bluuebunny/crossref_metadata_2025 huggingface dataset:
Endoscopic stenting for malignant respiratory-digestive fistulas
Authors:   Kazan State Medical Academy – branch Russian Medical Academy of Continuous Professional Education, Kazan, Russia, Ivanov Aleksej I. , Ivanov Aleksej I. ,   Republican Саnсеr Center, Kazan, Russia, Popov Vladimir A. ,   Republican Clinical Hospital, Kazan, Russia, Popov Vladimir A. ,   Kazan State Medical Academy – branch Russian Medical Academy of Continuous Professional Education, Kazan, Russia, Burmistrov Mihail V. ,   Kazan State Medical Academy – branch Russian Medical Academy of Continuous Professional Education, Kazan, Russia, Burmistrov Mihail V. ,   Republican Clinical Hospital, Kazan, Russia
Published: February 2021

The paper presents a review of foreign literature at the present stage on the use of endoscopic stenting of the trachea and esophagus in malignant respiratory-digestive fistulas. Based on the data of foreign literature demonstrating the effectiveness of stenting, indications and contraindications for stenting, approaches for choosing a stent are presented, as well as the advantages, disadvantages, frequency of possible complications and endoscopic methods for their elimination. In conditions of limited life expectancy, patients with malignant fistulas need timely and effective choice of palliative care, which restores the patency of the esop-hagus, seals the fistula and improves the quality of life. Stenting with this pathology is the optimal method of choice. Due to the limited availability of internal in-formation, given the rarity of the occurrence of malignant esophago-respiratory fistulas, the foreign experience was generalized in this work.
Features of senile asthenia syndrome and systemic interleukin profile in elderly patients with combined glaucoma and cataract
Authors:   Tambov branch of National Medical Research Center ", Yablokov Maxim M. ,   Interdisciplinary Scientific and Technical Complex ",   Fedorov Eye Microsurgery",   , Tambov, Russia, Yablokov Maxim M. ,   Southwest State University, Kursk, Russia
Published: February 2021

The syndrome of senile asthenia in elderly patients with combined glaucoma and cataracts on the background of interleukin imbalance has not been practically studied. Aim. To study the features of senile asthenia syndrome and systemic interleukin profile in elderly patients with combined glaucoma and cataract. Materials and methods. In clinical conditions, the senile asthenia syndrome was studied in 220 patients aged 60–74 years with primary glaucoma combined with cataract, using the questionnaire "Age is not a hindrance". The content of interleukins was determined in the blood by flow cytometry. Results. Senile asthenia syndrome among elderly patients with combined glaucoma and cataracts was detected in 33.1% of cases, with senile preasthenia syndrome – in 30.9% of cases. The value of the senile asthenia index is 0.53±0.07, which corresponds to severe senile asthenia. The formation of senile asthenia in the examined patients with comorbid ophthalmic diseases is mainly due to the presence of chronic diseases, low self-esteem of their own health and inability to walk fast. Changes in the systemic interleukin profile in elderly patients with glaucoma and cataracts are characterized by hyper-production of anti-inflammatory interleukins and, above all, blood interleukins 17 and 2, as well as a significant decrease in the content of anti-inflammatory interleukins. Conclusion. Therefore, the presence of senile asthenia syndrome in elderly patients with glaucoma and cataracts is associated with an imbalance of interleukin status.
Medical and social assistance elderly persons (literature review)
Authors:   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Korolev Maxim A.
Published: February 2021

Providing medical and social assistance to elderly people requires a special approach due to the age and social characteristics of this population. Due to the steady aging of the population, more and more people in this age group require special services. The analysis of the literature shows that the main problems in this area are the insufficient number of inpatient medical and social institutions, understaffing of outpatient clinics with geriatric doctors, the lack of medical social workers, the need to improve the quality of care for geriatric patients, the development of infrastructure and modern equipment.
Leonardo da Vinci and medicine. A glimpse from the past
Authors:   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Dvoretsky Leonid I.
Published: February 2021

