bluuebunny/crossref_metadata_2025 huggingface dataset:
Perbedaan Rerata Kadar Albumin Serum Berdasarkan Klasifikasi Child Turcotte Pugh pada Pasien Sirosis Hepatis di RSUP Dr. M. Djamil Padang
Authors: Ilmi Fadila Esmeralda , Nasrul Ellyza , Gustia Rina
Published: June 2021

Sirosis hepatis termasuk 10 penyakit penyebab kematian di US. Penyakit ini terjadi akibat adanya inflamasi kronik di hati. Sirosis hepatis di Indonesia paling banyak disebabkan oleh virus hepatitis B dan C. Pada sirosis hepatis stadium lanjut dapat terjadi hipoalbuminemia karena penurunan sintesis albumin. Tingkat keparahan sirosis hepatis dapat dinilai dari klasifikasi Child Turcotte Pugh (CTP). Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP.
Metode penelitian analitik retrospektif dilakukan dengan mengambil rekam medik di RSUP Dr. M. Djamil Padang dari 1 Januari 2018 – 31 Desember 2018. Pengambilan sampel diakukan dengan Purposive Sampling dan didapatkan 80 sampel yang memenuhi kriteria inklusi dan eksklusi. Analisis data perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP dilakukan dengan uji t.
Pada penelitian ini didapatkan paling banyak pasien sirosis hepatis pada kelompok umur 51 – 60 (35%) dan jenis kelamin laki-laki (66,3%). Penelitian ini mendapatkan 30 pasien sirosis hepatis dengan CTP B dan 50 pasien CTP C. Didapatkan rerata kadar albumin serum pada CTP B sebesar 2,73 g/dL dan pada CTP C sebesar 2,16 g/dL. Analisis dari perbedaan rerata kadar albumin serum berdasarkan klasifikasi CTP yang dilakukan didapatkan nilai p < 0,001.
Berdasarkan analisis yang dilakukan pada penelitian ini, disimpulkan terdapat perbedaan rerata kadar albumin serum pada klasifikasi CTP B dan CTP C. Pada klasifikasi CTP B rerata kadar albumin serum lebih tinggi dari CTP C.
Gambaran Karakteristik Pasien Luka Bakar Listrik di Rawat Inap RSUP Dr. M.Djamil Padang Tahun 2016-2019
Authors: Muslim Salsabila , Saputra Deddy , Asri Aswiyanti
Published: June 2021

Latar belakang : Luka bakar listrik adalah cedera yang disebabkan oleh arus listrik yang melewati tubuh, dimana luka bakar akibat memiliki tingkat keparahan yang lebih besar, risiko kecacatan dan kematian yang tinggi, manajemen yang rumit, rawat inap lebih lama, dan biaya yang lebih mahal.
Objektif : Mengetahui gambaran karakteristik pasien luka bakar listrik yang dirawat di RSUP Dr. M. Djamil Padang.
Metode : Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Teknik pengambilan sampel menggunakan total sampling dengan jumlah sampel sebanyak 66 orang. Data pasien diperoleh dari rekam medis RSUP Dr. M. Djamil Padang periode 2016-2019.
Hasil : Seluruh pasien luka bakar listrik di RSUP Dr.M. Djamil Padang berjenis kelamin laki-laki dengan rerata usia terbanyak usia produktif bekerja yaitu 17-45 tahun. Penyebab terbanyak kejadian luka bakar listrik adalah listrik bertegangan tinggi (HVI) akibat pekerjaan. Pasien luka bakar listrik memiliki rerata luas luka bakar sebesar 13,5% dengan luka bakar derajat tiga. Rata-rata pasien luka bakar listrik dirawat selama 17 hari. Pasien pada penelitian ini paling banyak mengalami komplikasi extracardiac dengan kejadian terbanyak amputasi. Dari 66 pasien, lima orang diantaranya diketahui meninggal dunia (7,5%).
Simpulan : Luka bakar listrik sering disebabkan oleh HVI dan menyebabkan terjadinya berbagai komplikasi. Hal demikian membuat luka bakar listrik memiliki lama rawatan yang lama, namun dengan angka kematian yang sedikit. Luka bakar listrik cenderung terjadi pada laki-laki kelompok usia kerja, dengan gambaran luas luka yang kecil namun memiliki derajat luka yang dalam.
Kata Kunci:  luka bakar, luka bakar listrik
Gambaran Faktor Risiko Pasien Kanker Serviks di RSUP Dr. M. Djamil Padang Tahun 2019
Authors: Hidayat Astri Nadia , Ariani Novita , Burhan Ida Rahman
Published: June 2021

Cervical cancer was one of the most common malignancies in women and was the leading cause of death from cancer, especially in low and middle-income countries (developing countries). The high incidence and mortality rate in developing countries was caused by the lack of knowledge about cervical cancer and limited access to early detection, so that patients come late for treatment and were diagnosed when their condition were severe and the disease had progressed to an advanced stage.
This study was conducted in the Medical Record Installation section of Dr. M. Djamil Padang Hospital on 11 August - 2 September 2020. The results of the study were obtained from secondary data from medical records, and data collection was taken by total sampling. Samples that have met the inclusion criteria in this study were 84 patients diagnosed with cervical cancer at Dr. M. Djamil Padang Hospital in 2019.
The results showed cervical cancer patients at Dr. M. Djamil Padang Hospital in 2019 were mostly in the ≥50 year age group (51.2%), multiparous category (77.4%), and High School/ equivalent category (70.2 %).
Keywords : Risk Factor, Cervical Cancer, Age, Parity, Education Level
Profil Klinis dan Luaran Syok Sepsis pada Pasien Anak yang Dirawat di PICU RSUP Dr. M. Djamil Padang
Authors: Prasetya Yoga Gandha , Ihsan Indra , Izzah Amirah Zatil
Published: June 2021

