bluuebunny/crossref_metadata_2025 huggingface dataset:
Resistência à tração de coroas metálicas cimentadas com cimentos provisórios
Authors: Oliveira Jonas Alves de , Oliveira Lara Pepita de Souza , Barreto Juliana Rodrigues Paes , Queiroga Soraia Sena de Moura
Published: July 2021

A cimentação provisória contribui na reabilitação estética e funcional, enquanto espera-se pela cimentação do material definitivo, sendo fundamental a utilização de cimentos com boas propriedades biomecânicas, como a resistência friccional, evitando seu deslocamento e infiltração. Objetivo: Este estudo in vitro avaliou a resistência friccional por tração na cimentação de coroas metálicas fundidas com 3 agentes cimentantes provisórios, após 7 dias e 21 dias. Material e método: foram selecionados 24 dentes humanos (terceiros molares), hígidos ou com pequenas lesões cariosas, que foram preparados conforme Técnica da Silhueta e enviados para a fundição, para confecção das coroas metálicas em Ni-Cr. Os corpos-de-prova foram divididos em: Grupo I: Cimento de hidróxido de cálcio (Dycal); Grupo II: Cimento de óxido de zinco e eugenol (Temp-Bond) e Grupo III: Cimento de óxido de zinco sem eugenol (Temp- Bond NE). A força de tração dos corpos-de-prova foi mensurada em uma Máquina Universal de Ensaios (Instron). A análise estatística dos dados foi realizada pelo teste ANOVA e teste de Bonferrori (p<0,05). Resultados: Ambos Dycal (9,92 kgF) e Temp-Bond NE (9,52 kgF) apresentaram os maiores valores, com diferença estatística para o Temp-Bond (5,96 kgF). Conclusões: Dentre os agentes cimentantes avaliados, os sem eugenol em sua composição (Temp-Bond NE e Dycal) apresentaram melhor desempenho no quesito retenção friccional, quando comparados ao cimento com eugenol, e o fator tempo influenciou significativamente.
Autopercepção e estado de saúde bucal de adolescentes puérperas
Authors: Marín Constanza , Bottan Elisabete Rabaldo , Freitas Jessica Vavassori de , Garlini Naiara Helena
Published: July 2021

Objetivo: identificar se a autopercepção de saúde bucal de um grupo de adolescentes puérperas corresponde ao estado clínico. Materiais e métodos: estudo descritivo, do tipo transversal. A coleta de dados ocorreu pela aplicação de questionário estruturado e do exame clínico da cavidade oral. Resultados: participaram 80 adolescentes puérperas com idades entre 13 e 17 anos. A maioria (59%) não recebeu informações sobre saúde bucal e gravidez. A consulta odontológica durante a gestação foi efetuada por 50%, tendo como motivo mais frequente (67,5%) a consulta de rotina. A maioria (70%) não utiliza fio dental e 52,5% referiram escovar os dentes três vezes ao dia. A condição de saúde bucal regular foi citada por 53%, seguida pelo nível bom (35%) e ruim (12%). Acredita ser portadora de cárie foi citado por 55% e 71% não perceberam alterações na gengiva. O CPO-D médio do grupo foi de 2,8. O exame periodontal demonstrou que 59% apresentaram todos os sextantes saudáveis; 26% tinham, pelo menos, um sextante com sangramento; 5% com presença de cálculo dental e sangramento após sondagem; 10% com bolsa periodontal de 4 a 5 mm. Houve uma relação significativa entre percepção de cárie e avaliação clínica (p=0,00) e entre CPITN e percepção da condição de saúde bucal (p=0,03). Conclusão: Apesar das aproximações entre percepção e dados clínicos não se pode afirmar que melhores valores de CPO-D e de CPITN estejam efetivamente relacionados a uma melhor percepção sobre saúde bucal.
Guideline for manual classification of the facial profiles by CBCT image
Authors: Costa Eliana Dantas da , Peyneau Priscila Dias , Nejaim Yuri , Caruso Joseph M. , Roque-Torres Gina Delia
Published: July 2021

Aim: To describes step by step for the procedures for manual cephalometric analysis of the facial profile was performed using the Ricketts' VERT index through software not specific for cephalometric analysis which accepts any DICOM format for cone-beam computed tomography (CBCT) images. Material and methods: The facial profile classification was performed by means of the arithmetic mean of the values obtained (facial axis, facial height, mandibular plane angle, lower facial height and mandibular arch angle). Results: The present step by step can be performed by any CBCT imaging software for manual cephalometric analysis can obtain good results for the Ricketts' VERT. Conclusion: Dentists, undergraduate students, educational institutions and research that does not have access to specific software for cephalometric analysis may use the present methodology.
Prevalência de lesões bucais em crianças e adolescentes
Authors: Pereira Marina Aguiar Dias , Silva Linaena Méricy da , Garcia Natália Galvão
Published: July 2021

Objetivos: Avaliar a prevalência de lesões bucais em crianças e adolescentes em um centro odontológico universitário. Materiais e Métodos: Foram avaliados prontuários de pacientes entre 0 a 18 anos, atendidos no centro odontológico universitário no período de 2009 a 2018. Todas as lesões estomatológicas identificadas foram agrupadas de acordo com a sua natureza e pela localização anatômica. Os dados foram coletados e categorizados. Para quantificar a prevalência e verificar uma possível associação entre elas foi utilizado o teste de Qui-quadrado de Pearson. Resultados: Dos 17.000 prontuários de pacientes analisados, apenas 46 se encaixavam nos critérios de inclusão, nos quais, foram identificados 29 tipos de lesões, sendo a mucocele (32,6%) a lesão de maior prevalência. A região mais acometida foi o lábio inferior, perfazendo 87% dos casos. Do total da amostra, o exame histopatológico foi realizado em apenas 24 (52,2%) pacientes. Dentre esses, em 87% foi observada concordância entre o diagnóstico clínico e o histopatológico. Conclusões: Pode-se observar que a mucocele foi a lesão bucal mais prevalente nas crianças e adolescentes, sendo o lábio inferior, o local mais acometido. Desse modo, sugere-se que essa significativa prevalência da mucocele esteja diretamente associada à sua origem traumática, muito comum nessa faixa etária.
Manejo da cárie dentária e comportamento infantil durante a pandemia de COVID-19: relato de caso
Authors: Barbosa Monique Gonzaga , Silva Nara Rúbia , Oliveira Sejane Sousa Barros , Corrêa-Faria Patrícia
Published: July 2021

