bluuebunny/crossref_metadata_2025 huggingface dataset:
Une Recette Utilisée dans le Traitement Traditionnel des Troubles du Sevrage des Enfants au Mali
Authors: Diarra Mamadou Lamine , Dénou Adama , Dembélé Daouda , Traoré Djeneba , Sanogo Rokia
Published: September 2023

Combretum lecardii est traditionnellement utilisé contre les troubles du sevrage des enfants au Mali. Le présent travail avait comme objectif de recenser les données de sécurité, d’efficacité et de qualité de Combretum lecardii. Les informations sur Combretum lecardii ont été collectées en consultant des  livres, des sites et des moteurs de recherche tels que Google, Google scholar, Prota etc. Les résultats ont montré que Combretum lecardii contient des flavonoïdes, tanins et de composées à génines stéroïdiques. La poudre de feuilles de Combretum lecardii possédait des poils tecteurs, des fibres, du xylème, des grains d’amidon, des cristaux d’oxalate de calcium, du parenchyme et des fragments d’épiderme avec stomates. Traditionnellement, Combretum lecardii est utilisé contre les troubles du sevrage et d’autres pathologies. Pharmacologiquement, les activités antitussive, antibactérienne, antidiarrhéique et antalgique de Combretum lecardii ont été retrouvées. Ces résultats peuvent aider à la mise au point d’un médicament traditionnel amélioré à base de Combretum lecardii pour la prise en charge des troubles du sevrage de l’enfant.

 

Combretum lecardii is traditionally used against child weaning disorders in Mali. The objective of this work was to identify the safety, efficacy and quality data of Combretum lecardii. Information on Combretum lecardii were collected through books, sites and search engines such as Google, Google scholar, Prota etc. The results showed that Combretum lecardii contains flavonoids, tannins and steroidal genin compounds. Combretum lecardii leaf powder had covering trichomes, fibers, xylem, starch grains, crystals of calcium oxalate, parenchymatous cells and epidermis fragments with stomata. Traditionally, Combretum lecardii is used against weaning disorders and other pathologies. Pharmacologically the antitussive, antibacterial, antidiarrheal and analgesic activities of Combretum lecardii were found. These results can be helpful for developing an improved traditional medicine based on Combretum lecardii for the management of child weaning disorders.
Comparative Study of Two Monoterpenes Effect on Rhipicephalus microplus Tick
Authors: Coulibaly Anass , Hema Delphine M. , Kiendrebeogo Martin , Nebie Roger C.H.
Published: September 2023

The cattle tick Rhipicephalus microplus is one of the most important ectoparasites for livestock in tropical and subtropical areas worldwide. This tick hurts the economy of the milk and meat production chain. In addition, it constitutes a vector for the transmission of Anaplasmosis and Babesiosis pathogens. The control of R. microplus populations is mainly based on the use of synthetic acaricides. However, using this control method presents a danger to humans and the environment and leads to the emergence of resistant tick populations. In this situation, searching for ecological and effective control alternatives is essential. Thus, plant extracts constitute a promising solution, particularly essential oils and their active compounds. Thus, the present study aims to assess the acaricidal activity of two monoterpenes (Thymol and 1.8 cineole) abundantly found in essential oils to find an alternative to synthetic acaricides. The acaricidal activity was determined according to the method of larval immersion test (LIT). Eight concentrations were tested and R software version 4.0.3 was used for data analysis. Results showed 100 % larval mortality rates for the two monoterpenes with LC50 and LC90 values of (0.28 and 0.64) and (0.64 and 2.66) respectively, for thymol and 1.8 cineole for the immersion time of 5 min. For 10 min of immersion, all LC values decreased for the two monoterpenes. These findings highlight the potential of the thymol and 1.8 cineole as an alternative for managing R. microplus tick.
Cancer de la Prostate Révélé par un Myélogramme Pathologique: A Propos d’Un Cas
Authors: Mkoh Dikao Anne Stredy , Agounkpe Michel Michael , Djiepti Jules Bruno , Sance Roland Milolo , Yévi Magloire , Hodonou Fred , Dehoumon Justin , Avakoudjo Josue Dejinnin Georges
Published: September 2023

La majorité des cancers de la prostate sont diagnostiqués à un stade tardif en Afrique subsaharienne. Les complications hématologiques du cancer de la prostate surviennent au cours d’une évolution péjorative. Nous rapportons un cas révélé par une complication hématologique. Un patient de 70 ans a présenté une bicytopénie. Il avait des antécédents de myocardiopathie et de polytransfusion. Il a été admis en hématologie pour recherche étiologique d’une bicytopénie sévère. La réalisation d’un myélogramme à visée de recherche étiologique a identifié des cellules métastatiques d’origine prostatique. L’examen anatomopathologie des carottes de biopsie prostatique a révélé un adénocarcinome prostatique infiltrant, score de Gleason 7 (4 + 3), ISUP (International Society of Urological Pathologie) 3. L’hormonothérapie et les transfusions sanguines associées aux bisphosphonates ont constitué l’essentiel du traitement. L’évolution sous ce traitement a été favorable sur le plan clinique avec une amélioration de l’état général et biologique avec une normalisation de la lignée rouge à 3mois de traitement et un PSA (Prostate Specific Antigen) au nadir après 6mois de traitement. Les complications hématologiques de la néoplasie prostatique notamment dues à l’envahissement médullaire sont source d’égarement diagnostique. Elles méritent d’être connues des cliniciens puisqu’elles peuvent être révélatrices de ce cancer au stade métastatique.

