bluuebunny/crossref_metadata_2025 huggingface dataset:
A Comparative Study of Dexmedetomidine and Esmolol on Hemodynamic Responses During Laparoscopic Cholecystectomy
Authors: Subba Sangeeta , Mishra Richa , Bhattarai Rupak , Chhetri Arjun
Published: May 2020

Background: Laparoscopic surgery has various advantages like minimal invasiveness and quick recovery. However carbon dioxide used for pneumoperitoneum during laparoscopic surgery causes increase in heart rate, blood pressure and systemic vascular resistance. The present study compared the efficacy of Dexmedetomidine and Esmolol on hemodynamic responses during laparoscopic cholecystectomy.

Material and Methods: A total of 100 patients scheduled for laparoscopic cholecystectomy were randomly allocated in two groups, 50 in each group. Esmolol group received bolus dose of 1 mg/kg intravenous Esmolol just before pneumoperitoneum followed by an infusion of 200 mcg/kg/minand Dexmeditomidine group  received bolus dose of 1 mcg/kg iv Dexmedetomidine over 10 minutes before pneumoperitoneum  followed by 0.6 mcg/kg/hr in infusion. Hemodynamic parameters like Heart rate, Mean arterial pressure, Systolic blood pressure, Diastolic blood pressure were recorded at different time intervals.

Results: It was found that in Dexmeditomidine group  there was a statistically significant decrease in heart rate before pneumoperitoneum (84.24±9.17) and 10 minutes after pneumoperitoneum (79.40±7.41)compared to Esmolol Group  before pneumoperitoneum (91.40±5.98) and10 minutes after pneumoperitoneum (95.18±14.17).There was statistically significant decrease in Mean arterial pressure in Dexmeditomidine group  at  30 minutes (86.53±6.13), 50 minutes (77.95±4.85) , after release of pneumoperitoneum (92.42±3.91) and after extubation (99.50±11.81) compared  to Esmolol group  at 30 minutes (91.23±8.97), 50 minutes (94.34±12.64) after release of pneumoperitoneum (102.5±10.44) and after extubation (112.39±11.15).

Conclusion: Dexmedetomidine was found to be more effective than Esmolol in attenuating the hemodynamic responses following pneumoperitoneum during laparoscopic cholecystectomy.
Study of Extended Spectrum Beta-Lactamases Producing Escherichia Coli and Klebsiella Species in a Tertiary Care Hospital, Biratnagar, Nepal
Authors: Yadav Kumari Ragani , Singh Ganesh Kumar , Bhattacharjee Sujit , Shrestha Kewal
Published: May 2020

Background: Escherichia coli and Klebsiella species are most common ESBL producers and associated with UTI in both community and hospital setting, often limiting the treatment therapy of UTI. Aim of present study was Isolation and Identification of ESBL producing E. coli and Klebsiella Species in urine sample from cases of UTI and their antibiotic susceptibility pattern at Nobel Medical College Teaching Hospital, Biratnagar, Nepal.

Materials and Methods: This descriptive cross-sectional study was conducted at Nobel Medical College with effect from October 2018 to June 2019 after approval from the Institutional Review Committee (IRC) of the college as per clinical laboratory standards institute of (CLSI) guidelines.

Results: Out of total 2567 urine samples, 631(24.5%) samples showed microbial growth. Among which E. coli was 288(45.6%), Klebsiella species were 20(31.5%), other gram-negative bacteria were 158(25%), gram positive bacteria were 114(18%) and fungus 51(8%) were recovered. Out of 631 culture positive urine samples, 308 urine samples were positive for E. coli/K. species 288(93.5%)/20(42.5%) respectively. Among which ESBL isolates were 213(69%) and non ESBL isolates were 95(31%). All ESBL producing E. coli and K. species were found (100%) sensitive to meropenem. Similarly, among other antibiotics also showed increased susceptibility towards the piperacillin/tazobactum (97.2%),cefoperazone/sulbactum (94.4%) and amikacin (93.0%).

Conclusion: The highest numbers of ESBL producers E. coli and K. species from urine sample are increasing day by day and creating serious problem in treating patients in Nepal. So it should be mandatory and very essential to have routine monitoring system to detect the ESBL producing isolates in clinical laboratories.
Clinical Features, Treatment Choices and in-Hospital Outcome of Patients with ST-Segment Elevation Myocardial Infarction in Eastern Region of Nepal: A Hospital-Based Study
Authors: Nepal Rajesh , Dhungana Sahadeb Prasad
Published: May 2020

Background: Patients with Acute ST-elevation myocardial infarction (STEMI) have different modes of presentation, treatment options and outcomes which vary across the different population. There is a paucity of data about the clinical characteristics of acute STEMI from the eastern part of Nepal. Our study aimed to assess the clinical characteristics and in-hospital outcome of patients with acute STEMI at a tertiary care center of the eastern part of Nepal.

Materials and Methods: This is a descriptive cross-sectional study on 214 patients who presented in the emergency room or coronary care unit of Nobel Medical College Teaching Hospital from August 2018 to July 2019. Demographic features, risk factors, duration of symptoms before presentation, different treatment options offered and the in-hospital outcome were noted.

Results: The male to female ratio was 2.14. The most common symptom was chest pain (97.0%) followed by sweating 78.0%, breathlessness 29.0%, nausea or vomiting 24.8 %, etc. The most common regional territory involved was the anterior wall (48.1%) followed by the Inferior wall (42.5 %), posterior wall (5.1 %). The majority (71.3%) presented within 12 hours after symptom onset.  Hypertension was the most frequent (40.2%) risk factor followed by Smoking (39.7%), diabetes mellitus (35.0%) and dyslipidemia (34.6%). Among patients eligible for primary PCI - 76.6% underwent PCI, 22.0% were managed conservatively. Total mortality among patients managed with primary PCI was 3% as compared to medical therapy (14.8%). Heart failure prevalence was less with primary PCI (12.1%) compared to medical therapy (29.6%).

