bluuebunny/crossref_metadata_2025 huggingface dataset:
Influence of Promotional Strategies, Brand Image, Quality of Service and Price Against Community Trust
Authors: Jamzuri Jamzuri
Published: May 2020

Community trust in a health institution is fundamental. Trust is a number of specific beliefs about integrity (trustworthy party honesty and ability to keep promises), behevolence (trustworthy attention and motivation to act in accordance with interests that trust them), competency (the ability of trusted parties to carry out trusting needs) and predictability (consistency in the behavior of trusted parties). The purpose of this study is to influence the promotion strategies, brand image, service quality, and price on public trust (Studies in Soepraoen Hospital Malang). The research design used is quantitative research. The research method used is quantitative research method causal research. The sampling technique used proportional sampling with a sample of 100 respondents. Data analysis techniques using multiple linear regression tests. The results showed that the descriptive results of promotion strategy variables showed an overall average value of 4.15 with a percentage of 26% and a good category, descriptive Brand Image variables had an overall average value of 4.05 with a percentage of 41% with good categories, in the descriptive variable Price Performance had a value the overall average of 4.10 in the good category with a percentage of 30%, in the Service Quality variable has a mean overall score of 4.07 in the good category of 36%, and the variable patient trust during treatment has an overall average value of 3.99 in the good category with percentage 68%. Of the 100 respondents studied in the promotion strategy have a significant influence on trust, in brand image has a significant influence on trust, at prices having a significant influence on trust, on service quality has a significant influence on trust, and simultaneously for each each promotion strategy variable, brand image, price, and service quality have a significant influence on trust. The trust variable is more influenced by the service quality variable than the promotion strategy, brand image, and price variable.
Analysis of Factors that Affect Employee Work Accidents at PT. Windu Blambangan Sejati (WBS) Banyuwangi Regency 2018
Authors: Firmansyah Ruri , Sismulyanto Sismulyanto , Nurwijayanti Nurwijayanti
Published: May 2020

Workplaces always have various hazard factors that can affect the health of the workforce or can cause work-related disorders or illnesses. Accidents, the essence is an unexpected event and certainly not expected by anyone. These unexpected events, obviously not a form of intentional and not planned in advance. Accidents arise as a result of managing potential hazards and risks to low occupational safety and health. The purpose of the study was to analyze the factors that influence employee work accidents at PT. Windu Blambangan Sejati (WBS) Banyuwangi Regency. The research design used was cross sectional. The research population is all employees of PT. Windu Blambangan Sejati (WBS) Banyuwangi Regency and a large sample of 81 people using simple random sampling. Data collection using questionnaire sheets was then analyzed using logistic regression tests. The results showed that there was an influence of skills on workplace accidents (p-value = 0.027 <0.05). There is an influence of experience on workplace accidents (p-value = 0.043 <0.05). There is an influence of discipline on workplace accidents (p-value = 0.040 <0.05). There is an influence of Technical factors (availability of equipment) on workplace accidents (p-value = 0.003 <0.05). There is no effect of lay out on work accidents (p-value = 0.420> 0.05). There is no effect of lighting on work accidents (p-value = 0.944> 0.05). There is no noise effect on work accidents (p-value = 0.084> 0.05). Based on these studies, company management pays more attention to these three factors, namely human, technical and environmental by conducting periodic and periodic maintenance
Analysis of Drug Logistics Management in the Pharmacy Installation of Klaten District Health Office
Authors: Wulandari Listyorini , Indasah Indasah , Suhita Byba Melda
Published: May 2020

Drug is an element supproting the health care system. Logistics management start from the planning process, procurement, storage, distribution, recording and reporting drugs. The purpose of the research was to explore drug logistic management at the pharmacy installation in the working area of Klaten District Health Office. Research design uses descriptive qualitative research. Data collection used indepth interview techniques with a total sample are 12 informants. From the results of the research it was found that drug planning at the health center pharmacy installation was carried out by the drug manager himself or in a team with the assistant pharmacist or treasurer of the health center. The drug needs planning process in the health center is carried out by recapitulating reports from the health center and the other units in the Usage Sheet and the Drug Request Sheet (LPLPO). Drug planning is carried out every month. Drug procurement is carried out by the consumption method and carried out through e-catalog once a year with buffer stock of one and a half years. The drug storage layout is accordance with provisions, safeguarding the quality of the drug by placing drugs on the pallet and shelves but there is no temperature measurement. Examination of drugs that come, drugs needed by the health center and drug distribution have been carried out according to the procedure. The recording and reporting of drugs in the health center uses sympus whereas in other units manually using LPLPO
Analysis Of Predisposing, Enabling And Reinforcing Factors With The Implementation Of The Role Of Cadad In Prevention Stunting In The Lombok Central Region Region West Nusa Tenggara
Authors: Asmawati Asmawati
Published: May 2020