Background. Septic shock is a common pediatric emergency with a high mortality rate.
Objective. The purpose of this study was to determine the clinical profile and outcome of septic shock in pediatric patients treated at PICU of DR. M. Djamil Padang State General Hospital.
Method. This descriptive study used data from medical records, conducted in the Medical Record Department of DR. M. Djamil Padang State General Hospital. The target population was pediatric patients which was diagnosed with septic shock in PICU through 2015 - 2017. Samples were collected by the total sampling technique.
Result. During the following study of ninety-one patients septic and forty-eight having septic shock. Children having septic shock were commonly under one year of age, female, low nutritional status, having central neuron system infection of Klebsiella sp, having less than two organ dysfunctions with clinical manifestations of Hyperthermia, Tachycardia, and Tachypnea. Hematological profile found that patients commonly had anemia, leukocytosis, thrombocytopenia, and normal I/T ratio. Shock septic outcomes were found high mortality rate, almost some patients use a ventilator, high inotropic usage, and length of stay in living patients compared to dead.
Conclusion. The study concluded that prevalence Septic Shock pediatric still high with higher mortality and also morbidity
COVID-19 dengan Komorbid Tuberkulosis Paru dan Diabetes Melitus
Authors: Faurin Muthia , Fauzar Fauzar , Kurniati Roza , Kam Alexander , Decroli Eva
Published: June 2021

A 61-year-old man was admitted a confirmed COVID-19 with comorbid pulmonary tuberculosis and type 2 diabetes mellitus. The patient was given favipiravir therapy, category 1 of antituberculosis drug, and insulin therapy. The patient responded well to therapy with improved clinical and laboratory indicators.
Key words: COVID-19, pulmonary tuberculosis, diabetes mellitus
Terapi Controller pada Asma
Authors: Kam Alexander , Fauzar Fauzar , Kurniati Roza , Arsyad Zulkarnain
Published: June 2021

Asthma, according to the National Heart Lung and Blood Institute (NHBLI) in 2002, is a chronic inflammatory disorder of the airways that involves the role of many cells and cellular components. The long-term goals of asthma management are to achieve good symptom control and maintain normal living activities and to minimize the risk of exacerbations, airway obstruction, and side effects. The drugs available for asthma therapy are divided into long-term control or controller medication and rapid-acting or reliever medication based on their pharmacodynamics and clinical effects. Controller is a therapy given to reduce chronic airway inflammation, control symptoms, and reduce the risk of exacerbations and decreased lung function. There are several asthma controller drug options that have their respective advantages and disadvantages. Selection of the right controller will provide good asthma control.
Keyword: Ashtma, therapy, controller
Penggunaan Kortikosteroid pada Pasien Anak dengan Perikarditis Tuberkulosis.
Authors: Edwar Novi Violona , Andayu Abi , Yani Finny Fitry
Published: June 2021

Tuberculous pericarditis (TB pericarditis) is a disease that still frequently occurs in developing countries. The mortality rate due to TB pericarditis is still quite high, reaching 17-40%. Death due to tuberculous pericarditis is influenced by adequate or not treatment. The use of additional corticosteroid therapy is still a matter of debate in the treatment of tuberculous pericarditis. Writing this case aims to see the outcome of the use of corticosteroids in patients with tuberculous pericarditis. Literature searches were carried out through Pubmed and Google Scholar. From the results of literature search, two meta-analyzes were obtained that discussed the use of corticosteroids in tuberculous pericarditis. In children with tuberculous pericarditis, the use of corticosteroids does not reduce mortality, but can reduce complications due to tuberculous pericarditis.
Keywords: corticosteroids, tuberculous pericarditis, outcome.
Hubungan Antenatal Care terhadap Kejadian Stunting pada Balita Usia 0-24 Bulan di Wilayah Kerja Puskesmas Seberang Padang Tahun 2019
Authors: Ramadhini Nurul , Sulastri Delmi , Irfandi Dolly
Published: June 2021

Latar Belakang. Stunting atau disebut juga dengan kerdil adalah keadaan dimana tinggi badan anak tidak sesuai dengan usianya dikarenakan kekurangan asupan gizi pada saat didalam kandungan dan awal kehidupan. Salah satu faktor yang mempengaruhi terjadinya stunting pada anak adalah riwayat antenatal care ibu selama hamil.
Objektif. Mengetahui hubungan antenatal care terhadap kejadian stunting pada balita berusia 0 – 24 bulan di wilayah kerja Puskesmas Seberang Padang tahun 2019.
Metode. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 79 anak usia 0-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Analisis data dilakukan dengan uji chi square.
Hasil. Penelitian dilakukan dengan wawancara dan observasi buku KIA serta hasil pengukuran panjang badan anak menggunakan infantometer. Prevalensi stunting (13,9%), sebagian besar ibu memiliki kunjungan antenatal care lengkap (19,4%) dan mendapatkan kualitas antenatal care yang baik (15,8%). Nilai signifikansi kunjungan antenatal care 0,325 dan kualitas antenatal care 0,720.
Simpulan. Antenatal care tidak berhubungan secara signifikan dengan kejadian stunting karena p>0,05.
Kata kunci : pemeriksaan rutin selama hamil, kerdil, puskesmas, balita 0-24 bulan.
 
Background. Stunting or also called dwarf is a condition where the height of the child does not match his age due to lack of nutritional intake at the time during pregnancies and early life. One of the factors that influence stunting in children is a history of maternal antenatal care during pregnancy.
Objective. To determine the relationship of antenatal care to the incidence of stunting in infants aged 0-24 months in the working area of ​​ Seberang Padang Primary Health Center Care in 2019.
Methods. This research was an observational analytic study with cross sectional design in 79 children aged 0-24 months in the working area of ​​Seberang Padang Primary Health Care which was selected through simple random sampling. Data analysis was performed with the chi square test.
Results. The research was conducted by interviews and observations of maternal and child health books and the results of measurements of children's body length using an infantometer. The prevalence of stunting (13.9%), most mothers have complete antenatal care visits (19.4%) and get good quality antenatal care (15.8%). The significance value of antenatal care visits is 0.325 and the quality of antenatal care is 0.720.
Conclusion. Antenatal care is not significantly related to the incidence of stunting because of p>0.05.
Keywords : antenatal care, stunting, primary health care, toddlers 0-24 month.
Hubungan Panjang Badan Lahir dan Pemberian ASI Eksklusif dengan Kejadian Stunting pada Anak Usia 7-24 Bulan di Wilayah Kerja Puskesmas Seberang Padang
Authors: Mirza Putri Aisyah , Sulastri Delmi , Arisany Dessy
Published: June 2021