Conclusion: The majority of patients presented with typical symptoms in a reasonably early period (12 hrs) and the in-hospital outcome was better with primary PCI.  Hence, efforts should be made to offer primary PCI to the majority of patients in the peripheral part of our country.
Outcome of Corrective Dome Osteotomy for Cubitus Varus Deformity
Authors: Jha Ranjib Kumar , Thapa Santosh , Singh Dhiraj
Published: May 2020

Background: The cubitus varus deformity is one of the most common late complications of fracture supracondylar area of humerus in children. Various corrective osteotomies are used of which lateral closed wedge osteotomy is commonly done which has its own disadvantages like lateral condylar prominence, difficulty in achieving correction and limitation of movement. Dome osteotomy is a versatile technique to achieve correction of deformity in all planes and to overcome these above complications. The aim of this study was to evaluate the results of dome osteotomy for correction of post-traumatic cubitus varus deformity of elbow in children.

Materials and Methods: The study included 18 children between 6-13 years of age of both sex with malunited supracondylar fracture of distal humerus having cubitus varus deformity. After appropriate pre- operative assessment, dome osteotomy was done by posterior approach. In pre and post operative x-ray carrying angle and lateral condylar prominence Index (LCPI) were calculated. Patients were re-assessed at complete union and results were calculated.

Results: In this study of 18 patients, 12 were males and 6 were females. The age ranged from 6-13 yrs with average of 8.4yrs. The average correction of carrying angle was from -22.4 degree to +10 degree. LCPI changed post operatively ranging from -8.6% to +3.25%, average -2.9%. There were no significant complications. Fifteen patients had excellent outcome and 3 had good outcome.

Conclusion: The results in our study concluded that dome osteotomy for cubitus varus is safe and effective method and give cosmetically more acceptable elbow.
Factors Affecting Satisfaction Regarding Maternity Services Among Postnatal Mothers in a Tertiary Hospital of Kathmandu
Authors: Parajuli Puspa , Paudel Narayani
Published: May 2020

Background: Maternal satisfaction towards care provided during pregnancy, childbirth and puerperium is one of the key outcome measures for quality of care. In order to provide satisfactory maternity services health workers should focus on mother-friendly care. Various factors may affect on mothers' satisfaction regarding maternity services.The objective of this study was to assess the factors affecting satisfaction regarding maternity services among postnatal mothers.

Materials and Methods: A descriptive, cross-sectional study was conducted in postnatal ward of Kathmandu Medical College Teaching Hospital. A total of 180 postnatal mothers were purposively selected for the study. Ethical clearance was obtained from the institutional review committee of Kathmandu Medical College. Face to face interview technique was used to collect the data using pre – designed structured questionnaire. Data collection was done from June to July 2019. Data were analysed using Statistical Package for Social Science 20.0 version. Both descriptive and inferential statistics were used for data analysis.

Results: Majority (83.9%) of the mothers were satisfied with overall maternity services. The level of satisfaction was higher in (82.8%) environmental factor, (80%) health care delivery system of hospital and (73.3%) communication. There was significant association between sexes of current child with maternal satisfaction.  Mothers having current child male were more satisfied with maternity services provided by the hospital (COR: 4.90 with 95% CI: 1.97, 12.18).

Conclusion: The study concluded that majority of postnatal mothers were satisfied with maternity services provided at hospital. Current child male was significantly associated with satisfaction level of mothers on maternity services.
Sonographic Evaluation of Plantar Fasciitis and its Relation to Body Mass Index and Heel Pad Thickness
Authors: Khatiwada Prashant , Chataut Dinesh , Subedi Kamal
Published: May 2020

Introduction: To study the sonographic appearance of plantar fascia in clinically suspected cases of plantar fasciitis (PFs) using both quantitative and qualitative parameters, and to establish the correlation between plantar fasciitis, body mass index (BMI) and heel pad thickness (HPT).

Methods: In this case controlled analytical study, we sonographically evaluated 100 patients with clinical plantar fasciitis (unilateral: 90, bilateral: 10 with mean age 46.9yrs) and control group of 60 (120 heels) healthy volunteers with mean age 45.3yrs. Plantar Fascia Thickness (PFT), HPT, hypoechogenity, biconvexity, perifascial fluid, intrafascial calcification and subcalcaneal spurs were evaluated sonographically. PFT was measured 5mm distal to the calcaneal insertion of plantar aponeurosis. The unloaded HPT was measured from the skin surface to the nearest calcaneal tuberosity.

Results: Mean Plantar Fascia Thickness (PFT) and Heel Pad Thickness (HPT) are greater on the symptomatic side for patients with unilateral and bilateral PFs than on the asymptomatic side for patients with unilateral PFs, and also control subjects (PFT values are 4.41 ± 0.59, 4.63 ± 0.55, 2.83 ± 0.36, 2.62± 0.37 mm, and HPT values 17.64 ± 1.07, 17.28 ± 1.10, 16.91 ± 1.06, 16.73 ± 1.13 mm, respectively) (p <0.0001). Mean BMI values of the case and control groups are 26.14 ± 1.9 and 24.42 ± 0.89 Kg/m2, respectively (p <0.05). We found hypoechogenicity of plantar fascia in 80 cases (72.7%), calcaneal spur in 69 cases (62.7%), biconvexity in 11 cases (10%) and perifascial fluid in 16 cases (14.5%) within the plantar fasciitis group (110 symptomatic heels).