 

The majority of prostate cancers are diagnosed at a late stage in sub-Saharan Africa. The haematological complications of prostate cancer occur during a pejorative course. We report a case revealed by a haematological complication. A 70-year-old patient presented with bicytopenia. He had a history of cardiomyopathy and polytransfusion. He was admitted to hematology for a etiological investigation of severe bicytopenia. Performing a myelogram for etiological research identified metastatic cells of prostate origin. The pathology examination of the prostate biopsy cores revealed an infiltrating prostatic adenocarcinoma, Gleason score 7 (4 + 3), ISUP (International Society of Urological Pathology) 3. Hormontherapy and blood transfusions associated with bisphosphonates were the factor essential of treatment. The outcome under this treatment was clinically favorable with an improvement in the general and biological condition with normalization of the red line at 3 months of treatment and a PSA (Prostate Specific Antigen) at nadir after 6 months of treatment. The haematological complications of prostatic neoplasia, in particular due to spinal cord invasion, are a source of diagnostic error. They deserve to be known to clinicians since they can be indicative of this cancer in the metastatic stage.
Cultura, privacidade e proteção de dados pessoais na América Latina
Authors: Veronese Alexandre , Lemos Igreja Rebecca , Silveira Alessandra
Published: September 2023

O texto trata da parte teórica de uma pesquisa maior, cujo foco é o levantamento e a interpretação de fontes (legislação, literatura jurídica, técnica, bem como entrevistas de campo) em nove países da América Latina (Argentina, Brasil, Chile, Colômbia, Costa Rica, México, Panamá, Peru e Uruguai) sobre cultura de proteção de dados pessoais e de privacidade. Foram selecionados países que possuem leis e autoridades administrativas. O objetivo do texto é formular a base teórica para interpretação dessas fontes. Essa formulação é atingida, metodologicamente, a partir da resenha da literatura de ciências sociais, do direito e da área técnica (sistemas da informação e políticas públicas), além do influxo de uma pequena parte dos documentos e de dados de campo. O resultado do artigo é a oferta de um quadro analítico para classificação de dados qualitativos, para preencher uma lacuna na literatura sobre o tema. A partir dele, será possível descrever a formação desse conceito na região, com atenção para cada país pesquisado. A conclusão principal do texto é que o conceito de cultura de proteção de dados pessoais e de privacidade deve ser entendido sempre de modo contextual e local, ainda que o tema seja global. Logo, é necessário construir classificações descritivas sobre os países com atenção local, a partir do mapeamento de eventos e coisas, conceitos de trabalho que englobam artefatos sociais e comportamentos observados, relatados ou descritos.
Crime, violência e fronteira no Mato Grosso do Sul
Authors: Faisting André
Published: September 2023

Partindo de dados levantados em diferentes pesquisas sobre criminalidade, violência e políticas de segurança na fronteira do Mato Grosso do Sul realizadas nos últimos anos, bem como de indicadores recentes sobre a segurança pública no estado, o artigo pretende articular esses dados e indicadores às dinâmicas e às representações da fronteira. Nesse sentido, inicia como uma reflexão sobre os problemas relativos às interpretações da fronteira como “lugar” do crime e da violência para, em seguida, qualificar alguns indicadores da segurança pública no estado e apresentar algumas percepções sobre a fronteira manifestadas por profissionais da segurança pública e da justiça que atuam na região da Grande Dourados. Entre outros resultados, destacamos que, além de estar situado em uma região de fronteira que impacta no número de apreensões de drogas e de prisões, Mato Grosso do Sul também está fortemente marcado pela violência contra os povos indígenas, o que coloca o desafio de pensar a fronteira no estado para além dos limites geográficos que separam o Brasil dos países vizinhos, mas também a partir das fronteiras internas - físicas e simbólicas - que confinam e submetem grupos vulneráveis à violência letal e à grave violação de direitos.
busca pela verdade real e a realidade da busca policial
Authors: Giovanelli Alexandre
Published: September 2023

A perícia oficial tem papel relevante como instrumento de garantia dos direitos humanos, por possibilitar uma base conceitual e lógica, alicerçada nos postulados científicos, a qual pode ser compartilhada pelas diferentes partes no processo. No entanto, injunções de natureza material e funcional têm reduzido o papel dos órgãos periciais a um aparato legitimador dos procedimentos cartoriais e inquisitoriais vinculados à investigação policial. No presente estudo foi realizado um levantamento dos registros de ocorrência e respectivos laudos associados a mortes ocorridas por ação de agentes do estado, no município do Rio de Janeiro. Os resultados indicam que a polícia teve claramente um viés discriminatório, em sua atuação nas favelas cariocas. Por sua vez, os laudos apresentaram insuficiências técnicas relacionadas ao pouco uso de tecnologias, na indeterminação metodológica e na persistente desconsideração de procedimentos operacionais padronizados. Da mesma forma foram observadas tendenciosidades no conteúdo dos laudos que apontam para um alinhamento com a busca pela incriminação de sujeitos. Aliado a isso, a requisição pericial está submetida ao poder discricionário da autoridade policial, o que introduz um viés adicional na busca direcionada da “verdade real”. Nesse sentido, justiça e polícia têm funcionado como sistemas plenamente integrados em seus métodos e práticas e que funcionam como instâncias de controle social de determinados grupos. Por sua vez, a perícia também está integrada a esse circuito coercitivo, fazendo com que sua atuação seja distorcida, comprometendo os princípios da presunção de inocência, do direito ao contraditório e da ampla defesa das partes.
Introdução ao Dossiê Administração Institucional de Crimes no Âmbito da Segurança Pública e da Justiça Criminal em Perspectiva Empírica
Authors: Lobo Michel , De Lima Roberto Kant
Published: September 2023

