bluuebunny/crossref_metadata_2025 huggingface dataset:
Parámetros biométricos y consumo de alcohol en pacientes rurales con enfermedad cardiovascular
Authors: Esquivel-Garzón Natalia , Díaz-Heredia Luz P. , Mejía-Lozano Jhon A. , Romero-Quiroga Mariana , Torres-Romero Johan S.
Published: March 2020

El objetivo fue identificar el nivel de consumo de alcohol y los parámetros biométricos en pacientes con enfermedad cardiovascular en la población rural colombiana de Tausa (Cundinamarca). Se realizó una investigación cuantitativa, con un diseño descriptivo y transversal. La población estuvo constituida por 29 pacientes que cursaban con enfermedad cardiovascular y que acudieron entre octubre de 2017 y mayo de 2018 a la consulta del programa de crónicos de una Empresa Social del Estado de primer nivel en el municipio de Tausa. A estos pacientes se les realizó una valoración inicial y posterior, de parámetros biométricos y aplicación del instrumento AUDIT-C. Los resultados muestran que la edad media (DE) de la muestra fue de 70 años. Según los puntajes obtenidos con la aplicación del AUDIT-C, el 75,9% de los participantes se encontraba sin riesgo de consumo de alcohol o alguna de sus complicaciones derivadas. Este estudio constituye un aporte a la caracterización del consumo de alcohol y la valoración de parámetros biométricos en población rural con enfermedad cardiovascular.
The Moderating Role of Job Satisfaction on Workplace Absenteeism and Substance use amongst the Employees at a Power Utility in Mpumalanga
Authors: Jaarsveld Diana van , Keyser ElsabÃ
Published: March 2020

This article concentrates on the extent to which job satisfaction predicts absenteeism and substance use levels, and also investigates the moderating effect of job satisfaction on absenteeism and substance use levels amongst employees at a power utility in Mpumalanga. This study is based on data gathered from a survey regarding job satisfaction, absenteeism and the substance consumption levels of employees, its antecedents and outcomes. A total of 239 permanent employees based at a power utility in Mpumalanga participated in the research study. These employees were employed in a permanent position at the power utility, gave consent to participate in the research study willingly and were employed for more than three months. The core findings of this study revealed that the frequency of substance consumption influences employee absenteeism and that job satisfaction indeed plays a moderating role on the relationship between substance consumption levels and employee absenteeism. The findings of this study can assist management to understand the relationship between substance consumption and absenteeism and how job satisfaction influences this relationship in order torestrict unnecessary absenteeism properly. The study added value to the field of study by providing complementary scientific research to the lacking literature. In addition, it confirms international findings and its applicability in the energy sector.
The Class II Carriere Motion appliance:
Authors: Areepong Daniel , Kim Ki Beom , Oliver Donald R. , Ueno Hiroshi
Published: March 2020

Objectives

To determine three-dimensional treatment changes produced by the Class II Carriere Motion appliance (CMA) in Class II adolescent patients with Class I and Class II skeletal relationships.

Materials and Methods

The sample included 59 adolescents (16 boys and 43 girls) with unilateral or bilateral Class II molar and bilateral Class II canine relationship. They were divided into group 1 with skeletal Class I (N = 27; ANB 2.90° ± 1.40°; 13.30 ± 1.53 years) and group 2 with skeletal Class II (N = 32; ANB 6.06° ± 1.64°; 13.26 ± 1.76 years). Cone beam computed tomography images were traced with Invivo software pretreatment (T1) and post-CMA usage (T2). The treatment changes in 36 measurements were calculated in each group, and the changes in 16 measurements were compared between them.

Results

In group 1 and 2, maxillary first molars underwent significant distal movement (1.92 mm ± 0.80 mm and 1.67 mm ± 1.56 mm, respectively) with distal tipping and rotation, maxillary canines underwent significant distal movement (2.34 mm ± 1.07 mm and 2.24 mm ± 1.91 mm, respectively) with distal tipping and rotation, and mandibular molars underwent significant mesial movement (–1.37 mm ± 1.23 mm and –2.51 mm ± 1.51 mm, respectively) with mesial tipping. Between the groups, there were significant differences in mandibular molar mesial movement and the U1-SN changes (P < .05).

Conclusions

The CMA corrected Class II malocclusion through distal tipping and rotational movement of maxillary canines and molars and corrected mesial tipping of mandibular molars. Significantly more mandibular molar mesial movement and maxillary incisor flaring were observed in patients with skeletal Class II.
Influence of orthodontic appliance type on salivary parameters during treatment
Authors: Dallel Ines , Ben Salem Intidhar , Merghni Abderrahmen , Bellalah Wassim , Neffati Fadoua , Tobji Samir , Mastouri Maha , Ben Amor Adel
Published: March 2020

Objectives

To evaluate the effect of orthodontic appliances on physicochemical, biochemical, and oxidative stress changes in salivary parameters during treatment.

Materials and Methods

A cohort study was conducted with 112 healthy patients. Salivary samples were taken at baseline, 1 month, and 9 months after placement of the orthodontic appliances used in treatment.

Results

A statistically significant difference was observed in certain examined salivary parameters, including enzymes, electrolytes, and oxidative stress markers.

Conclusions

The use of aligners had a lower prevalence of disturbing salivary parameters. Orthodontist must consider these changes to prevent the occurrence of white spot lesions.
Multilevel Variation in Diabetes Screening Within an Integrated Health System
Authors: Obinwa Udoka , Pérez Adriana , Lingvay Ildiko , Meneghini Luigi , Halm Ethan A. , Bowen Michael E.
Published: March 2020

OBJECTIVE

Variation in diabetes screening in clinical practice is poorly described. We examined the interplay of patient, provider, and clinic factors explaining variation in diabetes screening within an integrated health care system in the U.S.