Conclusion: Increased plantar fascia thickness, increased heel pad thickness and hypoechogenicity of plantar fascia are consistent sonographic findings in plantar fasciitis. Its occurrence has significant relation to high BMI.
Assessment of the Size of Sella Turcica among Nepalese Population by Computed Tomography
Authors: Makaju Gourav , Joshi Birendra Raj , Chand Ram Bahadur
Published: May 2020

Introduction: The deformity of the sella turcica is often a major clue that an abnormality exists within the cranium, hence a familiarity with the sella turcica anatomy and radiological appearance is important. The aim of this study was to assess the dimension of sella turcica of normal Nepalese people by using computed tomography scan of head and to correlate the dimension with the patient’s age and gender.
Methods: This prospective study was performed in a tertiary hospital in Kathmandu. Data were collected over the period of 4 months from June to September 2018 with the total of 73 patients who underwent CT of head. The age and gender of the patients were noted. The dimensions of sella turcica were measured at the predefined three directions: length, depth and antero-posterior diameter of the sella turcica.
Results: The sella turcica had a mean length of 8.375mm, AP diameter of 7.029mm, and depth of 10.13mm.The dimensions of the sella turcica increased with age till the age of 80 years and then decreased.
Conclusions: This study concluded that the length, AP diameter and depth of the sella turcica vary with respect to age group. The length and depth of sella turcica were higher in males while AP diameter in females.
Features of the relationship between cardiointervalographic indices and constitutional characteristics in highly skilled mesomorphic somatotype wrestlers
Authors: Syvak A.V. , Sarafyniuk L.A. , Sarafyniuk P.V. , Pilhanchuk L.I. , Sorokina N.O.
Published: May 2020

Mechanisms of regulation of cardiac rhythm have many individual features, which are conditioned by age, sex, training of the organism, strength and nature of external influence, constitutional features of the organism. The purpose of the work is to determine the relationship between cardiointervalographic indices and parameters of the external structure of the body in highly skilled wrestlers of the mesomorphic somatotype. The study involved 24 wrestlers between the ages of 17 and 21 with a high level of sportsmanship and more than 3 years of experience. All of the wrestlers were of medium weight and engaged in free and Greco-Roman wrestling. We conducted a study of heart rate variability on the cardiac computer diagnostic complex “OPTW” following the recommendations of the European and North American Cardiac Association (1996). The indices of vegetative homeostasis according to Bayevsky, variational heart rate, statistical and spectral cardiointervalographic indicators were determined. Anthropometry was performed according to the method of V.V. Bunak (1941), somatotypological study – by the calculated modification of the Heath-Carter method (1990), determination of the component composition of body weight by the method of Matejko (1992). In the package “STATISTICA 5.5” correlation analysis was performed using the nonparametric Spearman statistical method. It was found that in the wrestlers of the mesomorphic somatotype, the variations of the pulsometry had the highest number and strength of reliable correlations with constitutional parameters, most of which were inverse of the mean force. All statistical indicators of heart rate variability with indicators of the external structure of the body had only inverse significant correlations. The least significant correlations were found for spectral indices and parameters of vegetative homeostasis. According to the results of the correlation analysis in the wrestlers of the mesomorphic somatotype, we can assume that with the increase of total, longitudinal, circumferential, transverse body sizes and muscle and bone mass, the variability of the heart rhythm of the sympathetic department of the autonomic nervous system will be more pronounced.
Organometric parameters of hepatoduodenal ligament n the perinatal period
Authors: Yuzko R.V. , Slobodian O.M.
Published: May 2020

During any surgery, in addition to pathology-related factors, it is necessary to evaluate the individual features of the anatomy of a particular area or complex of organs. The relevance of such data is confirmed by the results of numerous studies that show that half of patients are characterized by certain anatomical variants, including the location of the arteries and biliary tract. The purpose of the work is to establish the peculiarities of the morphometric parameters of the components of the hepatic-duodenal ligament. The study was based on 50 preparations of fetus corpses (4 to 10 months) and 10 newborns without external signs of anatomical abnormalities or congenital malformations. Adequate anatomical methods were used during the study: macropreparation, injection of blood vessels, making topographic anatomical sections, morphometry. Statistical analysis of the obtained data was performed using the licensed program RStudio. During the perinatal period, the length of the hepatic-duodenal ligament was found to increase from 5.224±0.572 mm in fetuses for 4 months to 32.12±1.77 mm in newborns. The chart of change of the average values of its length by months of prenatal development indicates uneven increase of organometric parameters. From 4 to 5 months observed a significant increase in the length of the hepatic-duodenal ligament, while from 5 to 7 months of development observed a period of relative slowdown of its length, and from 5 to 6 months of development even a relative decrease in length. The period from 7 to 10 months determines the period of accelerated growth of ligament. The indices of the width of the hepatic-duodenal ligament in the perinatal period increased from 3.292±0.227 mm in fetus of 4 months to 21.25±0.938 mm in newborns. The width increases are not uniform. The periods of accelerated development (4-5 months and 9 months – newborns) and the period of slow development (5-8 months) were observed. It was proved that there are periods of accelerated and slow development, in which during periods of intensive development, organometric indicators always differed significantly, were smaller than the previous ones and outweighed the following ones respectively (4-5 months and 7-9 months, р˂0.05). Regarding the periods of slow development, the organometric indicators in these periods did not differ significantly (р˃0.05). Therefore, analyzing the dynamics of changes in the morphometric parameters of the components of the hepatic-duodenal ligament, revealed periods of their accelerated and slow growth.
“Somos todos iguais, temos todos os mesmos direitos”: o que os alunos pensam sobre as ações sociais escolares
Authors: Freitas Patrícia Oliveira de
Published: May 2020

Esse trabalho é oriundo de uma pesquisa que busca conhecer a importância das Ações Sociais Escolares para crianças e adolescentes efetivados a partir da escola, na perspectiva dos técnicos, das famílias, professores e especialmente das crianças e adolescentes, no Brasil e em Portugal. Utilizamos metodologias qualitativas com levantamento documental, aplicação de questionários e realização de entrevistas com os técnicos da segurança social e com os alunos. Nesse artigo, apresentamos um painel geral e exploratório das falas das crianças sobre essas ações em Braga, Portugal. A análise dos dados recolhidos tem demonstrado a importância das Ações, além do Abono Família para as crianças e suas famílias. Notamos, nas falas dos alunos, a inexistência de mal-estar por receber tais benefícios. Entretanto, conversando com a professora e a equipe do Gabinete de Apoio ao Aluno e à Família mencionaram-se situações que sinalizariam um desconforto dos beneficiários, como, a recusa do complemento alimentar por alguns alunos carenciados. Não buscamos analisar os indicadores de pobreza em si, mas perceber com as crianças e adolescentes participantes dos programas, os significados e sentidos destes em suas condições de vida, na escola e fora dela, por entendermos que estes sujeitos devem ser considerados no desenho destas políticas
Hubungan Lama Menderita dan Derajat Luka Dengan Kecemasan Penderita Ulkus Diabetik
Authors: Subri Kano Muhammad Rifai , Yunding Junaedi , Irwan Muhammad
Published: May 2020