The article is devoted to the creative role of Leonardo da Vinci in human anatomy, medicine and pathology. It discusses main discoveries of Leonardo in various fields of medicine from the standpoint of modern scientific and practical medicine. The nature of Leonardo's illness and the possible causes of his death are dis-cussed.
Impact of rehabilitation measures on cognitive dysfunction in older patients after surgical treatment of nuclear cataract
Authors:   Tambov branch of National Medical Research Center ", Popova Evgenia V. ,   Interdisciplinary Scientific and Technical Complex ",   Fedorov Eye Microsurgery",   , Tambov, Russia, Popova Evgenia V. ,   Southwest State University, Kursk, Russia, Popova Evgenia V. ,   Derzhavin Tambov State University, Tambov, Russia
Published: February 2021

Background. The high prevalence of nuclear cataracts in older age groups is accompanied by a simultaneous decrease in cognitive abilities as a result of this ophthalmic disease, and other General somatic polymorbid pathology. Aim. To study the cognitive abilities of elderly and senile patients with nuclear cataracts during medical rehabilitation. Materials and methods. In clinical conditions, 68 elderly and senile patients with nuclear cataract underwent femtolaser-assisted cataract phacoemulsification with intraocular lens implantation, and in the postoperative period, medical and non-drug rehabilitation was performed (the main group). The control group con-sisted of 65 patients with nuclear cataract of the same age who also underwent the above-mentioned surgery without rehabilitation measures. The MMSE scale was used to assess cognitive impairment. Results. 9 months after surgical treatment, the cognitive status of patients in the main group improved from 17.4±0.2 to 20.7±0.3 points (p>0.05). Moderate initial cognitive dysfunction in patients of the main group changed to mild after 9 months, while in the control group it remained the same. At the same time, the proportion of patients with moderate cognitive impairment decreased significantly in the main group from 61.71±5.9% before rehabilitation to 13.2±4.1% after it was completed, and the number of patients with no cognitive deficit increased (p<0.001). In the control group, the number of patients with moderate cognitive impairment decreased from 60.0±6.0 to 46.2±6.2% (p>0.05). Conclusion. The implementation of rehabilitation measures in the postoperative period helps to improve the cognitive status of older patients with nuclear ca-taracts.
Hyperuricemia in patients with stable coronary artery disease and arterial hypertension and percutaneous coronary interventions
Authors:   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia, Mironova Olga Iu. , Fomin Viktor V. ,   Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
Published: February 2021

Aim. To assess the influence of hyperuricemia on the risk of contrast-induced acute kidney injury (CI-AKI) in patients with stable coronary artery disease (CAD) and arterial hypertension. Materials and methods. Patients receiving optimal medical therapy and with indications for coronary angiography and possible coronary angioplasty, with stable CAD and arterial hypertension were included in the study. We conducted an observational open prospective cohort study, that was registered in clinicaltrials.gov with ID NCT04014153. Results. We included 1023 patients with chronic CAD. 863 had arterial hypertension. Hyperuricemia was diagnosed in 31 patients, 832 had normal levels of uric acid on admission. Contrast-induced acute kidney injury developed in 2 (6.5%) patients suffering from hyperuricemia. In patients with stable CAD, AH and no hyperuricemia the rate of CI-AKI was 107 (12.9%) patients. The difference between groups was not statistically significant (95% CI -0.056–0.183, р=0.292). We built a multiple linear regression model that included age, weight, female gender, heart failure, diabetes mellitus, kidney diseases in past medical history, protei-nuria, anemia, baseline glomerular filtration rate, contrast volume and difference between baseline creatinine and creatinine after contrast administration. No risk factor showed any statistical significance in the model. Conclusion. Contrast-induced acute kidney injury developed in 2 (6.5%) patients suffering from hyperuricemia. The rate of CI-AKI in patients without hyperuricemia was twice higher but the results were not statistically significant. Among the risk factors included in the multiple linear regression model none was statistically significant.
Extraoesophageal symptoms of gastroesophageal reflux disease: laryngopharyngeal reflux in focus
Authors:   Omsk State Medical University, Omsk, Russia, Trukhan Dmitry I. , Chusova Natalia A. ,   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Drokina Olga V. ,   Omsk State Medical University, Omsk, Russia
Published: February 2021

