bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessing Young Gymnasts’ Dynamic Posture
Authors: Jurak Ivan , Kiseljak Dalibor , Rađenović Ozren
Published: March 2020

Functional Movement Screen is an established method of assessing dynamic posture of athletes. Validity and reliability of FMS as a screening tool is debated and one of the foremost criticism is directed at its subjectivity. To the authors’ knowledge, there is no previous research using Kinovea to precisely assess FMS scores.

10 young competitive gymnasts (4 female and 6 male) were included in this study. The participants were scored by an experienced FMS assessor on site as per standard FMS protocol. Afterwards, the same participants were scored again using Kinovea to achieve more objective measurements.
Wilcoxon Signed Rank Test for FMS scores versus FMS-Kinovea scores identified FMS test no. 1 (Deep Squat) as significantly different. The median score of Deep Squat assessed on site was 2 (mean value: 2.1), while that same test, scored with Kinovea, had the median score of 1 (mean value: 1.2). Paired Pitman-Morgan test for equality of variances was used to test the dispersion of scores. None were shown to be statistically significant, however, overall FMS score was near significance threshold implying that there is a difference although our power of study was too low probably due to low sample size.
We detected significant difference in the scores of Deep Squat test, which is not surprising since it is the most complicated test to asses due to a large number of variables the assessor must evaluate.
Zaštita osobnih podataka
Authors: Surla Jasenka , Markotić Ivan , Vori Olja
Published: March 2020

Opća uredba o zaštiti podataka 2016/679 postavila je imperativ na zaštitu osobnih podataka u pravnim sustavima država članica Europske unije, propisujući načela kojih su se voditelji i izvršitelji obrade dužni pridržavati u obavljanju socijalnih i gospodarskih djelatnosti. Gospodarska i društvena integracija utjecala je na povećanje opsega razmjene osobnih podataka između država članica i trećih zemalja, u javnom i privatnom sektoru. U takvim okolnostima potreban je novi i jači pravni okvir koji propisuje jasna prava i obveze sudionika društvenih odnosa. Pritom je važno omogućiti daljnje ostvarivanje potreba modernog društva pod uvjetom očuvanja temeljnih ljudskih vrednota i zaštite prava osobnosti svakog pojedinca, bez obzira na nacionalnost i boravište. Neovisno o pravnoj osnovi obrade osobnih podataka, ispitanici uvijek zadržavaju pravo na informiranost, pristup svojim podacima, brisanje, mijenjanje i prijenos osobnih podataka te ograničenje svrhe obrade. Međutim, pravo na brisanje osobnih podataka nije apsolutno pravo, već ga je potrebno staviti u ravnotežu sa zakonskim obvezama voditelja obrade na čuvanje određenih vrsta podataka.
A validation study of a Korean version of the Recovery Experience Questionnaire
Authors: Park HyungIn , Park YoungAh , Kim Monica , Hur Taekyun
Published: March 2020

This study validated the recovery experience questionnaire developed by Sonnentag & Fritz (2007) using a Korean sample (N = 286). The four-factor model consisting of psychological detachment, relaxation, mastery, and control was also applied to this Korean sample, and each subscale showed a high internal consistency. Job demands, job control, technology usage during weekend, leisure motivation, burnout, and physical symptoms were measured to examine how they were related to weekend recovery experience. Implications of the results and directions for future research were discussed. In particular, cross-cultural research was suggested.
The Use of UnimatrixR Matrix System for Restoration of Interdental Contact Points – Case Report
Authors: Lucian-Codruț Bărbuceanu , Irina-Maria Gheorghiu , Paula Perlea , Loredana Mitran , Mihai Mitran , Alexandru-Andrei Iliescu
Published: March 2020

Proper restoration of proximal contact points is a great challenge for any dentist. The special particularities related to an appropriate anatomical and functional restoration at this level are related first of all to the knowledge of the local topography, to the possibilities of dental isolation, the type and the extension of the loss of hard dental substance. Currently, multiple techniques and specific conformation systems are available, which can be adapted to each clinical situation, so that the outcome of the therapeutic maneuver is a success.
Excision of Abdominal Wall Endometrioma During Caesarian Section Case Report
Authors: Liliana Steriu , Eduard Iordache Ionut , Gabriela Baltatescu , Diana Mocanu
Published: March 2020

Endometriosis is a frequent disease in women at reproductive age and is defined as functional endometrium located other place than uterus. The abdominal wall is an uncommon site of extrapelvic endometriosis. It usually occurs in a previous surgical scar. We present a case of a 31 years old, gravida, secundipara who was admitted with painful uterine contractions and abdominal wall endometrioma. During the caesarian section we also practice the excision of endometrioma.
Root canal treatment of mandibular second premolars with three root canals: Report of four rare cases
Authors: Molyvdas Ioannis , Digka Anna , Mikrogeorgis Georgios
Published: March 2020

Background/Aim: The aim of root canal treatment is the thorough cleaning, shaping and obturation of the root canals. Variations in root canal anatomy increase the difficulty of the root canal treatment and therefore the possibility of failure. The mandibular premolars often present complex anatomy and the existence of mandibular second premolars with three root canals is very scarce. This report presents the successful endodontic management of four mandibular second premolars with three root canals. Cases Report: In all cases working length was estimated using the working length radiograph and an apex locator. Canal orifices were enlarged with Gates-Glidden drills and manual instrumentation performed with Stainless Steel reamers and Hedstroem files, using either step-back or crown-down technique. Sodium hypochlorite (NaOCl) 2.5% was used as an irrigant. Root canal obturation were then performed using the cold lateral condensation technique with gutta-percha points and Roth's 801 canal sealer. The cases were scheduled for clinical and radiographic follow-up examination. Clinically in all follow-up examinations the teeth were asymptomatic. For the three cases with periapical lesions, post treatment radiographs, demonstrated periapical healing. Additionally, in the case without periapical lesion, the 9 months recall radiograph revealed healthy periapical conditions. Conclusions: Mandibular premolars should never be underestimated and the clinician should always be alerted for anatomic variations.
Prosthetic rehabilitation of cleft lip palate with Andrews bridge modified as obturator prosthesis: Case report
Authors: Murić Almina , Ayvalioglu Demet , Gokcen Rohlig
Published: March 2020