Latar Belakang: Stunting adalah salah satu masalah gizi yang sering dijumpai pada anak. Stunting dapat menimbulkan gangguan pada pertumbuhan fisik serta perkembangan mental dan kecerdasan. Objektif: Penelitian ini bertujuan untuk mengetahui hubungan antara panjang badan lahir dan pemberian ASI eksklusif dengan kejadian stunting pada anak usia 7-24 bulan di wilayah kerja Puskesmas Seberang Padang. Metode: Penelitian ini adalah penelitian analitik observasional dengan desain cross sectional pada anak usia 7-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Data yang digunakan adalah data hasil wawancara kuesioner dan hasil pengukuran panjang badan anak menggunakan infantometer. Analisis data dilakukan dengan uji chi square. Hasil: Penelitian ini menemukan total 78 anak dengan prevalensi stunting sebanyak 22 (28,2%), anak yang memiliki panjang badan lahir kurang sebanyak 28 (35,9%), dan anak yang tidak mendapatkan ASI eksklusif sebanyak 45 (57,7%). Analisis uji statistik menunjukkan hubungan yang tidak signifikan antara panjang badan lahir dengan stunting (p-value = 0,464; 95% CI: 0,19-1,70), dan hubungan yang tidak signifikan antara pemberian ASI eksklusif dengan kejadian stunting (p-value = 0,681; 95% CI: 0,51-3,89). Kesimpulan: Tidak terdapat hubungan yang bermakna antara panjang badan lahir dan pemberian ASI eksklusif dengan kejadian stunting.    
Kata kunci:  stunting, panjang badan lahir, ASI eksklusif
 
Background: Stunting is one of nutritional problems that commonly found in children. Stunting could affect to physical growth and also mental and intelligence development. Objective: To determine the association of birth length and exclusive breastfeeding with stunting in children aged 7-24 months in the working area of Seberang Padang Public Health Center. Methods: This is an observasional study used a cross sectional approach on children aged 7-24 months in the working area of Seberang Padang Public Health Center who were selected by simple random sampling. Data was collected from administered questionnaire and measurement of height using infantometer. Data was analyzed by chi square test. Results: We found total 78 children with prevalence for stunting was 22 (28,2%), children had short birth length was 28 (35,9%), children had not gotten exclusive breastfeeding was 45 (57.7%). Statistical analysis showed no significant relationship between birth length and stunting (p-value = 0,464; 95% CI: 0,19-1,70), and no significant relationship between exclusive breastfeeding and stunting (p-value = 0,681; 95% CI: 0,51-3,89). Conclusion: There was no significant relationship between birth length and given exclusive breastfeeding with stunting.
Keyword: stunting, birth length, exclusive breastfeeding
Hubungan Penggunaan Helm dengan Derajat Cedera Kepala Akibat Kecelakaan Lalu Lintas pada Pengendara Sepeda Motor di RSUP Dr. M. Djamil Padang Tahun 2016-2017
Authors: Bosawer Sharon Serafim , Rahmadian Rizki , Rofinda Zelly Dia
Published: June 2021

Background. Traffic accidents are a public health problem in the world, and the main cause of head injury cases with the main contributor is motorcycle riders. The use of helmets on motorcycle riders can reduce the risk of head injury, by reducing the impact force on the head.
Objective. The objective of this study is to determine the relationship between the use of helmet and the degree of head injury due to a traffic accidents on motorcyclists at RSUP Dr. M. Djamil Padang in 2016-2017.
Methods. This study was an analytic study with cross sectional design.The sample was conducted by probability sampling technique using random sampling with 93 samples. Data were obtained from medical records of head injury patients who suffered traffic accidents using motorcycle and treated at RSUP Dr. M. Djamil Padang in 2016-2017. Data were analyzed using chi square test.
Results. The results showed man (67,7%), did not use helmet (72%), and most types of head injuries are severe head injuries (50,5%. There was a significant relationship between the use of helmets with the degree of head injury due to traffic accidents on motorcycle riders (p=0,002).
Conclusion. There was a relationship between the use of helmets on motorcycle riders with the degree of head injury due to traffic accidents.
Keyword : Traffic acidents, head injury, helmet
Gambaran Kejadian Fraktur Femur di RSUP Dr. M. Djamil Padang Tahun 2016-2018
Authors: Suhail Ahmad Nur Sadia Binti , Rahmadian Rizki , Yulia Dwi
Published: June 2021

Fraktur adalah kondisi terjadinya dikontinuitas tulang dan atau tulang rawan dan merupakan kasus fraktur terbanyak terjadi pada ekstremitas bawah. Fraktur femur pada usia muda biasanya disebabkan cedera traumatik seperti kecelakaan lalulintas dan pada usia tua disebabkan oleh kondisi patologis. Objektif: Mengetahui gambaran kejadian fraktur femur di RSUP Dr. M. Djamil Padang pada tahun 2016-2018. Metode: Penelitian ini merupakan penelitian deskriptif dan teknik pengambilan sampel pada penelitian ini adalah total sampling dengan mengambil 256 data dari rekam medis pasien dengan diagnosis fraktur femur sebagai diagnosis primer atau sekunder. Penelitian ini dilakukan di bagian rekam medik RSUP Dr. M. Djamil Padang pada tahun 2016-2018. Hasil: Penelitian ini mendapatkan bahwa jenis kelamin laki-laki lebih sering mengalami fraktur femur (62.9%). Lokasi fraktur tersering terjadi adalah pada bagian medial shaft (34.0%). Kelompok usia terbanyak mengalami fraktur adalah ≥ 60 tahun (28.1%). Fraktur tertutup lebih sering terjadi (86.3%) dan cedera traumatik merupakan faktor tersering fraktur (72.7%). Penatalaksanaan fraktur yang paling sering dilakukan adalah operatif (72.3%). Simpulan: Fraktur tertutup banyak terjadi dengan jenis kelamin terbanyak adalah laki-laki, paling sering mengenai usia ≥ 60 tahun dengan lokasi fraktur tersering pada medial shaft. Cedera traumatik adalah faktor tersering dan penatalaksanaan operatif banyak dilakukan.
Kata kunci: fraktur femur, cedera traumatik, kondisi patologis
Hubungan Karakteristik Pasien dengan Tingkat Kepuasan Pelayanan pada Pasien Operasi Sub Bagian Fasial Plastik dan Bedah Rekonstruksi Bagian THT-KL RSUP Dr. M. Djamil Tahun 2019
Authors: Putra Fauzan Junanda , Al-Hafiz Al-Hafiz , Firdawati Firdawati
Published: June 2021