RESEARCH DESIGN AND METHODS

We conducted a retrospective cohort study of primary care patients aged 18–64 years with two or more outpatient visits between 2010 and 2015 and no diagnosis of diabetes according to electronic health record (EHR) data. Hierarchical three-level models were used to evaluate multilevel variation in screening at the patient, provider, and clinic levels across 12 clinics. Diabetes screening was defined by a resulted gold standard screening test.

RESULTS

Of 56,818 patients, 70% completed diabetes screening with a nearly twofold variation across clinics (51–92%; P < 0.001). Of those meeting American Diabetes Association (ADA) (69%) and U.S. Preventive Services Task Force (USPSTF) (36%) screening criteria, three-quarters were screened with a nearly twofold variation across clinics (ADA 53–92%; USPSTF 49–93%). The yield of ADA and USPSTF screening was similar for diabetes (11% vs. 9%) and prediabetes (38% vs. 36%). Nearly 70% of patients not eligible for guideline-based screening were also tested. The USPSTF guideline missed more cases of diabetes (6% vs. 3%) and prediabetes (26% vs. 19%) than the ADA guideline. After adjustment for patient, provider, and clinic factors and accounting for clustering, twofold variation in screening by provider and clinic remained (median odds ratio 1.97; intraclass correlation 0.13).

CONCLUSIONS

Screening practices vary widely and are only partially explained by patient, provider, and clinic factors available in the EHR. Clinical decision support and system-level interventions are needed to optimize screening practices.
Taiteen arkea ja juhlaa
Authors: Palin Tutta
Published: March 2020

Taidehistorian professoriluento Turun yliopistossa, 20.3.2019
Taide ymmärryksen ja muutoksen tilana
Authors: Niemelä Riikka
Published: March 2020

Arvio teoksesta Alva Noë, Omituisia työkaluja. Taide ja ihmisluonto, suom. Tapani Kilpeläinen (Tampere: niin & näin, 2019).
Nadomjesna i potpomognuta komunikacija u bolnici – znanja, iskustva i stavovi medicinskih sestara
Authors: Perković Lada , Klarić Anita , Kostović Srzentić Mirna
Published: March 2020

Nadomjesna i potpomognuta komunikacija (NPK) unaprjeđuje kvalitetu zdravstvene skrbi i zadovoljstvo pacijenata. U Hrvatskoj nedostaju istraživanja o primjeni NPK u bolnicama. Cilj ovog istraživanja je ispitati komunikaciju medicinskih sestara s pacijentima sa složenim komunikacijskim potrebama te njihovu upoznatost i stavove o NPK.

U istraživanju su sudjelovale medicinske sestre (N=121) iz jedne od najvećih hrvatskih bolnica. Anketni upitnik sastojao se od pitanja o iskustvu sudionika s pacijentima sa složenim komunikacijskim potrebama, znanju, iskustvima i edukaciji o NPK. Stavovi prema implementaciji metode komunikacijskih ploča u bolnici ispitani su sa skalama tipa semantičkog diferencijala.

Više od 50% sudionika u redovitim je kontaktima s pacijentima čija je komunikacija narušena zbog moždanog udara, kognitivnih i senzornih oštećenja, degenerativnih bolesti, utjecaja lijekova, jake boli ili jer ne govore hrvatski. Međutim, većina sudionika su slabo ili nikako upoznati sa značenjem pojma NPK te većina nema edukaciju iz tog područja. Većina medicinskih sestara koristi jednostavne metode NPK, ponajviše za komunikaciju o pacijentovim osnovnim potrebama, dok samo mali broj koristi NPK za komunikaciju u terapijske svrhe. Najveće prepreke korištenju NPK su nedostatak edukacije i resursa/pomagala. Sudionici imaju pozitivne stavove prema mogućem uvođenju komunikacijskih ploča u sestrinsku praksu, osobito stariji sudionici i oni s dužim stažem. Rezultati ukazuju na nedostatnu upoznatost i iskustvo medicinskih sestara s NPK te veliku potrebu za edukacijom. Preporučuje se uključivanje edukacije o NPK u obrazovne kurikulume na svim razinama sestrinskog obrazovanja.
Poremećaj u prehrani – pretilost
Authors: Maslarda Dijana , Uršulin- Trstenjak Natalija , Bressan Leonardo
Published: March 2020

Pretilost je danas jedan od vodećih zdravstvenih problema u svijetu.

Svrha ovog istraživanja je bila istražiti životne navike ispitanika, vezane uz navike prehrane te tjelovježbi. Isto tako svrha je bila uvidjeti koliko su ispitanici upoznati sa pojmom i problemom pretilosti kao i navika koje povećavaju rizik od pretilosti. U istraživanju je sudjelovalo 678 ispitanika u dobi od 18 do 30 godina koji su dobrovoljno ispunili anketu koju smo sami osmislili i kreirali. Anketa se sastojala od 11 pitanja u kojima su bili ponuđeni odgovori te se ispitanik odlučio na jedan ili više odgovora ovisno o strukturi pitanja. Od 678 ispitanika, anketu je ispunilo 86,4 % žena i 13,6% muškaraca uglavnom u dobi od 20 – 25 godina pretežito sa srednjom stručnom spremom. 99,0% ispitanika je odgovorilo da zna što je pretilost. Na pitanje koliko često se bavite tjelesnom aktivnošću 28,6% ispitanika je odgovorilo nekoliko puta mjesečno dok je 14,7% ispitanika odgovorilo jednim tjedno. Od 678 osoba koje su riješile anketu njih 82 imaju ITM više od 30 ukupno 12,0%.
Rezultati ovog istraživanja nam ukazuju na veliki problem glede tjelesnih aktivnosti. Sjedilački i užurbani način života prouzrokovao je nedostatak volje i vremena za bavljenje tjelesnim aktivnostima koje su od presudnih čimbenika u prevenciji pretilosti. Isto tako nepravilan način prehrane, česta konzumacija brze hrane kao i hrane uzgojene na umjetan način je korak bliže ka poremećajima prehrane i pretilosti.
Identification of dimensions in Organizational Safety Climate and relationship with safety behavior
Authors: Yi Jonghan , Lee JongGoo , Seok DongHeon
Published: March 2020