Background/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding. Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting. Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.
Assessing the Utility of Retailer Based on Generalized Costs of End-Consumers
Authors: Halkin Andrii
Published: March 2020

This paper gives a methodology to estimate the generalized costs of end-consumers visiting any retailer. The attractiveness and utility of retailers for end-consumers have been calculated based on their possible generalized costs according to their choice. According to the developed model, analysis of the consumer market visiting all shops in the described zone has been made. Research provides explanation of generalized costs of end-consumers. Generally, the utility function of end-consumers visiting retailers depends on the price and non-price factors. The regression models describing the time spent on transit to a retailer and inside of it provide monetary assessment of costs associated with the purchase process. The monetary level of fatigue was evaluated using the calories spent during the purchase process. The attractiveness of the retailer in an urban zone was assessed as an inverse function of the generalized costs.
Asymmetry Indices in Female Runners as Predictors of Running Velocity
Authors: Tabor Piotr , Mastalerz Andrzej , Iwańska Dagmara , Grabowska Olga
Published: March 2020

Introduction.
This paper aimed to establish relationships between the level of functional and dynamic asymmetry in advanced and intermediate-level runners and running velocity. Furthermore, evaluation of dynamic symmetry (running and vertical jump) was made using indices, taking into account the continuous character of the signals of the ground reaction force and angular positions in individual joints of the lower limb.

Material and methods.
Symmetry was assessed in a group of 12 Polish elite female middle-distance runners for the following parameters: 1) strength of lower limb muscles, 2) impulse of the vertical component of the ground reaction force during a CMJ jump, and 3) kinematics of a 50-m run in a straight line.

Results.
More advanced athletes (group A) were significantly taller and stronger than the athletes with less training experience (B). They were also characterized by a significantly longer step, a more extended swing phase, and a shorter support phase. There were no statistically significant differences between groups A and B in the level of asymmetry. Running velocity was significantly influenced by muscle strength symmetry (b = −5.77; p < 0.01) and support phase time symmetry (b = −6.64; p < 0.03). A reduction in each of these indices leads to an increase in running velocity.

Conclusion.
No morphological or functional asymmetry was found in female middle-distance runners with different training experience.
A novel technique for dacryocystorhinostomy tube insertion
Authors: Cukurova İbrahim , Arslan İlker Burak , Hışmi Anıl , Bulgurcu Suphi , Cetinkaya Erdem Atalay
Published: March 2020

OBJECTIVE. The purpose of this paper is to describe a simple and safer silicone tube insertion technique in endoscopic dacryocystorhinostomy.

MATERIAL AND METHODS. In our technique, steel wire is inserted into a rigid suction tube (3 mm in diameter) immediately after the medial wall of the sac under endoscopic view. The duration of retrieving the wire from the sac and out of the nasal passage, the number of mucosal lacerations and bleeding were compared with conventional methods such as using retrieval device or forceps.

RESULTS. The duration of retrieving the wire from the sac and out of the nasal passage and mucosal laceration were statistically reduced (P<0.05) in this novel technique when compared with other methods.

CONCLUSION. Sheltering the sharp end of the wire with a suction cannula is a safe and easy method without using any additional tools
Design of Air Pressure Measuring Devices Using a Barometric Pressure 280 (BMP280) Sensor Based on Arduino Uno
Authors: Khaery Miftahul , Pratama Abel Harditio , Wipradnyana Pande , Gunawan Anak Agung Ngurah
Published: March 2020

An air pressure gauge instrument has been successfully made using the Arduino Uno-based BMP280 sensor. This instrument was standardized by using a standard measuring instrument at the Central Bureau of Meteorology, Climatology and Geophysics (BMKG) Region III Tuban Bali.  It was obtained that the calibration equation is y = 1.0022x - 1.8907 with a coefficient of determination (R2) of 0.99998. This shows that the instrument made has a high degree of accuracy and precision.
Effects of Magnetic Field Exposure on Biosynthetic Reaction of Gold Nanoparticles (AuNP) Using Sambiloto Leaf Extract (Andrographis paniculata ness)
Authors: Imas Maria Yulni , Wulandari Ratih , Rupiasih Ni Nyoman , Supardi I Wayan
Published: March 2020

Research has been conducted to determine the effect of magnetic field exposure on the biosynthesis reaction of gold nanoparticles (AuNP) using Sambiloto leaf extract (Andrographis paniculata ness). The observations were made in two stages, namely optimization and synthesis rate. The optimization stage is carried out in a variation of the synthesis ratio (AuCl 3 solution (in ?l): Sambiloto leaf extract (in ml)) which are 2:10, 5:10, 10:10, 15:10, 20:10, 30:10 and 40:10. The results obtained from the optimization stage are used at the stage of determining the rate of synthesis reaction and then used to study the effect of magnetic field exposure on the rate of the AuNP synthesis reaction. The magnitude of the magnetic field used is 1.5 mT and exposure time of 12 hours. The synthesis results were characterized using UV-Vis spectrophotometer with the result that the absorbance value is a function of the wavelength of Surface Plasmon Resonance (SPR). The optimization phase was obtained that the synthesis volume ratio of 30 ?l: 10 ml gave the greatest absorbance value for the synthesis time of ± 1 hour. The reaction rate stage was obtained that the optimum time for AuNP synthesis was 1 hour both without and with the effect of magnetic field exposure, with the characteristic wavelength of the SPR and its absorbance value without the field of 535.5 nm, 0.938 a.u. and with a field of 526.0 nm, 0.880 a.u.
PENGARUH KONFLIK PEKERJAAN KELUARGA, STRES KERJA DAN KOMPENSASI TERHADAP KEPUASAN KERJA PADA KARYAWAN
Authors: Pardita I Putu Indra , Surya Ida Bagus Ketut
Published: March 2020

This study aims to analyze the influence of employee empowerment and family work conflicts, work stress and compensation for job satisfaction in employees of Alaya Resort, Ubud. This study, the method of determining the sample was done by purposive sampling (judgmental sampling) and obtained as many as 62 samples. The analysis technique used is multiple linear regression analysis. The results showed that family work conflict had a negative and significant effect on job satisfaction, work stress and a significant and negative effect on job satisfaction and compensation had a positive and significant effect on job satisfaction on employees of Alaya Resort Jembawan Ubud. Based on these results, the management of Alaya Resort Jembawan Ubud is expected to be more prudent in providing compensation to employees, and management is also expected to improve communication with employees so that they do not feel burdened with excessive work.

