bluuebunny/crossref_metadata_2025 huggingface dataset:
Limited Sanguineous Reperfusion Reduces Ventricular Fibrillation Following Intermittent Cold Crystalloid Cardioplegic Arrest.
Authors: Manché Alexander , Sladden David , Casha Aaron , Camilleri Liberato
Published: November 2016

SourceURL:file://localhost/Users/alex/Desktop/ICFJ%20VF%20submission/Abstract.doc
Background

Cold crystalloid cardioplegic arrest does not allow for a controlled hyperkalaemic sanguineous reperfusate, administered under constant flow and pressure conditions in order to limit reperfusion injury. We investigated the use of intermittent, antegrade cold crystalloid cardioplegia combined with a limited flow normokalaemic sanguineous reperfusion and measured the outcome in terms of the incidence of reperfusion ventricular fibrillation.

 

Methods

Patients requiring coronary revascularization of at least two coronary arteries, including an internal thoracic artery (ITA) anastomosis, were studied in this prospective randomized trial. Myocardial protection was by intermittent, antegrade cold crystalloid cardioplegia. In the control group (n=100), after completion of the distal anastomoses, the heart was reperfused by releasing the aortic and ITA clamps concomitantly. In the study group (n=100) the ITA was allowed to perfuse the heart for 3 minutes before the aortic cross-clamp was removed. The presence of reperfusion ventricular fibrillation from the moment of reperfusion until weaning from cardiopulmonary bypass was recorded.

 

Results

The incidence of ventricular fibrillation decreased with an increase in the number of grafts and was significantly lower in the study group (double grafts 2/9, 22.2% vs 19/25, 76.0% p=0.004; triple grafts 2/39, 4.9% vs 16/33, 48.5% p<0.001; and quadruple grafts 2/45, 4.4% vs 13/35, 28.7% p<0.001).

 

Conclusions

This strategy of myocardial protection combines the advantages of conventional crystalloid cardioplegia with the added benefit of limited sanguineous reperfusion. The results suggest a beneficial effect with regard to reperfusion-induced injury, as evidenced by a significantly reduced incidence of reperfusion ventricular fibrillation.
ALÉM DOS @TEÍSMOS NA CONTEMPORANEIDADE
Authors: Marques Mariosan De Sousa , Araújo Eleno Marques de
Published: November 2016

Resumo: este artigo faz um percorrido das formulações teóricas e práticas, na contemporaneidade, dos ateísmos em contraposição ao teísmo medieval. Procura-se refletir sobre o caldeirão cultural ateu florescido na modernidade, de alguma forma confrontado no projeto filosófico do pós-modernismo, sobrevivendo na pós-modernidade e subsistindo na transmodernidade. O cenário da contemporaneidade é de @teísmos, isto é, de ateísmos e teísmos que se confrontam na arena digital de forma light, ao menos no âmbito das formulações teóricas, e se apresenta como uma provocação para a reflexão sobre a importância positiva das correntes ateias como uma instância crítica sobre as religiões e seus valores, bem como seus possíveis desvios, na busca de um diálogo respeitoso.
EDUCAÇÃO, RELIGIÃO, IMAGINÁRIO: INTERFACES
Authors: Lins Gomes Eunice Simoes
Published: November 2016

Sempre existiu no decorrer da história o interesse e a curiosidade do homem pelo Sagrado. Buscando desenvolver pesquisas e estudos sobre a diversidade do fenômeno religioso foi criado o Programa de Pós Graduação em Ciências das Religiões-PPGCR na Universidade Federal da Paraíba-UFPB. Nosso objetivo é registrar ao longo dos dez anos de existência do programa de pós-graduação a contribuição da linha de pesquisa “Educação e Religião” para o componente curricular Ensino Religioso seja na produção de artigos, dissertações e livros, bem como, eventos científicos desenvolvidos relacionando educação, religião e imaginário. O presente estudo é de caráter exploratório, bibliográfico e de abordagem qualitativa. Como resultado foi possível identificar o quanto esta linha de pesquisa tem favorecido e contribuído para a formação dos professores e pesquisadores na propagação do componente curricular Ensino Religioso-ER, em particular no estado da Paraíba.
Experiencia de Dios como Experiencia de Sentido: algunas consideraciones desde la perspectiva de W. Kasper
Authors: Vidal Kreti Sanhueza , Diaz Sandro Paredes
Published: November 2016

Resumo: este artigo expõe o conceito de experiência de Deus como uma experiência de sentido a partir dos desdobramentos teológicos de Walter Kasper. Esta perspectiva pretende ser uma alternativa para superar a dicotomia entre a experiência humana cotidiana e a experiência do absoluto, almejando, assim, aproximando-se da experiência de fé dos homens e mulheres de hoje.

Palavras-chave: experiência. experiência de Deus. sentido, teologia.
Religião e Gênero: autopercepção da mulher na romaria de Bom Jesus da Lapa
Authors: S. de Oliveira Sandra Célio Coelho Gomes da Silva , Lemos Carolina Teles
Published: November 2016

Resumo: apresenta-se uma análise da auto percepção da mulher na Romaria do Bom Jesus da Lapa, que se realiza há 323 anos, enfatizando a perspectiva de gênero. Os sujeitos da pesquisa são mulheres romeiras que se enquadram na faixa etária entre 50 e 70 anos de idade e participam, há mais de cinco anos consecutivos da Romaria, pertencentes a cinco Estados brasileiros (Bahia, Minas Gerais, São Paulo, Espírito Santo e Goiás) que registram um maior índice de participação nesse evento religioso. Utilizamos como metodologia a observação participante e a entrevista semiestruturada. Entende-se que a Romaria se apresenta como um espaço de alternância entre a permanência e a transformação da identidade de gênero oriunda do patriarcalismo.