Gastroesophageal reflux disease (GERD) ranks first among gastroenterological diseases in terms of prevalence. GERD can also manifest with extraesophageal (atypical) symptoms, which include: cardiac, pulmonary, otorhinolaryngological and dental symptoms. In some cases, extraesophageal manifestations can come to the fore in the clinical picture. Moreover, in 25% of cases, GERD clinically occurs only with extraesophageal symptoms, which fits into one of the main features of modern real clinical practice – various diseases are increasingly losing their mononosological character, acquiring the status of comorbidity and multimorbidity. The presence of extraesophageal symptoms in patients with GERD is due to extraesophageal (or, more precisely, gastroesophagolaryngopharyngeal) reflux, which is referred to in the international medical literature as laryngopharyngeal reflux (LFR). Currently, LFR is considered as a condition of inflammation of the mucous membrane of the upper digestive and respiratory tracts associated with direct and indirect (reflex) effects of gastroduodenal refluctate, which can cause morphological changes in the mucous membrane. Over the past decade, two approaches to the treatment of LFR have emerged. The first approach involves the use of proton pump inhibitors (PPIs) as monotherapy along with dietary and lifestyle modification. The second comprehensive approach to LFR therapy in-volves dual therapy (PPI + alginate/antacid or PPI + prokinetic) or triple therapy (PPI + alginate/antacid + prokinetic). In this review, both approaches to the tre-atment of LFR are considered, and the possibilities of alginates in the treatment of LFR are considered.
Sarcoidosis induced by a color tattoo
Authors:   Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia, Golousenko Igor Yu.
Published: February 2021

Тhe article describes a case of skin sarcoidosis that began 3 years later at the site of a colored tattoo with further involvement of the intra-thoracic lymph nodes and pulmonary interstitium in the pathological process. Data on the composition of paints used for tattooing, the role of deposition of antigenic material in the der-mis, leading to a specific immune response, are presented. The clinic and diagnosis of this form of sarcoidosis are described in detail.
Adverse effects of statin therapy: real evidence
Authors: Bubnova Marina G.
Published: February 2021

Aim. To provide a current view on the tolerability and safety of statin therapy. Materials and methods. The data of 73 scientific sources from Russian and foreign literature published within 1996-2018 are considered. Results. It is generally accepted that statins are first-line therapeutic agents for hypercholesterolemia and combined hyperlipidemia. Today there in growing evidence that lowering of low-density lipoprotein cholesterol levels prevents atherosclerotic diseases and reduces a risk of cardiovascular and overall mortality. Main issues of current statin therapy include a use of inadequate dosage for atherosclerotic diseases prevention, low treatment compliance and drug intolerance. In recent years the issue of statin intolerance has become of great importance. Criteria were proposed for determining an inability to tolerate statins, some experts suggest replacing definition of “statin intolerance” with the term “statin-associated side-effects”. Most discussed adverse effects due to statins include muscle-related symptoms (myalgia/myopathy), hepatotoxicity (hepatic hyperenzymemia) new-onset diabetes, dementia and cognitive impairment. Mechanisms of development of these adverse effects are still unclear. Certain factors and conditions capable of triggering some adverse effects as well as absolute contraindications to statin therapy were established. Some factors and conditions capable of triggering some adverse effects as well as absolute contraindications to statin therapy were identified. Occurrence of statin-associated side-effects depends on statin dose, a patient's age, gender, comorbidity and concomitant therapy. Many adverse effects of statins are drug class effect. At the same time each of statins has specific features of its structure, metabolism, drug interactions and pharmacokinetics. Pitavastatin belongs to the last generation of statins and it has distinct pharmacological features and neutral diabetogenic effects, etc. Risk of adverse effects due to statins is often exaggerated while benefit from the use of statins for preventing atherosclerotic diseases outweighs potential risks. Real occurrence of some adverse effects due to statin therapy requires additional evidence. Conclusion. Overall, statins have a good tolerability profile and are approved for use in the vast majority of patients who required lipid-lowering therapy.
Burns Management In Tertiary Health Care Centre
Authors: Ajitsingh .P. Chadha  , Nehadeepkaur A Chadha  , Kshirsagar A Y
Published: February 2021