The purposes of this study were 1) to identify the dimensions of organizational safety climate and 2) to examine how these dimensions were related to safety climate and safety behavior in organization. The present study proposed 10 dimensions of safety climate (Management's commitment; Effectiveness of safety communication; Safety rules and procedures; Supportive environment; Supervisory environment; Worker's involvement; Appraisal of physical work environment and work hazards; Work pressure; Competence; Safety training) based on Mohamed(2002)'s and Zohar(1980)'s study. Questionnaire was administered to 210 workers in a shipbuilding company. The results of the confirmatory factor analysis showed that these 10 dimensions could be the valid factors of safety climate. The results of the multiple regression analysis which utilized safety climate as a criterion revealed that 4 dimensions were significant predictors(Appraisal of physical work environment and work hazards, Safety rules and procedures, Worker's involvement, Management's commitment). The same multiple regression analysis which used safety behavior as a criterion showed that 5 dimensions were significant predictors(Competence, Management's commitment, Safety rules and procedures, Worker's involvement, Supportive environment). Limitations of the study and implications for future research were discussed.
The relationship of team learning behavior to team performance
Authors: Park HeeJin
Published: March 2020

The purpose of this study was to meta-analyze the research examining the effects of team learning behavior on team performance. In addition, team size, team type and study setting were investigated as potential moderators of the relationship between team learning behavior and team performance. In total, the database consisted of 21 effect sizes of 17 studies. They were analyzed by using Hunter & Schmidt (2004) meta-analytic procedure. The results indicated that team learning behavior was positively related to team performance and team innovation. The findings suggested that team size, team type, and study setting moderate the relationship of team learning behavior to team performance. The relationship of team learning behavior and team performance was stronger in small teams than in medium and large teams. The stronger relationship of team learning to team performance in project teams was found. Finally, the stronger relationship of team learning behavior to team performance in academic setting than organizational setting was shown. However, in small teams and the academic setting the number of independent studies was less than 5, so it was important to interpret with caution. The implication and limitations of this research were discussed.
Particularities of Experimental Models Used to Induce Gastric Ulcer
Authors: Fulga Simona , Pelin Ana-Maria , Ghiciuc Cristina Mihaela , Lupușoru Elena Cătălina
Published: March 2020

Introduction: Gastric ulcer is one of the most common gastrointestinal diseases, therefore the constant interest for new treatments is due to adverse effects induced by current therapy. The restricted number of in vivo experimental models is a challenge for researchers. Objectives: Identifying the particularities of different types of experimentally induced gastric ulcer in laboratory animals to facilitate their choise for the study of new antiulcer drugs.

Material and method: A search in PubMed and Scopus using keywords ( “experimentally” AND “gastric ulcer” AND “rats/mice”) to include experimental studies with the description of local-induced changes. Review articles and in vitro studies were excluded.

Results and discussions: Experimental researches on new drugs for gastric ulcer use chemical or surgical methods to induce gastric lesions in rats. Non-steroidal anti-inflammatory drugs (NSAIDs) and acetic acid models to investigate antisecretory and cytoprotective effects; ethanol models evaluate cytoprotective and/or antioxidant effects; pylorus ligature models to evaluate the effects on the secretion of aggressive gastric factors (hydrochloric acid or pepsin). NSAIDs (indomethacin, acetylsalicylic acid or ibuprofen) inhibit cyclooxygenase activity, resulting from reduced mucus and bicarbonate secretion, decreased mucosal blood flow, alteration of microvascular structures, causing epithelial damage Ethanol enhances the proteolytic and hydrolytic action of hydrochloric acid and pepsin; in addition, stimulates the acid secretion and disruptes vascular endothelium. Pylorus ligature determines the accumulation of gastric acid resulting in gastric ulcers due to the autodigestion of the mucosa.

Conclusion: The knowledge of the mechanisms to induce experimental gastric ulcers is essential for choosing the model to evaluate new antiulcer agents.
Rare Laryngeal Kaposi’s Sarcoma: Case Report and Innovative Surgical Approach
Authors: Bogdan Popescu , Antoaneta Oancea Alina Lavinia , Gabriela Androne Roxana , Mihaela Arjoca Elena , Gabriel Berteșteanu Serban Victor
Published: March 2020

Kaposi’s sarcoma is an angioproliferative neoplasm that usually appears on the skin, but can also involve all organs and anatomic locations. The atypical manifestations of Kaposi’s sarcoma can mislead the diagnosis, which can result in a poor case management. The authors present a HIV-negative patient with Kaposi’s sarcoma with both usual and unusual locations such as the larynx, eyelids and bones. In the pre-therapeutic balance, we used NBI, which showed an intensely vascularized tumor in the larynx. The chosen method for treatment consisted in subtotal epiglotectomy performed under TransOral UltraSonic Surgery (TOUSS) approach. The use of TOUSS endoscopic surgery helped reduce the time of hospitalization, the patient did not need a nasogastric tube and was orally fed from the first postoperative day, with a better and faster functional recovery.
Bond strength evaluation of inlay-retained resin-bonded fixed partial dentures with two different cavity designs and two different adhesive systems: In vitro study
Authors: Kale Ediz , İzgi Ayça , Niğiz Remzi
Published: March 2020