Palavras-chave: Romaria. Gênero. Patriarcado.
Resenha
Authors: Costa Celma Laurinda Freitas
Published: November 2016

MOREIRA, Alberto da Silva; TROMBETTA, Pino Lucà. O Pentecostalismo globalizado. Goiânia: Ed. da PUC Goiás, 2015.
A Psicanálise como Espiritualidade Não-religiosa: uma aproximação
Authors: De Assis Cleber Lizardo
Published: November 2016

Resumo: propõe-se que seja a Psicanálise, além de um procedimento, método e teoria, uma forma de Espiritualidade Não-Religiosa. Faz-se análise de autores psicanalistas que tratam da Psicanálise dentro da tradição judaica, da dissensão entre doxa e episteme em Freud e aponta-se uma aproximação interpretativa das lacunas subjetivas no discurso freudiano (seu dizer-desdizer sobre a religião), sobre os quais operamos uma análise.

Palavras-chave: Psicanálise. Espiritualidade. Religião.
The current state of bioeconomy in Poland
Authors: Woźniak Ewa , Twardowski Tomasz
Published: November 2016

Conversion of scientific achievements to market product is a key issue and the best description of significance of science for  society. In case of Polish nature science we observe a high intellectual potential of researchers and  several scientific discoveries. However,  Polish inventions are very rarely obtainable on the market and the number of national and international patent applications done by Polish scientists is very limited. For the development of bioeconomy  the progress in biotechnology is critical.
The Effects of a Pedagogical Agent’s Smiling Expression on the Learner’s Emotions and Motivation in a Virtual Learning Environment
Authors: Liew Tze Wei , Zin Nor Azan Mat , Sahari Noraidah , Tan Su-Mae
Published: November 2016

The present study aimed to test the hypothesis that a smiling expression on the face of a talking pedagogical agent could positively affect a learner’s emotions, motivation, and learning outcomes in a virtual learning environment. Contrary to the hypothesis, results from Experiment 1 demonstrated that the pedagogical agent’s smile induced negative emotional and motivational responses in learners. Experiment 2 showed that the social meaning of a pedagogical agent’s smile might be perceived by learners as polite or fake. In addition, qualitative data provided insights into factors that may cause negative perceptions of a pedagogical agent’s smile, which in turn lead to negative affective (emotional and motivational) states in learners. Theoretical and design implications for pedagogical agents in virtual learning environment are discussed in the concluding section of the paper.
Elevated Circulating Concentrations of Interferon-Gamma in Latent Tuberculosis Infection
Authors: Huaman Moises Arturo , Deepe, Jr. George S. , Fichtenbaum Carl J.
Published: November 2016

Background: Latent tuberculosis infection (LTBI) has been associated with increased immune activation. We assessed circulating concentrations of interferon-gamma in persons with LTBI.Methods: We used the 2011-2012 National Health Nutritional Examination Survey (NHANES) to identify adults with and without LTBI by QuantiFERON®-TB Gold In-Tube (QFT) results. Non-LTBI persons were 1:1 age-, gender- and race-matched to LTBI persons using propensity scores. We compared the plasma concentrations of interferon-gamma measured from the unstimulated, negative control QFT tube between LTBI and non-LTBI persons. We used Mann-Whitney tests and ordered logistic regressions for comparisons.Results: There were 430 LTBI and 430 non-LTBI matched persons included in the analysis. LTBI was associated with higher circulating concentrations of interferon-gamma (median, 3 pg/mL; IQR, 2 – 5) compared to non-LTBI (median, 2.5 pg/mL; IQR, 1.5 – 3.5), P<0.001. LTBI remained associated with higher interferon-gamma concentrations after adjusting for age, gender, race, diabetes, hypertension, tobacco use, HIV status, body mass index, lipid profile and lymphocyte count (odds ratio, 1.79, 95% CI, 1.26 – 2.53). Results remained similar when LTBI was defined by tuberculin skin testing.Conclusions: LTBI was associated with increased circulating interferon-gamma concentrations. Future studies are needed to further characterize immune activation in LTBI and its potential long-term consequences.
The Status of Budget Forecasting
Authors: Williams Daniel W. , Calabrese Thad D.
Published: November 2016

This article examines the breadth of the current forecast literature as it relates to public budget making. It serves to provide summary information to decision-makers who otherwise do not have the resources to learn more than a small amount focused on much more narrowly defined areas of forecasting (such as the politics of forecast bias). Next, it serves those who perform forecasting related to budgeting by reviewing the current methods and practices commonly used in this domain. It also provides a ground level for future public budget forecasting research. Finally, this article identifies several areas in which the public forecasting literature needs additional development. Several of these areas, such as the effectiveness of nonregression-based forecasting techniques, are quite important to the majority of governments in the United States and other subnational jurisdictions, where budget offices are limited and resource investments in technology are scarce.
Superior Strength of Austenitic Steel Produced by Combined Equal-Channel Angular Pressing and Rolling Processing
Authors: Karavaeva Marina V. , Abramova Marina M. , Enikeev Nariman A. , Raab Georgy I. , Valiev Ruslan Z.
Published: November 2016

Enhancement in the strength of austenitic steels with a small content of carbon can be achieved by a limited number of methods, among which is the ultrafine-grained (UFG) structure formation, especially efficient with the use of severe plastic deformation (SPD) processing that enables increasing significantly the contribution of grain-boundary strengthening, and also involves a combination of other strengthening factors (work hardening, twins, etc.). In this paper, we demonstrate that the use of SPD processing combined with conventional methods of deformation treatment of metals, such as rolling, may lead to an additional strengthening of UFG steel. Analysis of the results of the study on the change of the microstructure and mechanical properties of the Cr-Ni stainless austenitic steel after a combined deformation reveals a substantial increase in the strength properties of this steel, resulting from a consecutive application of SPD processing via equal-channel angular pressing and rolling at a temperature of 400 С, yielding a strength more than 1.5 times higher that that produced by any of these two methods used separately.
Modeling Glacier Mass Balance and Runoff in the Koxkar River Basin on the South Slope of the Tianshan Mts. during 1959 to 2009, China
Authors: Xu Min , Han Haidong , Kang Shichang
Published: November 2016