Keywords: family work conflict, work stress, compensation, job satisfaction.
DETERMINAN STRUKTUR MODAL PADA PERUSAHAAN PROPERTY AND REAL ESTATE DI INDONESIA
Authors: Sumardika I Putu Adi , Artini Luh Gede Sri
Published: March 2020

Capital structure is an important thing to consider by companies in order to avoid financial difficulties and the potential of bankruptcy. This study aims to determine the effect of profitability, asset structure, and company growth towards capital structure. This research was conducted on property and real estate companies listed in Indonesia Stock Exchange during 2014 - 2018. The number of samples used in this study are 27 companies with an observation period of 5 years. The analysis technique used is multiple linear regression analysis. The results showed that profitability has no significant effect on capital structure, but asset structure and company growth have positive and significant effect on capital structure.

Keywords: capital structure, profitability, asset structure, company growth.
PERAN MEDIASI KOMUNIKASI ATAS PENGARUH KEPEMIMPINAN TRANSFORMASIONAL TERHADAP KOMITMEN ORGANISASI PADA BANK PEMBANGUNAN DAERAH BALI
Authors: Budi Gede Sunar Yoga Dharma , Mujiati Ni Wayan
Published: March 2020

Tujuan penelitian adalah menganalisis: (1) untuk mengetahui pengaruh kepemimpinan transformasional terhadap komunikasi karyawan pada Bank Pembangunan Daerah Bali ; (2). Untuk menganalisis pengaruh kepemimpinan transformasional  terhadap komitmen organisai karyawan pada Bank Pembangunan Daerah Bali; (3). Untuk menganalisis pengaruh komunikasi terhadap komitmen organisasi karyawan Bank Pembangunan Daerah Bali; (4). Untuk menjelaskan peran komunikasi dalam memediasi kepemimpinan tranformasional terhadap komitmen organisasi karyawan Bank Pembangunan Daerah Bali. Sampel ditentukan sebanyak51orang dengan teknik sampling jenuh. Pengumpulan data dilakukan dengan menyebar wawancara, observasi dan kuesioner secara langsung kepada karyawan BPD Bali dan dianalisis menggunakan statistik dekriptif rata-rata hitung serta statistik deskriptif berupa uji asumsi klasik dan analisis jalur.Hasil analisis data menunjukkan bahwa variabel kepemimpinan transformasional berpengaruh positif terhadap komunikasi karyawan, variabel kepemimpinan transformasional berpengaruh positif terhadap komitmen organisasi karyawan, variabel komunikasi berpengaruh positif terhadap komitmen organisasi karyawan, dan komunikasi berpengaruh positif dalam memediasi parsial pengaruh kepemimpinan transformasional terhadap komitmen organisasi.

Kata Kunci: kepemimpinan transformasional, komunikasi, komitmen organisasi
PERAN MODERASI STATUS KEPEGAWAIAN PADA HUBUNGAN JOB INSECURITY DENGAN KOMITMEN ORGANISASIONAL
Authors: Indrayani Novi , Suwandana I Gusti Made
Published: March 2020

The purpose of this study was to determine the role of moderating employment status in the relationship between job insecurity and organizational commitment of the Badung National Land Agency Employees. This study used a sample of 72 people, consisting of 36 permanent employees and 36 contract employees, with the probability sampling method using the proportionate stratified random sampling technique. Data collection is done through interviews and questionnaires. The analysis technique used is descriptive analysis, ANOVA and MRA (Moderate Regression Analysis). The results of this study indicate that job insecurity has a negative and significant effect on employee organizational commitment. Staffing status has a positive and significant effect on employee organizational commitment. The moderating effect of staffing status weakens the effect of job insecurity on employee organizational commitment. Clarity of employment status must be taken into account by an organization, this will be a strong reference to reduce the sense of job insecurity and of course increase organizational commitment that will provide increased employee performance.

Keywords: employment status, job insecurity, organizational commitment
REDUÇÃO DE CONSUMO AMBIENTALMENTE MOTIVADO: ANÁLISE DA CONDUTA DE UNIVERSITÁRIOS
Authors: Marques Carolina Sampaio , Oliveira Maria Carolina Serpa Fagundes de , Grohmann Marcia Zampieri
Published: March 2020

As empresas sociais estão ganhando destaque no mercado e notoriedade no ambiente acadêmico por criarem produtos e O século XX trouxe consigo o crescimento de uma coletividade que começou a se preocupar com a degradação ambiental decorrente do desenvolvimento atual. Diante desse contexto, este estudo tem como objetivo analisar o comportamento ambientalmente motivado dos indivíduos. Para tanto, foi realizado um estudo de cunho descritivo e exploratório baseado no modelo proposto por Egea e Frutos (2013), que trabalha com as dimensões atitudes ambientais, motivações ecológicas, conhecimento prévio e comportamento ambientalmente motivado e testa as relações entre tais dimensões por meio de uma pesquisa quantitativa com análise fatorial e regressões múltiplas, onde foram pesquisados 150 estudantes universitários de uma universidade federal. Com isso e a fim de entender a redução de consumo ambientalmente motivado, foi constatado que esse comportamento está associado com as motivações ecológicas individuais, tanto altruístas, quanto egoístas, mostrando também que as motivações altruístas podem determinar o comportamento ambiental. Os resultados gerados pelo estudo cooperam para a área de pesquisa abordada, principalmente, pela proposta de três novas hipóteses, a seguir: o comportamento ambientalmente motivado está positivamente associado a motivações altruístas (i) e egoístas (ii) e as motivações ecológicas altruístas estão positivamente associadas às ações ambientais fora de casa (iii). As novas hipóteses encontram amparo na teoria. Esta pesquisa apresenta contribuições tanto para a área acadêmica quanto organizacional, por somar-se ao arcabouço teórico da área e apresentar um panorama do comportamento de redução de consumo ambientalmente motivado.
PRÁTICAS, BENEFÍCIOS E OBSTÁCULOS NAS COMPRAS PÚBLICAS SUSTENTÁVEIS: UMA REVISÃO SISTEMÁTICA DE LITERATURA
Authors: Paes Caroline Ornelas , Zucoloto Izabel Eliani , Rosa Mauro , Costa Lourenço
Published: March 2020

