wayan
Published: January 2024

Kadar kolesterol yang melebihi batas normal dapat menimbulkan hiperkolesterolemia. Hiperkolesterolemia merupakan suatu keadaan dimana kadar kolesterol dalam darah tinggi dan keadaan ini dapat menimbulkan berbagai penyakit. Diet rendah lemak adalah salah satu pencegahan yang paling penting dilakukan oleh mereka yang memiliki kadar kolesterol tinggi di dalam darah. Selain itu, terapi farmakologis yang selama ini menjadi pilihan adalah golongan statin. Statin adalah obat yang memiliki fungsi untuk menghambat aktivitas enzim HMG-KoA reduktase dan memblokir sintesis kolesterol. Salah satu pilihan terapi hiperkolesterol adalah kunyit. Kunyit (Curcuma longa) memiliki zat bernama kurkumin yang dapat mengurangi kadar kolesterol. Kurkumin secara signifikan dapat menghambat aktivitas enzim HMG KoA reduktase. Penghambatan tersebut mengganggu sintesis kolesterol dalam hepar, yang pada akhirnya menyebabkan penurunan kadar kolesterol total dalam darah. Kurkumin juga mampu meningkatkan kecepatan pembuangan kolesterol dalam bentuk asam empedu dan meningkatkan pembuangan feses. Penyerapan kembali asam empedu dan perubahannya menjadi kolesterol secara otomatis turun, sehingga kadar kolesterol dalam darah juga akan turun. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik konsumsi kunyit, asupan kolesterol, kadar kolesterol pada dewasa muda, dan hubungan asupan kunyit terhadap kadar kolesterol total di Fakultas Kedokteran Universitas Udayana. Penelitian ini menggunakan desain penelitian observasional analitik dengan menggunakan 52 sampel. Berdasarkan hasil penelitian, didapatkan hasil yaitu dewasa muda pada Fakultas Kedokteran Universitas Udayana rata-rata jarang mengkonsumsi kunyit, telah mengkonsumsi cukup kolesterol dan memiliki kadar kolesterol yang optimal. Pada penelitian ini terdapat hubungan lemah antara sumber asupan kunyit dengan kadar kolesterol total pada dewasa muda

Kata kunci: karakteristik., kunyit., kolesterol
Karakteristik Sosiodemografi dan Perilaku Partisipan Voluntary Counseling and Testing (VCT) di Yayasan Kerti Praja Denpasar Tahun 2000-2013
Authors: Bangkitaryani Luh Ayu , Sawitri Anak Agung Sagung , Ani Luh Seri
Published: January 2024

Layanan voluntary counseling and testing (VCT) memiliki peran penting sebagai pintu masuk ke seluruh layanan HIV/AIDS. Yayasan Kerti Praja (YKP) merupakan penyedia layanan VCT pertama di Provinsi Bali yang hingga tahun 2013 telah melayani belasan ribu partisipan. Eksplorasi data rekam medik partisipan VCT di YKP dapat mengungkap karakteristik sosiodemografi dan perilaku partisipan VCT dari tahun 2000-2013. Penelitian ini menggunakan metode deskriptif cross sectional. Dari 17.747 sampel didapatkan hasil sebanyak 8,5% partisipan VCT di YKP berstatus HIV positif. Mayoritas partisipan VCT di YKP adalah perempuan, berusia 16-40 tahun, bertempat tinggal di kota Denpasar, memiliki pekerjaan berisiko tinggi terinfeksi HIV, termasuk ke dalam kelompok berisiko tinggi untuk terpapar HIV dan transmisi penularan HIV dicurigai melalui hubungan seks vaginal berisiko. Sedangkan proporsi status HIV positif terbanyak ditemukan pada kelompok lelaki (14,6%), berusia lebih dari 40 tahun (10,3%), berdomisili di luar kota Denpasar (10,5%), tidak bekerja (16,3%), tergolong ke dalam kelompok risiko tinggi terpapar HIV (8,5%) dan pengguna injecting drug user (35%). Didapatkan kesimpulan bahwa angka kunjungan VCT di YKP setiap tahunnya cenderung mengalami peningkatan, dengan angka kejadian positif HIV yang semakin menurun.

Kata kunci : Infeksi HIV, voluntary counseling and testing (VCT), cross sectional, sodiodemografi, Yayasan Kerti Praja

 

HIV/AIDS treatment. Kerti Praja Foundation as the oldest VCT clinic in Bali has giving it’s best service for thousand participants since 2000. This data exploration will giving an explanation about sociodemographic and behavioral characteristic of VCT participants in YKP from 2000 until 2013. This research using descriptive cross sectional study models. From 17.747 VCT participants we found that 8.5% participants with positive HIV status. Mostly VCT participants are female, 16-40 years old, living in Denpasar, have high risk job, high risk exposure to HIV infection and suspected got HIV from unprotected vaginal sex transmission. Proportion of participants with positive HIV status we found greater in male group (14.6%), >40 years old (10.3%), living outside Denpasar (10.5%), jobless group (16.3%), have high risk exposure to HIV infection (8.5%), and injecting drug user group (35%). We conclude that VCT participants in YKP increased every year, but participants with positive HIV status decreased.

Keywords : HIV infection, voluntary counseling and testing (VCT), cross sectional, sociodemography, Kerti Praja Foundation
Perbandingan Efektivitas Campuran Propofol dengan Ketamin, Fentanil dan Lidokain dalam Mengurangi Nyeri dari Injeksi Propofol: Telaah Sistematis
Authors: Christopher Michael , Senapathi Tjokorda Gde Agung , Suarjaya I Putu Pramana , Dewi Dewa Ayu Mas Shintya
Published: January 2024

Propofol merupakan obat sedasi yang sering digunakan di prosedur di rumah sakit. Propofol memiliki efektivitas yang baik dalam menginduksi efek sedasi dan memiliki efek samping yang sangat minimal. Kekurangan dari penggunaan propofol ini adalah nyeri, dan nyeri ini memiliki insiden yang tinggi. Nyeri ini dapat dikurangi dengan berbagai faktor, salah satunya adalah menggunakan obat analgesia lokal lainnya seperti lidokain, fentanil dan ketamin.