O objetivo deste artigo é relatar um caso clínico de manejo da cárie dentária e do comportamento infantil no cenário da pandemia de COVID-19. Um menino, sete anos, se queixou de cárie e ausência de colaboração durante atendimentos anteriores devido ao medo/ansiedade. No exame clínico foram observadas lesões cariosas cavitadas (dentes 51, 55, 61, 63, 64, 73, 74, 83, 85) e/ou destruição coronária (54, 75 e 84). Propôs-se a restauração das lesões sem envolvimento pulpar usando-se a técnica de tratamento restaurador atraumático para preservar a estrutura dentária e reduzir a produção de aerossóis; e exodontia nos casos de extensa destruição coronária. Para reduzir o medo/ansiedade infantil, foram usadas técnicas básicas de manejo do comportamento infantil. Ansiedade e comportamento foram avaliados usando-se escalas para permitir a avaliação da eficiência das técnicas de manejo. As medidas de segurança foram explicadas à criança (uso de protetor facial, distanciamento na sala de espera, presença de apenas um acompanhante). Realizou-se remoção seletiva do tecido cariado e restauração com cimento de ionômero de vidro nos dentes 63, 64, 73, 74, 83, 85. Nestes procedimentos, a criança teve comportamento colaborador. Os dentes 75 e 84 foram extraídos sob estabilização protetora devido ao comportamento não colaborador. Ao final, a criança foi encaminhada para acompanhamento ortodôntico. Observou-se redução da ansiedade, melhora do comportamento e controle da doença cárie. As técnicas minimamente invasivas são uma opção para o manejo da cárie dentária. Para reduzir o medo/ansiedade infantil recomenda-se o uso de técnicas básicas de manejo de comportamento.
THE RELATIONSHIP BETWEEN DIFFERENT DIABETIC FACTORS IN IMPAIRED FASTING PLASMA GLUCOSE OBESE ELDERLY
Authors: Ma Ming-Chieh , Pei Dee
Published: July 2021

Background: In both developed and developing countries, the relationship between aging an obesity is
similar and studies appear to be more important at all ages. Therefore, we focused on patients with
impaired fasting blood glucose levels to see the baseline changes in insulin homeostasis. The current study seeks to explain the
relationship between insulin secretion, insulin resistance, and glucose effects in obese elderly people.
Methods: We randomly enrolled 31subjects who were aged 65 years old. All these patients were obese (body mass index ≥ 25
2
kg/m ) and the fasting plasma glucose (FPG) was between 100 and 125 mg/dl. Four diabetic factors were calculated and
included rst phase insulin secretion (PFIS), second phase insulin secretion (SFIS), insulin resistance (IR) and glucose
effectiveness (GE).
Results: In the current study, we enrolled 18 male and 13 female subjects. The mean FPG was 108 (mg/dl) in both male and
female. All the demographic data were non-signicant when compared with male and female except the hemoglobin. When we
compared these four diabetic factors with FPG, we found only SPIS was signicantly negative correlated with FPG in both
genders.
Discussion: FPG was correlated with SPIS only. FPIS, IR and GE were not correlated with FPG in impaired fasting plasma
glucose obese elderly. Further study is needed for understating the underlying mechanisms.
NUTRITIONAL PROFILE OF SOILS AND THEIR IMPROVEMENT THROUGH INTEGRATED FERTILIZER APPLICATIONS
Authors: Naik Anjali S. , Daspute Asmita B.
Published: July 2021

For the healthy growth and optimum yields of crops, organic and inorganic nutritional contents of soils
are important factors. Region-wise surveys of soils for their mineral contents need to be conducted for
suggesting the suitable types of crops to the farmers. It is also needed to suggest the farmers about the precautions to be taken
for maintaining and improving the soil health of their lands. In this case study, 30 soil samples were selected from a village,
Viramgaon, Tq. Khultabad, Dist. Aurangabad. These were critically evaluated for their nutritional contents. Based upon the
analysis of the results, farmers of the region were given suggestion regarding quantities of inorganic and organic fertilizers, to
be applied at appropriate times. Fertilizer applications of either organic or inorganic type, alone, hasn't been found to be
sufcient. Hence, as an integrated approach for nutritional conservation of soils, this piece of study suggests combination of
applications of both these types of fertilizers through a well scheduled plan.
CORRELATION OF CYTOLOGY WITH THE HISTOPATHOLOGY IN BENIGN AND MALIGNANT LESIONS OF LYMPH NODES
Authors: kumari Aruna , Gunde Prashanth , Gunde Manoj
Published: July 2021