Este artigo visa fornecer uma revisão sistemática de literatura, abrangendo as publicações existentes sobre compras públicas sustentáveis, explorando as práticas utilizadas, os benefícios e os obstáculos, encontrados num contexto global. A metodologia consistiu num mapeamento sistemático das principais publicações sobre o tema, dividindo-as nas categorias de práticas, vantagens/benefícios e barreiras/obstáculos. A partir dos resultados obtidos pode-se observar que as práticas sustentáveis mais utilizadas nas contratações públicas são a adoção de critérios de performance ambiental, o uso de certificados e selos ambientais e de legislação específica para normalização das licitações. Os principais benefícios encontrados na aplicação das compras públicas sustentáveis referem-se à redução da emissão de gases do efeito estufa, estímulo a atitudes sustentáveis no setor privado, ao mercado de produtos sustentáveis e à inovação. Os estudos analisados indicam ainda que a prática de compras públicas sustentáveis precisa superar desafios significativos, incluindo a falta de informação sobre os produtos, problemas de ordem financeira, de conhecimento e conscientização ambiental.
DISCLOSURE AMBIENTAL NEGATIVO E DESEMPENHO EM EMPRESAS LISTADAS NA B3
Authors: Prudêncio Priscila Azevedo , Forte Hyane Correia , De Luca Marcia Martins Mendes , Vasconcelos Alessandra Carvalho de
Published: March 2020

Recentes impactos ambientais negativos fizeram aumentar a preocupação dos stakeholders com relação ao nível de responsabilidade ambiental da empresa. As atividades empresariais têm causado diversos danos ao meio ambiente, e os stakeholders têm buscado informações que diferenciem a empresa mais comprometida com o desenvolvimento sustentável, já que as agressões ao meio ambiente podem vir a comprometer o desempenho empresarial. Nesse contexto, este estudo tem por objetivo analisar os efeitos do disclosure ambiental negativo no desempenho da empresa causadora do desastre ou sinistro. Foram analisadas 277 empresas listadas na B3 que divulgaram relatórios GRI e/ou cujas informações ambientais foram divulgadas na mídia, no período de 2013-2017. Para análise dos dados, aplicaram-se a estatística descritiva e uma regressão linear múltipla. Os resultados evidenciam que o disclosure ambiental negativo não tem impacto no desempenho operacional da empresa, porém influencia o seu valor de mercado, confirmando os preceitos da Teoria dos Stakeholders e da Teoria do Disclosure Voluntário. Dessa forma, conclui-se que os stakeholders reagem à divulgação das informações ambientais negativas.
Práticas nepantleras da engenharia e os desafios de se formarem engenheiros/as capazes de aplicá-las e aprimorá-las
Authors: Cordeiro Cruz Cristiano
Published: March 2020

O conceito de nepantla refere-se ao lugar da reconstrução de nossa compreensão sobre nós mesmos/as, os/as outros/as e o mundo. Lugar, assim, da possibilidade de se gestar e trazer à luz um ordenamento sociotécnico diferente daquele atualmente hegemônico, que produz desempoderamento dos grupos populares, injustiça social e degradação ambiental. Nas últimas décadas, desenvolveram-se distintas práticas de engenharia que podem ser aplicadas nesse lugar, ou, mesmo, podem emulá-lo. Contudo, a reflexão sobre a formação do/a profissional capaz de aplicar essas práticas permanece pouco desenvolvida. Neste trabalho, após fundamentar a urgência de nepantla e apresentar o que é esse lugar fronteiriço, ilustraremos abordagens da engenharia que conseguem ocupá-lo e emulá-lo, esboçando, então, atividades pedagógicas que, em acréscimo àquelas desenvolvidas no Brasil para a formação do/a engenheiro/a educador(a), são capazes de formar esse/a engenheiro/a nepantlero.
Sistema Integrado de Comercialização para Produtos da Agricultura Familiar
Authors: Souza de Alvear Celso Alexandre
Published: March 2020

Os pequenos agricultores sofrem com diversas desvantagens competitivas. Uma dessas desvantagens é a falta de ferramentas informacionais que os auxiliem no processo de comercialização. Assim, o Núcleo de Solidariedade Técnica (Soltec/NIDES/UFRJ) iniciou o desenvolvimento do Sistema Integrado de Comercialização para Produtos da Agricultura Familiar (SIPAF). A proposta do trabalho é, sob esse contexto, trabalhar no desenvolvimento de sistemas de apoio às feiras de comercialização de produtos da agricultura familiar. Para isso, foi iniciado um diálogo com a feira Terra Crioula (https://www.facebook.com/TerraCrioulaMST/), que comercializa cestas agroecológicas e acontece quinzenalmente no Rio de Janeiro. O que antes era feito manualmente foi substituído pelo site http://cesta.repos.net.br, no qual os clientes interessados se cadastram e podem comprar os produtos que desejarem. Neste artigo, analisamos o desenvolvimento desse sistema, os resultados apresentados até o momento e as perspectivas futuras do projeto.
Congenital heart disease and thyroid dysfunction in Down syndrome reported at Children`s Hospital, Lahore, Pakistan
Authors: Yaqoob Muhammad , Manzoor Jaida , Hyder Syed Najam , Sadiq Masood
Published: March 2020