Background/Aim: The purpose of this in-vitro study was to compare the resin-bonded fixed partial dentures (RBFPD) fabricated using two different structural designs and two different antibacterial adhesive lutting protocols in regard to their resistance to debonding. Material and Methods: Forty samples for a model with single missing molar were divided into 4 groups (M1, M2, C1, C2) (n=10). M1 and M2 were prepared in accordance with modified inlay slot-cavity retained RBFPD design; C1 and C2 were prepared according to conventional inlay slot-cavity retained RBFPD design. M1 and C1 cavities were treated with 2% chlorhexidine-based (CHX) cavity disinfectant and 10-methacryloyloxydecyl dihydrogen phosphate (MDP) containing adhesive system; M2 and C2 cavities were treated with MDP and 12-methacryloyloxydodecylpyridinium bromide (MDPB) containing adhesive system featuring antibacterial cavity cleansing effect. The RBFPDs were made of base-metal alloy and their fit surfaces sandblasted with aluminium oxide (Al2O3). Adhesive resin cement was used for cementation, and the RBFPD retainers were interlocked into their corresponding inlay cavities using composite resin. After 1 week being immersed in aqueous environment, the RBFPDs were subjected to tensile loading at a crosshead speed of 1 mm/min until failure. One way ANOVA and Tukey HSD tests were used for statistical evaluation (a=0.05). Mode of failure and tooth damage was also noted. Results: Mean tensile bond strength values were 356 N for M1, 305 N for M2, 467 N for C1, and 455 N for C2. Tensile strength values of C1 and C2 were significantly higher than those of M1 and M2 (p<0.05). The mode of failure was mostly adhesive in character at the metal-cement interface in all groups. Tooth fracture was observed nearly in all specimens. No significant difference was detected between the antibacterial adhesive lutting protocols (p>0.05). Conclusions: The RBFPDs with the conventional design were found to be more retentive than those with the modified design. Using an adhesive system featuring antibacterial properties with no need of separate antibacterial agent application during bonding may be favourable.
Temperament of Track Cyclists and Their Stress of During a Sports Performance
Authors: Samełko Aleksandra , Tomaszewski Grzegorz
Published: March 2020

The aim of the study was to evaluate the correlation between temperament and stress, to assess the stress level and perform comparative analysis of feeling of stress before and after the race. The test group consisted of 30 competitors from Mazovian cycling clubs between the ages of 15 and 16 (M = 15.5, SD = 0.50). Standard psychological questionnaires were used for the study. The level of stress was tested using the PSS 10 questionnaire by S. Cohen, T. Kamarck and R. Mermelstein. In addition, temperament was studied with Formal Characteristics of Behaviour – Temperament Inventory by Zawadzki and Strelau (1997). Measures were used to determine the constant predisposition of cyclists to feel the level of stress, as well as to show the intensity of stress during sports competitions (before and after the start). Statistical analyses carried out with the Wilcoxon test showed a significant difference between the initial and final value of the stress level as a condition in the subjects. It was found that in the same people, stress reached a higher average level after the race (M = 17.8, SD = 6) than before the performance (M = 11.83, SD = 5.9). The results show that the state of stress does not decrease after the start, as occurs with other variables (including emotional arousal). The results showed that stress measured before and after the start of a competition positively correlates with perseverance and emotional reactivity, while stress before the start negatively correlates with briskness. Observations from the analyses carried out may broaden the understanding of the phenomenon of stress, especially in aspects of sport competition and track cyclists.
Influence of Warm-Up Prior to Incremental Exercise Test on Aerobic Performance in Physically Active Men
Authors: Danek Natalia , Michalik Kamil , Hebisz Rafał , Zatoń Marek
Published: March 2020

Introduction.
The aim of the study was to verify the influence of warm-up before a ramp incremental exercise test with linearly increasing loads on the maximal values of physiological variables which determine performance.

Material and methods.
Thirteen healthy and physically active male students (age = 23.3 ± 1.5 years, body height = 179.1 ± 8.6 cm and body mass = 79.5 ± 9.1 kg) completed a cross-over comparison of two incremental exercise test interventions – an incremental exercise test with a 15-minute warm-up at an intensity of 60% of the maximal oxygen uptake obtained in the first incremental exercise test and the same test without warm-up.

Results.
The peak values of physiological variables were statistically significantly higher for the incremental exercise test with warm-up, the differences between tests being 2.66% for peak power output (p = 0.039, t = 2.312, ES = 0.24), 7.75% for peak oxygen uptake (p = 0.000, t = 5.225, ES = 0.56), 7.72% for peak minute ventilation (p = 0.005, t = 3.346, ES = 0.53) and 1.62% for peak heart rate (p = 0.019, t = 2.690, ES = 0.60).

Conclusions.
Warm-up before a ramp incremental exercise test resulted in higher values of maximal oxygen uptake, maximal minute ventilation, maximal heart rate and peak power output.
A rare case of sarcoidosis affecting the nasopharynx
Authors: Catana Iuliu Vlad , Maniu Alma , Ilies Roxana Flavia , Radeanu Doinel , Catana Andreea
Published: March 2020

Sarcoidosis is a rare condition, presenting with granulomatous lesions typically located in the lungs, spleen and lymph nodes. We present an atypical case of sarcoidosis, with an initial lesion located in the nasopharynx. The patient is a 38-year-old male, with the complaints of cephalalgia, nasal obstruction and hyposmia, detected during further examination with degenerative spinal modifications, prostate inflammation and lung-based sarcoidosis. A biopsy of the lesion located in the postnasal cavity revealed granulomatous origin. The patient underwent total endoscopic adenoid removal and radiofrequency-assisted bilateral turbinate reduction, with favourable post operatory evolution. Atypical localizations of sarcoidosis lesions must be considered in the case of unusual lesions, regardless of localisation.
Advantages of the open approach in sinonasal tract tumors with midfacial and suprastructure invasion
Authors: Vrinceanu Daniela , Banica Bogdan , Dumitru Mihai , Musat Gabriela
Published: March 2020

BACKGROUND. In case of rhinosinusal malignant tumors, it is important to have a unified and simple terminology. The suprastructure refers to the ethmoid sinus, the sphenoid sinus, the frontal sinus and the olfactory area of the nose. The mesostructure includes the maxillary sinus, excepting the orbital wall, and the respiratory part of the nose.

MATERIAL AND METHODS. We will present two clinical cases admitted and surgically treated in our department. The first one is a left-side suprastructure mass in a 39-year-old male patient, with a particular evolution. The second one is a left-side midfacial and suprastructure tumor with 3 prior negative biopsies in a 57-year-old patient. In both cases, we performed an external surgical approach.