Background & Objectives: Lymph node swellings are one of the commonest clinical presentation of
patients and it encompasses a wide spectrum ranging from benign lesions to a malignant lymphoma or
a more obnoxious metastatic malignancy. The objective of the study was to study the role of FNAC in the evaluating lymph node
swellings of cervical , axillary , supraclavicular in the body and to understand the various cytological patterns of FNAC in
correlation with histopathology of lymph node swellings.
Methods: Patients referred to the Department of Pathology, CAIMS ,karimnagar from cancer Hospital and its allied branches,
for palpable lymph node swelling on whom FNAC procedure was performed were included in the study. FNAC diagnosis of
patients was compared with histopathology in cases which underwent surgical excision and its diagnostic accuracy was
studied.
Results: Out of 280 cases which included in the study, lymph node biopsy was carried out in 150 cases, 4 cases were
inconclusive. Most were in 31 to 40 years. Gender wise, there was female preponderance. Cervical group of lymph node were
most affected. Benign /non neoplastic lymphadenopathies were diagnosed in 83 cases(55.5%) of cases. Metastatic deposits
were diagnosed in 28 cases(18.6%) of cases. Lymphomas contributed to 39 cases(26%). On correlation of FNAC ndings with
histopathology. The overall correlation rate was 97.33%.
Interpretation & Conclusion: FNAC of lymph nodes is an excellent rst line method to investigate the nature of lesions as it is
economical and an easy alternative to open biopsy
A COMPARISON STUDY BETWEEN ULTRASOUND-GUIDED AND CONVENTIONAL (BLIND) ILIOINGUINAL/ ILIOHYPOGASTRIC NERVE AND GENITAL BRANCH OF GENITOFEMORAL NERVE BLOCKS FOR OPEN INGUINAL HERNIA REPAIR.
Authors: Khan Binish , Kotak Nirav , Rathi Kartika , Patel R.D
Published: July 2021

Background: Inguinal hernia repair is the commonest operation in surgical practice. Now it is also
performed under regional nerve blocks by blocking nerves ilioinguinal (II)/iliohypogastric (IH) and
genital branch of genital femoral nerve combined with a surgical feild inltration with a long-acting local anaesthetic(LA)
agent. LA inltration improves acute postoperative pain management, decreases postoperative visual analogue
scale(VAS)scores, opioid demand, and time to rst rescue analgesic administration. Thi Objective: s study was carried out to
compare the effect of ultrasound guided ilioinguinal/ iliohypogastric nerve and genital branch of genitofemoral nerve block
with conventional (blind) block in terms of success rate, postoperative analgesia and complications. Method: We conducted a
prospective randomized controlled studyamongst 100 ASA I-III patients posted electively for open inguinal hernia repair.
Various parameters such as age, sex, weight, BMI, vitals like pulse rate, ECG, blood pressure was recorded and Post-Operative
VAS at 30minutes, 1hr, 1hr30mins, 2hrs, 2hrs30mins, 3hrs, 3hrs30 minutes and 4hours was noted. Qualitative and quantitative
analysis was done. Result: In conventional group 8 (16%) patients amongst 50 (100%) required general anaesthesia in
between the surgery even after sedation + analgesia+ propofol whereas in USG group 2 (8%) patients required general
anaesthesia. The patient receiving USG guided block had signicantly lower post-operative VAS scores till 2 hours 30 mins as
compared to the patient receiving conventional ILN/INH nerve blocks who had higher VAS scores . There Conclusion : by we
found that ultrasound guided block for open inguinal hernia repair has signicantly better patient care in comparison with
conventional block.
EFFECT OF EzPAP DEVICE ON PULMONARY FUNCTION TESTS DURING PERIOPERATIVE PERIOD IN PATIENTS UNDERGOING GENERAL ANAESTHESIA FOR MORE THAN 2 HRS.
Authors: Manohar Dhote Madhuri , Devalkar Priti , Salgaonkar Shweta
Published: July 2021

BACKGROUND-EzPAP is an option for treating and preventing atelectasis. It provides positive pressure
that amplies an input ow of either air or oxygen approximately 4 times and this auguementation
provides a larger ow with less effort than an unsupported inspiration and PEEP provided on expiration.So it clear
secrections,increase lung volume and improve gas exchange.It provides positive pressure therapy independent of patient
efforts;thus improve lung functions.EzPAP is an easily implemented ,disposable device that delievers continous positive airway
pressure using ow from an oxygen ow meter via a mouthpiece or facemask .It provides a costeffective and easily utilized form
of CPAP.
OBJECTIVE-This study was carried out to compare the effects of EzPAP therapy on pulmonary function test after abdominal
surgeries under general anaesthesia for more than 3 hrs and compare the postoperative volumetric spirometric values
FVC,PEFR,FEV with preoperative baseline values. 1
Method-we conducted a prospective interventional study in 35 ASA I and II patients posted for elective abdominal surgeries
.Various parameters such as age ,sex,surgeries ,time for surgery ,pulmonary spirometric values FVC,PEFR,FEV at preoperative 1
24 hrs and postoperative 48 hrs are noted.Quantitative analysis done.
RESULTS-In this selected group of patients who are taken EzPAP therapy difference between preoperative and postoperative
lung volumes was higher in postoperative conditions for parameters FVC,PEFR,FEV after EzPAP therapy.Medway NHS 1
foundation trust department based clinical study in their study ,EzPAP in relation to increasing or maintaining lung volumes
and results in improvement in all physiological parameters.
CONCLUSION- This prospective interventional study suggests that;EZPAP positive airway pressure device is a useful to
improve respiratory functions and clinical improvements in lung volumes in the post operative patients undergoing general
anaesthesia for more than 2 hrs , preventing atelectasis and postoperative hypoxemia .
“A HISTOPATHOLOGICAL STUDY OF TUMORS OF ORAL CAVITY”
Authors: Chandra Sekhar P.V. Kala , Paul B. victor
Published: July 2021