Hospitals play an important role in providing quality public services. The success of a hospital in providing services can be seen from the performance of health care provider and patient satisfaction. Patient satisfaction is the evaluative, emotional or affective response of the patient to the service provided by the health care provider and the expectation of the service. The satisfaction of each patient can be different depending on the expectations and reality obtained. This can be caused by several factors such as age, gender, occupation and education. This study was conducted to determine the relationship of these patient characteristics with the level of patient service satisfaction in the plastic facial and reconstructive surgery division of ENT department of Dr. M. Djamil hospital.
This type of research is analytic research with cross sectional design. Respondents in this study were 37 people. Sampling was done using a purposive sampling method. This study used satisfaction questionnaires and medical record as an research instrument.
The results showed that there were more subjects in the old adult age category (56.76%), female (51.35%), had a job (51.35%), had a high education (81.08%), and non PBI membership status (56,8%). The results of bivariate analysis 
showed that there was no relationship between age, sex, education and occupation with the level of satisfaction. P values ​​obtained respectively p = 0.366, p = 0.692, p = 0.554 and p = 0.845. Whereas there are relationship between patient health assurance membership status with patient satisfaction by p values 0,033.
Conclusion: that there is no relationship between patient characteristics with the level of service satisfaction in patients in the plastic facial and reconstructive surgery division in the ENT department of Dr. M. Djamil hospital except for health assurance membership status.
Keywords: Education, Occupation, Health Assurance Membership Status, Satisfaction
Perbedaan Daya Hambat Kefir Susu Kambing dengan Kefir Susu Sapi Terhadap Escherichia coli secara In Vitro
Authors: Syafrina Qonita , Rasyid Roslaili , Linosefa Linosefa
Published: June 2021

Latar Belakang. Kefir merupakan produk susu fermentasi dari Kaukasus. Komposisinya didominasi oleh bakteri asam laktat (BAL) dan zat metabolit sekunder yang dihasilkannya seperti bakteriosin yang bersifat antibakteri terhadap bakteri patogen seperti Escherichia coli.
Objektif. Penelitian ini bertujuan untuk membandingkan daya hambat dari kefir susu kambing dan kefir susu sapi terhadap Escherichia coli dengan menilai Kadar Hambat Minimal (KHM) dan Kadar Bunuh Minimal (KBM).
Metode. Penelitian dilakukan dengan teknik dilusi desain Rancangan Acak Lengkap. Kefir diencerkan menjadi Tanpa Pengenceran, Pengenceran 1/2, Pengenceran 1/4, Pengenceran 1/8, Pengenceran 1/16, dan kontrol. Daya hambat berupa nilai KHM dan KBM ditentukan dengan menghitung manual jumlah koloni bakteri yang tumbuh. Analisis data menggunakan uji Kruskal-Wallis dan post hoc dengan uji Mann-whitney.
Hasil. Kefir susu kambing dan kefir susu sapi dapat menghambat pertumbuhan Escherichia coli. Jumlah koloni baru E.coli dengan pemberian kefir susu kambing pada pengenceran 1/16, 1/8, 1/4, dan tanpa pengenceran yaitu secara berurut 114; 50; 60; 0,03 CFU/ml, dibandingkan dengan kontrol yang berjumlah 470.000 CFU/ml. Hasil pada pemberian kefir susu sapi yaitu secara berurut, 139,5; 5; 7,5; 0 CFU/ml, dibandingkan dengan kontrol yaitu 1.670.000 CFU/ml. Terdapat KHM dan KBM pada kefir susu kambing dan kefir susu sapi dengan persentase penurunan jumlah bakteri >99,9% di tiap kelompok. Nilai minimal KHM dan KBM pada Pengenceran 1/16 kefir susu kambing yaitu 99,97% dan pada Pengenceran 1/16 kefir susu sapi sebesar 99,99%.
Kesimpulan. Tidak terdapatnya perbedaan daya hambat berupa KHM dan KBM antara kefir susu kambing dan kefir susu sapi, namun secara rerata kefir susu sapi lebih baik dalam menghambat pertumbuhan Escherichia coli.
Kata kunci: kefir, Escherichia coli, susu kambing, susu sapi, antibakteri
Particle Swarm Optimization Algorithm to Solve Vehicle Routing Problem with Fuel Consumption Minimization
Authors: Ramadhani Baiq Nurul Izzah Farida , Garside Annisa Kesy
Published: June 2021

The Conventional Vehicle Routing Problem (VRP) has the objective function of minimizing the total vehicles’ traveling distance. Since the fuel cost is a relatively high component of transportation costs, in this study, the objective function of VRP has been extended by considering fuel consumption minimization in the situation wherein the loading weight and traveling time are restricted. Based on these assumptions, we proposed to extend the route division procedure proposed by Kuo and Wang [4] such that when one of the restrictions can not be met the routing division continues to create a new sub-route to find an acceptable solution. To solve the formulated problem, the Particle Swarm Optimization (PSO) algorithm is proposed to optimize the vehicle routing plan. The proposed methodology is validated by solving the problem by taking a particular day data from a bottled drinking water distribution company. It was revealed that the saving of at best 13% can be obtained from the actual routes applied by the company.
Colangiografía intraoperatoria: curva de aprendizaje en una Residencia de Cirugía General
Authors:   Servicio de Cirugía General, Instituto Médico Platense, La Plata, Buenos Aires. Argentina, Darrigran Santiago , Ituriza Lucas A. , Lanza Nicolás , Mercuri Luciano , Aispuro Federico , Chichizola Agustín , López Camelo Jorge , Guerrini Nicolàs , Canullán Carlos M.
Published: June 2021