Water resources provided by alpine glaciers are an important pillar for people living in the arid regions in the west of China. In this study, the HBV (Hydrologiska Byrans Vattenavdelning) light model was applied to simulate glacier mass balance and runoff in the Koxkar River Basin (KRB) on the south slope of Mt. Tumur, western Tianshan Mts.. Daily temperature and precipitation were calculated by multiple linear regressions and gradient-inverse distance weighting, respectively, based on in-situ observed data by automatic weather stations (AWSs) in the basin (2007–2009) and at four meteorological stations neighbering the basin (1959–2009). Observed daily air temperature and precipitation were taken as input data for the HBV model, which was calibrated using runoff in 2007/08 and 2009/10, and validated in 2008/09 and 2010/11. Generally, the model could simulate runoff very well. The annual glacier mass balance and runoff were calculated using the HBV model driven by interpolated meteorological data for the period of 1959–2009. The simulated glacier mass balance were reasonable when compared with those observed values at nearby glaciers, indicating a decrease trend of mass balance in the basin with an average value of –370.4 mm a-1 since 1959. The annual runoff showed a slight increase trend (5.51 mm a-1). Futher analysis indicated that the runoff is more sensitive to temperature than precipitation amuont in the Koxkar river basin.
Variation of Driving Skill among Elderly Drivers Compared to Young Drivers in Japan
Authors: Susilowati Indri Hapsari , Yasukouchi Akira
Published: November 2016

This study analyzed driving skill among Japanese elderly drivers comparedto young drivers and see which less skilled that might impact road accident risk in highway. Subjects included young and elderly drivers, consisting of 10 college students (20 – 24 years old) and 25 elderly drivers (14 men and 11 women) coming from The Silver Manpower Centre, an organization for elderly > 60 years. Elderly drivers were divided into two age groups, namely elderly 1 aged 60 – 65 years (10 persons) and elderly 2 aged > 65 years (15 persons). Driving performance was evaluated by using driving game simulator in laboratory. Analysis was conducted on consistency in the lane, lane-changing skill, traffic sign compliance, right-turning skill, braking and driving speed. Statistical analysis was performed using ANOVA test. Generally, performance of elderly 2 was lower than the young almost in all parameters including consistency in the lane (p value < 0.007), traffic sign compliance (p value < 0.011), right-turning skill (p value < 0.001) and braking (p value < 0.001). In the lane-changing skill, young drivers showed significantly higher score (p value < 0.007) than both elderly groups in which elderly 1 (p value < 0.004); elderly 2 (p value < 0.001). The group > 65 years old were likely to be wrong on seeing traffic signs due to visual limitation and long response of compliance.AbstrakPenelitian ini menganalisis kemampuan mengemudi pada pengemudi lanjut usia (lansia) dibandingkan dengan usia muda di Jepang dan melihat keterampilan mengemudi yang kurang sehingga dapat memengaruhi risiko kecelakaan di jalan raya. Subjek penelitian adalah pengemudi usia muda dan lansia, terdiri dari 10 mahasiswa (20 - 24 tahun) dan 25 pengemudi lansia (14 laki-laki dan 11 perempuan) berasal dari The Silver Menpower Center, organisasi bagi lansia > 60 tahun. Pengemudi lansia dibagi menjadi dua kelompok, yaitu lansia 1 berusia 60 - 65 tahun (10 orang) dan lansia 2 berusia > 65 tahun (15 orang). Kemampuan mengemudi dievaluasi dengan simulator permainan mengemudi dalam laboratorium. Analisis dilakukan pada konsistensi dalam jalur, perubahan jalur, kepatuhan pada rambu lalu lintas, kemampuan berbalik kanan, mengerem/akselerasi, dan kecepatan mengemudi. Analisis statistik menggunakan uji ANOVA. Secara umum, kemampuan pengemudi lansia 2 lebih rendah dibandingkan usia muda hampir di semua parameter, meliputi kekonsistenan dalam jalur (nilai p < 0,007), kepatuhan pada rambu lalu lintas (nilai p < 0,011), kemampuan berbalik kanan (nilai p < 0,001), dan keterampilan mengerem/akselerasi (nilai p < 0,001). Dalam keterampilan mengubah jalur, pengemudi usia muda menunjukkan skor signifikan (nilai p < 0,007) lebih tinggi dari kedua kelompok pengemudi lansia dimana lansia 1 (nilai p < 0,004); lansia 2 (nilai p < 0,001). Pengemudi > 65 tahun cenderung salah dalam melihat rambu lalu lintas karena terbatasnya penglihatan dan lamanya respons dalam mematuhinya.
Faktor Risiko Perilaku Pra-Diabetes di Kota Padang Panjang
Authors: Fajrinayanti Fajrinayanti
Published: November 2016

Pra-diabetes adalah kondisi berisiko Diabates Melitus tipe 2 yang dipengaruhi oleh faktor keturunan dan perilaku dengan prevalensi yang lebih tinggi daripada Diabates Melitus. Tujuan penelitian ini adalah mengetahui hubungan faktor risiko perilaku konsumsi lemak, konsumsi serat, konsumsi karbohidrat, aktivitas fisik dan merokok dengan kejadian pra-diabetes setelah dikendalikan oleh faktor keturunan. Desain studi yang digunakan adalah kros seksional denganpengumpulan data melalui survei. Responden sebanyak 174 orang dipilih secara acak sederhana dari tiap kelurahan yang menjadi kluster. Analisis data dilakukan secara univariat, regresi logistik sederhana dan regresi logistik ganda. Hasil penelitian menunjukkan rata-rata kadar Gula Darah Sewaktu kelompok umur 40-59 tahun adalah 115,4 mg/dl, dengan prevalensi pra-diabetes adalah 57,5%.Ditemukan hubungan yang bermakna antara konsumsi lemak, konsumsi serat dan aktivitas fisik dengan kejadian pra-diabetes tanpa dipengaruhi oleh faktor keturunan. Odd Rasio masing-masing untuk konsumsi lemak (18,7 kali); aktivitas fisik <120 menit/hari (13,7 kali). Pencegahan primer dengan KIE (komunikasi, informasi dan edukasi) tentang kondisi pra-diabetes serta faktor perilaku yang berisiko dan pembentukan peer group pra-diabetes diharapkan dapat meningkatkan mawas diri masyarakat terhadap kondisi pra-diabetes.Kata kunci : Pra-diabetes, perilaku berisiko, faktor keturunan.AbstractPre-diabetes is a condition leading to the risk of Diabetes Mellitus (DM) type 2, that can be caused by genetic factor and behavior risk factors, such as fat consumption, insufficient fiber consumption, low carbohydrate consumption, sedentary life, and smoking. Prevalence of pre-diabetic has been estimated as higher than prevalence of DM. This research purposed to assess association of behavior risk factors with pre-diabetes incident among population of 40-59 years old in Padang Panjang City in 2008 after controlled by genetic factor. Survey was conducted to the respondents selected using multistage random sampling (n=174). Data were analyzed with design complex by partial regression, simple logistic regression and multivariate (multiple logistic regression). The study found that the prevalence of pre-diabetes is 57.5% with Plasma Glucose Test (RPG) 115.4 mg/dl in average. There is a significant association between fat consumption, fiber consumption and physical activity with pre-diabetes incident after adjusted by genetic. Dominant factors were fat consumption (OR=18.0);fiber consumption (OR= 9.5); and physical activity (OR=13.7 times). District Health Office should develop primary prevention through communication, information and education about pre-diabetes condition and related behavior risk factors. Pre-diabetes peer group should be established to increase community awareness to pre-diabetes condition in order to prevent the DM type 2.Key words : Pre-diabetes, behavior risk factors, genetic factors
Pemberian ASI Segera pada Bayi Baru Lahir
Authors: Amalia Linda , Yovsyah Yovsyah
Published: November 2016