Diabetes yang tidak terkontrol dengan baik dapat menimbulkan berbagai komplikasi, salah satunya yaitu ulkus kaki diabetik. Ulkus kaki diabetik adalah kerusakan sebagian atau keseluruhan pada kulit yang dapat meluas ke jaringan bawah kulit, tendon, otot, tulang atau persendian. Intervensi yang dilakukan pada ulkus kaki diabetik adalah perawatan luka, selama proses perawatan luka pasien mengalami kecemasan yang merupakan perasaan tidak nyaman yang belum jelas penyebabnya. Tujuan penelitian untuk mengetahui hubungan lama menderita dan derajat luka dengan kecemasan pada penderita ulkus kaki diabetik di Klinik Ikram WoundCare Center (IWCC). Desain penelitian ini CrossSectional Study dengan pendekatan One Time. Jumlah sampel sebanyak 39 responden diambil dengan cara Non Probability Sampling metode Purposive Sampling, cara pengumpulan data dengan kuesioner dan lembar observasi. Hasil analisis Fisherâ€™sExactTest di peroleh nilai Ï = 0,498 pada analisis lama menderita dengan kecemasan berarti tidak ada hubungan dan analisis derajat luka dengan kecemasan nilai signifikan diperoleh nilai Ï = 0,163 disimpulkan bahwa tidak ada hubungan yang bermakna.
Hubungan Umur Ibu dan Paritas dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Totoli Tahun 2017
Authors: Rahmaniah
Published: May 2020

Anemia pada ibu hamil masih menjadi prioritas penanganan masalah kesehatan oleh kementerian kesehatan. Hal ini terlihat dari masih dilakukannya intervensi pemberian tablet zat besi pada ibu hamil. Banyak faktor yang mempengaruhi anemia diantaranya jarak antara kehamilan sebelumnya dan berikutnya yang pendek dan juga paritas. Di Indonesia prevalensi anemia pada tahun 2016 sebanyak 37%. Di Sulawesi Barat Angka Kematian Ibu pada tahun 2014 sebanyak 358 per 100.000 kelahiran dan umumnya kematian tersebut disebabkan oleh anemia dan komplikasi pada masa kehamilan. Di wilayah kerja Puskesmas Totoli pada Januari sampai April 2017 terdapat 195 ibu hamil dengan anemia berat 18.9% dan anemia sedang 49.2%. Tujuan dari penelitian ini untuk mengetahui hubungan umur ibu dan paritas dengan kejadian anemia pada ibu hamil. Jenis penelitian observasional dengan desain cross sectional. Populasi penelitian ini adalah seluruh ibu hamil di wilayah kerja Puskesmas Totoli. Data umur dan paritas didapatkan menggunakan kuesioner, sedangkan data anemia didapatkan dari data sekunder. Tekhnik pengambilan sampel menggunakan accidental sampling. Analisis data menggunakan uji chi-square. Berdasarkan hasil penelitian menunjukkan bahwa umur ibu berhubungan dengan anemia (p=0.002) dan paritas juga berhungan dengan anemia (p=0.049). Berarti p< Î±= 0,05, sehingga disimpulkan bahwa ada hubungan antara umur ibu dan paritas dengan kejadian anemia pada ibu hamil. Disarankan terhadap ibu hamil untuk sering memeriksakan kesehatannya minimal 4 kali selama kehamilan dan bagi petugas kesehatan agar dapat mengoptimalkan perannya  berupa pemberian edukasi gizi terhadap pasangan usia subur dan ibu hamil terkait dengan pencegahan masalah anemia.
Penerapan Asuhan Keperawatan Pada Pasien Dengan Tuberkulosis Paru Dalam Pemenuhan Kebutuhan Oksigenasi Di Ruang Sakura Rumah Sakit TK II Pelamonia Makassar
Authors: Harmawati
Published: May 2020

Tuberkulosis merupakan penyakit yang sangat diperhitungkan di negara berkembang, diperkirakan sepertiga populasi di dunia sudah terinfeksi Mycobacterium Tuberculosis. Di Sulawesi Selatan penderita tuberkulosis mengalami peningkatan pada tahun 2015 sebanyak 13.029 kasus dibandingkan pada tahun 2014 sebanyak 12.454 kasus. Angka Case Notification Rate menunjukkan Kota Makassar merupakan kabupaten/kota dengan angka CNR tuberkulosis tertinggi yaitu 254 per 100.000 penduduk. Penyakit ini dapat mempengaruhi kebutuhan dasar manusia yaitu oksigenasi, jika tidak ditangani dengan baik akan menimbulkan komplikasi salah satunya yaitu efusi pleura, pleuritis serta obstruksi jalan napas. Untuk penanganan bersihan jalan napas dapat dilakukan dengan pemberian tehnik batuk efektif. Penelitian ini bertujuan menggambarkan asuhan keperawatan pada pasien TN. F dengan tuberkulosis paru dalam pemenuhan kebutuhan oksigenasi di Ruang Sakura TK II Pelamonia Makassar. Pengumpulan data dan instrument dengan menggunakan format pengkajian yang didalamnya berisi pedoman wawancara, lembar observasi, dan lembar ceklis. Didapatkan selama tiga hari, masalah bersihan jalan napas teratasi, mampu mengeluarkan sekret dengan batuk efektif dan frekuensi pernapasan 24x/menit.  Pemenuhan kebutuhan oksigenasi pada Tn. F dapat terpenuhi dengan memberikan tindakan mandiri dan pemberian obat, sehingga bersihan jalan napas kembali efektif. Kepada perawat agar melakukan asuhan keperawatan sesuai dengan kebutuhan klien.
Realizacja struktur typu antypasywnego w języku polskim oraz ich ograniczenia w zakresie aspektu czasownika
Authors: Mroczyńska Katarzyna
Published: May 2020