Background: The incidence of oral cavity neoplasms in the population has increased manifold over the years. Oral cancer is one of the common cancers in the world, common in India, and also in Bangladesh, Srilanka and Pakistan. Oral cancer is one of the few cancers, whose cause were known and hence it is possible to prevent. The real challenge in oral cancer lies in its prevention and early diagnosis. Objectives: 1.To study the morphological spectrum of neoplasms in oral cavity. 2.To study the age and gender incidence of various neoplasms. 3.To study the commonest sites of various neoplasms. 4.To evaluate or analyse the associated risk factors. Materials and methods: This is a prospective study of the cases attended to Government General Hospital, Vijayawada or Government Dental College Hospital Vijayawada, of oral cavity neoplasms. The biopsy of the tissues was carried out at the Department of Pathology, Siddhartha Medical College, Vijayawada. The study period was from June 2011 to August 2013 over a period of two years and three months. Results: The Study comprises a total of 74 surgical biopsies from oral cavity neoplasms received in the Department of Pathology, 52 of these were malignant lesions and 20 were benign tumour and 2 were premalignant conditions. The invasive squamous cell carcinoma was the most frequent histological type of oral cavity neoplasms. Among the oral cancers, peak age th th incidence was the 5 and 6 decade of life. There was signicant male preponderance. Tongue was the most common site involved. Smokeless tobacco consumption was the commonest associated habit which leads to malignancy. Conclusion:In thisa study we observed that among the oral cavity neoplasms, high incidence of carcinomas are seen, among these squamous cell carcinomas are predominant.
SPONTANEOUS HETEROTOPIC PREGNANCY WITH UNSTABLE VITALS: A CASE REPORT
Authors: Agarwal Anshika
Published: July 2021

A spontaneous heterotopic pregnancy is a rare obstetric entity which can be life threatening if early
diagnosis is missed. There is co-existing intra uterine and extra uterine pregnancy, most often tubal and
rarely cervical or ovarian. It is extremely rare in spontaneous conception but incidence is increasing with the use of ART’s. Early
diagnosis is difcult probably because of the lacking clinical symptoms. It usually presents as a ruptured ectopic pregnancy.
Timely diagnosis and intervention is of utmost importance to prevent maternal morbidity and mortality. Abdominal pain,
swelling, peritoneal irritation, enlarged uterus, vaginal bleeding, pallor, tachycardia, features of shock may be a few presenting
features. With the advances in technology, transvaginal ultrasound proves to be a great diagnostic tool in early diagnosis of
heterotopic pregnancy. Serum beta-hcg levels is of importance. Intervention can be medical or surgical depending on the
hemodynamic condition of the patient and the viability of the intrauterine pregnancy. Heterotopic pregnancy is an unusual
diagnosis and so is often ignored in the presence of an intrauterine pregnancy. But as it can prove to be life threatening so its
diagnosis as a differential should always be kept in mind. Early diagnosis and prompt and effective treatment can save a life or
two!
A STUDY ON SOCIODEMOGRAPHIC PROFILE OF PATIENTS OF INTESTINA OBSTRUCTION IN DR. SUSHEELA TIWARI GOVERNMENT HOSPITAL, HALDWANI
Authors: Shakya Prateek , Kumar Singh Rajeev , Goyal Deepak
Published: July 2021

Background/Aim: This study was aimed to provide a sociodemographic prole of intestinal obstruction
in a tertiary care hospital in Kumaun region of Uttarakhand, India.
Materials and Methods: This was a cross-sectional study of patients admitted in our hospital with a diagnosis of intestinal
obstruction between the years 2019 and 2020 at Dr. Susheela Tiwari Government Hospital, Haldwani, Uttarakhand. The study
comprised of 250 patients.
Results: The commonest age group affected was 18-30 years. In our patients, the main cause of obstruction was adhesions
followed by abdominal tuberculosis with MALIGNANCY coming third. Conservative management was advocated in 72 patients
while the rest underwent surgery.
Conclusion: Adhesion was the main etiology in Intestinal Obstruction. The odds of malignant bowel obstruction are increasing
in the proportion of Intestinal Obstruction. There were some differences towards the etiologic spectrum compared with western
countries.
CHANGES IN SOCIAL RELATIONSHIPS AFTER CANCER: EXPERIENCES OF WOMEN BREAST CANCER SURVIVORS
Authors: Bhardwaj Tushti
Published: July 2021

Introduction: Breast cancer is one of the most commonly seen cancers among women in India. The
diagnosis of cancer brings numerous issues to the patients and their family. The physical and emotional
concerns are quite frequently studied but changes in social relationship are yet not duly studied. The present research aims to
study the changes in social relationships of the breast cancer survivors at different time intervals during their follow up period.
Methods: This descriptive research studied a total of 90 breast cancer survivors in three groups. Data was collected using a mix
of quantitative and qualitative approach. Quantitative data was collected through a number of variables on ve point scale and
qualitative through self developed interview schedule.
Results: The ndings reported that social functioning of the long term survivors (>2 years) was better as compared to those in
initial follow up. The survivors in initial 6 months of follow up did not receive expected social support from their friends and
neighbours.
Conclusion: Social relationships of breast cancer survivors though improve in long run but they need emotional support from
extended family and friends. The research has implications for psychosocial interventions to strengthen social network of the
survivors.
GOLDENHAR SYNDROME-NO MORE A CHALLENGE TO ANAESTHESIOLOGIST
Authors: Vashist Vishal , Mahajan Roohani , Gupta Bhanu
Published: July 2021

A patient K/C/O Goldenhar syndrome came for right external ear reconstruction. Patient had typical
features of the syndrome with hypoplastic mandible and maxillae, malocclusion of teeth ,malaligned
teeth ,retrognathia and hypoplastic hyoid bone . Anticipating a difcult intubation it was decided to go ahead with awake
intubation in this patient . Blind nasal intubation was planned because of unavailability of breoptic in our institution and it was
achieved with 7 mm ivory white north pole tube with dexmedetomidine infusion at rate of 0.5mcg/kg/hr and topical anaesthesia .
Information-Theoretic Bounds for Steganography in Multimedia
Authors: Mohamed Hassan , Abdelaziz Amr , Elliethy Ahmed , Aly Hussein A. , Gulliver Aaron
Published: July 2021

