bluuebunny/crossref_metadata_2025 huggingface dataset:
Cakupan Imunisasi Dasar dengan Kejadian ISPA pada Balita Usia 1-3 Tahun di Wilayah Puskesmas Wonosari 1 Kabupaten Gunungkidul
Authors: Malik Ibnu , Machfoedz Ircham , Mahfud Mahfud
Published: August 2016

ARIs is one of a health problem that exists in the developing countries and developed countries, this is due to high numbers since it is still in pain (morbidity) and the death rate (mortalily). A disease of ARIs in Yogyakarta still into a disease that most numerous in suffered by fives visit in all Puskesmas in the province of DIY. Especially in Puskesmas Wonosari 1 with average of ARIs patient were 576 toddlers every year. The purpose of this study was to identify relationship between basic immunization and Acute Respiratory Infections (ARIs) in toddlers aged 1-3 years in the region of Puskesmas Wonosari 1 Gunungkidul district. This research was inductive with the cross sectional design. The population were 144 of respondents. Samples was obtained by purposive of sampling techniques which consisted of 50 respondents. An instrument used questionnaire, a pen and the interview. Analysis test used Chi-square. The Results of this research Indicated that the proportion toddlers of ARIs was 31 (62%) toddlers and babies with incomplete basic immunization were 17 (17%). A table cross between the basic immunization and ARIs obtained the value of p=0.033. In conclusion, There was a negative relationship between basic immunization and Acute Respiratory Infections (ARIs) in toddlers aged 1-3 years in the region of Puskesmas Wonosari 1 Gunungkidul district.
Pengetahuan Akseptor Tentang KB Suntik 3 Bulan Dengan Ketepatan Waktu Kunjungan Ulang di BPRB Bina Sehat Kasihan, Bantul, Yogyakarta
Authors: Lestari Sri , Sariyati Susiana , Wahyuningsih Wahyuningsih
Published: August 2016

Family planning (FP) program has important role in realizing Indonesian people prosperous, besides health and education program. Contraceptive injection high effectiveness if the injection carried out regularly and appropriate schedule. Promptness revisit in FP injection is inﬂ uenced by acceptors knowledge about FP injection and supported with a good memory. The knowledge level is one factor that causing acceptors choosing or not a method of contraception. The purpose of this study was to know relationship between knowledge level of acceptors and three months contraception injection with promptness revisit. This study was an observational analytic with cross sectional design. Technique sampling used was purposive sampling, resulted on 63 respondents. The study was done by granting the questionnaire to acceptors who revisit at BPRB Bina Sehat Kasihan Bantul In July 2014. Test analysis used chi-square. The results showed that knowledge of acceptors family planning about 3 months injection was 57 (90.5%) respondents in high knowledge. Timeliness revisit of acceptors 3 months injection was 60 (95.2%) respondents revisit timely. According to the analysis of using formulas chi-square test with standard signiﬁ cance 0.05 and degrees of freedom 1, obtained chi-square count was 0.332 or p-value 0.565 while chi-square table was 3.841. In conclusion, there was no relationship between knowledge level of acceptors family planning and 3 months injection with promptness revisit at BPRB Bina Sehat Kasihan Bantul.
Tingkat Ekonomi dan Motivasi Ibu dalam Pemberian ASI Eksklusif pada Bayi Usia 0-6 Bulan di Bidan Praktek Swasta (BPS) Ummi Latifah Argomulyo, Sedayu Yogyakarta
Authors: Maulida Heni , Afifah Effatul , Pitta Sari Desiana
Published: August 2016

Proﬁle of Indonesian health in 2013 showed that the percentage of exclusive breastfeeding in infants aged 0-6 months is about 61.5%. The low level scope exclusively breastfeeding can not be separated from some factors affecting and one of them is a mother motivation to give exclusively breastfeeding to their baby. The other factors affecting breastfeeding are the socio-culture economy (formal education mother, family income and status working mother). The purpose of this study was to know the relationship between economic level and mother motivation towards exclusive breastfeeding provision in infants aged 0-6 months in BPS Ummi Latifah. This study was an observational analytic with a cross sectional design. Total population are 94 breastfeeding mother. Samples was obtained by accidental sampling techniques which consisted of 48 respondents. Analysis test used kendall-tau (τ). The results showed that the relationship between economic level and mother motivation towards exclusive
breastfeeding provision in infants aged 0-6 months was 0.339 with p=0.007 and coefﬁ cients contingency 0.662. In conclusion, there was a strong relationship between economic level and mother motivation towards exclusive breastfeeding provision in infants aged 0-6 months in BPS Ummi Latifah.
Konsumsi Junk Food dan Hipertensi pada Lansia di Kecamatan Kasihan, Bantul, YogyakartaKasihan,
Authors: Sumarni Rantiningsih , Sampurno Edi , Aprilia Veriani
Published: August 2016