Aqui estão reunidos artigos com ênfase na pesquisa empírica, com usos de múltiplos métodos das Ciências Sociais, qualitativos e quantitativos, inclusive mistos – tais como etnografia, trabalho de campo, observação participante, análise documental e arquivística, levantamento e cruzamentos quantitativos, análise de discurso, arquivística, e de documentos oficiais e extraoficiais, inclusive com usos de softwares como NVIVO. Os textos também desenvolvem argumentação crítica e reflexiva sobre o sistemas jurídico-policiais brasileiro, argentino e estadunidense, enfatizando suas contradições, seus dilemas, suas especificidades e suas sensibilidades jurídicas (GEERTZ, 2002), sobretudo quando se contrastam as doutrinas, leis e tipos ideais do “dever ser” jurídico com as práticas judiciais e judiciárias.
ORTHODOX BROTHERHOODS IN THE POST-REFORM PERIOD: BASED ON THE MATERIALS OF THE VOLOGDA PROVINCE
Authors: Kotov P. , Nosova T.
Published: September 2023

On the basis of archival and published materials on the Vologda province,
the history of the creation and activity of Orthodox brotherhoods in the post-reform period (late XIX – early XX century) is considered. The reasons of the emergence and the legislative basis of the activities of fraternal organizations are revealed. The status of fraternity members, the evolution of the number and social composition
of organizations are characterized. The analysis of the system of management and financing of Orthodox societies is carried out. Special attention is paid to the disclosure of the religious-educational, missionary, charitable and church-organizing activities
of the Orthodox brotherhoods of the Vologda province.
The publication is addressed to history researchers, teachers, students and all those interested in the past of Russia and the northern region.
India’s Strategy in Reducing Palm Oil Import and Its Impacts to Bilateral Trade with Indonesia
Authors: Mahdi Tofan
Published: September 2023

This article tries to analyze the strategy of Indian government in reducing its trade deficit through the import reduction of several main commodities including the palm oil. This research also seeks the impacts of the palm oil reduction in India towards India-Indonesia bilateral trade, as Indonesia is one of India’s main trade partners and largest exporter of palm oil to India. This research used literature study within content analysis to find the bilateral trade between India and Indonesia, also the impacts of India palm oil import’s reduction. The main data of research are secondary data from trusted and reputable news relating India palm oil imports from Indonesia.  The result of study found that Indonesia needs to pursue efforts of trade diplomacy effectively so that the Indian strategy to cut imports will not be too impactful to the performance of its exports to India. This research enriches literature study about bilateral trade especially in India-Indonesia palm oil context. In practical implication, this research bring any recommendation to related stakeholder about bilateral trade strategy taken by Indonesian government.
The Influence of Self Service Technology (SST) on Customer Satisfaction of Digital Services Users at Indonesia Islamic Bank
Authors: Syahrani Febry Nabila , Daulay Aqwa Nasser , Nurbaiti Nurbaiti
Published: September 2023

This research aims to analyze the effect of Self-Service Technology on customer satisfaction of digital service users at Indonesia Islamic Bank especially BSI KCP Kisaran. BSI KCP Kisaran Self-Service Technology consists of Automatic Teller Machine (ATM), internet banking, and mobile banking. This research also analyze how is the influence of these three SST facilities simultaneously on customer satisfaction. This research uses a quantitative approach with multiple linear regression analysis. Research data sources use primary and secondary data. According to the results of data analysis shows that ATM has a significant effect on customer satisfaction. In other side, internet banking and mobile banking also have a significant effect on customer satisfaction. Based on results found that customers still experience high benefits from transaction by ATM, internet banking, and mobile banking. These results indicate that customers are satisfied within BSI KCP Kisaran Self-Service Technology that consists of ATM, internet banking, and mobile banking. This study bring an implication that the optimizing Self-Service Technology would increase the Islamic Bank customer satisfaction.
PENGARUH BRAND AMBASSADOR, SALES PROMOTION DAN BRAND AWARENESS TERHADAP KEPUTUSAN PEMBELIAN PADA E-COMMERCE SHOPEE
Authors: Pujianto Oky , Achsa Andhatu , Novitaningtyas Ivo
Published: September 2023