The occurrence of anemia in adolescents due to lack of nutrients transport and oxygen throughout body to be inhibited, in the brain this causes a decrease in the level of concentration. This decrease in concentration level is more severe if anemic sufferers have low emotional intelligence because it is increasingly difficult for adolescents to carry out a concentration of mind. The purpose of this study is to influence the incidence of anemia and emotional quotient on the level of student learning concentration of Pule 1 Senior High School Trenggalek Regency. The design of this research is correlational analytic with cross sectional approach. Data collected by questionnaire an dobservastion sheet, data analysis by ordinal regression test at α = 0.05. The results showed that there was an influence of anemia against concentration level in SMAN 1 Pule in Trenggalek Regency (p-value = 0,000), there was an emotional quotient effect against concentration level in SMAN 1 Pule in Trenggalek Regency (p-value = 0.011) and together there is an influence of the incidence of anemia and emotional quotient against concentration level in Pule 1 Senior High School, Trenggalek Regency (p-value = 0,000). Adolescents who experienced anemia will experience a decrease in the body's metabolism because one component of metabolism that is oxygen cannot be supplied smoothly so that the body's energy decreases, especially in the brain will have an impact on decreased concentration in the learning process. Relation to emotional intelligence, through good emotional intelligence, a student can manage his time well so that he is able to place the utilization of the time he has for his main task of learning. Through emotion management, EQ plays a role in supporting self-control and time management so that students who have high EQ will not be easily affected by environmental disturbances so that they can carry out the learning process with good concentration
The Implementation Of PPI Policy Toward Service in The Public Health Center Berbek Nganjuk Regency
Authors: Tohari Amin , Suhita Byba Melda , Laela Siti Farida Noor
Published: May 2020

The effort to implement PPI policy have varied obstacles such as the lack of commitment and support from the stakeholder in the organization, limited financial resources to fulfill the PPI standard, limited human resources. Lack of understanding of the PPI concept and the way to implement PPI standard which is needed. The purpose of this study is to analyze The implementation of  PPI policy toward service in Public Health Center Berbek Nganjuk Regency. The design of this research is to use qualitative methods using a case study approach. which is a type of qualitative research that looks closely at individual interpretations of their experiences. Data collection techniques used were Participant observational, independent interview, documentation and triangulation. Research instruments: Researchers as instruments (human instruments), notebooks, tape recorders, cameras. Data: qualitative descriptive, personal data documents, field notes, statements and actions of informants, documents etc. with a sample size of 10 informants who are officers in each service unit at the Public Health Center Berbek Nganjuk Regency.Data validation using Triangulation Technique was carried out by 2 informants. The results of this study indicate that the application of Services for patients using APD (masker, handscun, service clothes, shoes dan helmets) at the  Public Health  Center in Berbek Nganjuk Regency are almost all carrred out by  offcers., Not all clinical service personnel carry out hand washing according to SOP in the public health center Berbek Nganjuk Regency, Not all the service places have a record of nosocomial infection at the public health  certer, in Berbek, Nganjuk Regency, It was found that some of the clinical service personnel who carred out the injection were still throwing the needle closed. at the public health  certer, in Berbek, Nganjuk Regency, The obstacles of  PPI is the officer has less obedient with SOP that are made according to the agreement
Lugar, reencuentro y gastronomía: “resemantizando el viaje y la cocina colombiana”
Authors: Llano Fabián Andrés
Published: May 2020

La siguiente ponencia parte de la preocupación por comprender la relación entre la experiencia turística y la gastronomía. Al pensarse como un factor potencial del turismo, lo gastronómico puede ser resignificado y resemantizado desde la tradición oral y las culturas populares. El texto pone a consideración algunas reflexiones sobre la connotación cultural del viaje y retoma algunas reflexiones sueltas sobre la problemática de la globalización. Por último explora la categoría de regiones alimentarias desde los derroteros de un proyecto de investigación asociado con la recuperación de recetas en la región cundiboyacense y luego extiende estas reflexiones en la enseñanza y articulación de un currículo en los programas de Administración Turística.
Kepemimpinan Pendidikan
Authors: sarinami putri
Published: May 2020

Leadership is generally defined as the ability in readiness possessed by someone to be able to influence, encourage, invite, guide, move, direct the person or group to accept the influence and then made something that can help achieve a certain goal that has been set.
Covid19 – A Mathematical modelling of a PSEUDO-GAUSSIUN Contour
Authors: DATTA JAYDIP
Published: May 2020

The mathematical modelling equations are developed to combine the mathematical model for a Pseudo – Gaussian distribution curve – for Growth of Covid19 . The superimposition of Gaussiun curve with Microbial growth curve can be fitted for the resulant model equation considering the sharp Exponential spreading of the Virus .
PERANGKAT LUNAK KOMPUTER
Authors: AMINA NUR
Published: May 2020