DISCUSSIONS. For an external approach in mesostructure malignant tumors, we propose a combined approach using lateral nasal rhinotomies, sub-labial rhinotomies and midfacial degloving. The external approach in malignant tumors of the supra-structure is centred on a classical incision for the frontal sinus or a hemicoronal or coronal approach. There are some clear advantages of the open approach to be considered.

CONCLUSION. The advantages of the external approach are represented by a direct visualization and control of the tumor during the ablative time; a better control for negative margins; a better control of haemostasis; a better chance for en-bloc resection versus piece-meal resection.
Reuse Waste Material and Carbon Dioxide Emissions to Save Energy and Approach Sustainable Lightweight Portable Shelters
Authors: Alkhalidi Ammar , Zaytoun Yara Nidal
Published: March 2020

Despite their great significance, lightweight structures have poor thermal inertia. In order to enhance the thermal comfort inside such buildings, architects need lightweight thermal storage. In this paper a model was used to experimentally investigate Heating Load profiles in lightweight shelters. The profiles were created for the climate in Jordan, then simulated for other climate zones. The proposed design concept was used to create a replacement for a thermal mass in lightweight structures such as shelters; by combining passive solar gain with energy storage embodied within the shelter floor (thermal-floor) to absorb solar radiation. This shelter design decreased the Heating Load during the winter season by acting as heat storage that releases energy at night time after being exposed to solar radiation during the day. The passive design depends on shading elements and overhangs shades to control solar gain during different seasons to prevent overheating during the summer. An experimental investigation of this model was performed to validate the simulation results. Validated simulation results showed that the designed thermal-floor is 25 % of the total shelter’s floor area, which was crucial for obtaining favourable results. With CO2 as a thermal mass, heat load was reduced up to 68 % compared to a 20 cm concrete slab floor. The use of this thermal storage material yielded a reduction in annual heating demand by 85 kWh/m2.
Monitoring the Absorption Dose of X-ray Radiation on the Thoracic Examination
Authors: Hadinata I Made Hendra , Rupiasih Ni Nyoman
Published: March 2020

The study of monitoring the absorption dose of X-ray radiation received by thoracic examination patients has been conducted. The absorbance dose received by the patient is calculated from the exposure factor data consisting of electric voltage (kV), current (mA), time (s), and examination distance (m). Data were obtained from 130 male patients and 60 female patients, who performed thoracic examinations in a Posterior Anterior (PA) position. The absorbed dose received by male and female patients is compared with the maximum absorbed dose determined by BAPETEN for thoracic examinations on adult patients, which is 0.4 mGy. Differences in the absorbed dose received by male and female patients were identified by the T-test of two free samples with a significance level of 0.05. The results showed that the dose of X-ray radiation received by male and female patients was still below the maximum absorbed dose determined by BAPETEN, and the results of the T-test showed no significant difference in the absorbed dose received by male and female patients.
PERAN MOTIVASI KERJA MEMEDIASI PENGARUH KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KINERJA KARYAWAN
Authors: Sujana Ni Putu Ayu Shela Paramitha , Ardana I Komang
Published: March 2020

The purpose of this study was to determine the role of work motivation in mediating the effect of transformational leadership on employee performance. This research was conducted at Samabe Bali Suites & Villas. The number of samples taken was 65 employees, with the method used was the saturated sample method. Data collection is done through interviews and questionnaires. Data analysis techniques used are path analysis (path analysis) and multiple analysis. Based on the results of the analysis found that transformational leadership has a positive and significant effect on employee performance. This shows that the better the transformational leadership carried out by the leader the employee's performance will increase as well. Transformational leadership has a significant positive effect on employee work motivation, this means the better leadership of a leader will increase employee motivation. Work motivation has a significant positive effect on employee performance, this shows that the better the work motivation provided, the better the employee's performance increases. Work motivation is positive and significant in mediating the effect of transformational leadership on employee performance.

Keywords: employee performance, transformational leadership, work motivation
ANÁLISE DE STAKEHOLDERS EM INDÚSTRIA DO SETOR PLÁSTICO: UMA APLICAÇÃO DA NORMA ABNT NBR ISO 14001:2015
Authors: Silva Flavia Cristina , Shibao Fabio Ytoshi , Dos Santos Mario Roberto , Barbieri José Carlos
Published: March 2020

A última revisão da norma ISO 14001 sobre Sistemas de Gerenciamento Ambiental (SGA) incluiu a obrigatoriedade de que a organização reconheça as partes interessadas (stakeholders) em seu desempenho ambiental. Este estudo teve como objetivo identificar os stakeholders e hierarquizar sua influência sobre o desempenho ambiental de uma indústria de transformação de material plástico. Utilizou-se a abordagem de métodos mistos e dividiu-se a pesquisa em duas fases. A fase qualitativa consistiu na realização da pesquisa-ação e emprego da técnica de grupo focal para identificação dos stakeholders e suas necessidades e expectativas, e, em seguida, sua classificação. A fase qualitativa empregou o método AHP para a hierarquização dos stakeholders. No que concerne aos tipos de stakeholders, foram identificadas quatro classes: definitivos, dependentes, dominantes e facultativos e, dentre esses, cerca de 50% foram classificados como primários por exercerem influência direta sobre decisões e atividades da empresa.  Em relação à prioridade de interesses, constatou-se que proprietários, clientes e órgãos governamentais receberam a atenção primária, enquanto a comunidade de entorno e os grupos ambientais ocuparam a posição menos relevante. As contribuições teórica e prática do estudo consistem, respectivamente, em um modelo de identificação e classificação dos stakeholders para o setor de transformação de material plástico e uma ferramenta de planejamento do SGA.
UNAPREĐENJE LABORATORIJSKOG MODELA MOSNE DIZALICE UGRADNJOM ELEKTROMOTORNIH POGONA DIZANJA I KRETANJA
Authors: Tepavac Nikola
Published: March 2020