The risk of hypertension increases in line with a changes in modern lifestyle. Elderly tends to select food such as junk food with high calories, and fat, but low in ﬁ ber and other nutrients. Junk food contains high amounts of sodium that can increase the volume of blood in the body, so make stronger heart blood pumps and cause the higher blood pressure (hypertension). The purpose of this study was to identify the relationship between junk food consumption and hypertension in elderly in Kasihan sub-district Bantul, Yogyakarta. This was an observational analytic study with cross sectional design. The samples were 100 elderly lives in Kasihan sub-district Bantul, Yogyakarta. The results showed that there was relationship between the consumption of junk food and hypertension. Respondents who suffered from hypertension were 49 (67.1%) who often consumed junk food and 24 respondents (32.9%) who rarely consumed junk food. Respondents who did not undergo hypertension were 9 respondents (33.3%) that often consumed junk food and 18 respondents (66.7%) that rarely consumed junk food. In conclusion, there was a relationship between junk food consumption and hypertension in elderly. Risk of hypertension in respondents who consumed more often junk food were 4.083 times higher than them who rarely consumed junk food.
Pengaruh Penggunaan Buku Saku oleh Motivator Terhadap Pengetahuan dan Ketrampilan Motivator dalam Mengatasi Permasalahan Pemberian ASI (di Kecamatan Sewon Kabupaten Bantul)
Authors: Indah Rahmawati Nur , Achadi Nugraheni Sri , Mawarni Atik
Published: August 2016

Coverage of exclusive breastfeeding in the District of Sewon still low, either because they are less optimal role of KP motivator. They lack of conﬁ dence in dealing with problems in breastfeeding. The research objective was to analyze the effect of the use of a handbook by the motivator of the knowledge and skills motivator in dealing with problems in exclusive breastfeeding in the District of Sewon Bantul. This research is pre experiment with the design of nonequivalent one group pre test and post test design. The population was Motivator KP Capital in District Sewon many as 50 people. Collecting data through questionnaires and observations then performed univariate analysis (descriptive), bivariate (Paired T test). The results of research showed that the respondent’s average age was 46.74. Education respondents mostly high school was 25 people, most of the respondents did not work that 31 people (62%). Motivator knowledge prior to intervention use a pocket book value of the average was 64,5 while the value after the intervention mean value is 72.1. Motivator skills during pretest score was 57.6 at, while the second posttest mean value is 64.65. There was the effect of using a pocket book support group of mothers about breastfeeding, the problem of skills variable (p-value=0.0001) means the use of a paperback book motivators inﬂuencing skills in breastfeeding issues. Suggested for Health Department and Community Health Center in order to develop a motivator as refresher training for, to improve the knowledge and skills motivator in breastfeeding issues so as to increase the coverage of exclusive breastfeeding.
Kenaikan Berat Badan pada Bayi yang Mendapat ASI Eksklusif dengan ASI Parsial di Puskesmas Jetis Kota
Authors: Norma Asti , Machfoedz Ircham , Maharani Oktaviana
Published: August 2016

Current conditions in developing countries was approximately 10 million infants were dying. These may be pressed by exclusive breastfeeding, because breastfeeding has been proven to improve the health status of the baby. Based on the baseline study conducted in Puskesmas Jetis Kota, the results of four infants exclusively breastfed resulted in weight gain between 4.800 to 6.100 grams while six partially breastfed infants weight gain between 3.350 to 5.250 grams. The purpose of this study was to determine differences of weight gain in infants between exclusive and partial breastfeeding at Puskesmas Jetis Kota. The study was an inductive study with cross-sectional design. The sampling technique was done by total sampling resulting on 20 couples of mothers and babies who had been exclusively breastfed or received partialy breastfed.
This study was conducted at Puskesmas Jetis Yogyakarta on February until March, 2015 and analyzed using “t” test analysis. The results showed that weight gain of exclusively breastfed infants was 8.200 grams and the average of increase in weight gain in infants who are breastfed partial was 7.990 grams. There was 210 gram weight gain more higher in infants with exclusively breastfed. In conclusion, there was no signiﬁcant differences weight gain in infants with exclusively breastfed and partially breastfed infants.
Komunikasi Terapeutik Perawat dengan Tingkat Kecemasan Pasien Pre-Operasi di Ruang Instalasi Bedah Sentral RSUD Saras Husada Purworejo
Authors: Warsini Warsini , Irwanti Winda , Siswanto R. Agus
Published: August 2016

The symptoms of anxiety relate to medical condition are often found, though there are various incidences for each condition. The surgery is a potential threat that may rise stress reaction either physically or psychologically. One factor that may decrease the level of anxiety of patients is nursing therpeutic communication. The purposes of this study were to know the relationship between nursing therapeutic communication and anxiety level of preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. This study was used an observational with a cross sectional design. The population in this study was preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo. Samples were obtained by accidental
sampling technique, which consisted of 81 respondent. Data analysis was done by Kendal Tau test. The results showed that nursing therapeutic communication was 37.0% in a good category. Anxiety level of preoperative patients was 44.4% in average level. The result of Kendall Tau test showed a p-value=0.000 (p<0.05). There was a relationship between nursing therapeutic communication and anxiety level of preoperative patients. In conclusion, there was a relationship between nursing therapeutic communication and anxiety level of
preoperative patients in central surgical instalation room at RSUD Saras Husada Purworejo.
Faktor Dominan Lansia Aktif Mengikuti Kegiatan Posyandu di Dusun Ngentak
Authors: Anggraini Dita , Zulpahiyana Zulpahiyana , Mulyanti Mulyanti
Published: August 2016