Steganography in multimedia aims to embed secret data into an innocent looking multimedia cover object. This embedding introduces some distortion to the cover object and produces a corresponding stego object. The embedding distortion is measured by a cost function that determines the detection probability of the existence of the embedded secret data. A cost function related to the maximum embedding rate is typically employed to evaluate a steganographic system. In addition, the distribution of multimedia sources follows the Gibbs distribution which is a complex statistical model that restricts analysis. Thus, previous multimedia steganographic approaches either assume a relaxed distribution or presume a proposition on the maximum embedding rate and then try to prove it is correct. Conversely, this paper introduces an analytic approach to determining the maximum embedding rate in multimedia cover objects through a constrained optimization problem concerning the relationship between the maximum embedding rate and the probability of detection by any steganographic detector. The KL-divergence between the distributions for the cover and stego objects is used as the cost function as it upper bounds the performance of the optimal steganographic detector. An equivalence between the Gibbs and correlated-multivariate-quantized-Gaussian distributions is established to solve this optimization problem. The solution provides an analytic form for the maximum embedding rate in terms of the WrightOmega function. Moreover, it is proven that the maximum embedding rate is in agreement with the commonly used Square Root Law (SRL) for steganography, but the solution presented here is more accurate. Finally, the theoretical results obtained are verified experimentally.
Information-Theoretic Limits for Steganography in Multimedia
Authors: Mohamed Hassan , Abdelaziz Amr , Elliethy Ahmed , Aly Hussein A.
Published: July 2021

Steganography in multimedia aims to embed secret data into an innocent multimedia cover object. The embedding introduces some distortion to the cover object and produces a corresponding stego-object. The embedding distortion is measured by a cost function that determines the probability of detection of the existence of secret embedded data. An accurate definition of the cost function and its relation to the maximum embedding rate is the keystone for the proper evaluation of a steganographic system. Additionally, the statistical distribution of multimedia sources follows the Gibbs distribution which is a complex statistical model that prohibits a thorough mathematical analysis.Previous multimedia steganographic approaches either assume a relaxed statistical distribution of multimedia sources or presume a proposition on the maximum embedding rate then try to prove the correctness of the proposition. Alternatively, this paper introduces an analytical procedure for calculating the maximum embedding rate within multimedia cover objects through a constrained optimization problem that governs the relationship between the maximum embedding rate and the probability of detection by any steganographic detector. In the optimization problem, we use the KL-divergence between the statistical distributions for the cover and the stego-objects to be our cost function as it upper limits the performance of the optimal steganographic detector. To solve the optimization problem, we establish an equivalence between the Gibbs and the correlated-multivariate-quantized-Gaussian distributions for mathematical thorough analysis. The solution to our optimization problem provides an analytical form for the maximum embedding rate in terms of the WrightOmega function. Moreover, we prove that the achieved maximum embedding rate comes in agreement with the well-known square root law (SRL) of steganography. We also establish the relationship between the achieved maximum embedding rate and the experimental results obtained from several embedding and detection steganographic techniques.
ALEJANDRO ROMUALDO: EL POETA COMO SISMÓGRAFO. ANÁLISIS RETÓRICO DE DOS POEMAS DE EDICIÓN EXTRAORDINARIA (1958)
Authors: Sánchez Flores Miguel
Published: July 2021

El presente trabajo desarrolla el análisis de dos poemas —“Al final y al cabo” y “Si me quitaran totalmente todo”— publicados en el libro Edición extraordinaria (1958) del escritor peruano Alejandro Romualdo (1926-2008). Dicho estudio se desarrollará a partir de las principales nociones de la Retórica General Textual, propuesta por autores como Arduini (2000) y Bottiroli (1993). A partir del análisis, se plantean los límites de la tensión entre poesía social y pura, categoría que ha servido como recurrente estrategia para abordar la poesía peruana de la década del 50. El texto plantea que más que en los puntos extremos, la propuesta de Romualdo se instala precisamente en la mediación y que el poemario Edición extraordinaria, si bien posee una marcada temática social, también expone las posibilidades y límites de la forma estética.
Di Laura, Giancarla. Humos de ironía: la novelística de Julio Ramón Ribeyro
Authors: Quezada Morante Valery
Published: July 2021

Al revisar las publicaciones de Revuelta Editores, se evidencia que una parte de su catálogo se encarga de la difusión tanto de la obra de Julio Ramón Ribeyro como de los estudios críticos dedicados a este autor. De esta forma, es notorio el interés por publicar la investigación realizada por Giancarla Di Laura para su tesis doctoral, la cual fue sustentada en el año 2004 y cuyo objetivo se centró en analizar cómo la ironía funciona en tanto herramienta retórica que recorre la novelística de Ribeyro y que, además, contribuye a involucrar al lector con el mensaje que propone el autor.
Persepsi dan Kecenderungan Siswa SMA Dalam Memilih Pendidikan Tinggi Lanjutan di Masa Pandemi Covid 19
Authors: Widarta Fajar Okta , Ikhsan Ikhsan , Bambang Bambang
Published: July 2021

Penelitian ini bertujuan untuk mengetahui pengaruh persepsi siswa terhadap pendidikan tinggi dan kecenderungan mereka dalam memilih pendidikan tinggi lanjutan. Jenis penelitian ini adalah deskriptif kuantitatif, dengan populasi penelitian adalah siswa SMA Negeri 1 Blangjerango tahun akademik 2020/2021 berjumlah 171 siswa. Teknik random sampling digunakan dalam pengambilan sampel. Pengumpulan data menggunakan angket dengan skala Likert. Analisis data menggunakan analisis statistik deskriptif . Hasil analisis data menunjukkan bahwa: (1) persepsi siswa terhadap pendidikan tinggi dan kecenderungan mereka memilih pendidikan tinggi lanjutan berada pada kategori sangat baik (85,57%); (2) terdapat pengaruh positif yang signifikan persepsi siswa mengenai pendidikan tinggi terhadap kecenderungan memilih pendidikan tinggi lanjutan, dengan besar pengaruh sebanyak 27,1%.  