Telaah sistematis ini bertujuan merekam dari berbagai uji klinis acak yang terdapat di berbagai sumber literatur. Tahun penelitian dibatasi dari tahun 2016 hingga 2020. Penulis menggunakan kriteria kelayakan PICOS. Obat yang akan digunakan adalah lidokain, fentanil dan ketamin. Penulis juga menggunakan Jadad Scale untuk mengetahui risiko bias dari masing-masing penelitian yang sudah masuk kriteria inklusi. Penulis menggunakan Funnel Plot untuk mengetahui publikasi bias dari masing-masing studi.

Telaah sistematis ini telah meneliti sebanyak 2130 sampel manusia yang didapat dari 25 penelitian. Penelitian-penelitian ini memiliki kelompok penelitian lagi untuk membandingkan hasil percobaan klinis oleh peneliti terkait.

 Hasilnya adalah induksi sedasi dengan kejadian nyeri paling rendah adalah penggunaan propofol 0,33% 6 ml dengan dosis 2,5 mg/kgBB dengan skor rata-rata nyeri 0,08. (p>0,05)

Kata kunci :  propofol, nyeri, skala nyeri
Gambaran Indeks Eritrosit Pasien Diabetes Melitus Tipe 2 di RSUP Sanglah Denpasar Periode Tahun 2021-2022
Authors: Rusditha Sarah - , Saraswati Made Ratna , Rena Ni Made Renny Anggreni
Published: January 2024

Diabetes melitus merupakan penyakit metabolik yang dapat menyebabkan perubahan struktur dan fungsi eritrosit. Perubahan ini berpengaruh terhadap perkembangan komplikasi kronik diabetes. Tujuan dari penelitian untuk mengetahui gambaran indeks eritrosit pasien diabetes melitus tipe 2 di RSUP Sanglah Denpasar periode tahun 2021-2022. Metode penelitian berjenis deskriptif retrospektif cross sectional. Penelitian menggunakan rekam pasien diabetes melitus tipe 2 Diabetic Center RSUP Sanglah. Sebanyak 272 rekam medis digunakan sebagai sampel. Gambaran indeks eritrosit  pasien diabetes melitus tipe 2 menunjukan anemia ringan normositik normokromik. Nilai rerata hemoglobin pria 12.75 g/dl dan wanita 11.82 g/dl. Nilai rerata indeks eritrosit pasien yakni MCV 86.0 fL, MCH 28.2 pg, dan MCHC 32.8 g/dl. Anemia ringan mempunyai proporsi tertinggi dengan pria kelompok usia 56-60 tahun 18 sampel (6.6%) dan wanita 51-55 tahun 12 sampel (4.4%).
HUBUNGAN ANTARA KUALITAS TIDUR DENGAN INDEKS MASSA TUBUH PADA PELAJAR SMA 4 DI DENPASAR TAHUN 2015
Authors: Tanjaya Sheryl Elita , Ratna Sundari Luh Putu
Published: January 2024

Obesitas adalah suatu permasalahan mendunia khususnya di bagian kesehatan karena dapat menjadi salah satu faktor risiko utama sebagai penyebab kematian global masyarakat. Penelitian ini dilakukan untuk mengetahui hubungan antara kualitas tidur dengan Indeks Massa Tubuh (IMT) pada pelajar SMA 4 di Denpasar tahun 2015.Penelitian ini adalah penelitian deskriptif analitik cross sectional. Teknik penentuan sampel yang digunakan menggunakan teknik Multistage Random Sampling. Sampel yang diperoleh sejumlah 47 orang siswa yang memenuhi kriteria inklusi. Data sampel diperoleh melalui pengisian kuesioner oleh sampel. Penilaian IMT berdasarkan data tinggi badan sampel dalam meter serta berat badan sampel dalam kilogram. Penilaian kualitas tidur dilakukan melalui kuesioner Pittsburgh Sleep Quality Index (PSQI). Dari 47 sampel yang diteliti, didapatkan sampel dengan kualitas tidur baik dan buruk berturut-turut sebanyak 19 orang (40,4%) dan 28 orang (59,6%). Rerata IMT sampel adalah 21,7 kg/m2. Dilakukan analisis bivariate chi – square dan didapatkan hasil nilai p = 0,143 yang menunjukkan bahwa terdapat hubungan yang tidak bermakna antara kualitas tidur dengan IMT.Berdasarkan penelitian yang telah dilakukan, peneliti menyimpulkan bahwa kualitas tidur dan IMT pada pelajar SMA 4 tidak menunjukkan adanya hubungan bermakna. Peneliti mengharapkan penelitian ini bisa digunakan sebagai acuan bagi penelitian selanjutnya.