Posyandu elderly aims to monitor the elderly condition in particular area because the body condition and aging process. But not all were able to actively follow the elderly Posyandu activities by various factors. The purpose of this study was to identify the factors related to the activity of the elderly following the Posyandu activities. This study was quantitative, using cross sectional design. From 155 respondents, 75 samples was obtained by purpossive sampling technique. Data were analyzed using chi-square test and logistic regression. Chi-square test result in this study indicate the variables that have a relationship with liveliness elderly family support variable (p=0.001), service cadres (p=0.000) and service of health workers (p=0.000). While that does not have a relationship with the activity of the elderly is a variable job (p=0.570) as well as distance and access (p=1.000). The result showed that cadre services was most dominant relationship with the liveliness of the elderly. In conclusion, the factors that have a relationship with the activity of the elderly following the Posyandu activities are support families, services and service cadres of health workers. This study sugest, cadres should be more active to disseminate information concerning the elderly and increase the number of cadres Posyandu.
Tingkat Pendidikan PUS Berhubungan dengan Pemilihan Jenis Alat Kontrasepsi tetapi Tidak Berhubungan dengan Keikutsertaan KB di Desa Argomulyo, Sedayu, Bantul, Yogyakarta
Authors: Handayani Beyna , Rahmawati Nur Indah
Published: August 2016

Data of community practices in 2013 at the Argomulyo village known that total of reproductive age couples were 900 couples and 533 couples (59,22%) following family planning (FP). The purpose of this study was to know the relationship between the education level of reproductive age couples with FP participation and selection of contraceptives on reproductive age couples in the Argomulyo village, Sedayu, Bantul Yogyakarta. The study design was observational analytic with the cross sectional. The total population of reproductive age couples in hamlet of Kemusuk Kidul, Karang lo, Pedes, Surobayan, Kali Berot in the Argomulyo village, Sedayu Bantul were 916 couples. Samples were selected by total sampling technique which consisted of 907 couples and 9 couples included in the exclusion criteria. Data analysis was done by chi-square test. The results showed that 610 couples (67,3%) was following FP and 297 couples (32,7%) not following FP programs. The results of chi-square x2 of wife participation was 3,658 and selection of contraceptives was 50,194, x2 of husband participation was 0,926 and selection of contraceptives was 53,862. In conclusion, there was no relationship between the education level of reproductive age couples with FP participation and there was a relationship between the education level of reproductive age couples with selection of contraceptives in Argomulyo village, Sedayu, Bantul, Yogyakarta.
Analisis Faktor Penyebab Perilaku Seksual Pranikah pada Remaja di Desa Wedomartani Sleman Yogyakarta
Authors: Suwarsi Suwarsi
Published: August 2016

The results of a preliminary study that was conducted on October 3, 2014 in the working area through community leaders that the data obtained in the region ﬁnd teenagers who use modern mobile phone is already making it easier for adolescents to access information related to sexual behavior. In 2014 there was one case of students expelled because of unwanted pregnancies. The purpose of study was to determine the factors that causing the premarital sexual behavior in adolescents in Wedomartani village, Sleman. Study methods used was quantitative with analytical research using chi-square test, with a sample of 80 adolescents. The results showed that characteristics of teens in the village of Sleman Wedomartani ever be free of sexual behavior lifespan of 12 years to 26 years, with the majority age of 20 years (25%). Characteristics of free sex through exposure on TV media majority are at no risk category (55%), whereas the risk of exposure to teenage promiscuity through TV media as much as 45%. Characteristics of adolescents ever accessing pornography through the Internet as much as 45 teenagers or 56.3%. In conclusions, there was signiﬁ cant relationship between TV exposure and accessing pornography on the Internet toward adolescents premarital sexual behavior in the Wedomartani village of Sleman.
Pengaruh Pemberian Stimulasi pada Perkembangan Anak Usia 12-36 Bulan di Kecamatan Sedayu, Bantul
Authors: Hati Febrina Suci , Lestari Prasetya
Published: August 2016

The important period during the growth of children is the ﬁ rst ﬁ ve years which is the golden period of life. Stimulation has important roles to improve child growth and development, especially cognitive function, psychomotor and affective. The lack of stimulation will result in the loss of function of the brain cells. Stimulations from parents and nutritional status are two factors which inﬂuence children’s growth. The purpose of this study was to identify the relation between development stimulation in 1-3 years old children. The research used analitic prospectif cohort in 1-3 year old children in Sedayu Sub-District, Bantul Regency from February until May 2015. The sampling technique used was cluster sampling. The instruments used were questionnaire, and KPSP form. Univariate data analysis technique used frequency distribution, bivariate analysis used Spearman’s rank, There was a signiﬁ cant relation between stimulation and development children in 1-3 years old (p=0,001; CI 95% ;OR=3,37).
Faktor yang Memengaruhi Keluarga Berencana (KB) Pria dengan Paritisipasi Pria dalam Keluarga Berencana di Wilayah Kerja Puskesmas Sedayu II
Authors: Ernawati Susi
Published: August 2016

The enrollment man in the use of contraceptives in indonesia is still very low only 2.1% kb participants men and they generally wearing a condom .This percentage lower if than in other countries, like Iran 12%, Tunisia 16%, Malaysia 9-11%.Of the total number of acceptors in Indonesia about 97% are women. The purpose of this research is to know what factors affecting family planning (KB) man with paritisipasi man in family planning in the work area of Puskesmas Sedayu II. Population in research it is a whole fertile couples active
attending the program at Puskesmas Sedayu II. A population of as many as 170 persons, the sample of the 63. Analysis the data used was analysis bivariat and multivariate. The results of the study participation man not directly to the days of 20 to 30 years as many as 100%, participation man not directly with junior as many as 93.3%, participation pre indirect the number of children <2 as many as 100%, participation man not directly with income ≥rp. 1.168.300 as many as 100%, participation man not directly with knowledge enough as many
as 100%, participation man not directly with social and cultural back 100%. Multivariate test results obtained not a significant relation exists between the ages of, education, the number of children, income, knowledge, social and cultural by participation man in family planning.
Senam Otak (Brain Gym) Berpengaruh Terhadap Tingkat Stres pada Anak Usia Sekolah Kelas V di SD Negeri Pokoh 1 Wedomartani Ngemplak Sleman Yogyakarta
Authors: Dikir Yunita , Badi'ah Atik , Fitriana Lala Budi
Published: August 2016