Background: The use of dynamic intra-operative cholangiography (dIOC) during laparoscopic cholecystectomy (Lap Chole) remains a topic under discussion. Objectives: This study aims to describe and evaluate the learning curve and findings in the dIOC during laparoscopic cholecystectomies performed by Residents of General Surgery, including it as a tool for a safe cholecystectomy, as well as training for the development of skills and abilities. Material and methods: Patients with indication of scheduled or emergency laparoscopic cholecystectomy were included. In the surgeries, traction was performed according to Hunter, critical safety vision and systematic dIOC, by a senior Resident and the dIOC by a less trained resident, tutored by a staff surgeon. Learning curve, operative times, dIOC time relationship with Lap Chole duration time (IOC/LC), repeated cystic dissection, cystic lithiasis and choledocholithiasis were evaluated. Results: 456 patients were operated for one year (2017-2018). It was observed that regardless of who performs the dIOC, they were able to improve their learning curve, objectifying shorter times for Lap Chole, dIOC and the IOC/LC relationship. The learning coefficients were better in complex surgeries in relation to the semester. 5.26 % had choledocholithiasis (n = 24), of these, 66.7% had cystic lithiasis (n = 16) and 25% associated cholecystitis (n = 6). All were resolved trancystically. There were no conversions and dIOC was performed in 100% of cases. Conclusion: The dIOC is an ideal procedure to be practiced systematically during residency. Because it gives the necessary training for the management of the transcystic pathway, allows avoiding an upper bile duct injury and the diagnosis of choledocholithiasis.
Recomendaciones para el retorno a la actividad endoscópica diagnóstica y terapeútica programada frente a la pandemia por COVID-19
Authors:   Asociación Argentina de Cirugía, Endoscopía Flexible Comisión de
Published: June 2021

The Committee on Flexible Endoscopy of the AAC, which is permanently engaged in advising and assisting surgeons who perform gastrointestinal endoscopy during the SARS-Cov-2 pandemic, drew up the following recommendations for the return to the scheduled activity, based on the experiences shared by different international scientific societies and renowned national centers dedicated to flexible endoscopy.
Impacto de la infección por SARS-CoV-2 (COVID-19) en el tratamiento de una lesión duodenal por arma de fuego
Authors:   Hospital Universitario Austral, Buenos Aires. Argentina., Achával Mora , Rapp Sofía I. , Nogueira Facundo , López Meyer Juan C. , Iudica Fernando , Cingolani Pablo
Published: June 2021

We report the case of a patient with an abdominal gunshot trauma with liver and duodenal injury who underwent pyloric exclusion and liver repair in another institution. The patient was transferred to our institution 12 hours after surgery. During hospitalization, severe pneumonia due to COVID-19 and complications of the initial surgery developed. Non-surgical management was decided due to the severity of the disease. Percutaneous drainage allowed for the management of the collections avoiding a major initial surgery. Once he recovered from the pneumonia, the definite surgery was performed. Severe COVID-19 pneumonia in a patient with serious duodenal shotgun injury is a determining factor for decision-making of treatment options.
Вопросы хранения и транслирования культурно-исторического наследия Тувы методами библиотечной работы (на примере деятельности Национальной библиотеки им. А. С. Пушкина Республики Тыва)
Authors: Сарыглар Чодураа Викторовна , Эртине Ирина Алексеевна , Люндуп Тамара Монгушевна
Published: June 2021

В статье анализируется деятельность библиотек Республики Тыва, связанная с хранением и транслированием культурно-исторического наследия Тувы за период 2011–2021 гг. В соответствии с российскими нормативно-правовыми актами, а также тувинскими государственными программами развития культуры, библиотечная сеть республики (173 библиотеки, в том числе три республиканских — Национальная библиотека РТ, Тувинская республиканская детская библиотека им. К. И. Чуковского, Тувинская республиканская специальная библиотека для незрячих и слабовидящих) реализует целый ряд проектов.

В том числе библиотеки проводят статистические и социологические исследования состава читателей, их запросов и интересов. В 2019 г. был составлен список самых читаемых книг. В 2011 г. началась работа по переводу документов в цифровой формат. В оцифровку включены книги по признаку исторической, художественной и музейной ценности изданий, с целью создания особых условий для хранения и использования произведений печати. Оцифрованные документы составляют комплексные библиографические и полнотекстовые базы данных, открытый доступ к ним организован на сайте Национальной библиотеки Тувы.

Образовательные проекты выполняются в партнерстве с учебными заведениями республики. В библиотечных отделах Национальной библиотека РТ действуют Малая академия наук и Школа аспиранта; работают проекты «Школа развития личности», «Библиотека. Информация. Образование — Жизнь» и др. Социальные проекты направлены на поддержку творческого развития людей разных возрастов и категорий, в том числе «БиблиоЮрта» (выезды на чабанские стоянки), «Читает мама, читает папа» (видеозапись чтений книг родителей, отбывающих наказание в исправительных учреждениях, для последующей передачи их детям) и др. Популяризация краеведческого наследия республики (культурные проекты) выполняется в форме подготовки электронной библиотеки «Тува читающая», проекта «Открывая прошлое» и пр.
ANALISIS KELAYAKAN INVESTASI MARNING JAGUNG PADA INDUSTRI RUMAH TANGGA DESA KARANG ANYAR
Authors: Ayu Wulandari Hananingrum , Sutarni Sutarni , Analianasari Analianasari
Published: June 2021

ABSTRAK

 