Nama lain dari Software adalah perangkat lunak. Karena disebut juga sebagai perangkat lunak, maka sifatnya pun berbeda dengan hardware atau perangkat keras, jika perangkat keras adalah komponen yang nyata yang dapat diliat dan disentuh oleh secara langsung manusia, maka software atau Perangkat lunak tidak dapat disentuh dan dilihat secara fisik, software memang tidak tampak secara fisik dan tidak berwujud benda namun bisa untuk dioperasikan. Pengertian Software komputer adalah sekumpulan data elektronik yang disimpan dan diatur oleh komputer, data elektronik yang disimpan oleh komputer itu dapat berupa program atau instruksi yang akan menjalankan suatu perintah. Melalui sofware atau perangkat lunak inilah suatu komputer dapat menjalankan suatu perintah. Perangkat lunak merupakan adalah istilah khusus untuk data yang diformat, dan disimpan secara digital, termasuk program komputer, dokumentasinya, dan berbagai informasi yang bisa dibaca, dan ditulis oleh komputer. Dengan kata lain, bagian sistem komputeryang tidak berwujud. Istilah ini menonjolkan perbedaan dengan perangkat keras komputer
Proses dan Teknik Supervisi
Authors: sarinami putri
Published: May 2020

Supervision is a process, namely a series of activities that are regular and regular and related to one another and directed at one goal. While the supervision process is a series of activities carried out when conducting supervision.
Perangkat lunak
Authors: Larasati Aulya Triya
Published: May 2020

AbstrakKomputer tidak akan terlepas dari perangakat lunak karena merupakan salah satu bagian utama dari komputer itu sendiri. Komputer merupakan sistem elektronik yang fungsinya memanipulasi data yang cepat dan tepat juga akurat yang telah dirancang dan di oganisasikan melanjutkan secara otomatis menerima atau menyimpan data memasukkan dan masukan, kemudian diprosesnya dan menghasilkan keluaran di bawah persiapan suatu langkah-langkah, intruksi-intruksi program yang disimpan dimemori program.
Kerangka Perancangan Sistem Informasi Sebagai Pembelajaran Mahasiswa Teknik Industri
Authors: Aurachman Rio
Published: May 2020

Dalam rangka pembelajaran di Program Studi Teknik industri, diperlukan pembekalan kemampuan perancangan sistem terintegrasi. Salah satu komponen dari sistem terintegrasi adalah sistem informasi. Sistem informasi pun dapat dipandang sebagai sistem terintegrasi. Kami mengusulkan sebuah kerangka perancangan sistem informasi dalam rangka pembelajaran program studi Teknik Industri yang tentu berbeda dibandingkan program studi lainnya. Kerangka tersebut dibuat dalam bentuk laporan
The guaranteed tool against COVID-19 and other diseases
Authors: Topchyi Dmytro
Published: May 2020

The «biPlafal» platform is a unique algorithmic support for artificial intelligence and complex computing systems. «biPlafal» can be implemented in sophisticated information systems and become a powerful tool for vaccine and drugs development designed to prevent and fight Covid-19, as well as other diseases such as cancer and AIDS. It can handle aggressive mutations, and, thus, so to speak, keep pace with a fast-moving virus, such as Covid-19.
Supervisi Pendidikan
Authors: Nirmala Rifa , Afriansyah Hade
Published: May 2020

Supervision is guidance given to all school staff so that they can improve their ability to develop better teaching and learning situations. The person who carries out supervision is called a supervisor. Supervision can be interpreted as coaching. While the target of coaching can be for school principals, teachers, administrative staff. But what becomes the target of supervision also means teacher guidance.The aim of educational supervision is to develop better teaching and learning situations through coaching and enhancing the teaching profession. The functions and objectives of educational supervision include: As the direction of education, goals as an end point, goals as a starting point to achieve other goals. In this case, the educational objectives of one another are inseparable.Supervision has a very important goal to achieve, therefore supervision certainly has very important benefits. Among the benefits of supervision are Coordinating all school businesses, Equipping school leadership, Extending the experience of teachers, Stimulating creative school businesses, Providing continuous assessment and facilities and many more benefits or functions of the educational supervision. In addition to having goals and functions, supervision also has basic principles in the implementation process. Then supervision also has various types, among which are autocracy, democratic, pseudo-democratic, diplomatic manipulation of Laissez-faire.
Perangkat lunak komputer
Authors: Hafizah
Published: May 2020

Sarana komunikasi yang dasaat ini sudah sangat berkembang. Baik dari sisi jumlah maupun kualitas yang ditawarkan. Perkembangan seperti ini tak lepas dari ilmu pengetahuan dan teknologi sehingga perangkat telekomunikasi yang muncul dengan kualitas dan kemampuan yang sangat baik. Perkembangan teknologi perangkat lunak pada masa modern ini sangat pesat. Hal ini dapat kita lihat dari berbagai kemunculan aplikasi yang dapat memudahkan user dengan menggunakan berbagai macam teknik pembuatan perangkat lunak. Beragam sistem oprasi dan aplikasi dapat ditemui dengan mudah dengan segala fitur yang ditawarkan adpun macam macam dari perangkat lunak yaitu sistem oprasi , program utility, dan bahasa pemrograman nantinya akan digunakan untuk membantu melaksanakan pekerjaan penggunaanya.
Administrasi Keuangan
Authors: Gusmar Ratih Aulia
Published: May 2020