Celem niniejszego artykułu jest prezentacja (na podstawie zgromadzonego materiału z języka polskiego) zjawiska antypasywizacji. Realizacja konstrukcji typu antypasywnego w języku polskim jest ściśle powiązana z wielofunkcyjnym, polisemicznym elementem się. W niniejszej pracy proponujemy opartą na rozprawie doktorskiej Janic (2013), popartą licznymi przykładami zaczerpniętymi z Narodowego Korpusu Języka Polskiego, klasyfikację różnego rodzaju konstrukcji typu antypasywnego występujących w języku polskim. Przedstawiamy również wyjaśnienie widocznych w zaprezentowanych przykładach pewnych ograniczeń aspektowych w występowaniu konstrukcji typu antypasywnego.
Daftar Isi
Authors: Polindra JTT
Published: May 2020

Daftar Isi JTT Polindra vol 2 no 2 September 2016
UNMET NEED OF HEALTH FACILITIES IN BOGOR REGENCY
Authors: Wahyunugroho Adhitya Kusuma
Published: May 2020

The existence of health facilities (fasilitas kesehatan/faskes) especially at the district level is considered very appropriate to reduce the number of people whose health is impaired. For this reason, a targeted program needed to reduce this number. The program is by reducing the number of unmet needs in areas that have high population, high rate of increase and high density. This is very in accordance with the characteristics of Bogor regency as a research locus. The method used in this research is a combination method, which is a combination of tabular analysis (statistics) with spatial data. The combination of the two will produce locations with low unmet need health facilities resulting from a causality of 2 (two) variables, both of these variables are the number of residents with the number of health facilities, so that the precise and accurate results will be obtained. The conclusion from the spatial analysis is that there are 19 from 40 sub-districts in Bogor regency whose indicators of unmet need for low health facilities. Although this research is considered very simple, the results of this study are very important because it can be used as a guideline for the development of health facilities, especially community health centers (Puskesmas) in Bogor regency.
RELATIONSHIP OF SALIVA pH AND DMF-T INDEX IN METADON HOUSING THERAPY IN YOGYAKARTA CITY
Authors: Maria Hanik , Fatmasari Diyah
Published: May 2020

One of the factors causes dental caries is salivary state. Drug addicts may have different salivary pH due to the drug content that is commonly consumed. The purpose of this study was to determine the relationship of salivary pH to the DMFT index in the Methadone Maintenance Therapy group in the city of Yogyakarta. This type of observational analytic study is Case control design. A sample of 64 subjects, divided into 2 case and control groups. Case groups are people who are members of the Methadone Maintenance Therapy Program at the Gedongtengen Health Center in Yogyakarta. Saliva pH measuring instrument is a pH strip. Test the relationship between salivary pH and DMFT using the Spearman rank test. The results showed that the average DMF-T in the case group was 8.4, higher than the control group 2.1 while the saliva pH of the PTRM group in the acid category (5.8) was lower than the control group with a neutral pH category (6.6). There is a significant relationship between salivary pH and DMF-T index in the Methadone Maintenance Therapy group in Yogyakarta City.
EFFECT EXTRACT FRUIT PALA (NUTMEG) AS AN ALTERNATIVE PRESERVATION FOR QUALITY OF CAKALANG FUFU FISH
Authors: Hamid Fahmi Abdul
Published: May 2020

Nutmeg flesh becomes limba during the harvest season. To increase the benefits and economic value, nutmeg which is antibacterial in nature can be processed and developed into alternative preservatives. The purpose of this study was to determine the effect of nutmeg extract as an alternative employee to the quality of fufu cakalang fish (smoked cakalang fish). This type of quantitative research is a randomized block design. The total sample is 9 units, consisting of 3 treatments and 3 blocks, with a simple random sampling technique.test E ColiÂ with SNI method and organoleptic test with score method. Data were analyzed with the help of a computer. Fufu cakalang fish scores were organoleptically 1000 grams of nutmeg extract and 500 grams were 8 and the control group score was 7. The average growth of E Coli inÂ the control group was 4.6667Â Â± 2.08167 and the treatment of 500 grams of the average contamination or growth ofÂ microbes E Coli. 0.6667 Â Â± 1,15470.growth E ColiÂ occurred on the sixth day and increased on the ninth day of storage. One way ANOVA statistical test, between the treatment groups of 1000 grams, 500 grams and the control group showed that there were differences in the growth ofÂ microbiology E coliÂ with a calculated F value of 10.118 significant at pÂ 0.012 less than 0.05. It was concluded that the administration of nutmeg extract can provide differences in the growth of E Coli.
FACTORS RELATED TO COMPLIANCE WITH HYPERTENSION PATIENTS IN THE TREATMENT OF TREATMENT
Authors: Nurbaya Nurbaya , Subakir Subakir , Dewi Ratna sari
Published: May 2020

Hypertension that is continuously high for a long time can cause complications. Therefore, hypetension must be detected early with routine blood pressure checks. This study aims to determine the factors associated with compliance with hypertension in undergoing treatment in the work area of Simpang Tuan Health Center. This study uses a cross sectional design. The study sample was 168 people with hypertension. The sampling technique is proportional random sampling. The instrument used was a questionnaire with interviews. Data were tested using the chi square statistical test. The results showed that 89.3% of respondents had low adherence to treatment, 44.6% had poor knowledge, 29.8% had poor attitudes, 77.4% had poor access to services, 50% had poor family support , 32.7% of the role of health workers is not good. The results of bivariate analysis found that there was a relationship between knowledge (p = 0,000), access to services (p = 0.014) and compliance with hypertension in undergoing. There was no relationship between attitude (p = 0.119) and family support (p = 0.803) and the role of health workers (p = 0.203) with hypertension patients' compliance in undergoing treatment at the Simpang Tuan Health Center in 2020. Community Health Center provides health education to hypertensive sufferers outpatient care at Simpang Tuan Health Center and health education should not only be given to hypertension sufferers, but also to families and people closest to hypertension sufferers so that they can participate in reminding and motivating hypertensive sufferers
RELATIONSHIP BEHAVIOR OF STUDENTS ON THE MAINTENANCE OF ORAL HEALTH TOWARDS FIGURES OF CARIES IN CLASS VII MTSN 2 PONTIANAK CITY
Authors: Asny Asny , Aryati Endah
Published: May 2020