Semakin banyaknya e-commerce yang ada di Indonesia menjadikan persaingan diantara para e-commerce semakin ketat. Shopee merupakan e-commerce yang ada di Indonesia yang berhasil menempati posisi pertama sebagai platform e-commece pilihan masarakat indonesia pada tahun 2022, selain itu pada kuartal pertama tahun 2022 Shopee juga mengalami peningkatan pendapat mencapai 64,4 persen serta shopee mengalami peningkatan nilai transaksi bruto sebesar 38.7 persen. Keputusan pembelian yang dilakukan pada E-commerce ini menjadi faktor penting dari adanya pencapaian peningkatan yang diraih oleh e-commerce shopee tentunya sebelum konsumen melakukan transaksi konsumen akan mempertimbangkan dari aspek brand ambassador, sales promotion, dan juga brand awareness. Penelitian ini merupakan penelitian kuantitatif. Pengumpulan data yang digunakan pada penelitian ini melalui survei secara langsung kepada 150 responden penelitian dengan menggunakan Uji Asumsi Klasuk dan Uji Regresi Linear Berganda dengan bantuan alat olah data SPSS 24. Hasil penelitian menunjukan bahwa variabel brand ambassador, sales promotion dan brand awareness berpengaruh dan signifikan terhadap keputusan pembelian di e-commerce Shopee. Hasil Uji f menunjukan hasil bahwa variabel brand ambssador, sales promotion, dan brand awareness secara simultan berpengaruh positif dan signifikan terhadap variabel keputusan pembelian di e-commerce Shopee.
The Antibacterial Activity of Red Betel (Piper crocatum) Leaf Extract toward Staphylococcus aureus
Authors: Zulkarnain Ahmad Alfan Surya Dilaga , Narmada Ida Bagus , Ardani I Gusti Aju Wahju
Published: September 2023

Background: Red betel (Piper crocatum) is a plant that grows a lot in the tropics, especially Indonesia. The use of red betel Background: Red betel (Piper crocatum) is a plant that grows a lot in the tropical area, especially Indonesia. The use of red betel leaves for medicine is due to the fact that betel leaves contain a lot of essential oils. Purpose: To examine the antibacterial activity of red betel leaf extract against Staphylococcus aureus by investigate at the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) values. Methods: This study used an in vitro laboratory experiment as its research method. The post-test only control group design experiment was used in this study, in which the experimental and control groups were not chosen at random and each of the two groups was compared. Results: Red betel leaves that had been extracted at a concentration of 100% were diluted into several concentrations, namely 50%, 25%, 12.5%, 6.25%, and 3.75%. The results of this dilution obtained the minimum inhibitory concentration (MIC) value of red betel leaf extract against Staphylococcus aureus bacteria at a concentration of 6.25%, while the minimum bactericidal concentration (MBC) value was obtained at a concentration of 12.5%. Conclusion: The MBC value in this study was in red betel leaf extract with a concentration of 12.5%, and the MIC value in this study was in red betel leaf extract with a concentration of 6.25%.
Utilizing a Film Holder to Enhance Radiographic Imaging in Maxillary Molar Trifurcation
Authors: Savitri Yunita , Wahjuni Otty Ratna , Bosawer Ellyonord Diana , Astuti Eha Renwi , Mulyani Sri Wigati Mardi , Saputra Deny , Putra Ramadhan Hardani , Asymal Alhidayati , Nurrachman Aga Satria , Ramadhani Nastiti Faradilla , Lashari Dur Muhammad
Published: September 2023

Background: The parallel technique stands as a prominent method for radiographic examinations aiming to identify furcation involvement. Nevertheless, an inherent limitation lies in the frequent superimposition of the trifurcation region with tooth roots, potentially leading to inaccurate diagnoses. The Same Lingual Opposite Buccal (SLOB) technique was devised to yield radiographic images that alleviate superimposition at the trifurcation of the maxillary first molar. Purpose: to observe and compare the radiographic images of the trifurcation region of the maxillary first molar generated through the SLOB technique with the film holder modification set at a mesial and distal angulation of 20˚ with the parallel technique. Methods: This observational analytic research encompassed a sample size of 24 instances. Each individual sample underwent three separate exposures: the SLOB technique with a horizontal angulation of 20˚ towards both mesial and distal directions, and the parallel technique (serving as the control). Results: a significant difference in radiographic images of the trifurcation region of the maxillary first molar obtained through the SLOB technique, employing the film holder modification with a mesial angulation of 20˚ and a distal angulation of 20˚, as opposed to the parallel technique (control). Conclusion: A radiographic image capturing the trifurcation of the maxillary first molar, devoid of superimposition, was successfully generated through the SLOB technique incorporating a horizontal angulation of 20˚ towards the distal direction.
Analysis of mandibular third molar impaction classification with different skeletal malocclusions
Authors: Bingül Muhammet Bahattin , Oğuz Fırat , Evren Ayşegül
Published: September 2023

Background: Since the third molar teeth are the last to erupt in the oral cavity, they can become more impacted than other teeth. Insufficient retromolar space and the eruption direction of the third molars can affect this situation. The condition, distribution, and prevalence of impacted third molars in skeletal Class I, II, and III anomalies are important in treatment predictability. Purpose: The aim of this study is to classify impacted lower third molars in patients with different skeletal malocclusions. Methods: This retrospective study examined panoramic X-ray records of patients treated at Inonu University Faculty of Dentistry, Department of Orthodontics, between 2014 and 2021. In total, 1219 mandibular third molar teeth were considered. Impacted mandibular third molar teeth of individuals with different skeletal structures were grouped according to the Pell and Gregory, Winter, and Archer classifications. Results: In this study, 37.74% of the participants were male, and 62.26% were female; 40.94% of examined teeth were skeletal Class I, 41.84% were Class II, and 17.23% were Class III. It was determined that 91.63% of all examined teeth were impacted, and 8.37% had erupted. According to the Pell and Gregory classification, 21.41% of teeth were Grade (I), 38.06% were Grade (II), and 40.53% were Grade (III). According to the Winter classification, 3.12% of examined teeth were buccal, 6.89% were horizontal, 23.71% were mesioangular, and 66.28% were vertical. According to the Archer classification, 14.44% of examined teeth were in position A, 30.02% were in position B, and 55.54% were in position C. No statistically significant relationship was established between grades and gender (p>0.05). Conclusion: A relationship was ascertained between the impacted positions of mandibular third molars in different skeletal structures.
Relationship between the levels of awareness and knowledge of periodontitis in diabetic patients at a Dental Hospital during the COVID-19 pandemic
Authors: Nathania Irene , Harsas Nadhia Anindhita , Natalina  , Tadjoedin Fatimah Maria
Published: September 2023