To realize quality education, there needs to be a thorough and professional management of the resources available in educational institutions. One resource that needs to be managed properly in education is financial matters. In this context, finance is a source of funds that are urgently needed by schools as a tool to complement various learning facilities and infrastructure in schools, improve teacher welfare, services and the implementation of supervision programs. An indication of the success of regional autonomy is an increase in services and better public welfare, an increasingly democratic life, justice, equity, and harmonious relations between the center and the regions and between regions. This situation will only be achieved if the region can manage its government including financial administration. A good financial management system will benefit the effectiveness of public services by providing targeted services, improving the quality of public services, low cost of services due to the loss of inefficiency and savings in the use of resources, allocation of expenditure that is more oriented to the public interest, and increasing public costs awareness as the root of the implementation of public accountability.
Mission Driven Prayer
Authors: Simanjuntak Fredy
Published: May 2020

The purpose of this paper is for today's readers to understand how then prayer progressively becomes a mediator related to a good mission in the context of the Old and New Testaments. Prayer is an expression of a covenant relationship between man and God. In this article, the author attempts to show that mission in its complexity shows a function that never changes to prayer to God. Old Testament Biblical figures, Abraham, Moses, Prophets, David, Solomon are almost never separated from the life of prayer, so also how much the New Testament gives important emphasis on prayer and its impact on missionary work. Compared to the various prayer activities carried out by churches today, postmodern readers need to explore the relationship between prayer and further mission to be able to better understand what the mission looks like in the perspective of God from the Old Testament to the New Testament to implement it contextually and relevant.
Initial Evidence that Parent-Child Conversations About Race Reduce Racial Biases Among White U.S. Children
Authors: Perry Sylvia , Skinner-Dorkenoo Allison Louise , Abaied Jamie L , Osnaya Adilene , Waters Sara
Published: May 2020

Although parent-child conversations about race are recommended as a way to curb children’s racial biases, no prior work has directly tested the impact of such conversations on children’s racial attitudes. In fact, most White American parents avoid talking about racism with their children. We designed a method to facilitate conversations about subtle and blatant forms of racial bias between White parents and their 8-12-year-olds. We explored the effect of conversation on children’s implicit anti-Black attitudes, whether parents’ nonverbal discomfort and physiological arousal moderated the impact of racial socialization on children’s attitudes, and whether the type of racism that was discussed mattered. White children’s implicit anti-Black attitudes significantly decreased, pre-to-post conversation. Parental tenseness, anxiety, and arousal were not linked to increases (but in some contexts decreases) in children’s implicit anti-Black attitudes. Our findings suggest that, even when parents experience discomfort, facilitating parent-child racial socialization in White families may be an effective tool to reduce implicit anti-Black attitudes.
Preparing for a COVID-19 vaccine: Identifying and psychologically profiling those who are vaccine hesitant or resistant in two general population samples
Authors: Murphy Jamie , Vallières Frédérique , Bentall Richard , Shevlin Mark , McBride Orla , Hartman Todd K. , McKay Ryan , bennett kate m , Mason Liam , Gibson Miller Jilly , Levita Liat , Martinez Anton P , Stocks Thomas Victor Arthur , Karatzias Thanos , Hyland Philip
Published: May 2020

Successful delivery of a COVID-19 vaccine may be undermined if populations are not receptive to inoculation as a primary public health strategy for combatting the virus. We gathered nationally representative data from the general adult populations of Ireland (N=1,041) and the United Kingdom (UK; N=2,025) to determine rates of hesitancy and resistance to a future COVID-19 vaccine and to identify and psychologically profile vaccine hesitant/resistant individuals in a way that might aid future public health messaging. Vaccine hesitancy was evident for 26% and 25% of Irish and UK samples, respectively, while vaccine resistance was evident for 9% and 6%, respectively. Vaccine hesitant/resistant respondents in Ireland and the UK differed in relation to a number of sociodemographic, political, and health-related variables, but were similar across a broad array of psychological constructs. In both populations, those who were resistant to a COVID-19 vaccine were less likely to obtain information about the pandemic from traditional and authoritative sources and had similar levels of mistrust in these sources. The current findings may help public health officials to more effectively target vaccine hesitant and resistant individuals, develop effective communication strategies that take into account their specific psychological dispositions, and leverage dissemination channels that can successfully reach these individuals.
Voice-hearing and personification: Characterising social qualities of auditory verbal hallucinations in early psychosis.
Authors: Alderson-Day Ben , Woods Angela , Moseley Peter , Common Stephanie , Deamer Felicity , Dodgson Guy , Fernyhough Charles
Published: May 2020

Background: Recent therapeutic approaches to auditory verbal hallucinations (AVH) exploit the person-like qualities of voices. Little is known, however, about how, why and when AVH become personified. We aimed to investigate personification in individuals’ early voice experiences. Methods: We invited users of Early Intervention in Psychosis (EIP) services aged 16–65 to participate in a semi-structured interview on AVH phenomenology. Voice-hearers in the first nine months of using EIP were recruited through two NHS trusts in the North-East of England. We used content and inductive thematic analysis to code the interviews, then examined key associations with personification using a variety of statistical methods. Results: Forty individuals participated between September 2017 and April 2019. Many participants reported a range of negative emotions (predominantly fear, 60%, 24/60, and anxiety, 62.5%, 26/40), visual hallucinations (75%, 30/40), bodily states (65%, 25/40), and “felt presences” (52.5%, 21/40) in relation to voices. Complex personification, reported by a sizeable minority (16/40, 40%), was associated with experiencing voices as conversational (OR = 2.56) and companionable (OR = 3.19), but not as commanding or connected to trauma. Neither age of onset nor time since voices were first reported related to voice personification. Conclusions: Our findings affirm recent investigations of the heterogeneity of AVH while offering new insights into the variety and significance of personified voices. Personified voices appear to be distinguished less by their intrinsic properties, commanding qualities or connection with trauma, than by their affordances for conversation and companionship.
Statistika Terapan dengan Sistem SPSS
Authors: Ahmaddien Iskandar , Syarkani Yofy
Published: May 2020