Jagung merupakan sumber utama bahan pangan.  Komoditas jagung potensial dikembangkan sebagai bahan baku industri.  Nilai produksi jagung di Provinsi Lampung mengalami fluktuasi pada tahun 2014-2018.  Peningkatan skala ekonomi di Provinsi Lampung dapat diatasi dengan melakukan pengolahan jagung menjadi marning jagung.  Usaha marning jagung di Desa Karang Anyar dikembangkan dalam skala rumah tangga.  Tujuan penelitian ini adalah menganalisis kelayakan investasi dan tingkat sensitivitas marning jagung pada industri rumah tangga di Desa Karang Anyar Kecamatan Gedong Tataan Kabupaten Pesawaran.  Data yang digunakan dalam penelitian terdiri dari data primer dan sekunder.  Data primer diperoleh dengan teknik wawancara, observasi, dan pencatatan, sedangkan data sekunder diperoleh dari BPS, Koperindag Pesawaran serta literatur lainnya.  Penelitian ini merupakan penelitian survey dengan jenis penelitian kualitatif dan kuantitatif.  Populasi yang menjadi objek pada penelitian ini adalah 26 pelaku UMKM dengan jenis industri rumah tangga marning jagung yang tersebar di Desa Karang Anyar ditentukan dengan metode sensus.  Analisis yang digunakan adalah analisis kriteria investasi dengan menggunakan microsoft exel dan perhitungan analisis trend linear (Least Squares Method).  Berdasarkan hasil perhitungan menggunakan analisis kriteria investasi diperoleh nilai NPV sebesar Rp22.661.178,00, IRR sebesar 61%, Net B/C sebesar 2,29, BEP tercapai selama periode waktu 4 Tahun 8 Bulan 3 Hari, dan PBP tercapai pada periode waktu 1 Tahun 4 Bulan 3 Hari.  Hasil analisis sensitivitas terhadap inflasi sebesar 5% usaha tetap layak dijalnkan.  Berdasarkan hasil analisis yang dilakukan, maka dapat disimpulkan bahwa IRT marning jagung layak untuk dijalankan dan dikembangkan sehingga perlu melakukan pengembangan usaha.

 

Kata kunci : analisis investasi, industri rumah tangga, marning jagung.
Seleksi Mutan Generasi Dua (M2) Kedelai Hitam Terhadap Produksi Tinggi
Authors: Novridha Andini Siti , Kartahadimaja Jaenudin , Ferwita Sari Miranda
Published: June 2021

The number of black soybean varieties in Indonesia is less than the yellow one. Black soybeans contain anthocyanin which is good for health. Black soybean is also the raw material of soy sauce and other food processing. The genetic diversity of black soybean varieties needs to be increased to improve the genetic using plant breeding. The mutation is a method of plant breeding to produce a new variety. This research aims to get the high production genotypes and the observational variables that are used for M3 selection. This research used a non-factorial randomized block design. The treatments were 0 Gy, 50 Gy, 100 Gy, 150 Gy, 200 Gy that repeated three times, so was obtain 15 experimental units, with each experimental unit contains 6 rows and consist of 4 plants. The seven observation variables that consist of plant height; the number of branches, flowering age, number of pods, harvesting age, the weight of 100 grains, and the weight of seeds per plant were analyzed for the diversity using NTSYS software, and the coefficient of genotype diversity was calculated. The genotypes that had high production at the 50 Gy dose were 1 (11), 4 (25), 6 (25), and 2 (26); for the 100 Gy dose were 1 (14), 6 (25), 1 (11), 4 (1); for the 150 Gy dose were 3 (19), 5 (10), and 6 (1); and for the dose 200 Gy were 1 (19) and 1 (26), and the observational variables that are selected for M3 selection were the number of branches, number of pods, and seed weight per plant.
PERBAIKAN PERKECAMBAHAN DAN PERTUMBUHAN BAWANG MERAH DENGAN PERENDAMAN BENIH DALAM GIBERELIN
Authors: Nugroho Setiawan Agus , Vistiadi Kurniawan , Sarjiyah Sarjiyah
Published: June 2021

Penggunaan umbi bawang merah sebagai bahan tanam banyak kelemahan baik dari aspek kualitas, ekonomi, penyimpanan, proteksi maupun produktivitas tanaman. Satu alternatif yang dapat dikembangkan untuk perbaikan kualitas semai bawang merah adalah menggunakan benih berupa biji botani True Shallot Seed (TSS). Penggunaan benih berupa biji bawang merah sebagai bahan tanam masih mengalami kendala yaitu lamanya waktu persemaian. Penelitian ini bertujuan untuk mendapatkan konsentrasi dan lama perendaman larutan giberelin yang tepat pada perkecambahan dan pertumbuhan semai bawang merah (Allium ascalonicum L). Penelitian dilaksanakan menggunakan metode percobaan faktor tunggal yang disusun dalam Rancangan Acak Lengkap. Perlakuan yang diujikan adalah konsentrasi giberelin yang terdiri atas 4 aras yaitu 2, 4, 6 dan 8 ppm yang direndam selama 12 dan 24 jam. Setiap perlakuan diulang 3 kali dan setiap ulangan terdiri dari 3 tanaman sampel dan 2 tanaman korban. Variabel yang diamati yaitu, daya kecambah, indeks vigor, tinggi tanaman, jumlah daun, luas daun, bobot segar semai dan bobot kering semai. Hasil penelitian menunjukan bahwa pemberian larutan giberelin dengan konsentrasi 2 ppm dengan lama perendaman 24 jam sudah mampu meningkatkan daya kecambah dan indeks vigor bawang merah, serta meningkatkan pertumbuhan tanaman bawang merah.
RESPONS PADI INPARI TERHADAP MUTAGEN SODIUM AZIDE
Authors: R Ahadiyat Yugi , Triani Armida , Nurchasanah Siti
Published: June 2021

Sodium azide mempunyai kapasitas dalam induksi perubahan genetik dalam mengindikasikan kapasitas hasil tanaman dan sensitivitas terhadap kondisi lingkungan tercekam. Penelitian ini bertujuan untuk mengetahui respon padi inpari dengan perlakuan lama perendaman pada mutagen sodium azide terhadap sensitivitas, karakter bibit, dan jarak genetik berdasarkan karakter morfologi. Percobaan disusun menggunakan rancangan petak terbagi dengan varietas padi (Inpari 31, 32, dan 33) sebagai petak utama, dan lama perendaman mutagen sodium azide (0, 5, 10, 15, dan 20 jam) sebagai anak petak. Hasil menunjukan bahwa Inpari 32 lebih sensitif (LD50), dan lebih baik pada karakter daya kecambah dan karakter bibit dibandingkan dengan Inpari 31 dan 33. Jarak genetik terdekat ditunjukan antara Inpari 31 dan Inpari 33 tanpa mutagen, dan antara Inpari 32 dan Inpari 33 dengan perendaman sodium azide selama 10 dan 20 jam.
ANT ALGORITHM FOR SOLVING TRAVELLING SALESMAN PROBLEM
Authors:   Omsk State Technical University, Omsk, Russia, Kaliberda E. A. , Gunenkov M. Yu. ,   Omsk State Technical University, Omsk, Russia, Dyusekenov D. S. ,   Omsk State Technical University, Omsk, Russia, Fedotova I. V. ,   Omsk State Technical University, Omsk, Russia
Published: June 2021