Kata kunci: Kualitas tidur, Indeks Massa Tubuh
KORELASI PARAMETER MORFOLOGI HATI MENGGUNAKAN CT SCAN ABDOMEN DENGAN DERAJAT KEPARAHAN SIROSIS BERDASARKAN SKOR CHILD PUGH PENDERITA SIROSIS HATI DI RSUP DR WAHIDIN SUDIROHUSODO MAKASSAR
Authors: Bahrul Wahyuni Indayani , Murtala Bachtiar , Rauf Rafikah , Amelia Bachtiar Nur
Published: January 2024

Sirosis hati adalah merupakan suatu proses difus yang ditandai dengan fibrosis dan perubahan arsitektur normal hati menjadi nodul-nodul regeneratif, sebagai tahap akhir dari berbagai macam penyakit hati kronis. CT scan abdomen merupakan tekhnik non-invasif dalam  mendeteksi perubahan morfologi hati dan mendiagnosis sirosis hati. Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional di RSUP Dr. Wahidin Sudirohusodo Makassar untuk menilai korelasi parameter morfologi hati menggunakan CT Scan abdomen dengan derajat keparahan sirosis berdasarkan skor Child Pugh penderita sirosis hati. Sampel penelitian diambil dari bulan Januari 2020 hingga Januari 2023, dan didapatkan sebanyak 149 orang. Program SPSS versi 26.0 digunakan untuk analisis data. Uji bivariat menggunakan uji korelasi Spearman. Terdapat korelasi yang bermakna antara penurunan volume hati dengan peningkatan skor Child Pugh (r = 0,548). Terdapat korelasi yang bermakna antara derajat kontur hati dengan peningkatan skor Child Pugh (r = 0,577). Terdapat korelasi yang bermakna antara rasio C/RL dengan peningkatan skor Child Pugh (r = 0,438). Terdapat korelasi yang bermakna antara pembesaran fossa gallbladder dengan peningkatan skor Child Pugh (r = 0,397). Terdapat korelasi yang bermakna antara right posterior hepatic notch sign dengan peningkatan skor Child Pugh (r= 0,435). Tidak terdapat korelasi bermakna antara derajat volume lien dengan peningkatan skor Child Pugh (r=-0,009). Perubahan pada parameter morfologi hati yang paling banyak ditemukan pada pasien sirosis hati dini dengan skor Child Pugh kelas A adalah perubahan kontur hati kemudian diikuti dengan rasio C/RL, volume hati, pembesaran fossa gallbladder dan right posterior hepatic notch sign.

Kata kunci: CT Scan abdomen., skor Child Pugh., keparahan sirosis hati., perubahan morfologi hati.
Evaluation of Fellowship Status on Litigation Rates for Endoscopic Sinus Surgery
Authors:   Head And Neck Surgery, Albert Einstein College Of Medicine, Anderson Cassidy
Published: January 2024

Most subspeciality surgeons will be involved in a lawsuit during their career. 1 Otolaryngology is associated with some of the highest ratios of malpractice claims filed/paid, due to the complex anatomy and potential for debilitating complications. 2 Rhinology is an otolaryngology fellowship subspecialty that has seen an increase in case load of endonasal sinus surgery
How the Creation of Healthcare Preparedness Measures Can Improve Community Medicine: The Link Between Healthcare Payment Policy and Disaster Preparedness
Authors:   Ph.D. Candidate, Conflict Analysis And Resolution Department, Nova Southeastern University, Ft. Lauderdale, Florida, United States, Connor Courtney Lee
Published: January 2024

The Covid-19 pandemic highlighted the need to better understand the relationship between value-based payment programs and hospital disaster preparedness
What role does medical education play today in solving the problem of acute nonspecific pulmonary inflammation?
Authors:   MD, Professor, Renton, Washington, United States, Klepikov Igor
Published: January 2024

Conceptual ideas about the nature of acute nonspecific inflammation in the lungs (ANSIL) and the resulting principles
(Non) Organization of Paliative Care for Children in Bosnia And Herzegovina
Authors:   Clinical Center University Of Sarajevo, Misanovic Verica
Published: January 2024

Palliative care is an approach to the comprehensive care of a patient suffering from a chronic, incurable disease when the curative methods of treatment have been exhausted.
Creative Dance in Neurorehabilitation: A Pilot Study
Authors:   Istituti Clinici Scientifici Maugeri IRCCS, M Loi
Published: January 2024

This pilot study lays the foundation for a future in-depth research on the use of this therapeutic strategy in support of the Departments of Neurorehabilitation.
Juvenile Xanthogranuloma: the benignity behind an atypical lesion
Authors: Bassi Roberta , Bittencourt Juliana , Barbosa Fernanda
Published: January 2024

OBJECTIVE: To describe a rare case of Juvenile Xanthogranuloma (JXG) in an infant in order to inform more about this pathology little described in academia, thus avoiding unnecessary treatments and approaches. CASE DESCRIPTION: This is a 4-month-old infant with a single nodular lesion in the abdomen that has progressively evolved since birth. A crusty-looking lesion with small adjacent nodules, central ulceration and blurred borders, approximately 3 centimeters in diameter. With the diagnostic hypothesis of impetigo raised, he used topical and oral antibiotics, without success. Then, suspected of dermatophytosis, he used antifungal agents, without improvement. Due to the persistence of the lesion, an ultrasound of the lesion was requested and referred to a dermatologist. Only after the biopsy was the diagnosis of JXG confirmed. COMMENTS: JXG is a rare and benign pathology, belonging to the group of non-Langerhans histiocytosis that typically appears in pediatric age. Lesions most commonly occur on the skin and have a characteristic morphology. They are usually asymptomatic and spontaneous regression is expected in approximately five years. However, the disease can lead to extracutaneous involvement and other important pathologies may be related to the condition, thus requiring an extension of workup to prevent irreversible sequelae to the patient.
Congenital hypothyroidism diagnosed on the sixth day of life: a case report.
Authors: Ertel Douglas , Ferrini Filho Aldo Roberto , Sales Ludmila , Oliveira Dayana , Zaconeta Carlos Alberto
Published: January 2024