Persoalan yang disajikan dimaksudkan untuk memperkuat pemahaman konsep statistika yang dibahas, diselesaikan secara analitis dan menggunakan aplikasi SPSS. Hal ini dimaksudkan agar pembaca dan pengguna statistika dapat mengaplikasikan teori dengan aplikasi peranti yang umum dan mutakhir sehingga dapat implementatif untuk keperluan penelitian dan pengolahan datanya.
GROWTH OF Spirulina platensis IN INDOOR AND SEMI OUTDOOR CULTURING SYSTEMS
Authors: Grace Merry Nainggolan Judita , Tanjung Afrizal , Effendi Irwan
Published: May 2020

Microalgae are very potential to be developed as biofuel feedstocks when compared to food crops because they have several advantages such as rapid growth, high productivity, enabling the use of freshwater and seawater, and production costs are not too high. Spirulina platensis has a high nutrient content so it is used as a health food ingredient. Once the importance of the role of nutritional value of S. platensis for humans and some marine organisms, then the right culture medium to get the maximum nutritional content needs to be studied more deeply. This study aims to determine the effect of different doses of nutrition on the density of biomass cultivation of S. platensis microalgae with indoor and semi outdoor system. This research has been conducted from April to May 2018. The method by used the experimental method. The data obtained were analyzed statistically using simple linear regression equation. The results showed that the influence in the dose of nutris media guillard, S.platensis increased with the dose of nutrients as much as 0.60 ml either indoor or semi outdoor system. As for the amount of biomass density S. platensis in the semi-outdoor system the amount of biomass density is higher than the indoor system.
ANALYSIS OF NITRATE, PHOSPHATE AND CONCENTRATION ABILITY OF DIATOM (Bacillariophyta) PLANKTONIK IN THE SUMATERA PROVINCE OF WEST NIRWANA BEACH
Authors: Tampubolon Theresia , Nurrachmi Irvina , Nedi Syahril
Published: May 2020

This research was conducted in August 2018 with the aim to determine the concentration of nitrate and phosphate in the waters of Nirwana Beach, find out the type and abundance of diatoms found in the waters of Nirwana Beach, and determine the relationship of nitrate and phosphate concentrations to diatoms in Nirwana Beach waters. Determination of sampling location using purposive sampling, namely by taking into account the conditions and conditions of the research area. Sampling of nitrate and phosphate using a sample bottle measuring 100 ml then given preservatives and diatom samples using a bucket and filtered with plankton net no.25 and preserved with 4% lugol solution as much as 3-4 drops and analysis was carried out at the Marine Chemistry and Marine Biology Laboratory , Faculty of Fisheries and Marine Affairs, University of Riau. The results showed nitrate concentration in Nirwana Beach waters ranging from 0.5 mg / l - 0.3 mg / l. And phosphate concentration in the waters of Nirwana Beach ranges from 0.19 mg / l - 0.08 mg / l. In the coastal waters of Nirvana there are 16 species of diatoms found. The highest abundance of diatom species from all species found was Cosconidiscus sp with an average of 4263 ind / l per station. While the lowest abundance of species is Melosira sp, Thalassionema sp, Neodelphinies sp, Rhizossolenia sp and Cocconeis sp with an average of 73.5 ind / l. Diatom diversity index (H ') in Nirwana Beach waters is classified as moderate and community stability is categorized as moderate, there is no type that dominates the uniformity index (E) Nirwana Beach waters are still balanced and there is no competition for food or places. and phosphate with an abundance of diatoms which in this case means that the higher the concentration of nitrate and phosphate, the more abundance of diatoms.
EFFECTIVENESS TEST OF NIPAH EXTRACT AS LARVACIDE ON MOSQUITO LARVAE (Aedes aegpti)
Authors: Mariode Triputra Purba Thadeus , Effendi Irwan , Feliatra Feliatra
Published: May 2020