Down syndrome is one of the main causes of intellectual disability in children. It occurs in every community and ethnic group. Several co-morbid conditions are associated with this syndrome. The present study was conducted to determine the frequency of congenital heart disease and thyroid dysfunction in a group of children affected with this genetic disorder. It was a record based retrospective study. A child having specific clinical features and chromosomal analysis showing an extra chromosome 21 was diagnosed as having Down syndrome. Diagnosis of congenital heart disease was based upon results of echocardiography. Thyroid dysfunction was diagnosed when either or both tetraiodothyronine and thyroid-stimulating hormone serum levels were abnormal. Three hundred and fifty cases were enrolled in the study according to the preset criteria for Down syndrome. Two hundred and ten (60%) were males and 140 (40%) females showing male to female ratio as 1.5 to 1. Majority of the children (55.1%) presented between 7 months and 24 months of age. Congenital heart defects were found in 41.8% of the cases. Ventricular septal defect was the most common, 41%. Thyroid dysfunction was found in 22% (n=60) of the cases of which 5.9% (n=16) had hypothyroidism. In conclusion, the frequency of congenital heart disease and thyroid dysfunction in Down syndrome children is high. Early referral of these children to tertiary health care facilities is emphasized as timely detection and management of these comorbid conditions will help in reducing the morbidity and mortality in this group of children.
Analisis Kandungan Timbal pada Lipstik yang Terdaftar dan Tidak Terdaftar di Badan Pengawas Obat dan Makanan yang Dijual di Pasar Raya Kota Padang
Authors: Febriatama Feby , Endrinaldi Endrinaldi , Rofinda Zelly Dia
Published: March 2020

Lipstik merupakan kosmetik bibir yang digunakan oleh sebagian besar wanita. Lipstik tidak boleh mengandung bahan berbahaya seperti logam berat timbal karena dapat tertelan bersama makanan yang dikonsumsi. Tujuan penelitian ini adalah untuk menganalisis kandungan timbal pada lipstik yang terdaftar dan tidak terdaftar yang di jual di Pasar Raya Kota Padang. Pemeriksaan kandungan timbal dilakukan di Laboratorium Teknik Lingkungan Universitas Andalas dari Oktober 2017 sampai Maret 2018. Penelitian ini merupakan studi analitik dengan sampel lipstik berwarna merah muda sebanyak 20 lipstik yang terdaftar di BPOM dan 13 lipstik yang tidak terdaftar di BPOM. Instrumen penelitian ini adalah spektrofotometer serapan atom. Hasil studi menunjukkan 20 lipstik yang terdaftar dan 13 lipstik yang tidak terdaftar di BPOM mengandung timbal, namun masih memenuhi syarat yang telah ditentukan BPOM 2011. Pada penelitian ini didapatkan kandungan timbal pada lipstik yang terdaftar di BPOM berada pada 0,74 ppm - 2,33 ppm dengan kandungan rerata 1,2555 ppm, sedangkan kandungan timbal pada lipstik yang tidak terdaftar di BPOM berada pada 2,03 ppm - 3,28 ppm dengan kandungan rerata 2,4300 ppm. Simpulan penelitian ini ialah seluruh sampel positif mengandung timbal namun masih memenuhi syarat yang telah ditentukan BPOM 2011 yaitu < 20 ppm dan terdapat perbedaan kandungan timbal pada lipstik yang terdaftar dan tidak terdaftar di BPOM.
Hubungan Jumlah Leukosit Pre Operasi dengan Kejadian Komplikasi Pasca Operasi Apendektomi pada Pasien Apendisitis Perforasi di RSUP Dr. M. Djamil Padang
Authors: Amalina Annisa , Suchitra Avit , Saputra Deddy
Published: March 2020

Keterlambatan tindakan pada apendisitis akut akan menimbulkan penyulit berupa perforasi yang berakibat peningkatan morbiditas dan mortalitas. Perforasi appendiks berhubungan dengan peningkatan jumlah leukosit darah (leukositosis) dan dapat meningkatkan resiko terjadinya komplikasi pasca apendektomi. Tujuan penelitian ini adalah menentukan hubungan jumlah leukosit pre-operasi terhadap kejadian komplikasi pasca operasi apendektomi pada pasien apendisitis perforasi di RSUP Dr. M. Djamil Padang periode tahun 2015 sampai 2016. Penelitian ini merupakan studi analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 52 rekam medik pasien yang telah menjalani apendektomi yang sebelumnya diperiksa jumlah leukosit preoperasi. Data dianalisis secara univariat dan bivariat menggunakan uji korelasi Spearman. Hasil analisis univariat didapatkan rerata jumlah leukosit yaitu 18.966 sel/μl dengan sampel yang mengalami komplikasi pasca operasi yaitu 24 orang (46,2%) sedangkan yang tidak mengalami komplikasi yaitu 28 orang yaitu (53,8%). Sampel yang mengalami komplikasi pasca operasi dengan leukositosis yaitu 22 orang (66,66%) sedangkan yang mengalami komplikasi pasca operasi tanpa disertai leukositosis yaitu 11 orang (33,34%). Sampel dengan jumlah leukosit normal disertai dengan komplikasi pasca operasi yaitu 2 orang (10,52%) sedangkan sampel dengan jumlah leukosit normal tapi tidak mengalami komplikasi pasca operasi yaitu 17 orang (89,48%). Hasil analisis bivariat didapatkan p=0.000 (p<0.05) dengan derajat kekuatan hubungan sedang r=0,537. Simpulan studi ini ialah terdapat hubungan yang bermakna antara jumlah leukosit pre operasi dengan kejadian komplikasi pasca operasi apendektomi pada pasien apendisitis perforasi di RSUP Dr M. Djamil Padang.
Faktor-Faktor yang Berhubungan dengan Tingkat Pengetahuan Dokter Jaga IGD tentang Penatalaksanaan Kasus Henti Jantung di Rumah Sakit Tipe C se-Sumatera Barat
Authors: Sakinah Sakinah , Fadil M. , Firdawati Firdawati
Published: March 2020