Learning activities may cause excessive stress IN children. 82.8% of the causes of stress in children in Indonesian are from their very tight routine. Data of the National Commission for Children Protection show an average of 200 cases per month which increases 28%. Brain gym is used as one of the activities to address the issue of stress in children and to improve memory. This research is aimed at identifying the effect of brain gym on stress levels in school-age children of fifth grade at SD Negeri Pokoh 1 Wedomartani Ngemplak Sleman Yogyakarta. This research is a quasi-experimental research with one-group pre and post-test design. The subjects of the research were all fifth grade students at SD Negeri Pokoh 1 Wedomartani Ngemplak Sleman Yogyakarta in 2014, numbering 36 students. Sampling employed a total sampling and data were analyzed using the wilcoxon test. The results showed that the stress level of children before the brain gym given was mostly in the moderate category (50.0%) and after the brain gym given was mostly in the normal category (75.0%). The statistical test using the wilcoxon test generated p-value of 0.000 <0.05. Conclusion, there was a significant effect of brain gym on stress levels before and after treatment in the fifth grade students at SD Negeri Pokoh 1 Wedomartani Ngemplak Sleman Yogyakarta.
Dukungan Informasional Keluarga Berpengaruh dalam Pemberian ASI Eksklusif di Desa Timbulharjo Sewon Bantul
Authors: Rahmawati Nur Indah
Published: August 2016

Infant Mortality Rate (IMR) in Indonesia according to the Demographic and Health Survey (IDHS) reached IMR was 32 per 1.000 live births in 2012. Research WHO states that 88% of child mortality linked to malnutrition, which is often associated with the intake of milk. Family is the closest person who can help the mother to give exclusive breastfeeding. For that family support is very important in the success of exclusive breastfeeding. The aim of research to determine the relationship of the family with the informational support exclusive breastfeeding in the village Timbulharjo, Sewon, Bantul. This study was observational analytic cross sectional approach. This study uses the 76 respondents who had infants aged 6-24 months that follow posyandu in Timbulharjo village in April-May with a purposive sampling techniques. The instrument used in this study was a questionnaire. Data were obtained subsequently analyzed using frequency distribution table, chi square as percentages and odds ratios (OR). The results of this study indicate that there is a significant relationship between the informational support to the families with exclusive breastfeeding correlation value chi square p=0.000 mothers who get no good informational support 16 times more likely to not memberikasn exclusive breastfeeding her baby. Conclusion There is a significant relationship between emotional support in the family with exclusive breastfeeding in the village Timbulharjo, Sewon, Bantul.
Pemberian Makanan Pendamping ASI Dini Berhubungan dengan Kejadian Diare pada Bayi umur 0 – 12 bulan di Kecamatan Dampal Utara, Tolitoli, Sulawesi Tengah
Authors: Maharani Oktaviana
Published: August 2016

Diarrhea is the number one cause of infant mortality worldwide. The United Nations Children’s Emergency Fund (UNICEF) estimates that every 30 seconds there is a child who died of diarrhea in Indonesia. The incidence of diarrhea in young children one of them caused by hygiene including the knowledge and attitudes of mothers in feeding, where the baby has been fed besides breast milk (breast milk) before the age of 6 months. According to the World Health Organization, infants who received complementary foods before six months of age will have a 17 times greater risk of experiencing diarrhea. The aim of research to determine feeding complementary relationship with the incidence of diarrhea in infants aged 0-12 months in the District of North Dampal, Tolitoli, Central Sulawesi. The population in this experiment is all mothers with babies aged 0-12 months who are in the district of North Dampal, Tolitoli, Central Sulawesi, which amounted to 36 mothers. Samples were taken using a total sampling. Data were analyzed using chi-square test. The results showed there are significant relationship between the giving weaning food with the incidence of diarrhea in infants 0-12 months in North Dampal, Tolitoli, Central Sulawesi.
Ефективність тразодону (Триттіко) у лікуванні пацієнтів з депресивними розладами та когнітивними порушеннями на фоні дисциркуляторної енцефалопатії
Authors: Kopchak O.O.
Published: August 2016

Статтю присвячено проблемі корекції депресивних розладів і легких когнітивних порушень у пацієнтів з хронічними порушеннями мозкового кровообігу. Наведено результати дослідження ефективності використання тразодону (препарат Триттіко) у даної категорії пацієнтів. Всі учасники дослідження (27 пацієнтів, середній вік 59,6 ± 7,3 року) отримували тразодон (Триттіко) в дозі 150 мг на ніч протягом 2 місяців, при цьому терапію хворі розпочинали з прийому 50 мг тразодону зі збільшенням дози протягом 7 днів до досягнення 150 мг на добу. Було встановлено, що на фоні тривалого (2 місяці) прийому тразодону (Триттіко) мало місце покращення когнітивного функціонування за даними MMSE в загальній групі та вірогідне зростання показників оперативної семантичної пам’яті, негайної і відстроченної асоціативної пам’яті та покращення ефективності процесів обробки інформації у хворих з легкими когнітивними порушеннями. Це дає підставу рекомендувати тразодон (Триттіко) для широкого використання в клінічній практиці з метою корекції депресивних розладів і легких когнітивних порушень у пацієнтів з хронічними порушеннями мозкового кровообігу.
Вплив препарату Церебролізин на ЕЕГ-показники цереброваскулярних порушень у пацієнтів з «німими» інфарктами мозку
Authors: Mishchenko V.M. , Nikishkova I.M.
Published: August 2016