This research was conducted in January - February 2019. The purpose of this study was to examine the effectiveness of mangrove extracts on stems and fruit on the growth of Aedes aegypti mosquito larvae and to know Lethal Concentration LC50 and Lethal Time LT50. The method used is the experimental method, with the experimental design is a completely randomized design (CRD). The treatment of nipah fruit and stem extract concentrations was 3%, 6% and 9% with contact time of 15 minutes, 30 minutes, 45 minutes 60 minutes, 120 minutes, 480 minutes and the number of replications 3 times with 2 trials. To find out (LC50) and (LT50), the data was analyzed using the SPSS program. The sample of this research is stem and nipah fruit taken in the mangrove area of Kayu Ara Village, Siak Regency. Aedes aegypti larvae are taken at a water reservoir next to the Arfaunas Mosque in Tampan District. The results showed that the stem and nipah fruit extracts had effective killing power against Aedes aegpti larvae. The extract that was more effective in killing mosquito larvae was the nipah fruit extract compared to the nipah stem extract seen in the number of larval deaths with LC50 = 3.398% and LT50 = 3.540 hours. This shows that the level of toxicity is quite toxic.
ADDITION OF SUPERIOR HETEROTROF BACTERIA MIXED IN FEED TO IMPROVE HEALTH OF SALINE TILAPIA Oreochromis niloticu
Authors: Maraditha Simanjuntak Lewi , Lukistyowati Iesje , Feliatra Feliatra
Published: May 2020

This research was conducted in May 2019 until July 2019 which took place at the Laboratory of Marine Microbiology and the Laboratory of Fish Parasites and Diseases at the Faculty of Fisheries and Maritime Affairs, Riau University. The purpose of this study was to determine the effect of the addition of superior heterotrophic bacterial isolates that were sprayed on feed could affect the health of saline tilapia (Oreochromis niloticus) through erythrocyte and leukocyte blood images. The treatments are Kn, Kp, feed sprayed with B.cereus heterotrophic bacterial isolate solution (0.15% dose), feed sprayed with heterotrophic V. fluvialis bacterial isolate solution (0.15% dose), feed sprayed with combined Isolate solution. The results of the study of the addition of superior heterotrophic bacterial isolates sprayed on feed can improve the health of saline tilapia (Oreochromis niloticus) after 30 days of maintenance and post-infection of Aeromonas hydrophila bacteria showed that the treatment of P3 (combined isolates) which is the best treatment with a total leukocyte value of 89.67 x 103 cells / mm3, lymphocytes 80.33%, neutrophils 10.67%, monocytes 9.66%, total erythrocytes 235.00 x 104 cells / mm3, hematocrit 32.00% and hemoglobin 7.33 g / dL and weight growth absolute 7.05 g, a survival rate of 83.33%.
ANALYSIS OF ORGANIC AND ANORGANIC DEBRIS IN AIR MANIS BEACH, NIRWANA BEACH AND CAROLINA BEACH OF PADANG CITY WEST SUMATERA PROVINCE
Authors: Aditya Muhamad , Amin Bintal , Elizal Elizal
Published: May 2020

This research was conducted in June 2019 to determine the kind of marine debris, source, production and the correlation with the number of tourists in Air Manis, Nirwana, and Carolina Beach of Padang City, West Sumatera. Three sampling stations were surveyed. The results showed that marine debris found in those beaches were categorized organic, such as: fruits, leaves, wood, bamboo, sea plants and else an organic especially: plastic, glass, rubber, metal, etc. Air Manis Beach had the highest production of marine debris (1340 pcs), followed by Nirwana Beach (538 pcs) and Carolina Beach (500pcs). The source of marine debris were assessed to come from visitors and from outside those beac hes carried by sea current. The total of marine debris production was 29.165 kg. Plastic was the most common type of debris found. The production of garbage in the number of visitors shows very strong relationships (Y = -94,505 + 2,018x ; r = 0,97 ). There is strong correlation between the number of visitors and marine debris production in those beaches.
Transepidermal Water Loss Value Comparison Between Tengkawang and Durian Seed Oil Lotion
Authors: Febriaty Irma Ramadhani , Usman Thamrin , Alimuddin Andi Hairil
Published: May 2020

Body epidermis has an important health function to prevent body dehydration. This research aims to compare Transepidermal Water Loss (TEWL) values between durian seed oil and tengkawang oil. Skin that had been applied with tengkawang oil and durian seed oil lotion were tested for irritation and TEWL values. The tengkawang oil had an acid number of 17 g/mol and contained  8.54 % free fatty acid, while the durian seed oil had an acid number of 6.34 g/mol and contained 2.89 % free fatty acid.  Irritation testing was done using lotion containing 100 % of each oil. TEWL analysis on skin applied with the tengkawang oil lotion after 1 hour showed that the lotion could reduce epidermal water evaporation by 35.23 % compared to the skin condition before treatment.  Epidermal water evaporation reduction at the second, third and fourth hours after the tengkawang oil lotion application was 31.33 %, 33.93 % and 27.9 %, respectively. TEWL analysis on skin applied with the durian seed oil lotion after 1 hour showed that the lotion could reduce epidermal water evaporation by 11.34 % compared to the skin condition before treatment.  Epidermal water evaporation was reduced 14.64 %, 10.53 % and 2.99 % at the second, third and fourth hours after application of the durian seed oil. Based on these results, it can be concluded that tengkawang oil gives better TEWL values compared to durian seed oil.
Hypothetical model of disease course of COVID-19 patients and their exit plan
Authors: Tiwary Abhishek , Pandey Bimal
Published: May 2020