INTRODUCTION: Congenital hypothyroidism results from insufficient secretion of thyroid hormones, which are related to the maturation of the central nervous system, being the main cause of preventable intellectual disability in childhood. The diagnosis can be suspected from the neonatal screening test, revealing its importance, since most cases are asymptomatic or oligosymptomatic at birth with nonspecific manifestations, as well as the classic manifestations become evident only later, causing neurological damage. OBJECTIVE: describe a clinical case of a patient diagnosed with congenital hypothyroidism on the sixth day of life, screened through the neonatal screening test, with subsequent laboratory confirmation, highlighting points of diagnosis, treatment and clinical follow-up, avoiding the progression of late diagnosis. CASE REPORT: male patient, born through normal delivery without complications, who developed asymptomatic hypoglycemia at the first hours of life, treatment resistant. The patient presented alterations compatible with congenital hypothyroidism in the neonatal screening test, with subsequent confirmation through laboratory tests. Thyroglobulin replacement was started on the seventh day of life, with progressive improvement in hypoglycemia and favorable clinical evolution throughout the first months of life. CONCLUSION: Congenital hypothyroidism is the main cause of preventable intellectual disability in childhood, it must be diagnosed as early as possible, demonstrating the importance of neonatal screening tools. After the institution of appropriate treatment and clinical follow-up, the evolution is favorable, avoiding the drastic progression of late diagnosis.
Passive smoking and hearing loss in preschoolers and school-aged children: a case-control study.
Authors: Monteiro Raquel , Barbosa Adauto , Silva Licínio
Published: January 2024

INTRODUCTION: Nonsmoking individuals who live with indoor smokers are included among those at higher risk of hearing loss, as the inner ear is sensitive to systemic changes, especially vascular ones. OBJECTIVE: To investigate whether there is an association between passive smoking and hearing loss in preschoolers and school-aged children. METHOD: retrospective, descriptive, case control study, comprising 76 children between 2 and 10 years of age, who underwent audiometric assessment between January 2016 and December 2018. The included children were divided into two groups: passively exposed to tobacco and not exposed to tobacco. The association between exposure or not to tobacco and type of hearing loss was evaluated using Fishers exact test, and the odds ratio of hearing loss in exposed children was calculated. RESULTS: Children exposed to smoking had fourfold odds of hearing loss compared to their non-exposed peers (OR 4.2, 95%CI 1.584 to 11.138). A significant association was also observed between exposure to smoking and sensorineural hearing loss (OR 5.60, 95%CI 1.783 to 17.591, p=0.002). No association was found between severity of exposure and intensity of hearing loss. CONCLUSION: This study suggest that sensorineural hearing loss occurs more frequently in children exposed to smoking then in their age-matched peers not so exposed. However, we cannot state conclusively whether there is an association between passive smoke exposure and conductive hearing loss, nor between the degree of hearing loss and the level of exposure to nicotine as assessed by the Fagerström test.
Epidemiological profile of newborns with retinopathy of prematurity at the university hospital of the federal university of maranhão
Authors: Branco Rebeca , Menezes Valéria , Avelar José , Vale Marynea , Marques Patrícia
Published: January 2024

OBJECTIVE: To describe the profile of premature newborns and exploratory analysis of factors associated with the development of retinopathy of prematurity (ROP) at the University Hospital of the Federal University of Maranhão (HU-UFMA). METHODS: This is a cross-sectional study based on data from the medical records of premature newborns treated at the University Hospital of the Federal University of Maranhão (HU-UFMA), from 2015 to 2020. Possible statically significant associations for the development of ROP were evaluated: sex, gestational age, birth weight, length, head circumference, length of hospital stay, APGAR and others. The significance level adopted was 5% (p<0.05). RESULTS: It was found that, in children with a confirmed diagnosis of ROP, the most prevalent sex was female (50.95%), the mean gestational age was 29.08 weeks, the most frequent outcome was hospital discharge (70, 71%), mean birth weight was 1,089 grams, mean hospital stay was 45.44 days, mean length was 35.73 cm, mean head circumference was 26.06, Apgar most prevalent in the first minute was in the range from 4 to 7 (43.32%) and in the fifth minute from 8 to 10 (56.40%). CONCLUSIONS: The prevalence of ROP cases was 61.40% among newborns followed up at a reference service in the state of Maranhão. It was observed that the lower the gestational age and birth weight, the greater the risk of developing ROP.
Cardiac arrhythmia - analysis of the epidemiological profile of patients care at a pediatric cardiology outpatient
Authors: Mundim Haroldo , Cardoso Ana Beatriz , Bonatto Rossano , Padovani Carlos Roberto , Fioretto José Roberto , Ortiz Juliana , Martin Joelma , Campos Fábio , Carvalho Haroldo , Romero Leonardo
Published: January 2024

Cardiac arrhythmias are electrical alterations that may have varied clinical presentations according to their etiological origin, association with adjunct heart problems and degree of impairment of cardiac functioning. Therefore, the epidemiological profile of patients diagnosed with cardiac arrhythmia treated in a Pediatric Cardiology Outpatient Clinic was traced, identifying the most prevalent types of cardiac arrhythmias in these patients and also analyzed whether there are differences between the prevalence of types of arrhythmias in patients with heart disease and those with a structurally normal heart. The studied group comprises patients registered in the database of the Pediatric Cardiology Discipline, from January 1, 1996 to December 31, 2019. Their data were analyzed and subjected to appropriate statistical evaluation, considering a significance level of 5%. The variables analyzed were: Sex; Age; Type of Arrhythmia; Presence or not of Associated Heart Diseases. A total of 365 patients diagnosed with arrhythmia were evaluated, of which 15.9% had heart disease and 84.1% did not have heart disease. In patients with heart disease, there was no difference between the sexes, whereas in the group of patients without heart disease, there was a predominance of males. It was concluded that the most prevalent arrhythmias were atrial extrasystoles, ventricular extrasystoles and total atrioventricular block, considering both sexes. In females, the most prevalent were total atrioventricular block, atrial extrasystoles and ventricular extrasystoles. In males: ventricular extrasystoles, atrial extrasystoles and paroxysmal supraventricular tachycardia.
ANALISA AUDIT ENERGI UNTUK OPTIMALISASI PEMAKAIAN LISTRIK AIR CONDITIONING PADA GEDUNG PERKANTORAN X DI JAKARTA
Authors: Setiawan Candra , Rangkuti Chalilullah , Bhikuning Annisa
Published: January 2024