Background: Diabetes mellitus (DM) and periodontitis are the most prevalent human diseases. Diabetes worsens the periodontal condition, but periodontitis also hampers glycemic control in diabetic patients. Based on staging and grading, the latest periodontitis classification puts DM as one of the grade modifiers. Periodic periodontal maintenance prevents reinfection and could help people with diabetes maintain effective glycemic control. Dental health education and periodontal disease awareness are crucially needed for diabetic patients, especially during the pandemic. Purpose: This study aimed to examine the relationship between levels of awareness and knowledge of periodontitis in diabetic patients during the COVID-19 pandemic. Methods: A closed-ended questionnaire was distributed to new patients referred to the Periodontology Clinic of the Dental Hospital of Universitas Indonesia. Patients’ data were collected during the COVID-19 pandemic from January to June 2021. Results: Eighty-four patients participated, of which 34.5 % were diabetic patients with periodontitis. Statistically, significant differences (P < 0.05) were found between levels of awareness and knowledge of periodontitis among diabetic patients and nondiabetic patients (both groups are suffering periodontitis). Awareness and knowledge of periodontitis are inversely correlated with their current clinical periodontal status, therefore patients with less awareness and knowledge have more severe periodontitis. Conclusion: Lack of awareness and knowledge of periodontitis was found among both nondiabetic and diabetic periodontitis patients. Dental health education is required to improve understanding and awareness of the relationship between periodontitis and DM.
Management missed canal tooth and broken file using ultrasonic instrument
Authors: Abiddinda  , Agustin Wandita Swasti , Rinastiti Margareta , Ratih Diatri Nari
Published: September 2023

Background: Endodontic mishaps, such as missed canal and broken file, are procedural accidents that can affect the prognosis of endodontic treatment. A missed canal can lead to endodontic failure because of bacterial remnants in the root canal. A broken file may cause obstruction of the canal, inhibiting the process of shaping and cleaning. An ultrasonic instrument can be used under a dental microscope to manage a missed canal or broken file fragment. Purpose: This study aimed to show the management of missed canal and instrument separation by endodontic retreatment using an ultrasonic instrument under dental microscope. Case: A 31-year-old female patient presented to Dental Hospital Universitas Gadjah Mada with discomfort from chewing her upper left molar since 2 weeks (January 4, 2022). The tooth was subjected to root canal treatment 2 years ago (November 18, 2019). The percussion test yielded a positive result. The examination of radiographs showed the presence of a broken file in the middle third of the mesiobuccal root canal. Case Management: The first stage of the retreatment was removal of the gutta-percha. This was followed by exploration of the missed canal and retrieval of the broken file using an ultrasonic instrument under a dental microscope. Then, the root canals, including the messiobuccal2 canal, that was missed at the previous treatment, were prepared. The final step was zirconia crown restoration with a fiber post. Conclusion: An ultrasonic device along with a dental microscope can be used to manage a missed canal and instrument separation conservatively.
The relationship between perceived self-efficacy and cervical cancer screening among health care providers
Authors: Juwita Linda , Perwiraningtyas Pertiwi , Prabasari Ninda Ayu
Published: September 2023

Introduction: Cervical cancer ranks second worldwide as a disease that causes death in women. Healthcare providers have low cervical cancer screening behavior with the Pap smear method. This study aimed to analyze the relationship between perceptions of self-efficacy and the behavior of cervical cancer screening using the Pap Smear method for health care providers.Methods: This descriptive observational study, namely case cross-sectional design, was applied in this study. The population in this study were all female healthcare providers at the Gotong Royong Hospital in Surabaya. The sampling method is purposive sampling. The sample in this study was 51 respondents who met the inclusion criteria. The independent variable in this study is perceived self-efficacy, using a questionnaire. The dependent variable is the screening behavior of the pap smear method using the questionnaire. Results: The results of the analysis test were 0.866 > 0.05, which means there is no relationship between perceived self-efficacy on cervical pap smear cancer screening behavior. Spearman Rank test p> 0.05, which means there is no relationship between perceptions of self-efficacy and healthcare providers’ screening behavior for cervical smears. Conclusion: There is no relationship between self-efficacy on the behavior of cervical cancer screening using the Pap smear method. Individual intrinsic and extrinsic factors are things that influence screening behavior. So, it is necessary to do other research on the factors influencing screening behavior, both intrinsic (demographics, health beliefs, emotional, and contextual) and extrinsic (husband support, peer support and education).
Keywords: cervical cancer; medical personnel; pap smear; paramedics
The spectrum of congenital heart defects in neonates of diabetic mothers
Authors: Sharifi Abdul , Ekram Khesrow , Wali Wali
Published: September 2023