Ada beberapa faktor yang mempengaruhi tingkat pengetahuan dokter jaga IGD diataranya usia, lama kerja di IGD, sertifikat ACLS, masa berlakunya dan lulusan. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan tingkat pengetahuan dokter jaga IGD tentang penatalaksanaan kasus henti jantung di rumah sakit tipe C di Sumatera Barat. Jenis penelitian ini adalah studi analitik bivariat dengan pendekatan survei dan menggunakan uji Chi-square untuk melihat hubungan antar variabel . Pengambilan sampel dilakukan dengan metode cluster sampling pada beberapa kota dan kabupaten yang dianggap dapat mewakili wilayah Sumatera Barat. Sampel pada penelitian ini berjumlah 44 orang yang dipilih berdasarkan kriteria inklusi dan ekslusi. Penelitian ini menggunakan kuesioner yang sudah divalidasi untuk kemudian diisi oleh responden. Hasil penelitian didapatkan bahwa umur, masa kerja, kepemilikan sertifikat ACLS, masa berlakunya serta lulusan masing-masing memilki nilai p sebesar 0,853 (p>0,05), 0,077 (p>0,05), 0,005 (p<0,05), 0,032 (p<0,05), 0,002 (p<0,05). Simpulan penelitian adalah ada beberapa faktor yang mempengaruhi tingkat pengetahuan dokter jaga IGD dalam penatalaksanaan kasus henti jantung antara lain kepemilikan sertifikat ACLS, masa berlaku ACLS dan lulusan perguruan tinggi sebelumnya.
KORELASI LAMA OPERASI DENGAN PERUBAHAN KADAR NATRIUM PASCA OPERASI TRANSURETHRAL RESECTION OF THE PROSTATE DI RSUP DR. M. DJAMIL PADANG
Authors: Novelty Rani , Rofinda Zelly Dia , Myh Etriyel
Published: March 2020

Transurethral Resection of the Prostate (TURP) pada pasien Benign Prostatic Hyperplasia (BPH) dengan indikasi absolut operasi. menggunakan suatu cairan irigasi. Cairan irigasi tersebut dapat masuk ke sirkulasi yang menimbulkan suatu kondisi intoksikasi air. Kelebihan cairan, yang terserap karena proses operasi TURP, dapat menyebabkan terjadinya hiponatremia akut, kejadian ini disebut sindroma TURP. Terjadinya sindroma TURP memang tergolong jarang, tetapi sindroma TURP memiliki komplikasi yang bahkan dapat menyebabkan kematian. Tujuan penelitian ini adalah menentukan korelasi lama operasi terhadap perubahan kadar natrium pasca operasi TURP di RSUP Dr. M. Djamil Padang. Penelitian ini merupakan studi analitik observasional dengan rancangan potong lintang. Pengambilan sampel dilakukan dengan teknik consecutive sampling. Sampel penelitian berjumlah dua puluh sampel yang diambil dari rekam medis pasien BPH yang melakukan TURP di RSUP Dr. M. Djamil Padang sesuai kriteria inklusi. Analisis data menggunakan uji korelasi Pearson. Hasil penelitian menunjukkan rerata lama operasi TURP adalah 63,25 ± 18,59 menit dan rerata perubahan kadar natrium adalah 5,0 ± 3,4 mEq/L. Uji korelasi Pearson menunjukan terdapatnya hubungan tidak bermakna antara lama operasi terhadap perubahan kadar natrium pasca operasi TURP dengan korelasi sangat lemah positif (r=0,141, p=0,552). Disimpulkan bahwa terdapat adanya korelasi sangat lemah dengan hubungan yang tidak bermakna antara lama operasi terhadap perubahan kadar natrium pasca operasi TURP di RSUP Dr. M. Djamil Padang.
Hubungan Frekuensi Kekambuhan Dermatitis Seboroik dengan Kualitas Hidup pada Pasien di Poliklinik Kulit dan Kelamin RSUP Dr. M. Djamil Padang
Authors: Lausarina Ririn , Yenny Satya Wydya , Asri Ennesta
Published: March 2020

Dermatitis seboroik merupakan kelainan kulit kronis papuloskuamosa yang sering terjadi pada kulit kepala, daerah folikel sebasea di wajah dan dada.Gambaran klinis yang tampak dari luar menimbulkan gangguan pada fisik, psikis, kehidupan sosial dan aktivitas sehari-hari pasien. Penyakit kulit ini mengharuskan pasien menanggung beban selama bertahun-tahun bahkan seumur hidupnya sehingga diduga dapat mempengaruhi kualitas hidupnya. Tujuan penelitian ini adalah menentukan hubungan frekuensi kekambuhan dermatitis seboroik dengan kualitas hidup pasien. Penelitian ini merupakan studi analitik dengan desain cross-sectional. Pengambilan sampel dilakukan dengan metode total sampling. Pengumpulan data dilakukan dengan pengambilan data sekunder melalui rekam medik pasien RSUP Dr. M. Djamil Padang dan menggunakan instrumen Dermatology Life Quality Index kepada 31 pasien yang menjadi sampel penelitian untuk penilaian kualitas hidup. Analisis data menggunakan analisis univariat dan bivariat dengan uji Kruskal-Wallis Test (α=0,05). Hasil penelitian menunjukkan 38,7% pasien mengalami frekuensi kekambuhan dermatitis seboroik yang dikategorikan sering. Hampir setengah dari responden (41,9%) merasakan dermatitis seboroik memberikan sedikit pengaruh terhadap kualitas hidupnya. Hasil penelitian memperlihatkan bahwa terdapat hubungan yang bermakna antara frekuensi kekambuhan dermatitis seboroik dengan kualitas hidup pada pasien di Poliklinik Kulit dan Kelamin RSUP Dr. M. Djamil Padang (p = 0,031).
Analisis Kebutuhan Lembaga Bantuan Hukum Kesehatan Di Kota Padang Tahun 2018
Authors: Rudiman Alfi , Hardisman Hardisman , Yusda Ikhsan
Published: March 2020

Pengaduan persoalan kesehatan di Kota Padang dalam beberapa tahun terakhir menunjukkan peningkatan. Hal tersebut berarti semakin tumbuhnya kesadaran hukum di masyarakat akan penting pelayanan kesehatan yang baik dan dapat diterima oleh semua lapisan masyarakat. Tujuan penelitian ini adalah menganalisis faktor-faktor kebutuhan Lembaga Bantuan Hukum (LBH) kesehatan berdasarkan kerangka sistem meliputi: Input, Proses, Output dan Outcome terhadap 11 lembaga/institusi yang terdiri dari: Dinas Kesehatan Kota Padang, Ombudsman, Lembaga Bantuan Hukum yang telah memberikan pelayanan bantuan hukum gratis, lima organisasi profesi kesehatan (IDI, PDGI, IBI, PPNI, IAKMI). Jenis penelitian ini adalah kualitatif dengan menggunakan metode pendekatan sistem. Hasil penelitian ini menunjukkan bahwa kebijakan pelaksanaan penanganan pengaduan persoalan kesehatan oleh Lembaga Bantuan Hukum sampai saat ini belum ada. Outcome penelitian ini ialah mayoritas informan mengatakan penting adanya LBH Kesehatan dengan melibatkan tenaga kesehatan dalam pelaksanananya. Keberadaan LBH kesehatan akan bermafaat bagi organisasi profesi kesehatan, masyarakat, asuransi dan lain-lain. Hambatan pelaksanaan LBH kesehatan ialah kurangnya minat SDM kesehatan untuk turut serta dalam proses penanganan hukum kesehatan dan masih minimnya kesadaran masyarakat yang berkaitan dengan hukum kesehatan.
POTENSI ANTOSIANIN DALAM MANAJEMEN MENOPAUSE
Authors: Sugiritama I Wayan , Adiputra I Nyoman
Published: March 2020