Karena meningkatnya biaya bahan bakar fosil, yang juga menaikkan biaya pembangkitan listrik dan menyebabkan masalah lingkungan, pengurangan konsumsi energi menjadi semakin penting. Tantangan penelitian yang sedang berlangsung adalah mengurangi konsumsi energi di Gedung X tanpa mengorbankan kenyamanan atau kualitas udara dalam ruangan. Gedung X melakukan audit energi untuk mengidentifikasi peluang efisiensi dan penghematan energi karena tingginya konsumsi energi listrik AC, yang mencapai antara 50 hingga 60 persen dari total konsumsi listrik gedung. Audit energi di Gedung X ini dilakukan menggunakan kombinasi metode pengambilan data, analisa perhitungan IKE (Permen ESDM No. 13 Tahun 2012), analisa performance chiller, pengukuran temperatur, kelembaban udara (SNI 03-6390-2011), dan tingkat pencahayaan (SNI 03-6197-2011) serta peluang hemat energi yang bisa dilakukan pada Gedung X. Hasil akhir dari penelitian ini akan memberikan nilai intensitas konsumsi energi (IKE) beserta klasifikasi nya, analisis konsumsi energi pada chiller, tingkat pencahayaan dan rencana peluang hemat energi dengan mengganti ke water cooled chiller dan mengatur jadwal operasional chiller di Gedung X yang dapat menjadi rencana strategi peluang hemat energi agar nilai IKE pada Gedung X menjadi efisien sesuai Permen ESDM No. 13 Tahun 2012.
PENGGUNAAN SINAR INFRA MERAH UNTUK DETEKSI PANAS BUMI DAERAH SANGKANHURIP, KUNINGAN, JAWA BARAT
Authors: Sumotarto Untung , Hendrasto Fajar , Anugrahadi Afiat , Purwiyono Taat Tri , Ashari Wahyu Robiul
Published: January 2024

Geothermal resources can be explored with aerial photographs followed by surveys and analysis of geological, geochemical and geophysical data as well as shallow drilling. This research was conducted to determine the potential of geothermal resources using a camera capable of capturing infrared rays from objects and photo targets.Geothermal exploration is generally carried out with an initial survey using remote imagery and aerial photography techniques. Taking photos using a tool equipped with a Thermal Infrared Sensor (TIRS), namely a camera equipped with Forward Looking InfraRed (FLIR).The initial survey in this study was conducted at five locations of geothermal springs in the Sangkanhurip area, Kuningan, West Java. From these five locations using FLIR cameras detected geothermal resources with hot spring temperatures between 30 to 40 degrees Celsius.To find out the types of rocks that exist, a geological survey was carried out to make a geological map. The data and information obtained are then analyzed to obtain a map that displays geology with surface temperature data in the study area.This map can be utilized by companies interested in exploring and producing geothermal energy for use as a source of energy for Geothermal Power Generation (PLTP). Further analysis can be carried out with the Geochemical Method for predicting subsurface temperature. This discovery fulfills the research objective of detecting geothermal resources using infrared rays.
DUKUNGAN GURU TERHADAP KEPATUHAN KONSUMSI TABLET TAMBAH DARAH RUTIN REMAJA PUTRI SEKOLAH
Authors: Pou Rudy , Azhari Erika Siti , Virzanisda Ramsyifa
Published: January 2024

Tujuan: Anemia defisiensi besi merupakan satu dari sekian masalah pada kesehatan yang umum terjadi pada remaja putri dan wanita usia subur di dunia tak terkecuali di Indonesia. Anemia defisiensi besi dapat mengakibatkan dampak yang serius bagi kesehatan jangka panjang apabila tidak tertangani sejak dini. Masalah yang terkait dengan anemia defisiensi besi meliputi penurunan potensi akademik; penurunan kesejahteraan dan produktivitas di rumah atau di masyarakat; dan peningkatan kesakitan serta kematian ibu dan bayi bagi wanita usia subur yang hamil. Salah satu upaya Organisasi Kesehatan Dunia maupun Kementerian Kesehatan Republik Indonesia adalah dengan melakuan program suplementasi zat besi rutin setiap minggu didukung dengan program distribusi suplementasi zat besi ke sekolah-sekolah. Namun hal tersebut tidak didukung dengan kepatuhan dari target remaja putri dalam mengkonsumsi rutin tablet tambah darah yang telah didistribusikan, oleh karena itu perlu dianalisa mengenai faktor yang dapat mempengaruhi kepatuhan remaja putri tersebut. Dari sekian banyak faktor, salah satu faktor yang mendukung kepatuhan adalah dukungan guru di sekolah. Penelitian bertujuan untuk melihat ada atau tidaknya hubungan antara dukungan guru tersebut dengan kepatuhan minum tablet tambah darah pada remaja putri di sekolah. Metode: Desain penelitian yang digunakan adalah cross sectional survey dengan pendekatan observasi analisis. Consecutive sampling digunakan untuk memperoleh sampel sebesar 170 siswi sekolah. Survei dilakukan pada bulan Maret 2023 pada 2 (dua) sekolah yaitu SMPN 212 dan SMKN 37 di wilayah Kecamatan Pasar Minggu, Jakarta Selatan. Hasil: Dari total 170 remaja putri yang diperiksa kadar hemoglobin (Hb)-nya, 48% remaja putri menunjukkan hasil kadar Hb di bawah 12 gr% (anemia). Remaja putri yang mendapat dukungan guru untuk minum tablet tambah darah rutin sebanyak 26,4%. Sebagian besar remaja putri tidak patuh mengkonsumsi tablet tambah darah (88,3%). Simpulan: Terdapat hubungan yang signifikan antara dukungan guru dan kepatuhan remaja putri dalam mengkonsumsi tablet tambah darah secara rutin dengan p = 0,011 (p < 0,05).
PEMODELAN SEMIVARIOGRAM PADA DATA POTENSI CALON MAHASISWA BARU FAKULTAS TEKNIK SIPIL DAN PERENCANAAN UNIVERSITAS TRISAKTI
Authors: Kuswanda Giraldi Fardiaz , Damayanti Julia , Ramadhani Marcella Aurellia
Published: January 2024