U okviru ovog rada opisana je izrada pogonskih mehanizama i upravljačke elektronike modela dvogredne mosne dizalice, koja se nalazi u Laboratoriji za mašinske konstrukcije, transportne i građevinske mašine Fakulteta tehničkih nauka u Novom Sadu.
PRIMOPREDAJNICI ZA PASIVNE OPTIČKE MREŽE
Authors: Avramović Marija , Trpovski Željen , Nemec Dejan
Published: March 2020

Dat je prikaz pasivnih optičkih mreža i njihove međusobne razlike. U ovom radu opisane su tehno­logije primopredajnika, primopredajnički monitoring i princip rada OTDR-a.
COMMUNICATION STYLES IN PT XYZ
Authors: Andelline Shelly
Published: March 2020

Mengenal dan memahami gaya komunikasi sangat penting bagi seorang individu untuk mengembangkan keterampilan diri yang optimal. Dengan mengetahui dan memahami gaya komunikasi, seseorang dapat mengetahui kemampuan dan bakat mereka. Mereka akan tahu bagaimana meningkatkan hubungan interpersonal dalam berkomunikasi dalam organisasi. Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisis (a) Apa gaya komunikasi dominan yang digunakan berdasarkan level manajer, level supervisor dan level staf di PT XYZ? (B) Bagaimana meningkatkan hubungan interpersonal pada masing-masing Gaya Komunikasi? Metode yang digunakan dalam penelitian ini adalah dengan menyebarkan kuesioner kepada responden. Alat pengukur dalam bentuk kuesioner adalah skala likert. Sampel yang terlibat dalam penelitian ini adalah karyawan Ho di PT XYZ. Gaya Komunikasi ditentukan oleh seberapa sering kita menggunakan dua elemen penting seperti umpan balik dan pengungkapan. Dalam penelitian ini akan dibahas 4 gaya yang biasanya digunakan dalam komunikasi, yaitu gaya tertutup, gaya buta, gaya tersembunyi dan gaya terbuka. Dari empat gaya komunikasi yang dibahas di atas, tidak ada gaya komunikasi yang baik atau buruk karena masing-masing memiliki sisi positif dan negatif. Know and understand communication style is very important for an individual to develop their optimum self-skills. With knowing and understanding the communication style, someone could know their ability and talents. They will know how to improve interpersonal relationships in communicating in the organization. The purpose of this research is to know and analyze (a) What is the dominant communication style used based on manager level, supervisor level and staff level at PT XYZ? (b) How to improve interpersonal relationships on each Communication Style ? The method used in this research is by spreading questionnaire to the respondents. Instrument gauges in questionnaire form is likert scale. Sample involves for this research are the Ho employees in PT XYZ. Communication Style specified by how often we use two important element such as feedback and disclosure. In this research will discuss 4 styles usually used in communication, that is closed style, blind style, hidden style and open style. Of the four communication styles discussed above, there is no good or bad communication style because each have the positive and negative side.
Long term follow-up of children with chronic hepatitis B: a single center experience
Authors: Bajin İnci Yaman , Demir Hülya , Saltık-Temizel İnci Nur , Özen Hasan , Yüce Aysel
Published: March 2020

Chronic Hepatitis B infection is an important clinical issue because of the associated risk of developing cirrhosis and hepatocellular carcinoma. Especially in children, there is no consensus about the optimal treatment. Clinical features and long-term outcomes of 165 children diagnosed with chronic hepatitis B at our institution between January 1993 and June 2012 were analysed retrospectively. Patients were divided into four groups according to their treatment protocols. The first group received Interferon (IFN) only, the second group started lamivudine (LMV) first then IFN+LMV combined and then continued with LMV only, the third group started with IFN+LMV combined then continued with LMV only and the fourth group received LMV only. After a median follow-up period of 7 years (1-19 years) the highest e-seroconversion (the loss of HBeAg followed by gain of anti- HBe antibody) rate, biochemical and virological response was observed with combined (IFN+LMV) treatment regimens. Patients with higher ALT levels were better treatment responders (p: 0.003). Identification of the patients who need to be treated in order to determine the most effective therapy with optimal treatment duration is important to reduce the risk of developing future complications like cirrhosis and hepatocellular carcinoma.
PENGARUH FAKTOR RISIKO TERHADAP EKSPRESI RESEPTOR ESTROGEN PADA PENDERITA KANKER PAYUDARA DI KOTA PADANG
Authors: Sari Suci Estetika , Harahap Wirsma Arif , Saputra Deddy
Published: March 2020

Kejadian kanker payudara menduduki peringkat kedua tertinggi yang diderita oleh wanita di Indonesia. Kejadian kanker payudara dipengaruhi beberapa faktor risiko. Estrogen reseptor merupakan marker biologi pada pemeriksaan imunohistokimia dan dapat memberikan prognosis dan jenis terapi terhadap kanker payudara. Tujuan penelitian ini adalah menentukan pengaruh faktor risiko terhadap ekspresi reseptor estrogen pada penderita kanker payudara. Studi ini menggunakan metode analitik observasional dengan desain cross sectional. Penelitian ini menggunakan data sekunder pada Registrasi Bagian Bedah Divisi Bedah Onkologi RS Dr. M. Djamil Padang dan Registrasi Kanker Payudara PERABOI Cabang Padang. Hasil analisis multivariat didapatkan tiga faktor risiko yang memiliki pengaruh terhadap ekspresi reseptor estrogen adalah: status menopause dengan p=0,04; paritas dengan p=0,01 dan indeks massa tubuh dengan p=0,08. Simpulan penelitian ini adalah faktor risiko yang memiliki pengaruh terhadap ekspresi reseptor estrogen yaitu status menopause, paritas dan indeks massa tubuh.
Hubungan Lama Menjalani Hemodialisis dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik dengan Diabetes Melitus di RSUP Dr. M Djamil Padang
Authors: Wahyuni Putri , Miro Saptino , Kurniawan Eka
Published: March 2020