Behavior is one of the factors that affect oral health can affect the dental health status of individuals or society. The behavior may also influence the risk of caries. The purpose of this research is to know there is a Student Behavior Relationships On Dental and Oral Health Care Score Against Caries In Seventh Grade Students MTSN 2 Pontianak.Type of research is descriptive correlation method with cross sectional study design. Sample namely Seventh Grade Students MTSN 2 Pontianak totaling 83 sampling purposive sampling technique. Data was analyzed using univariate and bivariate analysis of the research data was analyzed statistically by Chi-Square Test. Results of student behavior research on dental and oral health care to the DMFT figures show knowledge (p = 0.000), physics (p = 0.000), Action (p = 0.000). It can be concluded that there is a relationship of student behavior on the maintenance of oral health to the number of caries in class VII MTSN 2 Pontianak.
ADAPTIVE STATISTICAL ITERATIVE RECONSTRUCTION FOR OPTIMIZATION IMAGE QUALITY OF CT SCAN ABDOMEN
Authors: W Lydia Purna , Indrati Rini , Biyono Arieyanti
Published: May 2020

Adaptive Statistical Iterative Reconstruction is software used to reduce noise. In several hospital uses the ASIR application with varying percentages between radiographers. The purpose of this study was to determine differences in noise and anatomical image information on variations in the percentage of ASIR and ASIR values that reveal optimal CT scan anatomic image information. This type of research is experimental, data are taken from 30 samples of reconstructive CT scan of the abdomen by giving four variations of ASIR (0%, 40%, 60%, and 80%). Noise measurement is done by placing the ROI size of 105.61 mm2 at three points, namely superior liver, inferior liver and middle of the aorta on the axial section. while the assessment of anatomical image information by observation of the results of variations in the value of ASIR by two radiologists. Data analysis uses the One way Anova test to determine differences in noise, Friedman test to determine differences in anatomical image information with a confidence level of 95%. The results showed that there were differences in the abdominal CT scan image noise on variations in the percentage of ASIR with p -alues less than 0.001. Noise decreased with increasing percentage ASIR. The highest noise value is 15.34 at ASIR 0% while the lowest noise is 8.57 at ASIR 80%. There are differences in anatomical image information on the variation of ASIR with p-values less than 0.001. The percentage ASIR of 40% is the optimal ASIR value for displaying CT images of abdominal with mean rank of 3.46.
Doing Gender im öffentlichen Dienst: affektive Arbeit von Arbeitsvermittler_innen
Authors: Gaitsch Myriam , Sauer Birgit , Hofbauer Johanna , Glinsner Barbara , Penz Otto
Published: May 2020

Der Wandel der staatlichen Arbeitsmarktverwaltung in Deutschland, Österreich und der Schweiz impliziert zum einen die Aktivierung von Erwerbslosen und mehr affektive Arbeit, zum anderen die Einführung von New Public Management und Wettbewerb. Der Beitrag untersucht die geschlechtsspezifische Bedeutung, die diese Veränderungen für die Arbeit der in der Arbeitsverwaltung Tätigen hat. Die Ergebnisse unserer empirischen Studie zeigen ein komplexes Bild: Maskulinisiertes unternehmerisches Verhalten koexistiert mit serviceorientierten feminisierten Arbeitspraktiken, affektive Strategien des Doing und Undoing von Weiblichkeit und Männlichkeit werden von Männern wie von Frauen angewendet.
Grenzkämpfe um einen ganzheitlichen Lebensanspruch. Altes und Neues im betrieblichen Geschlechterverhältnis am Beispiel von Fach- und Führungskräften der Deutschen Bahn AG
Authors: Nickel Hildegard Maria
Published: May 2020

Der Beitrag basiert auf einer qualitativen empirischen Studie in der Deutschen Bahn AG. Zunächst legt er einige generelle Ausgangsannahmen dar, um anschließend überblickshaft auf die betrieblichen Geschlechterverhältnisse in der DB AG einzugehen und zu zeigen, wo verallgemeinerbare Probleme und Blockaden für einen geschlechtergerechten Wandel der betrieblichen Geschlechterverhältnisse und für den Aufstieg von Frauen in Führungspositionen liegen. Darauf aufbauend diskutiert er geschlechtertypische Dilemmata zwischen Erwerbsarbeit und individuellen (familialen) Reproduktionsansprüchen. Das wird im Kontext einer ‚reflexiven Karriereorientierung‘ näher beleuchtet, die vor allem, aber nicht mehr nur bei weiblichen* Fach- und Führungskräften zu beobachten ist. Als Sozialkompetenz zielt sie auf den Erhalt eines subjektiv als ganzheitlich erlebbaren Lebenszusammenhanges und stellt eine Kritik an der traditionellen Arbeits- und Leistungskultur dar. Der Beitrag endet mit einem Plädoyer für eine an den komplexer werdenden Lebenszusammenhängen von Frauen* und Männern* orientierte Re-Thematisierung betrieblicher Geschlechterpolitik.
PENGGUNAAN PERMAINAN PUZZLE DALAM PEMBELAJARAN MATA DIKLAT WHOLE OF GOVERNMENT BAGI PESERTA PELATIHAN DASAR CALON PEGAWAI NEGERI SIPIL
Authors: Aswandi Zaniar
Published: May 2020