Perguruan tinggi melakukan promosi untuk menyampaikan informasi mengenai program dan keunggulan perguruan tinggi guna menarik minat calon mahasiswa baru. Persaingan yang ketat terjadi dalam merebut calon mahasiswa, dan promosi membutuhkan alokasi dana yang besar. Namun, selain dana, keberhasilan promosi juga bergantung pada pemahaman karakteristik pasar dan konsumen, termasuk sebaran geografis dan konsentrasi potensi camaba. Pemodelan semivariogram dapat digunakan untuk memodelkan hubungan spasial potensi camaba antar lokasi observasi. Lokasi sekolah asal mahasiswa dapat dipandang sebagai titik lokasi observasi dan banyaknya mahasiswa yang berasal dari sekolah atau wilayah tersebut menjadi nilai observasinya. Penelitian ini akan berfokus pada bagaimana pemodelan semivariogram dapat memetakan potensi calon mahasiswa baru berdasarkan lokasi sekolahnya sebagai acuan perumusan kebijakan dan strategi promosi FTSP Usakti kedepannya. Berdasarkan nilai Mean Absolute Percentage Error (MAPE) terpilih model sperikal sebagai model terbaik dengan persamaan:

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Berdasarkan model terbaik diperoleh nilai range adalah 6232,778 meter yang bermakna pada jarak tersebut merupakan jarak maksimum di mana masih terdapat korelasi spasial antara dua lokasi sekolah asal camaba.
MEKANISME RESISTENSI PSEUDOMONAS AERUGINOSA TERHADAP ANTIBIOTIK
Authors: Robertus T
Published: January 2024

Latar Belakang: Pseudomonas aeruginosa merupakan salah satu patogen penyebab infeksi utama di rumah sakit. Bakteri ini memiliki kemampuan adaptasi yang sangat baik sehingga mampu menggunakan berbagai macam substrat untuk menunjang pertumbuhannya dan hidup di lingkungan dengan kandungan nutrisi rendah seperti alat bantu pernafasan, sabun, bak cuci piring, kain pembersih lantai, kolam hidroterapi, dan bahkan antiseptik. P. aeruginosa adalah bersifat oportunis dan dapat menyebabkan infeksi pada pasien dengan penurunan daya tahan tubuh seperti neutropenia, luka bakar berat, dan fibrosis kistik. Bakteri ini bersifat multi-resiten obat sehingga penanganan infeksi yang disebabkan olehnya sangat sulit dilakukan. Berbagai studi menunjukkan bahwa infeksi yang disebabkan oleh P. Aeruginosa resisten obat akan meningkatkan angka morbiditas, mortalitas, lama rawat, dan biaya perawatan secara signifikan. Ringkasan: Resistensi P. aeruginosa terhadap antibiotik dapat terjadi secara alami (intrinsik), didapat (acquired resistance), dan adaptif. Resistensi intrinsik terdiri dari penurunan permeabilitas membran luar, sistem pompa (efflux pump), dan enzim AmpC. Resistensi didapat terdiri dari enzim beta-laktamase, enzim perusak-aminoglikosida (Aminoglycoside-Modyfing Enzymes), dan modifikasi target antibiotik. Sementara resistensi adaptif terjadi apabila bakteri terpajan konsentrasi antibiotik non-letal lalu mengalami peningkatan ekspresi (up-regulation) gen yang menyebabkan kepekaan terhadap antibiotik tersebut menjadi berkurang. Pesan Kunci: Memahami berbagai mekanisme resistensi P. aeruginosa terhadap antibiotik sangat penting agar terapi antibiotik yang diberikan kepada pasien tepat dan rasional.
Laser-Doppler Anemometry Measurements of Turbulent Swirling Wakes
Authors: Schutz William M. , Naughton Jonathan W.
Published: January 2024

This study considers the development and evolution of the swirling turbulent wake and their link to the turbulence present in the wake. A wake generator produces swirling wakes with a minimum of artifacts that would complicate the flow. Four swirling wakes have been studied with swirl numbers ranging from 0.19 to 0.37, and the results are compared to those of a nonswirling wake. Two-component laser-Doppler anemometry has been used to measure mean and turbulence quantities in the wake, and the uncertainty of these quantities has been determined. Careful alignment of the laser-Doppler anemometry system and large numbers of independent samples were used to obtain second-order turbulence statistics with low uncertainty. The results indicate that swirl strength impacts wake behavior, and changes in the behavior are linked to modifications in the turbulence. Faster wake width growth and centerline velocity deficit decay have been observed for wakes with higher swirl strength. The results indicate that a minimum swirl level is required to significantly impact wake behavior, and, at some level of swirl, the enhanced wake evolution observed saturates. For the conditions tested, the swirl number that enhances wake diffusion before saturation has been determined to lie between 0.21 and 0.37.
Percepções de enfermeiros sobre o acolhimento com classificação das gestantes atendidas em um hospital da região sudoeste do Pará
Authors: Sousa Yasmim Silva , Albarado Kaio Vinícius Paiva , Santos Thays Queiroz , Jacomel Bruna Grazielle Carvalho , Fonseca Tâmara de Souza Alverga , Gama Isadora Barbasa da , Macedo Laelia Anayze Ribeiro , Coimbra Joyce Keyla Sousa , Oliveira Isabelle Guerreiro de
Published: January 2024