The paper provides a brief theoretical overview of existing approaches to solving travelling salesman problem. The software implementation of the problem solution using the ant algorithm is performed. The analysis of the time efficiency of the algorithm on different volumes of input data is carried out. Dependency graph is plotted. Further directions of studying this algorithm are determined.
Impactos da pandemia do COVID-19 no desenvolvimento de crianças com o transtorno do espectro autista
Authors: Oliveira Amanda de , Silveira Isabela Galantini , Morte Isabela Soares Bôa , Chagas Jaqueline Maria de Azevedo , Martins Juliana Tanaka , Gonçalves Marco Antonio Carvalho , Pereira Maria Laura Pires de Carvalho , Santos Priscila Sabino dos , Bortoli Talita Schmidt , Corrêa Mônica Isaura
Published: June 2021

Objetivo: Descrever os efeitos e discutir as consequências das medidas de contenção da COVID-19 em crianças com o Transtorno do Espectro Autista (TEA). Revisão bibliográfica: A pandemia mundial causada pelo coronavírus SARS-CoV-2 fez com que fossem necessárias medidas de restrição para evitar a circulação viral, incluindo o isolamento social, o uso de máscaras e cuidados de higiene. Essas medidas afetaram a vida de todas as pessoas, no entanto, portadores de doenças psiquiátricas foram especialmente afetados por esse contexto e crianças com TEA se mostraram vulneráveis às mudanças de rotina e medidas de distanciamento que a pandemia exigiu. Como essas crianças apresentam a necessidade de acompanhamento multidisciplinar e realização de atividades para desenvolvimento de habilidades, o fechamento de estabelecimentos, clínicas e escolas, bem como a mudança repentina de hábitos, afetaram a saúde mental e o desenvolvimento cognitivo, social e comportamental de crianças com o espectro autista. Considerações finais: Nesse contexto é perceptível a maior responsabilidade dos cuidadores dessas crianças em adaptar rotinas e atividades no ambiente domiciliar, a fim de prevenir maiores consequências, sendo necessário, também, o cuidado com o próprio bem-estar, de forma a evitar a sobrecarga e o estresse excessivo.
Atuação interprofissional vivenciada no Programa de Educação pelo Trabalho pela Saúde: um relato de experiência
Authors: Souza Matheus Albino , Zanella Ricardo , Da Silva Carolina Geraldi , Vanin Gabriele Nichetti , Zanella Laura , Amaral Natália Weber do , Nunes Nathália Longo , Dalcim Raquel
Published: June 2021

Objetivo: Expor as atividades realizadas a partir da reflexão da interprofissionalidade e dos novos paradigmas do cuidado em saúde, evidenciando assim, a qualificação acadêmico-profissional que acontece com iniciativas como essa. Relato de experiência: O presente trabalho relata as experiências vivenciadas entre os anos de 2019 e 2021 por um grupo de bolsistas do Programa de Educação pelo Trabalho para a Saúde (PET-Saúde), grupo este composto por acadêmicos de diferentes áreas da saúde, que ao longo de dois anos atuaram em uma Unidade Básica de Saúde (UBS) realizando atividades interprofissionais que proporcionavam uma ligação entre ensino-serviço-comunidade. Dentre essas atividades estavam: acompanhamento de consultas, visitas domiciliares, participação em grupos de apoio, entre outras. Considerações finais: O programa PET-Saúde proporcionou aos participantes uma série de aprendizados e experiências que envolveram o trabalho interprofissional e aproximaram o estudante da realidade da sua comunidade e do sistema de saúde brasileiro. Contribuindo com a formação destes futuros profissionais, que saíram do programa mais preparados para o trabalho em equipe e para realizar um cuidado em saúde integral.
Dermatite atópica: um olhar sobre os tratamentos atuais
Authors: Rios Amanda Rodrigues , Miranda Brenda Anacleto de , Pereira Gabriela Roque , Costa Henrique Brandião , Costa Ivy Letícia Brandião , Cesconetto Juliana , Rebouças Lara Calhau , Dias Letícia Guimarães da Fonseca , Scussulim Maria Cecília Alcure Dias , Gandra Milena Ferreira
Published: June 2021

Objetivo: Revisar pontos importantes sobre a dermatite atópica e seu tratamento. Revisão bibliográfica: A incidência de DA aumentou consideravelmente nas últimas 3 décadas, tornando-se um importante problema de saúde pública. A DA é uma doença com manifestações clínicas dos sintomas durante a infância. A etiologia é multifatorial e têm padrões de hereditariedade, marcada pela habilidade elevada em formar reagina (IgE), com suscetibilidade aumentada à rinite alérgica e asma. Não há consenso na literatura que padronize sinais patognomônicos, a fisiopatologia da DA na clínica e laboratorialmente. O tratamento baseia-se em hidratação cutânea e uso de fármacos anti-inflamatórios necessários em cada caso para reduzir o prurido e minimizar as inflamações cutâneas, além de medidas para evitar contato com alérgenos. Considerações finais: Torna-se evidente, portanto, que o eczema infantil, têm padrões de hereditariedade e como etiologia alguns mecanismos complexos. Acresce que, não se tem uma anuência na literatura com um fluxograma para guiar o tratamento, fazendo-se necessário, mais estudos sobre o tema.
Variasi Laju Alir Kondensat Terhadap Rendemen Minyak Atsiri Daun Kemangi Menggunakan Metode Distilasi Steam
Authors: Fatimura Muhrinsyah , Fitriiyanti Reno
Published: June 2021