 

Kata kunci: Persepsi, pendidikan tinggi.
Pengaruh Fraud Diamond dan Gonetheory Terhadap Academic Fraud
Authors: Neva Silfani , Amyar Firdaus
Published: July 2021

This research examines the factors of pressure, opportunity, rationalization, ability, greed, need, and disclosure of academic fraud behavior in accounting students at Institute of Business and Informatics Kesatuan Bogor. This type of research is a quantitative study, using a questionnaire as a research instrument measured by a Likert scale. This study used a sample of 306 students who had already participated in filling out the questionnaire that the researcher had distributed in the form of a Google Form. The data analysis technique used is multiple linear regression analysis using the IBM SPSS version 25 software.      The results of this study indicate that the opportunity and need factors affect the academic fraud of accounting students at the Bogor Institute of Business and Informatics, while the factors of pressure, rationalization, ability, greed, and disclosure have no effect on academic fraud committed by accounting students at the Institute of Business and Informatics Kesatuan.
Tugas Akhir dan Faktor Stres Mahasiswa
Authors: Suhandiah Sri , Ayuningtyas Ayuningtyas , Sudarmaningtyas Pantjawati
Published: July 2021

Mahasiswa yang sedang menyusun tugas akhir merupakan individu yang rentan mengalami stres. Mahasiswa yang mengalami stres cenderung mengalami gangguan dalam fungsi fisik, emosi, kognitif, dan tingkah laku yang dapat berimbas pada waktu penyelesaian. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi stres mahasiswa dalam menyusun Tugas Akhir. Sampel diambil dari 108 mahasiswa yang sedang mengambil mata kuliah Tugas Akhir. Hasil analisis dengan metode analisis jalur menunjukkan bahwa faktor sosial, keluarga, dosen, dan motivasi secara bersama-sama tidak memiliki pengaruh terhadap stres mahasiswa yang sedang menyusun Tugas Akhir. Meskipun secara parsial faktor keluarga dan dosen menjadi faktor yang secara signifikan mempengaruhi motivasi mahasiswa, tetapi hanya faktor keluarga yang memberikan pengaruh terhadap stres mahasiswa. Dukungan keluarga akan meningkatkan motivasi dan semakin termotivasi maka tingkat stres mahasiswa akan menurun.

Kata kunci: faktor stres, mahasiswa tugas akhir, motivasi individu
HUBUNGAN DUKUNGAN KELUARGA DAN BEBAN KELUARGA DENGAN TINGKATAN SKIZOFRENIA
Authors: Gusdiansyah Edo , Mailita Weni
Published: July 2021

Skizofrenia merupakan suatu sindrom klinis atau proses penyakit yang mempengaruhi kognitif, persepsi, emosi, perilaku, dan fungsi sosial. Diperkirakan sekitar 26,2% mengalami gangguan jiwa meningkat setiap tahunnya. Penelitian ini bertujuan untuk melihat hubungan dukungan dan beban keluarga dengan skizofrenia. Jenis penelitian adalah analitik dengan pendekatan cross sectional. Penelitian dilaksanakan di wilayah kerja puskesmas Kuranji Padang, pada bulan Desember s/d Februari 2021. Populasi pada penelitian ini adalah seluruh keluarga yang memiliki anggota keluarga dengan skizofrenia berjumlah 30 orang dengan teknik pengambilan sampel yaitu purposive sampling. Pengumpulan data menggunakan kuesioner dengan wawancara, analisis data secara univariat dan bivariat. Hasil penelitian menunjukkan bahwa 66,7% pasien dengan skizofrenia berat, 63,3% dukungan keluarga kurang baik dan 70,0% beban keluarga tinggi. Hasil uji statistik terdapat hubungan yang bermakna antara dukungan keluarga (p= 0,000) dan beban keluarga (p= 0,000) dengan skizofrenia. Apabila keluarga memiliki dukungan yang baik maka kien akan patuh minum obat, dan keluarga tidak merasa terbebani atas kehadiran klien dan menerika kekurnan klien. Diharapkan kepada petugas kesehatan khususnya perawat memberikan penyuluhan, pembentukan kader kesehatan jiwa dan home visit kepada keluarga yang memiliki anggota keluarga dengan skizofrenia sehingga keluarga lebih mengetahui lagi pentingnya pemberian obat dan dukungan untuk mencegah kekembuhan terhadap pasien skizofrenia.
HUBUNGAN DUKUNGAN PASANGAN DAN PEMBERIAN ASI EKSKLUSIF DI DESA TANDAN SARI KECAMATAN TAPUNG HILIR KABUPATEN KAMPAR PROVINSI RIAU
Authors: Roza Andalia , Lestari Rizky Dwi
Published: July 2021

Couple’s support having a role in the success or failure of a mother to breastfeed her baby. The greater the support obtained to breastfeed,the greater the ability to survive. This research aimed to know the couple’s support with exclusive breastfeeding in Tandan sari Village Tapung hilir Sub-district Kampar Regency in Riau Province. The design of this research used a descriptive correlation study with a cross sectional approach. The population in this research were mother’s who had children aged 6 -24 month’s. the sample in this research amounted to 65 respondents. Data collection was carried out in march 2020 with the use of a questionnaire. Chi-square test data analysis found a significant relationship between support couple’s with a exclusive breastfeeding, with a p-value = 0,017 meaning p-value <0,05. Based on the results of the study the researchers suggested that the puskesmas and health workers expand the targets of health promotion related to exclusive breastfeeding involving the husband as the target
MENIGKATKAN KUALITAS INTERAKSI SISWA KELAS VIII SMPN 2 SINGARAJA DALAM PEMBELAJARAN PKn MELALUI PENGGUNAAN GALERI BELAJAR
Authors: Subrata Gede Harja
Published: July 2021

Penelitian ini merupakan Penelitian Tindakan Kelas yang dilaksanakan pada siswa tahun kedua SMPN 2 Singaraja Bali. Penelitian ini berusaha untuk mengetahui apakah Learning Galleria dapat meningkatkan kualitas interaksi siswa di kelas Pkn. Pengumpulan data dilakukan melalui observasi dan wawancara, kemudian dianalisis secara deskriptif.