Objetivo: Analisar as percepções de enfermeiros que atuam na Clínica Obstétrica (CO) sobre a importância do Acolhimento com Classificação de Risco (ACCR) das gestantes atendidas em um hospital da região sudoeste do Pará. Métodos: Trata-se de um estudo descritivo e qualitativo desenvolvido na CO de um hospital da região sudoeste do Pará. Os dados foram obtidos em junho de 2023 através de entrevista semiestruturada e interpretados conforme análise de conteúdo de Bardin. Resultados: Participaram da pesquisa 10 enfermeiros, predominantemente do sexo feminino, na faixa etária entre 26 e 53 anos, pardos, solteiros, com especialização em obstetrícia e renda mensal superior a 2 salários. Sob a perspectiva do ACCR, 100% mencionou a ausência de aplicação do protocolo e 50% afirmou nunca ter recebido treinamento quanto a temática. A partir da análise de conteúdo, percebe-se que os profissionais reconhecem a importância do ACCR para sistematização do cuidado, porém vivenciam fragilidades como: educação permanente escassa; atendimento por ordem de chegada; superlotação com demandas de baixa complexidade; tal qual, carência de infraestrutura e recursos humanos. Conclusão: Os órgãos competentes devem investir em melhorias no setor obstétrico visando qualificar a assistência e minimizar os riscos de morbimortalidade materna e neonatal.
Improving the sustainability of enzymatic synthesis of poly(butylene adipate)-based copolyesters. Polycondensation reaction in bulk vs in diphenyl ether
Authors: Sokołowska Martyna , Molnar Kristof , Puskas Judit E. , El Fray Miroslawa
Published: January 2024

In response to mounting global concerns such as CO2 emissions, environmental pollution, and the depletion of fossil resources, the field of polymer science is shifting its focus toward sustainability. This research investigates the synthesis of poly(butylene adipate)-co-(dilinoleic adipate) (PBA-DLA) copolymers using two distinct methods: bulk polycondensation and polycondensation in diphenyl ether. The objective is to assess the environmental impact, chemical structure, composition, and key properties of the resulting copolymers, with a particular emphasis on determining the viability of bulk synthesis as a more sustainable approach. Various analytical methods, including nuclear magnetic resonance spectroscopy (NMR), Fourier transform infrared spectroscopy (FTIR), and size exclusion chromatography (SEC), were employed to confirm successful copolymerization and highlight differences in molecular weight and microstructure. Additionally, thermal and dynamic mechanical analyses were conducted to thoroughly characterize the copolymers' properties. This research provides significant findings into the sustainable production of PBA-DLA copolymers, offering a more environmentally friendly approach without compromising product quality or performance.
Effects of Career Development and Competencies on Social Affairs: Employee Performance as Mediating Variable
Authors: Irfan Andi Muh. , Hamzah Jabir , Ismail Muhammad
Published: January 2024

This study aims to know how great the influence of career development, motivation work, and competence on employee performance as well as the impact on the Social Affairs Agency of South Sulawesi Province. Method analysis used is analysis path. The research results show that the development of a career and competence in a way simultaneous is very influential in social assistance services. However, partially, competency does not influence social assistance services, while employee performance partially has a strong relationship with social assistance services. A combination of development career, competency, and performance employee is a strong unity that affects social assistance services. The results of the indirect effect test using Sobel Test calculations have proven that there is a positive and significant indirect effect on career and competency development, through employee performance regarding social assistance services. This indicates that performance employees are capable of mediating completely (full mediation) between career development and competency towards improving social assistance services at the Social Affairs Agency of South Sulawesi Province.
Chemical hydrogeodynamics in the Ulaanbaatar groundwater reservoir in 2012–2023: comparison with chemical hydrogeodynamics in the reservoirs of the Baikal coast
Authors:   Institute of the Earth's Crust SB RAS, Rasskazov S.V. ,   Irkutsk State University, Ilyasova A.M. ,   Institute of the Earth's Crust SB RAS, Bornyakov S.A. ,   Institute of the Earth's Crust SB RAS, Batsaihan Ts. ,   Institute of Astronomy and Geophysics MAN, Demberel S. ,   Institute of Astronomy and Geophysics MAN, Chebykin E.P. ,   Institute of the Earth's Crust SB RAS,   Liminological Institute, SB RAS
Published: January 2024

Comparative hydrogeochemical studies of groundwater in the Ulaanbaatar reservoir and those in the coast of Lake Baikal show significant difference between hydrogeodynamic processes of these areas, the earlier generation of U-isotopic and Si–Na–Li-temperature anomalies in the Ulaanbaatar groundwater reservoir and the later in those of the Baikal coast.
Penskoran yang Fair pada Tes Matematika Berbentuk Pilihan Ganda Menggunakan Item Response Theory
Authors: Hari Hari Purnomo Susanto , Siti Irene Astuti D  , Endang Mulyani
Published: January 2024