Angka Kematian Bayi (AKB) Indonesia masih yang tertinggi di ASEAN dengan penyebab utama kematian adalah penyakit infeksi saluran nafas dan diare yang dapat dicegah. Pencegahan dilakukan antara lain dengan pemberian ASI secara benar, termasuk inisiasi pemberian ASI dalam 30 menit pertama setelah lahir. Pemberian ASI segera dapat mempertahankan kadar hormon prolaktin dan mencegah pemberian makanan pralakteal. Penelitian ini bertujuan mengetahui gambaran dan determinan pemberian ASI segera pada bayi baru lahir di Rumah Sakit Umum Daerah Kabupaten Cianjur tahun 2007. Desain penelitian adalah potong lintang. Pengumpulan Sampel 92 orang ibu post partum yang melahirkan di RSUD Kabupaten Cianjur yang dipilih dengan cara convenience sampling. Pemberian ASI segera pada bayi baru lahir (30%) rendah. Pada analisis multivariat ditemukan bahwa faktor yang paling dominan berhubungan dengan pemberian ASI segera pada bayi baru lahir adalah perilaku penolong persalinan. Berdasarkan hasil penelitian ini disarankan untuk meningkatkan pengetahuan manfaat kolostrum dan pemberian susu segera, mendorong penolong persalinan memfasilitasi pemberian Asi segera dan menyempurnakan tata laksana rumah sakit yang mendukung pemberian ASI segera.Kata kunci : ASI segera, bayi baru lahirAbstractInfant Mortality Rate in Indonesia is the highest in ASEAN with Acute Respiratory Tract Infection and diarrhea as major causes of death. One mean of prevention is by providing breastmilk appropriately including immediate breastfeeding within the first 30 minutes after birth. Immediate breastfeeding could help maintain prolactin hormone level and prevent prelacteal feeding. This study aims ait describing the situation and determinants of immediate breastfeeding among newborn infants in Cianjur District General Hospital in 2007. Design of the study was cross-sectional and 92 subjects (post-partum mothers) were selected through convenience sampling method. The study found that the rate of immediate breastfeeding was quite low (30%). Multivariate analysis shows that the most dominant factor related to immediate breastfeeding practice was the practice of birth attendant. It is suggested to improve knowledge about benefits of colostrum and immediate breastfeeding, support birth attendant to facilitate immediate breastfeeding practice and improve hospital management system related to immediate breastfeeding practice.Keywords: immediate breastfeeding, newborn infant
Kelangsungan Penggunaan Kontrasepsi di Indonesia
Authors: Sistri Sariana
Published: November 2016

Indonesia merupakan negara dengan jumlah penduduk terbesar keempat di dunia setelah Republik Rakyat Cina, India dan Amerika Serikat. Pada periode 2000-2002, penduduk Indonesia meningkat 1,25% atau 7,3 juta setiap tahun, sehingga pada tahun 2002 jumlah penduduk Indonesia menjadi sekitar 215 juta jiwa. Berdasarkan data SDKI, Total Fertility Rate (TFR) tahun 1997 (2,8) dan 2003 (2,6), dalam kurun waktu dua dasawarsa. Contraceptive Prevalence Rate (CPR), di Indonesia, pada 1977 (26) meningkatan dua kali lipat pada tahun 1997 (57) Penelitian ini bertujuan untuk mengetahui kelangsungan pemakaian kontrasepsi sejak pertama kali pemakaian pada periode 1997-2002, berikut berbagai faktor yang berhubungan. Desain penelitian yang digunakan adalah kohort retrospektif, dengan analisis survival, regresi cox. Sumber data yang digunakan adalah data sekunder SDKI 2002-2003, dengan jumlah sampel 5.072 kepala keluarga. Dari penelitian ini didapatkan lama kelangsungan pemakaian kontrasepsi pada periode 1997-2002 di Indonesia sejak pertama kali pakai hingga pemakaian 72 bulan adalah 50,32%. Faktor-faktor yang berhubungan dengan kelangsungan pengunaan kontrasepsi adalah tingkat pendidikan ibu dan status pekerjaan ibu.Kata kunci: Kelangsungan penggunaan kontrasepsi, determinanAbstractIt has been known that Indonesia is the fourth largest population in the world, after People Republic of China, India, and United States. At the year of 2002, Indonesia total population is about 215 million, with a growth rate between 2000 and 2002 is about 1.25% meaning that there is about 7.3 million people every year. The success of the Family Planning Program is recognized by its indicators, namely Total Fertility Rate (TFR) and Contraceptive Prevalence Rate (CPR). The TFR at SDKI 1997 was 2.8 and in SDKI 2003 was 2.6. While CPR, in two decades has increased double fold from 26 in 1977 to 57 in 1997. The study is carried out in order to know the length of continuation on contraceptive use since the first time of using, in the period of 1997-2002 and related factors. The design is cross sectional with retrospective cohort, using survival analysis technique. Data is secondary data of SDKI 2002-2003 on 5,072 samples. The results of the study showed that contraceptive continuation since it first use until 72 months follow up period is 50.32%. Factors related to the continuation are level of education and occupation of the mother.Keywords: Contraceptive use, determinant
Penilaian Kualitas Pelayanan Puskesmas dengan Model Donabedian: Studi Kasus Puskesmas di Kota Depok
Authors: Ayubi Dian
Published: November 2016