Для оцінки ефективності терапії пацієнтів з асимптомними ураженнями мозку, такими як «німі» інфаркти мозку (НІМ), може використовуватися низка ЕЕГ-показників, оскільки між параметрами ЕЕГ та показниками нейронального метаболізму існує кореляція, а послідовність прогресуючих змін ЕЕГ пов’язана як з ішемією, що триває, так і з відновленням після ішемічної події. Аналіз впливу 3-тижневого курсу терапії препаратом Церебролізин (на фоні базисної терапії) на біоелектричну активність мозку був проведений 36 пацієнтам (середній вік 54,00 ± 3,22 року) з МРТ-ознаками поодинокого НІМ та 24 пацієнтам (середній вік 67,89 ± 1,84 року) з МРТ-ознаками множинних НІМ. Під час дослідження було показано, що для оцінки ефективності лікування пацієнтів з асимптомними ураженнями мозку можуть слугувати ЕЕГ-кореляти порушень церебрального кровообігу (загальна спектральна потужність ЕЕГ; індекс, спектральна потужність, щільність α- та δ-ритму; (δ+θ)/(α+β)- та α/δ-коефіцієнти, індекс мозкової симетрії (BSI)). Згідно з даними більшості досліджених показників ЕЕГ, препарат Церебролізин мав позитивний і дифузний характер впливу на рівень біоелектричної активності мозку пацієнтів з НІМ. У хворих з асимптомними ураженнями мозку найбільш чутливими до терапії виявилися BSI та ЕЕГ-показники, що пов’язані з нейрональною активністю джерел α-ритму.
Клиническая эффективность препарата Армадин у пациентов с состоянием отмены алкоголя
Authors: Ponomariov V.I. , Slusar V.V. , Voloshina D.N. , Lebedynets D.V.
Published: August 2016

В статье рассматривается вопрос оказания медицинской помощи пациентам с состоянием отмены алкоголя. Представлены данные исследования эффективности применения препарата Армадин в комплексном лечении таких больных в сравнении с пациентами, получающими только базисную терапию. Показано, что препарат оказывает вегетостабилизирующее, транквилизирующее действие, существенно снижает проявления алкогольной полинейропатии, нормализует уровень печеночных ферментов в крови. При применении препарата Армадин у пациентов с синдромом отмены алкоголя уменьшаются проявления продуктивной симптоматики и ускоряется процесс ее нивелирования, что может быть связано как с тройным механизмом действия препарата (гепатопротекторное, ноотропное, антиоксидантное), так и с его влиянием на уровень дофамина.
Когнітивні та емоційно-особистісні порушення у хворих на гіпертензивну енцефалопатію. Стан мозкового кровообігу при артеріальній гіпертензії (науковий огляд та особисті спостереження)
Authors: Svyrydova N.K.
Published: August 2016

Когнітивні та емоційно-особистісні порушення у хворих на гіпертензивну енцефалопатію є важливою медико-соціальною проблемою, що зумовлено їх високою частотою в структурі захворюваності, а також значно погіршує якість життя пацієнтів. Своєчасно розпочате комплексне лікування дозволяє покращити якість життя хворих та їх родичів. На фоні адекватної терапії можна досягти стабілізації стану пацієнта та запобігти трансформації когнітивних порушень у деменцію.У статті подано характеристику, опис, результати світових досліджень застосування препарату Денігма.
Постпункционная головная боль: лечение
Authors: Fesenko V.S.
Published: August 2016

Современные неинвазивные способы лечения постпункционной головной боли: постельный режим, нагрузка жидкостью, кофеин, суматриптан — малоэффективны. Хирургическое закрытие разрыва твердой оболочки является крайней мерой. Эпидуральная пломбировка кровью остается инвазивным методом выбора с примерно 70% длительным успехом после первой инъекции. Старинная внутривенная акватерапия менее инвазивна и довольно популярна среди украинских акушерских анестезиологов. Блокада крылонебного узла является наименее инвазивным методом, требующим исследования.
Клинико-допплерографические сопоставления у пациентов с головной болью напряжения
Authors: Kalashnikov V.Y. , Yevtushenko S.K.
Published: August 2016

В статье приведены данные клинико-допплерографического обследования 105 пациентов молодого возраста с головной болью напряжения. Целью исследования стала оценка состояния мозговой гемодинамики и цереброваскулярной реактивности. Церебральная гемодинамика у пациентов с головной болью напряжения характеризуется ангиодистоническими явлениями. У большинства пациентов с эпизодической головной болью напряжения выявляется гиперреактивность на гиперкапническую нагрузку и функциональный метаболический тест. В группе пациентов с хронической головной болью напряжения преобладает гипореактивность на гипервентиляционную нагрузку. Показано регулирующее влияние гамалате В6 на церебральную гемодинамику.
Криптогенный инсульт
Authors: Dubenko O.Ye.
Published: August 2016