Introduction: Insulin-dependent diabetes mellitus (IDDM) in a mother is considered a risk factor for congenital malformation, including congenital heart diseases. Many studies signify a five to six times increased frequency of congenital heart diseases in neonates born from insulin-dependent diabetic mothers. This study aimed to identify the spectrum of congenital heart diseases (CHDs) in neonates born from insulin-dependent diabetes mellitus (IDDM) mothers.
Methods: Between April 2019 and March 2021, a descriptive cross-sectional study involved 120 consecutive neonates aged 0-28 days of mothers with insulin-dependent diabetes mellitus (IDDM) at Maiwand Teaching Hospital, Kabul University of Medical Sciences. Neonates born to non-diabetic mothers were excluded. IDDM refers to mothers using Insulin upon admission to control blood glucose. CHD encompasses various heart defects affecting function. Family and maternal history were noted, focusing on health issues and delivery details. Neonatal mothers' ages ranged from 23 to 45 (mean 33), with diabetes onset spanning 2.5 to 25 years. Pediatric cardiologists conducted physical and echocardiographic exams. All CHD forms were documented using 2D echocardiography and Doppler studies (Sono Ace X-6 Machine).
Result: 120 consecutive neonates born to mothers with insulin-dependent diabetes mellitus (IDDMs) were investigated during the two-year study period. Of them, 18 (15%) had congenital heart abnormalities. The prevalence of solitary and multiple CHD was 66.6 percent (12 patients) and 33.3 percent (6 patients) in the 18 infants born from IDDMs. The most prevalent isolated defects were PDA (22.2%) and Ventricular septal defect (16.6%). The most common multiple CHDs (16.6 percent) were PDA and ASD. PDA + ASD (16.6%) and VSD + PDA were the most frequent correlations with CHD (11.1 percent).
Conclusion: Maternal insulin-dependent diabetes mellitus is an important risk factor for congenital heart disease. Careful assessment and early diagnosis of CHD in this high-risk group are very important in a pediatric population. Expansion of prenatal screening programs for CHDs in mothers suffering from insulin-dependent diabetes mellitus is necessary.
Keywords: congenital heart diseases; diabetic mothers; insulin dependent; neonates
Factors contributing to undernutrition among children under five years old
Authors: Fatkuriyah Lailil , Sukowati Umi
Published: September 2023

Introduction: Basic Health Research in 2018 stated Jember as a district with the third highest incidence of undernutrition in East Java. Undernutrition is a threat to future generations because it has short-term and long-term impacts that can be irreversible. This study aimed to determine the factors associated with undernutrition among children under five in Karangrejo Village, Jember Regency.Methods: This research used a cross-sectional method involving 94 mothers and children under five years old registered at Posyandu in Karangrejo Village who were selected by purposive sampling. The dependent variable included the sociodemographic factors of mothers and children and was obtained using a demographic questionnaire. The dependent variable, undernutrition, was determined based on weight-for-age and was obtained by plotting the child’s weight on the WHO weight-for-age curve: 0-5 years (z score) according to the child’s sex. Statistical tests used ordinal logistic regression tests.Results: There are some factors contributing to undernutrition, including the father’s education in elementary school (p=0.002, OR=5.628), the number of children no more than two persons (p=0.038, OR=-2.546), a complete history of immunization (p=0.011, OR=-4.627), history of infection of ARI every month and every two months (p =0.001, OR= -3.897, -7.250) respectively, and the level of mother’s knowledge about fulfilling children nutrition (p=0.000, OR= 5.593).Conclusions: This study suggests that raising parent education, complete immunization, and mothers’ knowledge are recommended to prevent undernutrition among children. Furthermore, the outcome of this study re-emphasizes that educational activities regarding children’s nutritional needs are still needed to improve mothers’ knowledge.
Keywords: children; contributing factors; undernutrition
Role of exercise in severe COVID-19 case
Authors: Nazir Arnengsih , Septiani Witri
Published: September 2023

Abstract
Severe COVID-19 infection can lead to prolonged recovery and troublesome symptoms. The symptoms reported in those patients were dyspnea, fatigue, weakness, anxiety, and activity intolerance. Patients showed limited exercise capacity and interfered with daily activities, as well as the quality of life. We report the role of exercise in improving activity tolerance in a survivor of a COVID-19 severe case. A male patient, 51 years, came to outpatient pulmonary rehabilitation after hospitalization due to a severe case of COVID-19. The patient had a low activity tolerance presented as fatigue, dyspnea, activity-induced oxygen desaturation, and inability to perform exercise testing, in addition to mild anxiety. A set of exercises consisting of breathing, flexibility, muscular, and cardiorespiratory endurance were given for 4 weeks along with psychological counseling. Barthel Index, cardiorespiratory fitness, sit-to-stand test, Fatigue Severity Scale, Medical Research Council Dyspnea Scale, and maximum breathing capacity were recorded as outcome measures. A Zung Self-rating Anxiety Scale and insomnia severity index were also measured. After 4 weeks, the symptoms of activity intolerance decreased. There were improvements in all outcomes except for the insomnia severity scale. Experts recommend that COVID-19 patients should carry out regular daily activities and low to moderate-intensity exercise in the first 6-8 weeks after discharge. Resuming daily physical activities as early as possible can affect functional recovery. It is also beneficial for general fitness, fatigue, emotional disturbance, and lack of confidence. In this patient, low-intensity exercises as recommended by experts were given to improve activity tolerance.
effect of physical therapy and modalities on frozen shoulder patients at Baptist Hospital Batu: a retrospective study
Authors: Ovianti Nadia , Nugrahani Nurdiana Adwi
Published: September 2023