Perkembangan stuktur sosio-demografi penduduk dan infrastruktur Kota Depok yang pesat berpengaruh terhadap masalah kesehatan yang semakin kom-pleks. Pada era desentralisasi, Dinas Kesehatan Pemerintah Kota Depok dituntut memberikan pelayanan kesehatan masyarakat yang berkualitas antara lain melalui pelayanan kesehatan tingkat primer di puskesmas. Penelitian ini bertujuan menganalisis mutu pelayanan puskesmas dan hubungan struktur dan pro-ses terhadap hasil pelayanan puskesmas, kepuasan pelanggan. Survey di rumah responden dilakukan pada bulan Maret 2004, dalam wilayah kerja enam puskesmas kecamatan di Kota Depok. Populasi adalah semua penduduk yang bermukim di wilayah kerja Puskesmas Kecamatan se-Kota Depok. Sampel adalah 300 rumah tangga yang tersebar di setiap kelurahan wilayah kerja masing-masing puskesmas kecamatan dengan responden ibu rumah tangga. Analisis dilakukan dengan pendekatan Structure, Process dan Outcome berdasarkan penilaian pasien. Penelitian ini menemukan nilai median atribut mutu struktur, proses dan kepuasan pelanggan adalah 75; 71,4 dan 75,0. Variasi pada dimensi struktur lebih lebar daripada dimensi proses. Secara bersama-sama, ada hubungan statistik yang bermakna antara struktur dan proses terhadap hasil di puskesmas kecamatan di Kota Depok. Aspek atribut struktur pelayananpuskesmas yang dinilai pelanggan perlu perbaikan adalah kelengkapan sarana, sedangkan untuk atribut proses adalah waktu tunggu pendaftaran. Kata kunci: Model donabedian, kepuasan pelangganAbstractRapid growth of sociodemographic and infrastructure in Depok City has influenced the complexity of health problems. In the decentralization era, one of community health center function is to provide quality primary health care. The aim of this study is to assess quality of health services that was provided by sub-district community health center based on Donabedian Model (Stucture Process Outcome). Survey was conducted in six sub-district community health centers. Data were collected using questionnaires. Respondents were interviewed in their home during March 2004. Samples covered 300 households in six areas. Median of stucture, process and outcome atributes of health services is 75, 71.4 and 75.0. Variation of stucture attribute is wider than process attribute. This study found there is a statistically significant correlation between structure and process attributes to outcome (patient satisfaction) of community health center services. In the structure attribute, equipment or facility aspect of community health center is needed to be improved while for process attribute, it isthe aspect of waiting time in admission. Keywords : Donabedian model, patient satisfaction
Profil Lipid, Peroksidasi Lipid, dan Status Inflamatif Wanita Penderita Sindrom Metabolik
Authors: Winarsi Hery , Wijayanti Siwi P.M. , Purwanto Agus
Published: November 2016

Prevalensi sindrom metabolik (SM) di Indonesia (13,13%) tergolong tinggi dengan kecenderungan terus meningkat. Salah satu akibat SM adalah disfungsi endotel, sebagai awal penyakit kardiovaskuler yang diinduksi oleh stres oksidatif dan inflamatif. Penelitian ini bertujuan untuk mengeksplorasiprofil lipid, peroksidasi lipid, dan marker inflamasi pada wanita penderita SM di Purwokerto. Sebanyak 30 wanita dengan kadar gula darah diatas normal, obesitas body mass index (BMI) > 25 kg/m2, dan berusia 40-65 tahun dilibatkan sebagai responden yang dipilih melalui survei di PoliklinikPenyakit Dalam Rumah Sakit Margono Soekarjo. Kadar kolesterol total, trigliserida, high density lipoprotein, low density lipoprotein, malondialdehid, dan plasma C-reactive protein ditentukan dalam darah responden yang mempunyai kadar gula sewaktu > 200 mg/dL. Ditemukan bahwa wanitadengan SM rata-rata berumur 50,4 tahun; BMI 31,89 kg/m2; kadar gula darah 219,4 mg/dL; kolesterol total 216,73 mg/dL; trigliserida 218,13 mg/dL; HDL 46,59 mg/dL; LDL 146,27 mg/dL; MDA 2943,4 pmol/mL; C-RP 7,62 mg/L; dan tekanan darah 153/103 mmHg. Hasil ini menunjukkan bahwapenderita SM mengalami dislipidemia disertai dengan status antioksidan rendah dan inflamasi.Kata kunci: Wanita sindrom metabolik, profil lipid, lipid peroksida, malondialdehid, C-reactive proteinAbstractPrevalence of metabolic syndrome (MS) in Indonesia (13,13%) is high and tends to increase. One of the consequences of MS is endothelial dysfunction leading to cardiovascular disease which is inducted by oxidative stressand inflammation. The aim of the present research is to explore lipid profile, lipid peroxidation, and inflammatory marker level on metabolic syndrome women in Purwokerto. Thirty women with blood glucose level greater than normal, body mass index (BMI) > 25 kg/m2, 40-65 years of age were recruited as respondent through selection by a survey in Internal Medicine Polyclinic of Margono Soekarjo Hospital in Purwokerto. In respondents with blood glucose level > 200 mg/dL, total blood cholesterol level, high density lipoprotein, low density lipoprotein, malondialdehid, and plasma C-reactive protein were determined. It was found that the MS women were 50,4 years of age; BMI 31,89 kg/m2; blood glucose 219,4 mg/dL; total cholesterol 216,73 mg/dL; triglyceride 218,13 mg/dL; HDL 46,59 mg/dL; LDL 146,27mg/dL; MDA 2943,4 pmol/mL; C-RP 7,62 mg/L; and blood pressure 153/103 mmHg. It indicates that SM women experience dyslipidemia with low antioxidant and inflammation.Key words: Metabolic syndrome women, lipid profile, peroxide lipid, malondialdehid, C-reactive protein
Faktor Risiko Kanker Serviks di Rumah Sakit Umum Pemerintah Dr. Wahidin Sudirohusodo Makassar, Sulawesi Selatan
Authors: Syatriani Sri
Published: November 2016