Согласно наиболее широко используемым критериям для классификации патогенетических подтипов ишемического инсульта выделяют атеротромботический, лакунарный и кардиоэмболический его подтипы. Однако значительная часть ишемических инсультов развивается без четкой причины, и поэтому они являются криптогенными, то есть инсультами с неустановленной этиологией. Частота криптогенного инсульта достаточно высока и составляет около 25 %, при этом факторы риска, исходы, прогноз и подходы к вторичной профилактике остаются недостаточно ясными. Многочисленные исследования показывают, что криптогенный инсульт ассоциируется с потенциальными источниками кардиогенной эмболии низкого риска, такими как пароксизмальная фибрилляция предсердий, пароксизмальная суправентрикулярная тахикардия, открытое овальное окно, аневризма межпредсердной перегородки, а также артериальными источниками эмболии — атеромой дуги аорты и нестенозирующими атеросклеротическими бляшками экстра- и интракраниальных артерий и др. В настоящее время отсутствуют рандомизированные исследования по антитромботической профилактике криптогенного инсульта. Недавно была сформирована новая клиническая концепция о том, что большинство криптогенных инсультов имеют эмболическую этиологию, и было предложено определение эмболического инсульта неопределенной этиологии. Это дает основу для будущих рандомизированных исследований по вторичной профилактике.
Комбинированная терапия хронической боли при вертеброгенной патологии, возможности Пиаскледина (ASU) и тразодона
Authors: Tsiurko B.O. , Pelepeichenko A. Yu. , Raskalei D.V. , Kaliuzhnyi H.V. , Makhynia O.V.
Published: August 2016

Статья посвящена различным видам вертеброгенных и мышечно-скелетных болевых синдромов. Особое внимание уделяется месту структурно-модифицирующих препаратов в комплексе лечения хронического болевого синдрома у данной категории больных, а также воздействию на психологические компоненты болевого синдрома, включая депрессию и тревогу.
Нейротрофические и нейропластические аспекты фармакотерапии деменций
Authors: Burchinskyi S.H.
Published: August 2016

Статья посвящена вопросам лечения деменции. На основании накопленного массива экспериментальных и клинических данных делается вывод, что нейротрофическая терапия является сегодня одним из наиболее перспективных направлений лечения деменций. Подробно рассматриваются аспекты применения Церебролизина, подчеркивается, что механизмы действия этого препарата выходят далеко за пределы нейротрофинергических эффектов и фактически связаны с регуляцией на уровне генома нарушений процессов биосинтеза белковых структур, ответственных за развитие фундаментальных механизмов нейродегенерации.
Матеріали Х Міжрегіональної науково-практичної конференції, присвяченої 55-річчю дитячої неврологічної служби Херсонщини (26 листопада 2015 р., м. Херсон, Україна)
Authors: Bondarenko A.V. , Zhyvylo L.M. , Martynenko Ya.A.
Published: August 2016

У статті представлені тези доповідей Х Міжрегіональної науково-практичної конференції, яка відбулася 26 листопада 2015 року і була присвячена 55-річчю дитячої неврологічної служби Херсонщини. У конференції взяли участь видатні фахівці України в галузі дитячої неврології, а також близько 150 фахівців з неврології, психіатрії, сімейної медицини, педіатрії з різних областей країни.
Effects of pressure stress work and thermal radiation on free convection flow around a sphere embedded in a porous medium with Newtonian heating
Authors: Elbashbeshy Elsayed , Eldabe Nabil , Youssef Ismail , Sedki Ahmed
Published: August 2016

The effects of pressure stress work and thermal radiation on free convection flow around a sphere embedded in a porous medium with Newtonian heating is considered. The basic equations of boundary-layer are transformed into a non-dimensional form and reduced to non-linear system of partial differential equations and solved numerically using an implicit finite difference technique with Newtons linearization method. Comparisons with previously published work are performed and excellent agreement is obtained. Numerical results have been shown graphically and tabular forms for some selected values of parameters set consisting of radiation parameter, pressure stress work parameter, Newtonian heating coefficient, and Prandtl number.
Homotopy pertubation method analysis to MHD flow of a radiative nanofluid with viscous dissipation and ohmic heating over a stretching porous plate
Authors: Kumar Hitesh
Published: August 2016

An analytical study is performed to explore the flow and heat transfer characteristics of nanofluid (Al2O3-water and TiO3-water) over a linearly stretching porous sheet in the presence of radiation, ohmic heating, and viscous dissipation. Homotopy perturbed method is used and complete solution is presented, the results for the nanofluids velocity and temperature are obtained. The effects of various thermophysical parameters on the boundary-layer flow characteristics are displayed graphically and discussed quantitatively. The effect of viscous dissipation on the thermal boundary-layer is seen to be reverse after a fixed distance from the wall, which is very strange in nature and is the result of a reverse flow. The finding of this paper is unique and may be useful for future research on nanofluid.
Consequences of convection-radiation interaction for magnetite-water nanofluid flow due to a moving plate
Authors: Mushtaq Ammar , Khan Junaid , Mustafa Meraj , Hayat Tasawar , Alsaedi Ahmed
Published: August 2016