Penyampaian materi pembelajaran dengan menggunakan permainan dapat menciptakan suasana yang menyenangkan, yang akan berdampak positif terhadap motivasi belajar peserta didik. Penelitian ini mencoba menjawab pertanyaan apakah ada perbedaan hasil belajar mata diklat Whole of Government antara kelas yang menggunakan permainan puzzle dengan yang tidak. Penelitian ini menggunakan metode quasi eksperimen dengan pendekatan kuantitatif dengan menggunakan aplikasi SPSS. Ada dua populasi yang diteliti, yang berasal dari 2 angkatan Pelatihan Dasar Calon Pegawai Negeri Sipil (Latsar CPNS) yang diselenggarakan oleh Badan Pengembangan Sumber Daya Manusia Provinsi Kalimantan Barat. Data diperoleh dengan menggunakan instrumen pretest dan posttest terhadap sampel yang dikelompokkan ke dalam kelas eksperimen dan kelas kontrol. Analisis data dilakukan melalui serangkaian tes, yaitu uji validitas, uji reliabilitas, uji normalitas dan uji hipotesis komparasi. Hasil dari uji hipotesis komparasi dengan menggunakan uji t untuk sampel independen menerima hipotesis nol yang berarti bahwa tidak ada perbedaan signifikan dalam hasil belajar antara kelas eksperimen dan kelas kontrol.
PROSES KOTA DENPASAR MENUJU SMART CITY
Authors: Graha I Made Satya
Published: May 2020

Kota Denpasar merupakan peraih peringkat pertama smart city pada kategori kota besar, berdasarkan peniliaian Indeks Kota Cerdas Indonesia (IKCI) 2018. Hal ini merupakan suatu keunikan tersendiri, sehingga menarik untuk dilakukan penelitian mengenai proses dan faktor-faktor yang mempengaruhi proses yang dilakukan Kota Denpasar dalam meraih peringkat pertama smart city. Untuk mecapai tujuan penelitian tersebut digunakan pendekatan induktif kualitatif dengan strategi studi kasus. Sehingga didapatkan hasil bahwa terdapat tiga tahapan yang dilakukan Kota Denpasar dalam meraih peringkat pertama smart city, yakni tahap I pengembangan TIK, tahap II pembangunan masyarakat dan hadirnya PRO Denpasar, tahap III inovasi berorientasi smart city. Penelitian ini juga menemukan bahwa Kota Denpasar mengembangkan dua dimensi baru, yakni smart philosophy, dan smart creativity.
KARAKTERISTIK KAUM MUDA PADA PASAR TENAGA KERJA DAN DETERMINAN NEET DI INDONESIA
Authors: Zoraya Elfrida , Wulandari Mirta Dwi
Published: May 2020

Menurut Badan Pusat Statistik (BPS), jumlah penduduk muda di Indonesia adalah hampir seperlima dari total penduduk. Meskipun terdapat peningkatan pada pekerja kaum muda, masih terdapat masalah yang mengkhawatirkan yaitu pengangguran di kalangan kaum muda, yaitu jumlah yang sangat tinggi dan terdapat kemungkinan jumlah ini akan bertambah setiap tahunnya. SAKERNAS 2018 menunjukkan pengangguran kaum muda sebesar 19,7%, dan tingkat NEET penduduk muda mencapai 22,1%. Penelitian ini mengidentifikasi karakterisik pengangguran kaum muda dan NEET di Indonesia. Penelitian ini menggunakan metode analisis binari logistik dengan menggunakan data SAKERNAS 2018 untuk mengidentifikasi determinan dari NEET. Hasil yang didapat adalah karakteristik sosial dan demografi mempengaruhi mempengaruhi penduduk muda untuk menjadi NEET.
MANFAAT BRAIN GYM (BR) SEBAGAI INTERVENSI KEPERAWATAN DALAM MENINGKATKAN QUALITY OF LIFE (QOL) LANSIA YANG MENGALAMI DIMENSIA
Authors: Nono Emirensiana Anu , Selano Maria Karolina Selano
Published: May 2020

Besarnya jumlah penduduk lansia di Indonesia di masa depan membawa dampak positif  maupun negatif. Berdasarkan data proyeksi penduduk, diprediksi jumlah penduduk lansia di Indonesia  pada tahun 2020 (27,08 juta), tahun 2025 (33,69 juta), tahun 2030 (40,95 juta) dan tahun 2035 (48,19 juta). Peningkatan jumlah penduduk lansia ini sebagai konsekuensi dari peningkatan usia harapan hidup. Peningkatan usia harapan hidup tentunya mempunyai dampak lebih banyak terjadinya gangguan penyakit pada lansia. Mengetahui manfaat Brain Gym (BR)sebagai salah satu intervensi dalam meningkatkan kualitas hidup lansia yang mengalami dimensia. Metode yang digunakan dalam penulisan ini adalah adalah Studi Literature Review. Databases yang digunakan dalam pencarian sumber adalah literatur keperawatan, kedokteran dan kesehatan  masyarakat. Kriteria inklusi pencarian literatur adalah tahun penerbitan artikel dimulai tahun 2010 hingga 2019. Kata kunci pencarian yaitu Brain Gym (BR), Kualitas Hidup, Dimensia pada lansia. Berdasarkan analisa ditemukan 4 tema, yaitu karakteristik kualitas hidup lansia yang mengalami dimensia, Brain Gym (BR) sebagai therapy komplementer, Brain gym (BR) sebagai intervensi untuk meningkatkan fungsi kognitif lansia, Brain Gym (BR) sebagai intervensi untuk mencegah komplikasi akibat dimensia. Lansia yang mengalami dimensia akan mengalami penurunan QOL. Brain Gym (BR) merupakan intervensi yang direkomendasikan untuk memperbaiki QOL.
TRIAS KLASIK SEBAGAI SISTEM TRIASE MENINGKATKAN MANAJEMEN RESPONS TIME PASIEN DI DEPARTEMEN DARURAT
Authors: Irawan Deni , Juniarto Ahmad Zulfa , Rochana Nana
Published: May 2020