Distilasi steam  merupakan salah satu metode ekstraksi minyak atsiri dengan steam yang dihasilkan berasal dari boiler. Ekstraksi minyak atsiri kemangi berdasarkan perbedaan tekanan uap komponen penyusun tanaman tersebut. Tujuan penelitian ini mengetahui pengaruh variasi laju kondensat terhadap volume kondensat, rendemen, dan karakteristik minyak kemangi yang dihasilkan. Penelitian ini merancang alat Distilasi steam dengan variabel bebas massa kemangi 2 kg, 4 kg, 6 kg dan laju alir kondensat 0,0831 mL/s, 0,329 mL/s, 0,4023 mL/s serta variabel tetap kondisi operasi boiler pada tekanan <1 kg/cm2 dengan temperatur 95 oC dan lama Distilasi 120 menit. Hasil penelitian minyak atsiri kemangi berbentuk cair, berwarna kuning, rasanya kelat dan berbau khas kemangi, massa jenis 0,9524 g/mL, indeks bias 1,4622, kelarutan dalam alkohol 95% 1:1, bilangan asam yang di dapat 0,6067 mgKOH/g. Karakteristik ini masih memenuhi standar yang di tetapkan Essential Oil Association (EOA) hanya indeks bias yang masih dibawah paremeter EOA. Volume kondensat paling banyak 2.886,20 mL pada massa kemangi  2 kg, dengan rendemen  sebesar 0,1155%  pada laju alir kondesat 0,4023 mL/s.
Optimized Halogen Atomic Radii for PBSA Calculations Using Off-Center Point-Charges
Authors: Fortuna Andreia , Costa Paulo J.
Published: June 2021

In force field methods, the usage of off-center point-charges, also called extra-points (EPs), is a common strategy to tackle the anisotropy of the electrostatic potential of covalently-bonded halogens (X), thus allowing the description of halogen bonds (XBs) at the molecular mechanics / molecular dynamics (MM/MD) level. Diverse EP implementations exist in the literature differing on the charge sets and/or the X–EP distances. Poisson–Boltzmann and surface area (PBSA) calculations can be used to obtain solvation free energies (∆G solv ) of small molecules, often to compute binding free energies (∆G bind ) at the MM PBSA level. This method depends, among other parameters, on the empirical assignment of atomic radii (PB radii). Given the multiplicity of off-center point-charges models and the lack of specific PB radii for halogens compatible with such implementations, in this work we assessed the performance of PBSA calculations for the estimation of ∆G solv values in water (∆G hyd ), also conducting an optimization of the halogen PB radii (Cl, Br, and I) for each EP model. We not only expand the usage of EP models in the scope of the General AMBER Force Field (GAFF) but also provide the first optimized halogen PB radii in the context of the CHARMM General Force Field (CGenFF), thus contributing to improving the description of halogenated compounds in PBSA calculations.
Disorder Classification of the Vibrational Spectra of Modern Glasses
Authors: Pan Zhiwen , Benzine Omar , Sawamura Shigeki , Limbach Rene , Koike Akio , Bennett Thomas , Wilde Gerhard , Schirmacher Walter , Wondraczek Lothar
Published: June 2021

Using the coherent-potential approximation in heterogeneous-elasticity theory with a log-normal distribution of elastic constants for the description of the Raman spectrum and the temperature dependence of the specifi?c heat, we are able to reconstruct the vibrational density of states and characteristic descriptors of the elastic heterogeneity of a wide range of glassy materials. These descriptors are the non-affi?ne contribution to the shear modulus, the mean-square fluctuation of the local elasticity, and its correlation length. They enable a physical classification scheme for disorder in modern, industrially relevant glass materials.

We apply our procedure to a broad range of real-world glass compositions, including metallic,oxide, chalcogenide, hybrid and polymer glasses. Universal relationships between the descriptors on the one side, and the height and frequency position of the boson peak, the Poisson ratio and theliquid fragility index on the other side are established.
CSI-LSTM: A Web Server to Predict Protein Secondary Structure Using Bidirectional Long Short Term Memory and NMR Chemical Shifts
Authors: Miao Zhiwei , Wang Qianqian , Xiao Xiongjie , Song Linhong , Zhang Xu , Li Conggang , Zhou Xin , Jiang Bin , Liu Maili , 蒋 滨
Published: June 2021

The description and understanding of protein structure rely on secondary structure heavily. Secondary structure determination and prediction are widely used in protein structure related research. The secondary structure prediction methods based on NMR chemical shifts are convenient to use, so they are popular in protein NMR research. In recent years, there is significant improvement in deep neural network, which is consequently applied in many search fields. Here we proposed a deep neural network based on bidirectional long short term memory (biLSTM) to predict protein 3-state secondary structure using NMR chemical shifts of backbone nuclei. Compared with the existing methods of the same sort, the accuracy of the proposed method was improved. And a web server was built to provide secondary structure prediction service using this method.
Semicarbazide Functionalized Flax Fibers for Effective Adsorption of Cr(VI) from Wastewater Samples
Authors: Akl Magda A. , Hashem Mohamed , Mostafa Aya G. , Hashmed Mohamed
Published: June 2021

Semicarbazid modified flax fiber (SC.MFF) was successfully synthesized for the removal of Cr(IV) from different wastewater samples. Preparation of the SC.MFF material occurred in two main steps, the first step is the oxidation of the flax fibers by potassium periodate and the next step is refluxing of the oxidized fibers with semicarbazide ligand. The results show that quaternary ammonium cations were grafted on the surface of SC.MFF successfully. Additionally, a series of characterization of the SC.MFF sorbent was carried out using scanning electron microscopy, FTIR, elemental analysis, and X-ray diffraction spectroscopy. The effects of pH and ionic strength on the adsorption capacity were also investigated, which showed the adsorption capacity of the adsorbent decreased significantly with the increase of ionic strength and pH. Under optimized extraction conditions, the sorption capacity of Cr(VI) is 97.4 mg. g-1. The kinetic studies show that the experimental data matches well with the pseudo-second-order kinetic model. Furthermore, the studied Cr(VI) adsorbed on the sorbent according to the Langmuir adsorption model. Finally, the SC.MFF sorbent was successfully applied for the selective and high-efficiency recovery of Cr(VI) ions from different water samples.