Terapi hemodialisis pada pasien penyakit ginjal kronik membutuhkan waktu yang lama, memiliki komplikasi dan membutuhkan kepatuhan pasien. Hal ini akan memberikan stressor fisiologis dan psikologis pasien yang kemudian akan mempengaruhi kualitas hidup pasien. Tujuan penelitian ini adalah menentukan hubungan lama menjalani hemodialisis dengan kualitas hidup pasien penyakit ginjal kronik dengan diabetes melitus di RSUP Dr. M. Djamil Padang. Jenis penelitian ini adalah analitik observassional dengan pendekatan cross sectional yang melibatkan tiga puluh satu responden pasien penyakit ginjal kronik dengan diabetes melitus yang menjalani hemodialisis. Data di analisis dengan uji Chi-square. Teknik pengumpulan data menggunakan kuesioner KDQOL SF 1.3. Berdasarkan hasil penelitian didapatkan tujuh belas pasien (54,8%) yang menjalani hemodialisis kurang dari dua belas bulan dan empat diantaranya memiliki kualitas hidup yang baik dan tiga belas lainnya memiliki kualitas hidup yang buruk. Hasil uji statistik didapatkan nilai p=0,022 (p<0,05). Disimpulkan bahwa terdapat hubungan yang bermakna antara lama menjalani hemodialisis dengan kualitas hidup pasien penyakit ginjal kronik dengan diabetes melitus.
Pengaruh Pemberian Ekstrak Biji Melinjo (Gnetum gnemon) Terhadap Kadar Kolesterol LDL Pada Tikus Galur Wistar (Rattus norvegicus) Model Hiperkolesterolemia
Authors: Sagith Dita Viviant , Ilmiawati Cimi , Katar Yusticia
Published: March 2020

Melinjo (Gnetum gnemon) merupakan tumbuhan asli Indonesia yang mudah diperoleh dan ekstrak biji melinjo mengandung berbagai macam stilbenoid yang tergolong senyawa resveratrol beserta turunannya. Penelitian terdahulu menunjukkan bahwa resveratrol dapat menurunkan kadar kolesterol LDL serum melalui penghambatan HMG-KoA reduktase. Tujuan penelitian ini adalah meneliti pengaruh pemberian ekstrak biji melinjo terhadap penurunan kadar kolesterol LDL pada tikus yang diberi diet tinggi lemak. Penelitian ini menggunakan rancangan randomized pre-post test control group design yang terdiri dari lima kelompok (n=5). Diet tinggi lemak diberikan berupa pakan otak sapi selama 29 hari (2 ml/hari). Kelompok perlakuan diberi ekstrak biji melinjo dosis 250, 500, dan 2000 mg/kgbb/hari. Ekstrak biji melinjo mulai diberikan hari ke-16 sampai hari ke-29. Kadar kolesterol LDL serum diperiksa dengan spektrofotometer. Data dianalisis dengan paired sample t-test dan One-Way ANOVA. Hasil paired sample t-test menunjukkan terdapat penurunan bermakna kadar kolesterol LDL serum setelah pemberian ekstrak biji melinjo pada kelompok yang mendapat dosis 2000 mg/kgbb/hari (p=0,003), sedangkan pada dosis lain tidak terdapat penurunan LDL serum yang bermakna. Uji One-Way ANOVA antar kelompok perlakuan menunjukkan tidak terdapat perbedaan kadar kolesterol LDL serum yang bermakna (p=0,531). Disimpulkan bahwa pemberian ekstrak biji melinjo dapat menurunkan kadar kolesterol LDL serum pada tikus yang diinduksi diet tinggi lemak pada dosis 2000 mg/kgbb/hari.
UJI KUALITATIF BORAKS PADA BEBERAPA PRODUK KERUPUK IKAN YANG DIJUAL DI KOTA PADANG TAHUN 2018
Authors: Azmi Andi Ridho , Masri Machdawaty , Rasyid Rosfita
Published: March 2020

Boraks merupakan salah satu zat yang dilarang digunakan sebagai bahan tambahan pangan. Boraks biasanya digunakan dalam bahan solder, pembuatan gelas, porselin dan pengawet kayu. Penggunaan boraks dalam pangan dapat menimbulkan dampak negatif bagi tubuh seperti kerusakan pada sistem saraf pusat, hati, sistem saluran kemih. Boraks sering disalahgunakan pada makanan seperti bakso, tahu, cincau, mie dan kerupuk. Penggunaan boraks pada kerupuk bertujuan untuk meningkatkan kerenyahan dan memberikan rasa gurih. Tujuan penelitian adalah untuk menguji kandungan boraks pada kerupuk ikan yang dijual di Kota Padang. Penelitian deskriptif ini dilakukan dari November 2017 sampai Maret 2018 yang dilaksanakan di Laboratorium Kopertis Wilayah X dan Laboratorium Kimia Fakultas Kedokteran Universitas Andalas. Penelitian ini terdiri dari 14 sampel kerupuk ikan dengan pengujian menggunakan metode uji turmerik. Hasil penelitian ini didapatkan bahwa produsen kerupuk ikan yang dijual di Kota Padang berasal dari Kota Padang (14%), Palembang (36%), Sidoarjo (43%) dan Gresik (7%). Seluruh sampel yang diperiksa tidak mengandung boraks. Berdasarkan hasil penelitian ini, dapat disimpulkan bahwa seluruh kerupuk ikan yang dijual di Kota Padang aman dari boraks.
Korelasi Tekanan Parsial Oksigen Dengan Jumlah Eritrosit Berinti Pada Neonatus Hipoksemia
Authors: Dewi Cici Julia Sri , Yaswir Rismawati , Desywar Desywar
Published: March 2020