In view of preparing ourselves for the possible rise of Corona Virus Disease (COVID-19) cases, we have proposed a hypothetical model of disease course in COVID-19 patients admitted in Patan Hospital and the exit plan based on available evidences. This will give us a scientific basis of planning discharge of our future cases. According to it, patients are subjected to repeat Polymerase chain reaction (PCR) on day 20 of illness onset and then every 4 days till negative result. Patients with two negative PCR test repeated 24 hours apart are discharged and advised for 14 days’ home quarantine.
COVID-19: ramifications in surgical practice
Authors: Neupane Harish Chandra , Tamang Tseten Yonjen , Angadi Siddeshwar , Shrestha Nikki , Dangal Ganesh
Published: May 2020

Nepal lies between two large countries (India and China) who have reported high incidence of COVID-19. It is only logical that we prepare the best with the limited medical facilities that we have. There are numerous challenges that impact the surgical department and the hospital administration in general. New guidelines are being formulated and updated frequently. The challenge to provide sufficient personal protective equipment, limited finances and need to train staffs are pertinent challenges. A change in the method of treatment and execution has exerted pressure on the surgeons with a need to keep abreast of new developments.

We describe the numerous impacts of the COVID-19 on surgical practice, the impact on surgeons, patients, surgical residents and even the hospitals which have led to all “new normal” in surgery.
Knowledge and attitude on emergency contraception among adolescent students of an urban school
Authors: Shakya Vivechana , Ghimire Nirmala
Published: May 2020

Introduction: Emergency contraception (EC) is used to prevent pregnancy in the first 5 days after sexual intercourse, mainly unprotected intercourse, contraceptive failure, rape or coerced unprotected sex. This study aims to identify the knowledge and attitude on EC and associated factors among adolescent students.

Method: A cross-sectional study was conducted to find out knowledge and attitude on EC among adolescent students of both sex, grade 11 and 12 at Advanced Academy, a private school in Kumaripati, Lalitpur, Nepal, during 19 January 2018 to 13 February 2018. Non probability convenience sampling and self-administered questionnaire was used for data collection. Association of demographic variables with knowledge and attitude of EC and further correlation between knowledge and attitude were analysed. The SPSS 16 was used for data analysis.

Result: Out of 343 students, 211 (61.5%) had fair knowledge of EC, 125 (36.5%) poor and 7 (2%) good knowledge. Favourable attitude towards EC was found in 285 (83.1%) and unfavourable in 58 (16.9%). The mean age was 17.33 ± 0.98 years, 206 (60.1%) in 15-17 year age group (middle adolescence), female 143 (41.7%), and 160 (46.7%) from within Kathmandu valley. There was significant positive co-relation between knowledge and attitude and no significant association between demographic variables with knowledge and attitude.

Conclusion: Majority of adolescence students 15-21 years of age had favourable attitude but less knowledgeable in regard to emergency contraception.
Antimicrobial activity investigation of natural bromotyrosine derivatives
Authors: Ehrlich H. , Kovalchuk V.P. , Voronkina A.S. , Vovk I.M. , Sidko І.Yu. , Tretyakov M.S.
Published: May 2020

Annotation. The relevance of the search for new natural antimicrobials is dictated by global spread of antimicrobial resistance. Studies of marine sponges of the class Demospongiae, including more than 7300 species, have become promising from the pharmacological point of view. Sponges produce a wide range of biologically active substances of different classes such as steroids, isoprene, alkaloids, terpenoids, etc., which can inhibit the growth of pathogenic microorganisms or kill them. The trial of brominated isoxazoline alkaloid derivates named bromotyrosines has been enough promising. The aim of our work was to determine the antimicrobial activity of aeroplysinin-1 against clinical antibiotic-resistant strains of gram-positive bacteria and fungi of the genus Candida. The aeroplysinin-1 substance was isolated by methanol extraction from desiccated specimens of sponge Aplysina aerophoba followed with its separation by column chromatography in the Extreme Biomimetics Laboratory of the Electronics and Sensor Materials Institute, Freiberg Mining Academy, UT (Germany). Well method was used to determine antimicrobial action of the tested substance against clinical strains of bacteria and fungi (S. aureus, C. acnes, C. albicans). Aeroplysinin-1 was found to demonstrate high antibacterial activity against clinical strains of the genera Cutibacterium, Staphylococcus. The inhibiting growth zones around the wells filled with 0.1% solution of aeroplysinin-1 in dimethyl sulfoxide had diameters of 35.4±3.2 mm, 32.1±2.8 mm and 26.5±2.5 mm for cutibacterium, enterococci, and staphylococci, respectively. It was revealed aeroplysinin-1 had no activity against fungi of the genus Candida. So, after a comprehensive study of pharmacological properties of this natural bromotyrosine compound, which is a secondary metabolite of marine sponges Aplysina aerophoba, it can be added to the list of alternative compounds to struggle multiresistent to modern antibiotics pathogens causing human diseases.
Case of hydatid cyst with localization in the liver gate and the development of acute acalculous cholecystitis
Authors: Pokydko M.I. , Formanchuk T.V. , Voznyuk O.V. , Vovchuk I.N. , Formanchuk A.M.
Published: May 2020