Kanker serviks adalah tumor ganas terbanyak pada perempuan di seluruh dunia termasuk Indonesia. Jumlah penderita kanker serviks di Rumah Sakit Umum Pemerintah Dr. Wahidin Sudirohusodo pada tahun 2007 sebanyak 231 kasus, menurun menjadi 220 kasus tahun 2008 dan menurun sebanyak 167 kasus pada tahun 2009. Tujuan penelitian ini adalah untuk melihat besar risiko kejadian kanker serviks terhadap penggunaan pembalut, penggunaan sabun, status ekonomi, dan pasangan pria yang tidak disirkumsisi. Jenis penelitian adalah penelitian observasional analitik dengan desain kasus kontrol. Sampel adalah pasien yang berkunjung ke bagian ginekologi yang diambil secara accidental sampling sebanyak 213 orang. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Hasil penelitian dengan analisis OR menunjukkan bahwa penggunaan pembalutyang berkualitas rendah (OR = 2,320), penggunaan sabun pH > 4 (OR = 2,360), status sosial ekonomi (OR = 4,087), dan pasangan pria yang tidak disirkumsisi (OR = 2,092) merupakan faktor risiko kejadian kanker serviks.Kata kunci: Kanker serviks, pembalut, sabun, status sirkumsisiAbstractCervical cancer is the most malignant tumor in women in the world particularly in developing countries including Indonesia. In 2007, the number of cervical cancer patients in Dr. Wahidin Sudirohusodo Government General Hospital were 231 cases, declined to 220 in 2008 and further declined to 167 cases in 2009. The aim of this study is to discover the risk of cervicalcancer associated with the use of pads, the use of soap, economic status, and male partners who are not circumcised. The design of this study is a case control. Samples are randomly taken from 213 gynecological patients. Data was collected by interview through the use of a questionnaire. Results of research with analysis of OR showed that the use of low-quality pads (OR = 2,320), the use of soap pH > 4 (OR = 2,360), socioeconomic status (OR = 4,087), and male partners who are not circumcised (OR = 2,092) are the risk factors for cervical cancer. Key words: Cervical cancer, pad, soap, circumcised status
Hubungan Kadar Timbel dalam Darah dengan Kadar Hemoglobin dan Hematokrit pada Petugas Pintu Tol Jagorawi
Authors: Malaka Tan , Iryani Meiri
Published: November 2016

Penelitian tentang hubungan antara kadar timbel dalam darah dengan anemia yang tercermin dalam kadar hemoglobin dan hematokrit pada petugas pintu tol Jagorawi Jakarta. Landasan teori penelitian ini adalah hasil pemantauan kualitas udara Daerah Khusus Ibu Kota (DKI) Jakarta dimana kadar timbel di udara ambien melebihi Baku Mutu Lingkungan (BML) danadanya petunjuk literatur bahwa timbel memiliki pengaruh negatif terhadap sistem hemopoitik pada manusia. Seratus orang pekerja terpilih untuk penelitian ini. Sebanyak 12% dari pekerja yang merupakan subjek pada penelitian ini tergolong anemia berdasarkan kadar hemoglobin darah dan 10% anemia berdasarkan nilai hematokrit. Kadar timbel darah yang didapatkan pada penelitian ini adalah 20,1 ± 1,1μgr% dengan maksimum 22,9μgr%; dengan kadar hemoglobin sebesar 15,2 ± 1,5gr% minimum 9,9gr%; nilai hematokrit sebesar 45,2 ± 4,4%, minimum 30%. Seluruh subjek memiliki nilai Pb darah di atas 10 μgr% termasuk 16 wanita dalam usia subur. Secara umum tidak ditemukan asosiasi yang bermakna antara kadartimbel darah terhadap kadar hemoglobin dan hematokrit. Asosiasi yang tidak bermakna antara kadar timbel darah terhadap kadar dan abnormalitas hemoglobin dan hematokrit bersesuaian dengan hasil studi peneliti lainnya yang menyatakan bahwa hubungan bersifat tidak bermakna padakadar Pb darah di bawah 40 μgr%.Kata kunci: Timbel dalam darah, hemoglobin, hematokrit, baku mutu lingkunganAbstractA study on the association of lead in blood and haemoglobin and hematocrit value as a measure of anaemia among toll booth workers at Jagorawi Jakarta, has been conducted. The rational of the study is that high aerial lead content has been reported by the Jakarta environmental authority and health literature indicates that lead is toxic to human hemopoeitic system. The toll booth workers are exposed to air pollutants in their day to day work. One hundred workers, randomly selected, participated in the study. On the haemoglobin concentration, 12% of the study subjects were categorized as anaemia, while on hematocrit values 10% were considered as anaemia. Blood lead concentrations found in this study were 20,1 ± 1,1 (mean ± SD) μgr% and the maximum value was 22,9μgr%. The haemoglobin values were 15,2 ± 1,5gr% with a minimum of 9,9gr%, while the hematocrit values were 45,2 ± 4,4% with a minimum of 30%. All blood lead values were above 10μgr% including 16 women of child-bearing age. In general, no association was found between blood lead and haemoglobin and hematocrit values. This discovery is in line with other studies which found that there is no meaningful association between blood lead and anaemia when the blood lead concentrations were below 40 μgr%.Key words: Blood lead, haemoglobin, hematocrit, environmental qualitystandards
Defisiensi Riboflavin dan Demensia pada Usia Lanjut
Authors: Purnakarya Idral
Published: November 2016