Present paper examines the boundary-layer flow of magnetic nanofluid over a radiative plate moving in a uniform parallel free stream. Water is considered as the base fluid which is being filled with magnetite-Fe3O4 nanoparticles. Energy balance equation is formulated with non-linear radiation heat flux. Mathematical analysis is carried out through the famous Tiwari and Das model. Similarity approach is utilized to construct self-similar form of the governing differential system. Numerical computations are made through standard shooting method. Ferrofluid velocity is predicted to enhance upon increasing the nanoparticle volume fraction which contradicts with the available literature for non-magnetic nanofluids. It is found that Fe3O4-water ferrofluid has superior heat transfer coefficient than pure water. Results reveal that consideration of magnetic nanoparticles in water leads to better absorption of incident solar radiations. The well-known Blasius and Sakiadis flows are also explicitly analyzed from the present model.
Longevity, Esthetic Perception, and Psychosocial Impact of Teeth Bleaching by Low (6%) Hydrogen Peroxide Concentration for In-office Treatment: A Randomized Clinical Trial
Authors: Fernández E , Bersezio C , Bottner J , Avalos F , Godoy I , Inda D , Vildósola P , Saad JRC , Oliveira OB , Martín J
Published: August 2016

Objective: The aim was to evaluate the color longevity after nine months of in-office bleaching with gel (6% hydrogen peroxide), to compare this to a control concentration of 35% in a split-mouth study model, and to assess the dental confidence and psychosocial impact on patients.

Methods and Materials: Twenty-seven patients were assessed at the nine-month recall. The bleaching procedure with 6% or 35% hydrogen peroxide gel was performed randomly in the upper hemi-arch of each patient. The color was measured at baseline and at one week, one month, and nine months after the procedure, using the Vita Easyshade spectrophotometer, the Vita classical shade guide organized by value, and Vita Bleach Guide 3DMaster. Moreover, two surveys, OHIP-Esthetics and PIDAQ, were used to assess the esthetic self-perception and psychosocial impact of the bleaching procedure. During the nine-month recall, the color was assessed before and after dental prophylaxis.

Results: Twenty-seven patients participated in the nine-month recall. There was a significant difference in ΔE between the two groups at all times assessed (p<0.011). The ΔL, Δa, and Δb showed a difference between the two groups at all times assessed (p<0.038), except for ΔL from the baseline vs nine-month after prophylaxis value (p>0.20). There was no significant difference in ΔSGU at all times (p>0.05). There was a significant difference in OHIP-Esthetics and PIDAQ sums compared with baseline scores (p<0.03).

Conclusion: The two compounds remained effective at nine months, with a slight rebound of color, and maintained their objective color difference but not the subjective color difference. Patients were satisfied with the bleaching procedure, and this had a positive impact on esthetic perception and a positive psychosocial impact at the nine-month recall.
Evaluation of prescribing indicators and pattern among dermatological outpatients in a teaching hospital of central Nepal
Authors: Pradhan Manohar , Mathur Mahesh
Published: August 2016

Background: Evaluation of prescribing indicators by proper analysis of prescriptions under the guidelines of World Health Organization enables us to detect some of the common problems of prescribing.Methodology: This study was conducted on randomly selected 325 prescriptions of dermatological outpatients of teaching hospital of College of Medical Sciences Bharatpur (Nepal) with an objective to detect the problems of prescribing as well as to delineate the pattern of medicines prescribing.Results: Total number of medicines prescribed on these prescriptions was 743. The average number of medicines per encounter was 2.28. Antihistamines, antifungals, corticosteroids and antibiotics were four most frequently prescribed therapeutic classes. One systemic as well as one topical medicine belonging to same therapeutic class was prescribed on about one-third of totally analyzed prescriptions. Cetrizine was the most common individually prescribed medicine and fluconazole was the most commonly prescribed antifungal. Medicines prescribed by their generic name were 15.07% and those prescribed from national essential medicines list were 23.42%.Conclusion: This study reveals polypharmacy, inclination of prescribers for branded medicines and prescribing out of national formulary as problems. Educational and managerial interventions are required to rationalize the prescribing practice.JCMS Nepal. 2016;12(2):44-9.
Transmylohyoid Submental Intubation in complex maxillofacial trauma: The easiest method is also the safest method
Authors: Singh Ashutosh Kumar , Dulal Sanad , Yadav Rajesh , Thapa Ajay Singh
Published: August 2016

Background & Objectives: Complex maxillofacial trauma is a common occurrence with high velocity road traffic accidents. Multiple facial bone fracture with loss of reference point for bony reduction requires use of intra-operative intermaxillary fixation to obtain good occlusion which precludes oral intubation. Fractures of nasal bones and ethmoid bones with complex distorted anatomy lead to inability to perform a nasal intubation. In such cases sub-mental intubation can be a safe and easy method of securing the intra-operative airway thus avoiding  tracheotomy and its complications.Materials & Methods: Retrospective clinical analytical study was planned in which 25 patients were included. Patient’s age, sex, type of trauma, time taken for procedure and complications were taken as study variables. Results: Average time taken for the procedure was nine minutes and only four out of 25 cases had complications. Conclusion: Sub-mental intubation requires simple skills, less time and is relatively complication free compared to tracheotomy in securing intra-operative airway during surgeries for complex maxillofacial trauma.JCMS Nepal. 2016;12(2):55-9
Visual Outcome of Unilateral Paediatric Traumatic Cataract at R. M. Kedia Eye Hospital, Birganj, Nepal
Authors: Singh Sanjay , Sah Harikant , Keyal Amar
Published: August 2016