Annotation. Among all internal organs, the liver is the organ that is most commonly affected by echinococcosis, and in more than half of the cases its right lobe is affected. Active migration of the population caused the spread of pathology beyond the endemic regions. In particular, more than 100 cases of echinococcosis among people are registered in Ukraine every year. The purpose of this study is to analyze a clinical case that demonstrates an echinococcal impression of the liver with interesting localization of the cyst near the liver gate, with compression of the cystic duct and the development of acute acalculous cholecystitis. When the patient was hospitalized, there was no expected eosinophilia in the blood test, but it appeared on 14 day of albendazole chemotherapy. In serological testing of the blood by ELISA, the determination of IgG for Echinococcus granulosus was doubtful. However, radiological findings clearly indicated signs of parasitic cyst genesis. Following all the principles of aparasitism, the patient underwent closed echinococectomy, microscopy of the native material confirmed the presence of numerous scolexes in cystic fluid.
Features of the diagnosis and treatment of patients with postoperative peritonitis
Authors: Tamm T.I. , Nepomnyashchiy V.V. , Bardyuk A.Ya. , Zakharchuk A.P.
Published: May 2020

Annotation. The aim of the work is to improve the diagnosis and treatment of patients with postoperative peritonitis. The work is based on an analysis of the treatment results of 98 patients who were in the clinic from 2010 to 2019, of which 47 (48%) were admitted to the hospital with a peritonitis clinic, and 51 (52%) had a prolonged bowel paresis in the postoperative period. The diagnosis was established on the basis of data from an objective examination, laboratory parameters and radiation research methods — radiography of the abdominal organs and ultrasound. Based on the analysis of clinical material, it was found that for patients with primary peritonitis, more pronounced clinical symptoms are more characteristic. Postoperative peritonitis in its clinical manifestations proceeds under the mask of a protracted intestinal paresis. Due to the ultrasound criteria of 51 patients with postoperative paresis, 32 (63%) prolonged paresis were allowed conservatively, which avoided unnecessary repeated surgical interventions. In 19 (37%), the causes of postoperative complications were diagnosed and relaparotomy was performed in a timely manner to these patients. Postoperative mortality was 5.1%.
Components of the effectiveness of practical training in clinical microbiology of the doctors-interns of surgical profile
Authors: Ivanova S. A. , Nazarchuk H. H. , Kryzhanovskaya A. V.
Published: May 2020

Annotation. Practical training is the main type of training for interns, during which practical skills are formed and clinical thinking of future surgical specialists is improved. The purpose is to determine the components of the effectiveness of practical training in clinical microbiology for physicians-interns of surgical profile. In the teaching of clinical microbiology in practice, it is important to clearly differentiate the thematic focus, considering the future specialty of the intern. Interns for surgeons and traumatologists need to know the biological characteristics of aerobic and anaerobic microorganisms involved in the complication of gunshot wounds. It is advisable to dedicate one of the practical lessons to the future aspects of laboratory diagnostics and the use of biological products in the treatment of vaginosis for future obstetricians-gynecologists. For ophthalmologists, it is extremely important to have a practical training session on microorganisms that infect the cornea, causing viral, bacterial, fungal, protozoal keratitis; We emphasize the risks of contact lens-related infections. Surgical profile interns at clinical microbiology classes study and practically work out methods of microbiological examination of pathological material isolated from patients, master the skills of interpretation of the obtained results, and decide on etiotropic treatment of the patient. A necessary component of training interns of a surgical profile in clinical microbiology is the implementation of multicontrol of the level of knowledge, knowledge of modern aspects of diagnostics and interpretation of the obtained results. Based on the criteria obtained, the intern can make the right decision and interpret any clinical situation.
To the question of the appropriation of IFOM for home medical students
Authors: Romanyuk L.B. , Klymnyuk S.I. , Kravets N.Yа. , Borak V.P. , Tkachuk N.I.
Published: May 2020

Annotation. Today, the shortage of health workers is noted not only in Ukraine but also in European countries. Hospitals need highly skilled and competent staff who are quick to navigate the clinical situation, prescribe an adequate amount of additional methods of examination and effective treatment, starting from the outpatient stage. Therefore, there is a need for qualitative and thorough knowledge that future health professionals will receive during their professional training, from the first courses of medical schools. The research has a theoretical character, presented in the methods of analysis, comparison, systematization of the obtained data. In July 2019, medical school students passed the International Medical Examinations (IFOM) exam, which was part of the Unified State Qualification Exam. The questions from the course "Microbiology, Virology and Immunology" in many cases concerned pathogens that cause natural-focal disease that are not peculiar to our country, on the other hand, the argumentation of the correct answers was insufficient. In the 2019 IFOM Tests, there was a wealth of clinical data that played a decisive role in choosing the right answer for third-year medical school students who did not have sufficient clinical practice due to the specificities of the subject's curriculum to interpreting the condition of the problem, combining theoretical and clinical features is sometimes impossible or difficult. Therefore, the analysis of the test assignments presented during the IFOM exam revealed not only defects in their formulation, but also prompted the faculty, as well as our department, to improve and supplement the information provided to students to prepare for practical lessons the in MOODL and further provide an opportunity for students to more thoroughly prepare for the test exam.