Demensia Alzheimer menempati urutan kesembilan penyebab kematian di Amerika Serikat. Demensia adalah kondisi yang sering dialami yang berhubungan dengan berbagai faktor dan gaya hidup terutama diet. Penelitian ini bertujuan untuk mengetahui hubungan defisiensi asupan riboflavin (vitamin B12) dengan demensia pada usia lanjut (usila). Penelitian ini menggunakan desain studi cross sectional dan dilaksanakanpada bulan September 2007 sampai dengan Januari 2008. Sampel penelitian adalah 141 lansia berumur lebih dari sama dengan 60 tahun yang diambil secara purposive sampling. Demensia diukur menggunakan kuesioner MMSE (² 24, skor maksimum 30) dan asupan riboflavin diukur menggunakan form Semi Quantitative – FFQ. Penelitian ini memperlihatkanbahwa 47,5% usila mengalami demensia. Hasil uji statistik menunjukkan bahwa terdapat hubungan yang signifikan antara umur, tingkat pendidikan, dan asupan riboflavin dengan kejadian demensia pada usila (nilai p < 0,05).Kata kunci: Demensia, defisiensi riboflavin, usia lanjutAbstractDementia Alzheimer’s was ranked the ninth leading cause of death in The United States. Dementia can not be avoided as related to several factors and lifestyle especially the diet. The objective of this research is to know relation the deficiency of riboflavine (vitamin B12) intake and incidence of dementiaat elderly. A cross-sectional study was conducted betweenSeptember 2007 and January 2008. The sample obtained was 141 elderly which it was conducted to purposive sampling. Dementia was measured by using questionnaire MMSE (² 24, maximum score was 30), and riboflavine intake was measure by Semi Quantitative – FFQ form. This study shows that dementia in elderly was 47,5%. Statistical test showed that Statistical test showed that incidence of dementia had significantly associated with ages, level of education, and riboflavine intake (p value < 0,05).Key words: Dementia, deficiency of riboflavine, elderl
Dampak Rehabilitasi Medis pada Penyandang Disabilitas Kusta
Authors: Nasution Sylvia , Ngatimin M. Rusli , Syafar Muhammad
Published: November 2016

Pada periode tahun 2004 _ 2007, penderita baru disabilitas kusta tingkat II kerusakan syaraf sebanyak 8,6% _ 8,7% kemudian mengalami peningkatan pada tahun 2008 (9,6%) dan 2009 (10,27%) jauh di atas target (< 5%). Hal ini mengindikasikan keterlambatan penemuan kasus. Penelitian bertujuan untuk menilai dampak kondisi fisik, psikologi, sosial, dan ekonomi pascatindakan rehabilitasi medis di Rumah Sakit Dr. Tadjuddin Chalid Makassar. Penelitian dilakukan dengan metode kualitatif dan rancangan studi kasus bermula dari kasus penyandang disabilitas kusta yang menjalani tindakan medis. Hasil penelitian menunjukkan bahwa rehabilitasi medisdapat mengatasi luka kronis, memperbaiki tampilan fisik, fungsi, dan meningkatkan kemampuan anggota tubuh untuk aktivitas sehari-hari. Secara psikologis, mereka merasa senang, puas, rasa percaya diri meningkat, tetapi ada juga yang merasa sedih, malu, dan minder karena kehilangananggota tubuh. Mereka dapat diterima oleh keluarga dan lingkungan sekitar, tetapi ada juga yang memilih hidup dalam koloni kusta. Mereka melakukan perubahan dan kekuatan bekerja yang lama sesuai dengan kondisi kecacatan, kemampuan, dan keterampilan pascarehabilitasi medis.Kondisi psikologis, sosial, dan ekonomi masih dipengaruhi oleh stigma yang telah ada sejak menderita kusta.Kata kunci: Rehabilitasi medis, penderita disabilitas kusta, kustaAbstractThis aim of the study was to assess the impact of a variety of physical, psychological, sosial and economic after medical rehabilitation measures in Dr. Tadjuddin Chalid hospital Makassar. This study used qualitative methods with case study design, which departed from cases of leprosy disabled patientswho had undergone medical treatment. The results showed that medical rehabilitation can overcome chronic wounds, improve physical appearance, function and increase the ability of the body for daily activities. Psychologically, people with leprosy disabilities feel happy, satisfied, selfconfidence increases, there is also feeling sad, ashamed and insecure due to loss of limbs disabled leprosy patients can be accepted by the family andthe environment, sosial shame because there is loss of limbs, some choose to live in leper colonies. Leprosy disability person had changed the way to work and earn money, length of working and strength adapted to the conditions of disability, ability and skills of post-medical rehabilitation. Psychological condition, sosial and economic disability post-medical rehabilitation of leprosy is still influenced by the stigma that has existed since suffered from leprosy.Key words: Medical rehabilitation, people with leprosy disabilities, leproic
Identifikasi Bahaya Keselamatan dan Kesehatan Kerja pada Penangkapan Ikan Nelayan Muroami
Authors: Dharmawirawan Dimas Ari , Modjo Robiana
Published: November 2016

Kelautan Kepulauan Seribu pada tahun 2009 terdapat 1.722 penduduk berprofesi sebagai nelayan. Sebanyak 299 orang berprofesi nelayan muroami yang menghadapi bahaya keselamatan dan kesehatan kerja tinggi dan hingga saat ini mereka belum mengetahui bahaya pekerjaan tersebut.Penelitian deskriptif dengan analisis kualitatif ini, bertujuan mendapatkan gambaran bahaya kegiatan penangkapan ikan nelayan muroami di Kelurahan Pulau Panggang, Kabupaten Kepulauan Seribu. Penelitian ini hanya mengamati para penyelam kompresor sebagai subjek penelitian dengan mengunakan metode identifikasi bahaya yaitu Job Hazard Analysis. Bahaya keselamatan dan kesehatan kerja pada tahapan aktivitas penangkapan ikan terdiri atas tahapan persiapan, tahapan penyelaman, dan tahapan penanganan hasil penangkapan. Bahaya yang dihadapi dikelompokkanmenjadi bahaya bagi keselamatan dan bahaya kesehatan, bahaya bagi keselamatan pekerja meliputi ombak, lantai licin, duri ikan, terjepit, bahan bakar mesin kompresor, selang api korosif, tekanan udara pada tabung mesin kompresor, tuas terlepas, karang, gigitan biota laut, selang tertekuk, terputus, atau bocor dan tubuh yang tersangkut baling-baling kapal. Bahaya kesehatan meliputi ergonomik, kebisingan, tekanan ekstrim, temperatur dingin, temperatur panas, sengatan ikan dan karang beracun, gas CO, CO2 dan nitrogen.Kata Kunci: Penangkapan ikan, nelayan, penyelam kompresorAbstractData from Fisheries and Maritime Affairs Thousand Islands goverment in 2009 there were 1722 people living as fishermen, with 299 people living as muroami fishermen. Muroami Fishermen is one of the informal sector jobs which have high dangers of occupational health and safety, until now the fishermen don’t know the danger of their jobs.The study is descriptive with the approach of this qualitative analysis, aims to find the description on the danger of muroami fishing activities catch of fish, in Kelurahan Panggang Island, Thousand Islands District. This study only observed without intervention to the compressor divers as subjects of research. Hazard identification methods used Job Hazard Analysis. The results obtained OHS hazard description of fishing activities, consisting of: stage of preparation, 2. Stages Stage diving and handling of the arrest. Based on these stages, found the picture hazards can be classified into 2, namely: a danger to the safety of workers (the waves, the ship slippery floors, thorn fish, stuck, compressor fuel, corrosive fire hose, air pressure in the tube compressor machines, lever regardless, the coral, marine biota bites, the bent hose, the hose is disconnected, the hose is leaking and body caught in the propeller ship) and health hazards (ergonomics, noise, extreme pressure, cold temperatures, hot temperatures, and fish stings toxic reef, gas CO, CO2 and nitrogen).Key words: Catch of fish, fisherman, compressor divers
Peran Juru Pantau Jentik dalam Sistem Kewaspadaan Dini Demam Berdarah Dengue di Indonesia
Authors: Pratamawati Diana Andriyani
Published: November 2016