Hasil PTK menunjukkan bahwa rata-rata nilai kemampuan siswa pada siklus ke-1 bernilai Baik baru mencapai 18,75%, siklus ke-2 bernilai Baik mencapai 33,34%, siklus ke-3 bernilai Baik mencapai 80,33%. Dengan demikian, sampai pembelajaran siklus ke-3 peningkatan kualitas interaksi siwa telah mencapai target yang telah ditetapkan yaitu 75% siswa minimal berkemampuan Baik. Bila dilihat dari perkembangan rata-rata nilai yang dicapai siswa pada pembelajaran siklus ke-1, siklus ke-2, dan siklus ke¬-3, nilai Baik dicapai siswa tampak meningkat, yaitu dari 18,75% pada siklus ke-1 menjadi 33,34% pada siklus ke-2 dan pada siklus ke-3 menjadi 80,83%. Dari hasil tersebut disimpulkan bahwa pembelajaran dengan menggunakan galeri belajar dapat meningkatkan kualitas interaksi siswa.

 

Kata kunci: Interaksi, Galeri, Belajar Pkn.
RELATIONSHIP OF WATER AND WATER RESERVOIRS WITH THE PRESENCE OF AEDES AEGYPTI LARVAE IN PUUWATU PUBLIC HEALTH CENTER WORKING AREA KENDARI CITY
Authors: Saparina L Titi , Noviati Noviati
Published: July 2021

Background: Aedes aegypti mosquitoes like to put their eggs in clean water so it is necessary to pay attention to the condition of the shelter of the water to always be closed because the water reservoir is in a closed condition it is less likely for the larvae to breed. Based on observation of 5 patient's house got mosquito larvae at water reservoir, other than that water reservoir left open and water quality slippery. This study aims to determine the relationship between water and aqueduct collection in the presence of Aedes aegypti larvae in the Work Area of ??Puuwatu Health Centre inKendari.
Methods:This type of research is a quantitative research with cross sectional study approach. The population is 265 and the sample is 72 respondents using random sampling technique
Results:The results in this study indicate that the statistical water storage test results X2 count 36.217 > X2 table 3.841 and water channel value X2 count 16,774 > X2 table 3,841. So it is concluded that there is a connection of water reservoirs and waterways with the presence of Aedes aegypti larvae in the Work Area of ??Puuwatu Health Centre in Kendari.
Conclusion: Suggested to the family should pay attention to environmental sanitation that can provide breeding place mosquito larvae breeding such as water and water ditch. In addition, the family must adjust the area of ??the house with the number of occupants in the house.
FACTORS RELATED TO NEGATIVE STIGMA FOR HIV/ AIDS PATIENTS IN BORO-BORO VILLAGE, RANOMEETO SUB-DISTRICT SOUTH KONAWE REGENCY
Authors: Rachmawati Umi , Firman Firman , Pipit Wa Ode
Published: July 2021

Background: The high number of people living with HIV / AIDS until 2018 has created a negative stigma for HIV / AIDS patients in Boro-Boro Village, Ranomeeto Sub-District, South Konawe Regency. The purpose of this study was to determine the factors associated with negative stigma for HIV / AIDS patients in Boro-Boro Village, Ranomeeto District, South Konawe Regency
Methods: Type of research is quantitative method with a cross-sectional design with a population of 585 people. Sampling technique usedd accidental sampling technique with a sample size of 83 respondents. Analysis data used the chi square test. The independent variable in this study was knowledge about HIV / AIDS, perception, and education, while the dependent variable was negative stigma for people with HIV / AIDS. The instrument of this study is a questionnaire.
Result: The results showed that there was still a high negative stigma for people with HIV / AIDS with n = 69 (83.1%). There is a weak relationship between knowledge and negative stigma for people with HIV / AIDS with a value of X2 count 4.110, 0.255. There is a weak correlation between perceptions and negative stigma for people with HIV / AIDS with a value of X2 count 7.338, ? 0.331. There is a weak relationship between education and a negative stigma for people with HIV / AIDS with a value of X2count 5.551, ? 0.291.
Conclusion: Researchers suggest to Ranomeeto Primary Health Care to conduct more frequent health education about HIV / AIDS and form village cadres by providing accurate knowledge about HIV / AIDS, for further researchers to add and look for variables that are closely related to negative stigma for people with HIV / AIDS in the community.
EFFECT OF LEAFLET AND VIDEO METHODS OF HEALTH COUNSELING ABOUT INNECTICIDED GAMBUS IN MABODO PRIMARY HEALTH CARE
Authors: Zanuma Zanuma , Supodo Timbul , Munir Sanihu , Depu Anry Hariadhin
Published: July 2021

Background:Puskesmas Mabodo is one of the Puskesmas with the most malaria cases out of 28 Puskesmas in Muna Regency in the last 2 years, with the 2018 API of 11.61 per 1,000 population and API in 2019 of 9,387 / 1,000 population. This study aims to determine the effect of extension methods on changes in the behavior of pregnant women in the use of insecticide-treated mosquito nets in the working area of ??Mabodo Health Center, Muna Regency.