Tekanan parsial oksigen darah arteri (PaO2) sebagai penanda oksigenasi dalam darah arteri dapat diukur dari analisis gas darah. Hipoksemia ditandai dengan PaO2<80mmHg. Hipoksia menimbulkan peningkatan jumlah Eritrosit Berinti (EB) sebagai kompensasi kebutuhan oksigen yang meningkat. Tujuan penelitian ini adalah menentukan korelasi PaO2 dengan jumlah EB pada neonates hipoksemia di RSUP Dr M Djamil Padang. Penelitian analitik dengan rancangan potong lintang dilakukan terhadap neonatus yang dirawat di RSUP Dr M Djamil Padang dengan PaO2 < 80mmHg. Penelitian dilaksanakan Februari sampai Agustus 2016. Pemeriksaan PaO2 dilakukan melalui analisis gas darah dan EB dihitung dengan melihat sediaan hapus darah tepi melalui mikroskop. Hasil pemeriksaan dianalisis menggunakan korelasi Spearman dan bermakna bila p<0,05. Hasil penelitian terhadap 30 sampel didapatkan rerata PaO2 (mmHg) pada hipoksemia ringan dan hipoksemia sedang–berat berturut-turut 71,40(5,36), 48,67(12,53) dan rerata EB/100leukosit 11,53(10,43), 26,87(15,25). Berdasarkan analisis korelasi Spearman didapatkan nilai r: -0,257 pada hipoksemia ringan. Nilai r: -0,280 pada hipoksemia sedang–berat. Korelasi PaO2 dengan EB berkorelasi lemah dan tidak bermakna secara statistik. Hasil PaO2 dengan EB berkorelasi lemah dan tidak bermakna secara statistik. Penelitian lebih lanjut dengan tambahan parameter lain seperti pH, pCO2 dan menghubungkan lama hipoksemia atau hipoksia dengan jumlah EB pada neonatus.
Dampak Visual Dan Manifestasi Klinis Endoftalmitis Pasca Operasi Pada Rumah Sakit Mata Di Padang
Authors: Vitresia Havriza
Published: March 2020

Endoftalmitis pasca operasi didefinisikan sebagai inflamasi okuler berat yang mengenai segmen anterior dan posterior mata setelah operasi intraokuler. Sumber mikroorganisme penyebab dapat berasal dari flora normal permukaan mata atau dari instrumen yang terkontaminasi. Tujuan penelitian adalah mengetahui dampak visual dan manifestasi klinis pasien endoftalmitis eksogen pasca operasi yang di dapatkan selama tahun 2016, di rumah sakit mata di kota Padang. Data dikumpulkan secara retrospektif dari rekam medis pasien yang didiagnosa Endoftalmitis Eksogen Pasca Operasi. Didapatkan 18 orang pasien dengan karakteristik laki-laki =b8 orang, wanita = 10 orang dengan umur berkisar antara 50-86 tahun (rerata 67 tahun). Operasi intraokuler yang dilakukan sebelumnya adalah fekoemulsifikasi dan PPV (Pars Plana Vitrektomi). Lamanya muncul gejala klinis dihitung dari tindakan operasi sebelumnya, didapatkan terbanyak dalam waktu 3 hari pasca operasi, yaitu 50%. Semua pasien dilakukan injeksi intravitreal Antibiotik Vancomycin dan Ceftazidime segera saat diagnosa ditegakkan dan 6 pasien diantaranya dilakukan PPV (Pars Plana Vitrektomi). Manifestasi klinis yang sering dikeluhkan pasien adalah mata kabur dan nyeri yaitu pada hampir semua kasus (88,9%) dan tanda inflamasi pada segmen anterior dan posterior mata. Dampak visual yang didapatkan dimana visus akhir setelah tindakan dan follow up setelah 4 minggu adalah 20/400 sebanyak 55,6 % (10 orang) dan bahkan beberapa diantaranya mempunyai visus yang lebih baik dari 20/200 pada 70% (7 orang). Diagnosis dini dan penatalaksanaan yang tepat dan cepat maka kasus endoftalmitis eksogen pasca operasi penglihatan dapat diselamatkan.
Analisis Kebijakan Program Bina Keluarga Balita (BKB) Holistik Terintegrasi Dengan Posyandu dan PAUD di Kota Sawahlunto Tahun 2016
Authors: Hariani Santi , Masrul Masrul , Elytha Fauziah
Published: March 2020

Sumber daya manusia, dana, sarana dan prasarana kelompok BKB holistik terintegrasi dengan Posyandu dan PAUD di Kota Sawahlunto belum memadai. Capaian terhadap Kelompok BKB aktif dan keluarga balita aktif ke kelompok BKB Holistik terintegrasi masih dibawah target BKKBN. Tujuan penelitian adalah mengetahui pelaksanaan Program BKB holistik terintegrasi dengan Posyandu dan PAUD sesuai dengan Peraturan Presiden no 60 tahun 2013 di Kota sawahlunto. Metode penelitian menggunakan pendekatan kualitatif dan merupakan studi kebijakan (Policy study). informan penelitian berjumlah 26 orang. Teknik pengumpulan data melalui observasi, wawancara mendalam, focus grup discussion dan telaah dokumen. Analisa dilakukan sebelum, selama dan sesudah dilapangan penelitian. Hasil penelitian pada komponen masukan yaitu sumber daya manusia, dana, sarana prasarana kelompok BKB belum sesuai dengan ketentuan. Komponen proses yaitu belum berjalannya Pokjanal kecamatan dan desa untuk binaan, monitoring dan evaluasi. Komponen keluaran yaitu capaian kelompok BKB aktif dan keluarga balita aktif belum memenuhi standar minimal BKKBN, rendahnya pengetahuan kader BKB dan keluarga balita terhadap program BKB holisitik terintegrasi dengan Posyandu dan PAUD di Kota Sawahlunto. Simpulan pelaksanaan program BKB holistik terintegrasi dengan Posyandu dan PAUD Kota Sawahlunto tahun 2016 belum seluruhnya sesuai peraturan dan harapan yaitu pada komponen masukan, proses dan Keluaran.