Program pencegahan dan pemberantasan demam berdarah dengue (DBD) telah berlangsung sekitar 43 tahun dan berhasil menurunkan angka kema- tian dari 41,3% pada tahun 1968 menjadi 0,87% pada tahun 2010, tetapi belum berhasil menurunkan angka kesakitan. Bahkan, Indonesia men- duduki urutan tertinggi kasus DBD di Association of Southeast Asian Nations (ASEAN) pada tahun 2010. Salah satu faktor belum efektifnya pencegahan DBD di Indonesia adalah masih lemahnya sistem kewas- padaan dini. Peran juru pantau jentik (jumantik) sangat penting dalam sistem kewaspadaan dini mewabahnya DBD karena berfungsi untuk memantau keberadaan dan menghambat perkembangan awal dari vektor penular DBD. Seiring masih tingginya angka kasus DBD di Indonesia, muncul pertanyaan bagaimana peran jumantik dalam sistem kewaspadaan dini DBD selama ini di Indonesia. Artikel ini mencoba menelaah masalah tersebut berdasarkan tinjauan pustaka. Secara umum, peran jumantik dinilai cukup berhasil dalam pencegahan DBD, namun terdapat beberapa hal yang perlu menjadi bahan evaluasi.Kata kunci: Jumantik, demam berdarah dengue, sistem kewaspadaan diniAbstractPrograms of prevention and eradication of dengue hemorrhagic fever (DHF) has been around 43 years and managed to reduce mortality from 41,3% in 1968 to 0,87% in 2010, but has not managed to reduce morbidity. Indonesia even ranked the highest of dengue cases in Association of Southeast Asian Nations (ASEAN) by the year 2010. One factorthat made has not been effective dengue prevention in Indonesia is the early warning system is still weak. Jumantik role is very important in the early warning system outbreaks of dengue hemorrhagic fever because it serves to monitor the presence andinhibit the early development of vector-borne dengue fever. During the high number of dengue cases in Indonesia, question rouses how jumantik role in the dengue hemorrhagic fever early warning system so far in Indonesia. This article takes a closer look based on a literature review. In general, the role of jumantik considered quite successful in preventing dengue hemorrhagic fever early warning system but nevertheless there are things that need to be evaluated.Key words: Jumantik, dengue hemorrhagic fever, early warning system
Determinan Asupan Makanan Usia Lanjut
Authors: Amran Yuli , Kusumawardani Riastuti , Supriyatiningsih Nita
Published: November 2016

Berdasarkan data Kementerian Sosial, jumlah usia lanjut (usila) di Indonesia tahun 2004 tercatat 16.522.311 jiwa dan 3.092.910 jiwa atau se- kitar 20% adalah usila terlantar. Nutrisi yang kurang pada usila berdampak pada kesehatan sehingga relatif mudah terjangkit penyakit infeksi dan gangguan zat gizi. Selain itu, asupan makanan berhubungan dengan depresi, jumlah gigi, gangguan gigi, penggunaan obat, penyakit, dukungan sosial seperti kunjungan keluarga atau orang terdekat, dan rasa makanan. Tujuan penelitian ini adalah mengetahui berbagai faktor yang berhubungan dengan asupan makanan pada usila. Penelitian menggunakan desain studi cross sectional dilakukan terhadap 58 orang usila di Panti Sosial Tresna Werdha Budi Mulia 01 Cipayung pada periode bulan Mei-Juni tahun 2010. Metode analisis multivariat digunakan untuk melihat faktor dominan yang berpengaruh terhadap asupan makanan. Sekitar 62,1% usila di panti sosial yang diteliti mempunyai asupan makanan yang kurang. Berdasarkan hasil analisis multivariat, makanan, penyakit, dan jumlah gigi merupakan faktor yang paling dominan memengaruhi asupan makanan pada usila.Kata kunci: Asupan makanan, lanjut usiaAbstractBase on Ministry of Sosial Welfare, the number of elder in Indonesia 2004 was recorded 16.522.311 and 3.092.910 or about 20% were negleted elders. Poor nutrition will impact on the health of the elders that directly related the infectious disease and the level of food intake. Besides, food intake is also associated with depression, the number of theet, the dental disorders, drug use, diseases, social support include the visit of the family or the people around them, and the taste of the food. The objective of study is to describe the factors that associated with food intake on the elders. This study that was conducted in Mei-June 2010 used cross sectional design. The sample that was suitable with criteria used in this study is about 58 people. The study used multivariate analysis to know the dominant factors that affected food intake. The result showed that 62,1% of elders in Panti Sosial Tresna Werdha Budi Mulia 01 Cipayung has less food intake. Based on the results, the diseases, depression, number of the teeth, and taste of the food are associated with food intake of the elders.Key words: Food intake, erderly