Introduction: Frozen shoulder was one of top 10 diseases with frequent visits at Baptist Hospital’s rehabilitation clinic in 2020. Treatment for this condition includes physical therapy and modalities. This study aims to compare the range of motion and pain scale before and after treatments on frozen shoulder patients in Baptist Hospital Batu.
Material and Methods: This is a retrospective study using the data from medical records of patients known to have frozen shoulder who came to outpatient physical rehabilitation clinic at Baptist Hospital, Batu, for at least a month period of treatment. The parameters used are range of motions after interventions, pain scale using VAS, sex, and age.
Result: Twenty-two patients were diagnosed with frozen shoulder, 16 patients were included in further analyses, 9 of 16 were women, and the most common age presentation was between 50-60 years. There were improvements in 12 patients being recorded for their shoulder flexion and abduction. The flexion ROM increased from 115 to 156 degrees, while abduction ROM increased from 95 to 144 degrees, on average. About 9 out of 13 patients had decreasing pain scale according to VAS, declining from 5.5 to 4.7.
Conclusion: The combination of physical exercises as well as SWD / ultrasound with TENS (transcutaneous electrical nerve stimulation) has a positive impact on the improvement of frozen shoulder. There was an increase in the range of motion of the joint flexion and abduction, and a decrease in pain scores in the majority of the patients after treatment.
Spinal Dural Arteriovenous Fistula in a Pediatric Patient with History of Endovascular Therapy Failure: A Case Report
Authors: Airlangga, M.D, M.Sc Primadenny Ariesa , Lisan Rizal Alexander , Hidayat Aries Rakhmat
Published: September 2023

Spinal Dural Arteriovenous Fistula (SDAVF) cases in children are extremely rare and pose a high risk for intraoperative hemorrhage. The clinical manifestation and imaging results may be vague and deceptive, frequently mistaken for other conditions such as demyelinating or spinal degenerative illnesses. SDAVF's cause is not well understood. Here, we present the case of a 10-year-old male patient with SDAVF who did not improve after endovascular therapy. The patient complained of weakness in the lower extremities, skin thickness, tingling sensations, and painful bowel movements and urination. The patient underwent endovascular embolization due to spinal AVF from the 9th thoracic vertebrae until the sacral vertebrae one month earlier. But no significant clinical improvement was found. The vital signs of the patient were within normal limits. An MRI showed a flow-void lesion with tortuosity in the dorsal spinal area at the 9th and 10th thoracic vertebrae. Because an embolization procedure was performed on the patient, which resulted in no significant improvement, it was planned for the patient to undergo an MRI and MRA evaluation. An MRI and MRA later showed the formation of an extramedullary intradural cyst at levels T9 to T10 of the thoracic vertebrae. Decompression surgery (left hemilaminectomy) and tumor extirpation were thereafter carried out on the patient after the routine laboratory test was performed. After the procedure, the patient showed improvement and could carry out everyday activities independently at 10 months post-operatively. The failure of endovascular therapy can be attributed to several factors, such as the surgeon’s experience, tools, and embolization technique, and follow-up treatment by surgery.
Effects of Additional Radial Shock Wave Therapy on Spasticity of Upper Extremity Muscle
Authors: Sugiarto Go Linda , K Tanti Ajoe
Published: September 2023

Background: Spasticity is one of the most common problems and greatly interferes with the functional capacity of chronic stroke patients. The most commonly used treatments are infrared therapy and stretching exercises, but they have not reduced spasticity effectively. The addition of Radial Shock Wave Therapy (RSWT) was expected to be more effective in reducing spasticity in chronic stroke patients. 
Aim: The purpose of this study is to prove that the addition of RSWT is more effective reducing spasticity of chronic stroke patients.
Material and methods: This study was a simple randomized controlled pre- and post-experimental design. The total sample of 30 chronic spastic stroke patients with the Modified Asworth Scale 2-3 was divided into 2 groups: the study group and the control group. RSWT was provided once a week to the muscle belly of the flexor wist muscle on the ventral aspect of the forearm, the intrinsic muscle of the hand, and flexor digitorum tendon. They were added to infrared therapy and stretching exercises in the upper extremities which are provided three times a week for six weeks consecutively. The level of spasticity was measured by the Tardieu Scale, which measures quality and angle of resistance at the beginning and end of the study.
Results: A significantly greater reduction was obtained (p<0.05) from the level of spasticity measured by the Tardieu Scale, both on the quality and angle of resistance, in the study group.
Conclusion: The addition of RSWT has been shown to have a greater reduction in spasticity in upper extremity muscle in chronic stroke patients.
HOW UKRAINIAN UNIVERSITY STUDENTS ACADEMICALLY PROCRASTINATE IN CONDITIONS OF FORCED-ONLINE-LEARNING CAUSED BY THE COVID-19 PANDEMIC AND WARTIME
Authors: Cherepiekhina Olha , Turubarova Anastasiia , Sysoiev Oleksii , Derevyanko Nataliya , Bulanov Valerii
Published: September 2023