Penskoran tes berbentuk pilihan ganda dengan model konvensional menyebabkan adanya disparitas dalam interpretasi hasil penskoran. Hal ini menyebabkan penskoran yang tidak fair, karena penskoran tidak memperhatikan karakteristik butir yang melekat pada tes. untuk mengatasi masalah ini, maka tujuan penulisan artikel ini yaitu mengaplikasikan model IRT untuk melakukan penskoran yang lebih fair, agar tes pilihan ganda mampu memberikan interpretasi skor yang lebih tepat dan objektif. Tes pilihan ganda yang digunakan pada studi ini yaitu tes matematika pada konten Aljabar sebanyak 15 butir. Tes di ujicobakan pada 65 siswa SMP kelas 8. Data ini digunakan untuk kalibrasi butir tes menggunakan IRT. Model fit ditentukan dengan metode M2. Instrumen cocok atau fit dengan model Rasch, 2PL dan 3PL, tetapi yang digunakan dalam artikel ini yaitu model Rasch dan 2PL saja. Banyak butir yang fit pada kedua model sama dengan banyaknya butir tes pilihan ganda. Selanjutnya, parameter-paramter butir digunakan sebagai dasar untuk melakukan penskoran. Hasi perbandingan menunjukkan, model IRT mampu memberikan penskoran yang lebih objektif dan tepat, berdasarkan karakteristik yang dimiliki oleh butir test. Model 2 PL mampu mberikan penskoran yang paling fair dari pada model Rasch dan konvensional. Karakteristik parameter discriminant pada model 2PL, membuatnya mampu membedakan kemampuan siswa. khususnya pada siswa-siswa yang memiliki jumlah jawaban benar yang sama, tetapi pola jawabannya berbeda.
Simulation model for the analysis and assessment of long-term and seasonal fluctuations of water balance elements in the Volga River basin
Authors:   Timirâzevskaâ selʹskohozâjstvennaâ akademiâ, Ismaiylova Irina Ghabilovna
Published: January 2024

The purpose of the study is to improve the method of water balance of the river basin in terms of difficult-to-measure elements of water balance, such as total evaporation from the land surface and change in basin moisture reserves. For these purposes, the water balance equation of the river basin and the correlation equation connecting the patterns of formation of the river flow of the current period with the flow of previous years have been modified. A simulation model is presented, the structure of which includes systems of water balance equations and a correlation equation of a river basin. As a result of the joint use of these reference hydrological and meteorological stations, the results of simulation modeling were obtained and, on this basis, fairly long time series of water balance elements (EVB) of the Volga River basin in the formation zone to Volgograd were organized. Based on the obtained long series of EVB of the Volga River basin, a conjugate retrospective analysis of the interannual and seasonal variability of the EVB of the Volga River basin in the formation zone up to Volgograd was carried out.
Criminal Associations: Insights into the Concept, Types, and Challenges for Legislative Improvements to Combat Them
Authors: Kufelkina I. Yu.
Published: January 2024

This article suggests improvements to the criminal law measures against organized crime. The terminology and conceptual framework of criminal groups were analyzed using various methods, such as dialectical, comparative-legal, system-structural, and formal-legal.

The study exposed serious flaws in the current legislative approach to regulating criminal liability for arranging or leading criminal groups and participating in their activities. The main problem is that the same objective indicators of a criminal act are often referred to by different terms, resulting in misinterpretations of their etymological meanings in the Criminal Code of the Russian Federation. In order to simplify the terminology, it was proposed to adopt the term “criminal associations” as a single label for all criminal groups. The opinions on removing criminal associations from the institution of complicity in crime were critically reviewed.
Development of the Economic and Legal Concepts of Financial Instruments in the PreRevolutionary Period. G.F. Shershenevich’s Contribution
Authors: Chikulaev R. V.
Published: January 2024

Many experts believe that we are on the cusp of a new system of legal understanding, construction, and formalization, as well as state regulation of the relations and processes governed by “financial instruments”. However, this term remains polysemantic and thus is a compelling subject for the discourse. It has multiple legal interpretations, uncertain legal applications, and diverse or even conflicting theoretical frameworks. In this article, the historical ideas of the pre-revolutionary Russian scholars were discussed in connection with the current legal understanding of financial instruments. The analyzed works certainly contain brilliant thoughts, logical reasoning, generalizations of the foreign experiences, and novel ideas. They all became the basis for the law and legislation development in subsequent periods, up to the present day. Special attention was paid to the legal heritage of G.F. Shershenevich, a prominent figure of classical Russian jurisprudence who worked at Kazan University. It was concluded that the scholar’s views reflected both a narrow understanding of private law and a more complex approach that links the legal manifestations of phenomena with their social, economic, and commercial essence. The results obtained show that the principles of current economic and legal models can be traced back to the conceptual aspects of the categories (such as financial instruments) introduced by the earlier scholars.
EX-LAD: Explainable Learning Analytics Dashboard in Higher Education
Authors: Khelifi Tesnim , Ben Rabah Nourhène , Le Grand Bénédicte , Daoudi Ibtissem
Published: January 2024

This paper introduces an EXplainable Learning Analytic Dashboard (EX-LAD) that presents learning analytics data on student performance, engagement, and perseverance in a clear and easily understandable manner. The main goal of this study is to make this information accessible to both teachers and students, who may not possess extensive knowledge in data analysis, and demonstrate the effectiveness of the relationship between performance, engagement, and perseverance in identifying student difficulties. This dashboard enables teachers to gain valuable information about their student’s progress, identify at-risk learners, and provide targeted support. Similarly, students can use this dashboard to track their own learning journey, identify their strengths and weaknesses, and make informed decisions to improve their academic performance. It integrates visualizations to represent various aspects of student learning, such as performance, engagement, and perseverance. To demonstrate the effectiveness of our dashboard, we conducted a case study using real data collected from ESIEE-IT, an engineering school in France, during the academic year 2021-2022. This case study serves as concrete evidence of the impact and values our dashboard brings to the educational context.
Establishing Trust using Zero Knowledge Succinct Proof in Peer-to-peer Data Transfer
Authors: Deversetti Sai Kiran , Neupane Anjila , Roy Indranil , Mitra Reshmi , Gupta Bidyut
Published: January 2024

This paper presents a cryptographic solution for establishing trust in peer-to-peer (P2P) networks, addressing issues of privacy, performance, and anonymity. Our protocol utilizes Zero-Knowledge Proofs (ZKP) for continuous trust validation during data transfers. This procedure compels each node to continually demonstrate its integrity, significantly decreasing the potential for network at- tacks. Upon evaluation, the protocol proved to be highly scalable and efficient, expanding network reach without requiring additional control messages. This result validates the protocol’s robustness, suggesting its potential use in larger and more intricate P2P network architectures.