Menopause yang ditandai oleh berhentinya siklus menstruasi dianggap sebagai awal proses penuaan pada wanita. Penurunan kadar estrogen pada menopause menyebabkan penurunan perlindungan berbagai sistem/organ tubuh wanita. Penurunan aktivitas antioksidan estrogen dapat menyebabkan munculnya stres oksidatif pada menopause, yang akan memunculkan beberapa gejala pada menopause seperti gangguan psikogenik, gejala vasomotor dan genitourinary. Beberapa penyakit yang terkait menopause juga bisa terjadi seperti hipertensi, penyakit kardiovaskular, osteoporosis, radang sendi, diabetes mellitus, kanker, obesitas dan penyakit hati. Hormone Replacement Theraphy (HRT) dengan estrogen dapat diberikan untuk mengatasi gejala dan penyakit pada menopause. Walaupun terbukti efektif, HRT dapat menimbulkan efek samping yang berbahaya. Alternatif pengganti estrogen yang efektif dan lebih aman adalah fitoestrogen dan antioksidan. Antosianin yang memiliki struktur mirip dengan estrogen, menunjukkan aktivitas fitoestrogen baik in vitro maupun in vivo dan telah terbukti sebagai antioksidan yang efektif. Beberapa hasil penelitian telah membuktikan bahwa antosianin efektif dalam mengatasi gejala–gejala menopause. Pada makalah ini dibahas potensi antosianin dalam mengatasi gejala menopause dan penyakit terkait menopause, melalui aktivitasnya sebagai fitoestrogen dan antioksidan.
Analisis Pelaksanaan Program Pengawasan Kedatangan Kapal Laut dari Luar Negeri di Kantor Kesehatan Pelabuhan Kelas II Padang Tahun 2017
Authors: Gusfriyanto Fitra , Machmud Rizanda , Edison Edison
Published: March 2020

Indonesia terletak di jalur lalu lintas perdangan internasional dengan banyaknya pintu masuk ke wilayah Indonesia, hal ini merupakan faktor risiko untuk terjadinya penyebaran penyakit dan gangguan kesehatan. Jumlah kedatangan dan jenis negara asal kapal dari luar negeri di Kantor Kesehatan Pelabuhan Kelas II Padang meningkat setiap tahunnya. Tujuan penelitian ini adalah mengetahui gambaran pelaksanaan pengawasan kedatangan kapal laut dari luar negeri di Kantor Kesehatan Pelabuhan Kelas II Padang. Penelitian ini menggunakan pendekatan deskriptif dengan jenis penelitian kualitatif. Komponen yang diteliti mengenai input (kebijakan, standar operasional prosedur, tenaga, dana, metode dan sarana), proses (perencanaan, pengadaan, pelaksanaan, kepatuhan petugas, kerjasama lintas sektor, monitoring dan evaluasi dan Output (pelaksanaan program pengawasan kedatangan kapal laut dari luar negeri di KKP Kelas II Padang sesuai/ tidak dengan standar operasional prosedur). Hasil penelitian menunjukkan bahwa regulasi berupa Undang-Undang No.1 Tahun 1962 sudah tidak relevan karena sudah lama, jumlah tenaga masih kurang dari segi kualitas/ kompetensi, jumlah sarana dan peralatan masih kurang terutama di wilayah kerja, pelaksanaan kegiatan belum sesuai standar operasional prosedur, tingkat kepatuhan petugas masih rendah dan montoring belum terlaksana dengan baik. Program pengawasan kedatangan kapal laut dari luar negeri belum terlaksana sesuai standar operasional prosedur.
Efektifitas Ekstrak Jambu Biji Terhadap Kadar Hemoglobin Pada Tikus Bunting
Authors: Hasanalita Hasanalita , Amir Arni , Defrin Defrin
Published: March 2020

Jambu biji merupakan sumber vitamin C. Peranan vitamin C dalam proses penyerapan zat besi membantu mereduksi besi ferri menjadi ferro. Tujuan penelitian ini adalah menentukan hubungan ekstrak jambu biji dengan kadar hemoglobin pada tikus bunting. Jenis penelitian adalah eksperimental dengan pendekatan post test only control grup design. Jumlah sampel terdiri 36 ekor tikus putih bunting yang dibagi empat kelompok, yaitu kelompok kontrol dan tiga kelompok perlakuan I, II, II yang masing-masing diberi volume oral 1%, 2%, 3% ekstrak jambu biji. Penelitian dilaksanakan di Laboratorium Farmasi Universitas Andalas. Kadar hemoglobin diukur dengan Hb-test. Uji statistik dengan Kruskal Wallis dan uji Mann-Whitney. Hasil penelitian rerata kadar hemoglobin pada kelompok kontrol 13,956gr/dL, kelompok perlakuan I 12,522gr/dL, kelompok perlakuan II 17,500gr/dL, dan kelompok perlakuan III 16,922gr/dL. Hasil uji antar kelompok, yaitu Kelompok kontrol dengan Perlakuan I, II dan III adalah 0,001. Nilai pengaruh perlakuan kelompok I ke kelompok II 0,931(p>0,05), Kelompok I ke kelompok III 0,258(p>0,05). Kelompok II ke kelompok III 0,387(p>0,05). Ada perbedaan yang bermakna antara kelompok kontrol dengan kelompok perlakuan p=0,001 (p<0,05). Simpulan studi ini ialah terdapat efektifitas ekstrak jambu biji terhadap kadar hemoglobin pada tikus bunting.
Analisis Faktor-Faktor yang Mempengaruhi Pemenuhan Indikator Angka Kontak Komunikasi dan Rasio Peserta Prolanis di Puskesmas Kabupaten Padang Pariaman
Authors: Nofriyenti Nofriyenti , Syah Nur Afrainin , Akbar Ali
Published: March 2020