This study aims to investigate the features of academic procrastination among higher education students in the context of forced online learning caused by the COVID-19 pandemic and wartime in Ukraine. Methods. A total of 789 higher education students enrolled in Ukrainian institutions participated in the study, responding to six questionnaires. The research focused on examining the correlation between academic procrastination indicators, self-organization, and the preferred forms of learning during the period of forced online learning. The results indicate that forced online learning has a positive impact on the manifestation of academic procrastination among students and does not promote their self-organization. Significantly higher levels of academic procrastination were observed in students who solely studied online compared to those in the mixed format, involving both online and face-to-face learning. Conversely, students in the mixed format exhibited less pronounced indicators of academic procrastination and higher levels of self-organization and conscientiousness. Moreover, the study identified a new type of academic procrastination labeled as "active academic procrastination." Unlike its negative connotation, this type is perceived as a part of the process of forced online learning. In conclusion, the research expands the theoretical understanding of academic procrastination among students and sheds light on its manifestation during forced online learning. The findings emphasize the importance of considering the learning format's influence on students' procrastination tendencies and offer insights into fostering better self-organization and motivation in the context of online education during challenging circumstances.
Implemetation of Queue Theory and Monte Carlo Simulation on the Number of Covid-19 Patients in Batam
Authors: Kurniawan Muhammad Hasan Sidiq , Dwi Septiandini Putri
Published: September 2023

The number of Covid-19 patients is the main thing to be concerned about in the time of pandemic, because Covid-19 can directly affect the sustainability of human life. Thus, adequate health services are needed in treating Covid-19 patients. One of the health services is home referral hospital. For example, in Batam City, there were 3 referral hospitals and one of them is a special hospital to hospitalized the Covid-19 patients. In this research, we were using queuing theory and Monte Carlo simulation to predict the queuing system of the patients. Queue conditions have levels density more than 100%, so that a hospital simulation is carried out using a minimum number of hospitals. It is obtained that at least 5 referral hospitals are required so that the density level becomes 83%. Based on the Monte Carlo simulation, it is suggested that the minimum number of hospitals is about three to four hospitals. When the minimum number is fulfilled, the average number of patients waiting to be treated and currently under treatment reduced to 3-4 people from the original, that is 4-5 people. The average waiting time to get treatment is about 5 minutes, originally 18 minutes and average waiting time to get treatment until it was stated that the condition had improved enough to be 5 hours which was originally 8 hours.
Risk Potency of Lead Exposure to Decrease Cognitive Ability of Productive Age Community in Indonesia Emas 2045
Authors: Wijiyanti Rika
Published: September 2023

Lead (Pb) can decrease children’s IQ and cognitive abilities. This study aims to analyze the risk characteristics of lead exposure in children aged 4-5 years related to the risk of low IQ as an obstacle in realizing “Indonesia Emas” of 2045 and to analyze the role of medical intelligence to anticipate these potential risks. This study was conducted in Tangerang Industrial Area. The Pb concentrations in food, urine, water, and rice were tested using Flame Atomic Absorption Spectrometry (FAAS). The results showed that Pb levels in food were lower than the Limit of Quantification (LOQ) method, thus, censored data rule was used for data processing. Overall results indicate a risk of causing long term cognitive impairment. However, The results of the calculation of exposure and Margin of Exposure (MOE) are based on the assumption of 50% and 100% of LOQ value. The obtained exposure and MOE values can not be used to said that the status of Pb exposure occurs. The resulting data is still useful as a basis for further research.
Identification of Fat in Pork Using Fourier Transform Infrared Spectrum and GC-MS
Authors:   Universitas Islam Indonesia, Yulirohyami Yulirohyami , Maulidatunnisa Vivin , Pusparani Dinda Permata , Prasetyo Bagas
Published: September 2023

Halal food safety issues receive serious attention. Methods for analyzing contamination of non-halal ingredients, such as lard, must be developed to assist in the halal authentication process for food. This study was conducted to compare the fat profile of pork thighs using FT-IR and GC-MS. The pork is dried in the oven and then extracted using n-hexane. The resulting fat was characterized by FT-IR. Determination of fatty acids was carried out by GC-MS using a derivatization technique. Based on the results of the study showed that the infrared pattern of lard can be identified from the difference in absorption intensity. Pork fat has a higher unsaturated fatty acid content than beef and chicken. Infrared spectra can confirm the presence of -C=C- bonds at 3005, 1745, 1116, 1550, and 722 cm-1. The FTIR data shows that there are larger unsaturated fatty acid groups in pork fat than in beef and chicken fat. This procedure is a non-destructive method that can be carried out quickly, and cheaply, and can be developed into a routine procedure for halal authentication of food. Based on the results of unsaturated fatty acid testing with GC-MS it can show the content of oleic acid (C18:1) contained in pork. The results of mapping the content of free fatty acids in pork can be used to complete halal authentication data easily and quickly.
Functional Group Identification and Toxicity of Piper crocatum Red Betel Acetone Extract against Artemia salina by Brine Shrimp Lethality Test Method
Authors:   Universitas Palangka Raya, Kalalinggi Septaria Yolan , Soekamto Nunuk Hariani , Firdaus Firdaus
Published: September 2023

Identification of compounds and acetone extract activity from P. crocatum red shrimp has been done using phytochemical testing and Brine Shrimp Lethality Test (BSLT). The extraction begins with maseration using an acetone solvent and then the solvent is moved using an evaporator. Identification of extract function groups using the IR and GC-MS spectrum, as well as the toxicity test of the extract was carried out against the 48-hour Artemia salina Leach shrimp larva. The identification results showed the presence of flavonoids, phenylpropanoids, and steroids supported by GC-MS data and IR spectrum that indicated the existence of OH groups, C=O esters, C=O ketones, C=C olephins, C=C aromatic, C-O ester, and aliphatic CH. The results of probit analysis (LC50) showed that the acetone extract was highly toxic (LC50 0-100 μg/mL) to Artemia salina Leach with LC50 value of 2.4520 ppm.