Tingginya jumlah kunjungan Departemen Darurat menuntut sistem triase yang efektif. Sistem triase Indonesia belum distandarisasi yang mengarah pada waktu respons yang buruk dari manajemen pasien. Oleh karena itu, trias klasik diusulkan untuk digunakan sebagai sistem triase untuk meningkatkan waktu respons. Penelitian ini bertujuan untuk menganalisis hubungan trias clasic sebagai sistem triase terhadap waktu respons manajemen pasien di Departemen Darurat. Deskripsi studi korelasi ini digunakan untuk 105 responden. Responden direkrut menggunakan teknik sampling insidental. Waktu respons diukur menggunakan stopwatch dari triase pasien ke penilaian awal oleh dokter atau perawat. Data dianalisis menggunakan product moment. Hasil penelitian menunjukkan bahwa waktu respons sistem triase klasik yaitu 3,62 + 1,00 menit. Hasil penelitian menunjukkan nilai 0,09 yang berarti bahwa ada hubungan antara triase klasik dan waktu respons manajer pasien di unit gawat darurat. Oleh karena itu, direkomendasikan kepada Departemen Darurat di Indonesia untuk menggunakan trias clasic sebagai sistem triase untuk perawatan pasien terbaik tetapi perlu disesuaikan dengan triase rumah sakit.
EFEK TRIAGE EMERGENCY SEVERITY INDEX (ESI) TERHADAP LENGTH OF STAY DI INSTALASI GAWAT DARURAT RSU ISLAM HARAPAN ANDA KOTA TEGAL
Authors: Irawan Deni , Hapsari Woro , Kurniawan Yohan Tedy
Published: May 2020

Kepadatan pasien menjadi masalah serius yang terjadi di unit gawat darurat dan menyebabkan efek negatif dari peningkatan kematian pasien, ketidakpuasan dengan layanan gawat darurat, kelelahan perawat, peningkatan risiko tertular penyakit menular, dan peningkatan lama tinggal. Length of Stay (LOS) berkepanjangan terkait erat dengan kinerja layanan keperawatan dan triase kualitas di ruang gawat darurat. Metode triase rumah sakit saat ini telah berevolusi, sistem triase cepat dan efisien telah terbukti mengurangi kepadatan pasien dan lama tinggal. Emergency Severity Index (ESI) adalah sistem triase yang valid dan akurat dengan mengidentifikasi pasien secara cepat yang membutuhkan perhatian segera. Tujuan dari penelitian ini adalah untuk mengukur "Triage Emergency Severity Index (ESI) Efek pada Durasi Menginap di Departemen Darurat". Penelitian ini adalah penelitian Quasi Eksperimen Desain menggunakan Post Test Only Non-equivalent Control Group Design, teknik purposive sampling. Jumlah sampel dalam penelitian ini adalah 110 responden yang dibagi ke dalam kelompok perlakuan menggunakan triage Emergency Severity Index (ESI) sebanyak 55 responden dan kelompok kontrol menggunakan responden Triage klasik 55. Hasil analisis Uji Mann Whitney, nilai p 0,000 <0,05. Kesimpulan Ada pengaruh penerapan Triage Emergency Severity Index (ESI) terhadap Lama tinggal di ED. Triage Emergency Severity Index sebagai alat untuk menyortir pasien ini lebih efektif digunakan.
Prevenção de infecção primária de corrente sanguínea associada a cateteres venoso centrais: Uma revisão de literatura integrativa
Authors: Bonifácio Tatiana De Souza , Abreu Alcione
Published: May 2020

As infecções hospitalares em UTI têm sido um dos grandes problemas no internamento hospitalar, e, nesse contexto, na utilização de cateteres tem-se percebido elevados casos de infecções. O Cateter Venoso Central (CVC) é um dos procedimentos mais utilizados em UTI e sua utilidade tem sido muito importante, uma vez que o paciente em estado crítico tem por infusão a administração de medicação, de nutrição parenteral, de fluidos intravenosos, dentre outros a fim de sua sobrevida. O CVC é um procedimento que é aplicado em diversos quadros patológicos e exemplos podem ser explicitados, como são os casos de hemodiálise, problemas cardíacos, dentre outros. Entretanto, o CVC tem sido apontado como a causa de infecções (IPCS) por via da corrente sanguínea do paciente, fato que tem gerado, por parte da ANVISA, normas assépticas a partir de diversos protocolos de ações. Nesse contexto, o Protocolo de Prevenção de Infecção Primária na Corrente Sanguínea do Cateter Venoso Central possui diversas ações a fins da diminuição de infecções que serão discutidas neste estudo.
Scent
Authors: Fabrizi Cassie
Published: May 2020

Products like lotion, soap, shampoo, and perfume can smell delightful, but are they really as lovely as they smell? All artificially scented products contain a mixture of chemicals, usually labeled as “scent” or “parfum”. However, what people don't know is that scented products contain many harmful chemicals, including limonene. Limonene by itself is harmless, but when it mixes with ozone it becomes dangerous to our health. For this social action project, I discuss problems related to scented products and my proposed action is focused on advocacy for scent-free spaces.
Cattle Climate Calamity
Authors: Bhati Abhinav , Gupta Medha , Zhao Eileen
Published: May 2020

Cows are one of the biggest contributors to climate change. Cattle produce a lot of methane from flatulence and eructation due to their ruminant stomachs. Human consumption of beef has exponentially increased the cattle population and therefore, putting more methane into the atmosphere. This study looks at how vegan and/or vegetarian diets can be more accessible to the general public in hopes of promoting more sustainable living. At the Woodlands Secondary School in Mississauga we sampled out various vegan and/or vegetarian recipes to spread the word and teach our peers that alternative diets can be just as tasty!
JASTE 11.1 - School Science - University Collaboration Towards Students' Critical & Altruistic Civic Actions
Authors: Krstovic Mirjan
Published: May 2020

The full downloadable pdf file of JASTE 11.1 is provided here. This document can be printed and distributed as a magazine to many stakeholders regarding relationships among fields of science & technology and societies & environments. This issue of JASTE is the third mainly school-based issue focusing on students' educated research-informed and negotiated action projects to overcom harms they perceive in relationships among fields of science & technology and societies & environments (STSE).