Indikator Angka kontak komunikasi dan ratio peserta Program Pengelolaan Penyakit Kronis (Prolanis) yang merupakan dua dari tiga indikator KBKP (Kapitasi Berbasis Pemenuhan Komitmen Pelayanan), yaitu indikator angka kontak komunikasi 150 permil, indikator ratio rujukan non spesialistik ≤ 5 %, dan ratio peserta prolanis rutin berkunjung ≤ 50% sangat sulit sekali terpenuhi oleh Puskesmas di Kabupaten Padang Pariaman. Angka kontak komunikasi ini adalah untuk melihat aksesabilitas dan pemanfaatan pelayanan primer oleh peserta baik pelayanan di dalam gedung maupun pelayanan luar gedung. Tujuan penelitian ini adalah menganalisis faktor-faktor yang mempengaruhi pemenuhan indikator angka kontak komunikasi dan rasio peserta prolanis rutin berkunjung di Puskesmas Wilayah kerja Dinas Kesehatan Kabupaten Padang Pariaman. Penelitian ini menggunakan rancangan penelitian kualitatif jenis case study (studi kasus). Pemilihan informan dalam penelitian ini adalah secara Purposive, yang terdiri dari Kepala Dinas Kesehatan, Ketua Tim Kendali Mutu Kendali Biaya, Kepala BPJS, Kepala Puskesmas dan Penanggung jawab tekhnis pelaksanaan kapitasi Kabupaten. Hasil penelitian ini menunjukkan bahwa masih ada 3 puskesmas yang belum mampu memenuhi indikator angka kontak komunikasi ≥150 permil, yaitu Puskesmas Sicincin, Puskesmas Ulakan dan Puskesmas Limau Purut. Dari tiga puskesmas tersebuat dua diantaranya yaitu Puskesmas Limau Purut dan Puskesmas Ulakan, belum mampu memenuhi indikator ratio peserta prolanis rutin berkunjung ≥ 50%.
Gambaran Pengetahuan dan Keterampilan Dokter tentang Pengisian Penyebab Kematian Medis (Medical Cause of Death) Berdasarkan Standar ICD-10 di RS Tersier di Bandung
Authors: Windasari Noverika , Adibah Nur , Sayusman Chevi
Published: March 2020

Penyebab kematian medis perlu dicantumkan pada setiap rekam medis pasien yang meninggal. Dokter di Rumah Sakit berperan penting dalam menentukan sebab kematian medis (medical cause of death). Tujuan penelitian adalah untuk menilai pengetahuan dan keterampilan dokter tentang cara penulisan penyebab kematian medis (medical cause of death) pada rekam medis di RS Tersier di Bandung yang sesuai dengan standar WHO International Classification of Disease (ICD) 10. Penelitian ini berupa studi deskriptif analitik dengan memberikan kuesioner pada dokter klinis di suatu RS Tersier di Bandung untuk menilai pengetahuan dan keterampilan dokter tentang cara penulisan penyebab kematian medis (medical cause of death) dan kesesuaiannya dengan standar WHO ICD-10. Dari total 928 orang dokter klinis, didapatkan 90 sampel. Sampel mewakili setiap departemen/bagian yang terlibat langsung pembuatan penyebab kematian medis di suatu RS Tersier di Bandung. Hasil penelitian ini menunjukkan 58,1% dokter yang memahami tentang cara penulisan penyebab kematian medis yang benar, sedangkan 41,9% belum memahami secara teori. Keterampilan dokter dalam mengisi penyebab kematian medis yang benar dan lengkap sebesar 20,7%, sedangkan 23,3% mengisi penyebab kematian medis dengan benar namun tidak lengkap. Sebanyak 75,4% mengisi penyebab kematian yang salah, terutama karena menuliskan kondisi akhir sebelum kematian (terminal events). Masih separuh dokter (58,1%) mengetahui cara penulisan penyebab kematian medis yang benar sesuai standar WHO ICD-10. Tingkat keterampilan dalam mengisi penyebab kematian medis yang lengkap, masih sangat rendah (20,7%).
Implementasi Permenkes Nomor 72 Tahun 2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit Terhadap Tatakelola SDM Instalasi Farmasi Rsu Mayjen H.A Thalib Kerinci Tahun 2018
Authors: AT Trianengsih , Hardisman Hardisman , Almasdy Dedy
Published: March 2020

Permenkes 72 tahun 2016 sangat penting di terapkan di setiap Instalasi Farmasi di rumah sakit, sehingga tercapainya peningkatan mutu Pelayanan Kefarmasian. Tujuan penelitian ini adalah mengetahui bagaimana implementasi Permenkes No.72 Tahun 2016 tentang standar pelayanan kefarmasian terhadap tata kelola SDM Instalasi farmasi RSU Mayjen H.A Thalib Kerinci Tahun 2018 dengan menganalisis kualifikasi, persyaratan serta Beban kerja dan kebutuhan SDM di IFRS MHAT. Penelitian ini menggunakan desain Sequential Explanatory menggabungkan kuantitatif dan kualitatif dan penelitian kuantitatif adalah 28 orang, untuk informan pada penelitian kualitatif adalah 9 orang. Waktu penelitian dari Nopember sampai Desember 2018 di RSU Mayjen H.A Thalib Kerinci. Hasil penelitian adalah kualifikasi tenaga TKK masih ada dengan latar belakang SMF, Hasil check list dokumen didapatkan jika pengelolaan sediaan farmasi, alat kesehatan, dan bahan medis habis pakai 44,4% belum terlaksana sedangkan pelayanan farmasi klinik 63,6% belum terlaksana. Hasil pengamatan work sampling didapatkan hasil jika unit gudang dan rawat jalan memiliki produktivitas sedang, sedangkan untuk unit rawat inap menunjukkan tingkat produktivitas rendah. Kualifikasi, persyaratan serta Beban kerja dan kebutuhan SDM di IFRS MHAT belum sesuai dengan Permenkes 72 tahun 2016.