Background & Objectives: To evaluate the visual outcomes of children presenting with unilateral traumatic cataract.Materials & Methods: We conducted a retrospective study of 111 children (70 males and 41 females) below 16 years of age who were diagnosed with unilateral traumatic cataract between June 2013 and May 2015 and who underwent surgical intervention and completed at least six months follow up at Paediatrics department (supported by ORBIS International), R. M. Kedia eye hospital, Birganj, Nepal. Data regarding demographic profile, causative agent, clinical course and visual outcomes were recorded.Results: There was a male predilection with a male to female ratio of 1.70:1. The age group more frequently affected was five to nine years (58.5%). Commonest causative agent was trauma with wooden stick in 20 eyes (18%) followed by firecrackers in 15 eyes (14%) and pen in 11 eyes (10%). Pre-existing posterior capsular defects were observed intraoperatively in six eyes. Anterior uveitis was evident in 21 cases and Posterior capsular opacification in 10 eyes. Best corrected visual acuity of 6/6-6/60 at six months was achieved in 91 cases (81%). Duration between injury and cataract surgery did not affect the final visual outcome of traumatic cataract patients.Conclusion: The best possible visual outcome of traumatic cataract depends on its management and its complication. Ocular trauma and traumatic cataract formation can be avoided by taking protective measures in sports, work and patient education.JCMS Nepal. 2016;12(2):40-3
Outcome of Intramedullary Stainless steel Rush pins for the treatment of Pediatric diaphyseal forearm bone fracture
Authors: Rokaya Poojan Kumar , Rawa Mangal , Khan Javed Ahmad
Published: August 2016

Background & Objectives: Pediatric forearm bone fractures are common orthopedic injuries. Generally, these fractures can be successfully managed with closed reduction and casting however operative fixation may be required. Currently, the most common operative interventions are open reduction with plate fixation versus closed or open reduction with intramedullary fixation. Intramedullary fixation materials include Steinmann pins, Kirschner-wires, Rush pins, and elastic titanium nails. To demonstrate the outcome of Intramedullary Stainless steel Rush pins for the treatment of Pediatric diaphyseal forearm bone fracture.Materials & Methods: This study included thirty children with diaphyseal forearm bone fracture treated with intramedullary stainless steel rush pin. Patient’s age, sex, side, mode of injury, fracture type, fixation indication and method, time of clinical and radiological union, complication rate and final range of motion were evaluated at subsequent follow up­. Clinical evaluation was done as per Price’s criteria. Results: Among 30 patients there were 22 boys (73.3%) and 8 girls (26.6%) with a mean age of 11.8 years (Range, 5 to14 years). Twenty (66.6%) patients had right forearm fracture, 10 (33.3%) patients had left forearm fracture. Union was obtained in a mean of 6.5±1.0 weeks (range 6 to 9 weeks). According to the criteria of Price et al. an excellent result was achieved in 25 patients (83.3%) and a good result in five patients (16.6%). Out of total 30 patients six (20%) had minor complications. Conclusion: Fixation with intramedullary stainless steel rush pin produces good to excellent results in diaphyseal forearm bone fractures in children. Based on our experience, rush pins are simple, safe, easily available and affordable to most of the patients in developing countries.JCMS Nepal. 2016;12(2):50-4
Dosage des politiques monétaire et budgétaire et stabilité financière : le moyen terme est encore le message
Authors: Poloz Stephen S.
Published: August 2016

Les risques liés à la stabilité financière sont devenus d'actualité dans la foulée de la crise financière mondiale et de la période prolongée de très bas taux d'intérêt qui a suivi. Le présent article examine l'importance du dosage des politiques monétaire et budgétaire pour la stabilité financière au moyen de simulations contrefactuelles de trois grands épisodes historiques, réalisées à l'aide du principal modèle macroéconomique de la Banque, TOTEM (« Terms-of-Trade Economic Model »). Ces simulations mettent en lumière l'existence d'un lien étroit entre le dosage des politiques monétaire et budgétaire et la dynamique de l'accumulation de la dette des secteurs privé et public. L'objectif n'est pas ici d'élaborer des critères d'optimisation du dosage des politiques, car les simulations montrent clairement que le dosage approprié dépend fortement de la conjoncture. Ce constat fait ressortir la nécessité d'un cadre cohérent pour évaluer les conséquences financières et macroéconomiques relatives de l'accumulation de la dette publique et de la dette privée. En outre, les résultats de l'analyse donnent à penser que la coordination ex ante des politiques monétaire et budgétaire comporte des avantages potentiels, et que le cadre de politiques du Canada – en vertu duquel les autorités monétaire et budgétaire conviennent conjointement d'une cible d'inflation tout en consacrant l'indépendance opérationnelle de la banque centrale – représente un dispositif de coordination élégant.
Deriving Local Operating Distributions to Estimate Transit Bus Emissions Across an Urban Network
Authors: Alam Ahsan , Hatzopoulou Marianne
Published: August 2016

In a 6-week data collection campaign, instantaneous bus speeds and ridership data were collected onboard 96 buses operating over 3,700 road links. Emissions were estimated by using the Motor Vehicle Emission Simulator 2014 version (MOVES2014). The effects of bus type and passenger load were explicitly accounted for in the emissions estimation process. The resulting emissions figures exhibit networkwide variations across different time periods, directions, land uses, passenger ridership figures, and transit service. Per passenger emissions data highlight the importance of considering onboard passenger weight in the estimation process. These results are relevant to transit planners who are evaluating plans to modify or introduce bus routes. This study also demonstrated a process in which local operating mode distributions were generated and specific drive cycles were developed for different average speeds and then were embedded into the MOVES2014 database. A validation test suggested that emissions figures derived using the locally developed operating mode distributions were better than and largely different from the emissions figures obtained using the MOVES default distributions. These embedded drive cycles could be useful when instantaneous speed information is unavailable, especially when developing a regional inventory for bus emissions in Montreal, Canada.