Methods:The type of research used is quantitative research, namely quasi-experimental research with a nonequivalent control group design.

Result: The statistical test results obtained p value = 0.000 <0.05 between groups, this indicates that there are differences in respondent knowledge in each group, there are differences in respondent attitudes in all groups with p value = 0.033 <0.05 between groups, there are differences in respondent attitudes all groups p value = 0.011 <0.05 between groups.

Conclusion: There is an effect of leaflet and video counseling on the use of textured bed nets in the working area of ??the Mabodo Health Center.
RELATIONSHIP BETWEEN INCOME LEVEL, PERCEPTION OF HEALTH SERVICES AND CADRES’S ACTIVITY WITH COMPLIANCE WITH PAYMENT OF INDEPENDENT NATIONAL HEALTH ASSURANCE IN KOLAKA DISTRICT
Authors: Bandu Jumiati , Kamalia La Ode , Jayadipraja Erwin Azizi
Published: July 2021

Background:Every year, the social insurance administration organisation (BPJS Kesehatan) always experiences a very large deficit. The high number of deficits experienced by the social insurance administration organisation (BPJS Kesehatan) is due to the low level of compliance of contribution payments by independent participants. The purpose of this study was to determine the relationship between income levels, patient perceptions of health services and activeness of cadres with compliance with payment of dues to participants in the Independent National Health Insurance, Kolaka District.

Methods:This type of research is a quantitative study with a cross sectional study approach. The population in this study were all 1075 independent National Health Insurance participants. The sample size was 89 respondents who were taken by proportional random sampling. The data were obtained using a questionnaire and then analyzed descriptively and inferentially using the Chi Square test.

Result:The results showed that there was a relationship between income levels, patient perceptions of health services and the activeness of cadres with compliance with the payment of dues for participants in the independent national health insurance in Kolaka District, where the p-value <?= 0.05.

Conclusion:Perception of health services is the most related factor in comparison to the level of income and activity of the cadres. It is hoped that the social insurance administration organisation (BPJS Kesehatan) will carry out strategies in an effort to increase the regularity or compliance of the independent national health insurance participants and increase the number of cadres.
RELATIONSHIP BETWEEN HUSBAND SUPPORT AND MIDWIFE ROLE WITH POST PARTUM CONTRACEPTION IN KONAWE KEPULAUAN DISTRICT
Authors: Wulandari Dian , Sunarsih Sunarsih , Torontju Akbar
Published: July 2021

Background: Postpartum contraceptive coverage in Konawe Kepulauan Regency in 2018, through data obtained at the Konawe Kepualaun District Health Office, Southeast Sulawesi Province as much as 8.4% and data in 2019 decreased to 1.26%.
Methods:This quantitative research is observational with a cross sectional study design. The population in this study was 96 people with the determination of the sample using stratified cluster sampling, totaling 77 all post-partum mothers in the working area of the health centre in Konawe Kepulauan Regency.
Results:The significance value (p) value of husband support and the role of midwife is 0.000 which means that p <0.05 so that Ha is accepted and Ho is rejected, which means that there is a significant correlation or relationship between husband's support and the role of midwives on the use of postpartum contraception. Both have a value of phi C which is 0.100 which meansvery weak relationship.
Conclusion: There is a relationship between husband's support and the role of the midwife against the use of postpartum contraceptives in the Konawe Islands district.
STUDY ABOUT THE HEALTH REFERENCE INFORMATION SYSTEM IN THE CASE OF NON SPECIALISTICS IN KENDARI CITY PRIMARY HEALTH CARE
Authors: Risky Sartini , Harun Azis , Hariadhin Depu Anry
Published: July 2021

Background: I Implementation of a  reference information system will not work well when its implementation is not in accordance with the policy or guidelines. One of the problems in implementing the referral system is the health information system, in this case the referral guidelines and referral templates.
Methods: This research uses qualitative method and it conducted the Kendari City Inpatient Primary health care form April 2020 to August 2020. The informants in the study were the Kendari branch of the health insurance officers, consisting of the Head of the Inpatient Community Health Center, the doctors of Inpatient Primary health care, the Head of Primary Benefit Guarantee and 4 referral patients in the Inpatient Primary health care. Data analysis of interview data used a NVIVO QSR application 12.
Results: There is a conceptual linkage between the Reference Guidelines, Referral Procedures, and Reference Patterns with the concept of implementing the referral system
Conclusion: There is a conceptual linkage between the Reference Guidelines, Referral Procedures, and Reference Patterns with the concept of implementing the referral system.
RELATIONSHIP BETWEEN THE COST LEADERSHIP STRATEGY AND THE QUALITY OF HEALTH SERVICES IN KENDARI CITY HOSPITAL
Authors: Ayu Santri Fitri , Saafi La Ode , Kamalia La Ode
Published: July 2021

Background: A hospital in Kendari  is tracing the problems namely about interactions with employees. Also the information about the strategies which is used to improve hospital performance has not been clearly stated. The efforts to improve services are still relatively routine in nature. The use of strategic terms is still relatively traditional, so the strategic position of this hospital is unclear. The purpose of this study is to analyse the relationship between the cost leadership strategy and the quality of health services in Kendari City Hospital. 
Methods: This research is quantitative study with a cross sectional approach. The research location was in  the Kendari City Regional Hospital and was conducted from February to March 2021. The population was 456 people and a sample of 95 people was all employees of the Kendari City Regional Hospital. The sampling technique used the Proportive Random Sampling.
Results: There is a relationship between Cost leadership strategy with Service Quality, it is known that the value of chi square ( X2 count is greater than X2table, and a value of Phi is  0.239 or  it lies between 0.20-0.399. This  means that there is a weak relationship.
Conclusion: Offensive Strategy or Growth is a strategy that is recommended to improve the quality of services in the Kendari City Regional Hospital.