In rural places of our country, burns have become frequent accidents due to the use of floor-based stoves & kerosene lamps. Suicides due to burns are also quite usual in our country. The objective of this study is to evaluate the necessity of early excision of the burn wound and skin grafting to decrease the morbidity, mortality, complications of burns and stay at the hospital. Calculate pressure garment efficacy in preventing burn scar and contracture formation. To lay out cost-effective management for patients at rural hospitals. 50 patients were included in this study presenting with burn injuries, admitted in the department of plastic surgery from June 2019 to December 2020. In a recent study, Females (52%) suffered more as compared to males. Scalds were the prime root cause of the burns constituting the 52% of the cases. Infections of Burn wound was seen in 20 patients (40%). Pseudomonas was prime organism isolated. Wound excision was required in 19 patients (38%). Around 6 to 12 days, elapsed between the injury to the surgical excision. 19 patients required (38%) covering of wound permanently with STSG. The mean admission period in hospital for burns of 41-60% was 62 days, 33.4 days for 21-40% burns and 19.6 days for <20%. Amongst 50 patients, 3 died accounting to 6% of overall cases. This study concluded that initiation of resuscitation with untimely wound excision and permanent coverage with grafting can bring significant fall in mortality, painful debridements, limiting complications, decreasing the duration of stay at a hospital, curtailing the cost of health care and time apart from work.
Allopurinol Induced Stevens-Johnson Syndrome
Authors: Athul Gopan  , Anukrishna V P  , Devina Janeendran  , Athulya Subhash  , Jacob Thomas  , Remya Reghu
Published: February 2021

Stevens-Johnson Syndrome (SJS) is an acute, self-limited, rare but life-threatening disease that manifests as severe mucocutaneous blistering and erosions. Here we report a rare case of allopurinol-induced SJS. A 25-year-old male patient with no other comorbidities was admitted to the hospital with complaints of fever, redness of eyes, swelling of lips with discharge and crusting, extensive erosions in the oral mucosa for the last 4 days, following consumption of allopurinol for a duration of 1 month. Investigations were within normal limits. The offending drug was withdrawn and he was treated with corticosteroids, antimicrobials, and other supportive measures. Allopurinol, a Xanthine oxidase inhibitor is mostly used for the treatment of primary and secondary hyperuricemia, Health care professionals must be aware of the spectrum of adverse effects of this drug and must take urgent measures once the diagnosis is suspected especially to save the patient from such severe or fatal reactions like SJS/Toxic epidermal necrolysis (TEN).
The Mindful Act of Translating Poetry from the Shoah. “with love and gratitude for much that was beautiful and unforgettable”1 Selma Meerbaum-Eisinger
Authors: McDonald Courtney
Published: February 2021

In spite of all the atrocities committed in the time of the Shoah the human spirit survived. It survived in various ways, one way in particular was through poetry. Poetry encapsulates the human experience and alongside has the power to give a voice to those who cannot speak. 2 This power is particularly important with regard to the victims of the Shoah. One such victim was the Czernowitz poet Selma Meerbaum-Eisinger, who perished at the age of eighteen in the Michailovca labour camp. A collection of her poetry has survived, and with that her voice and experiences survived.
KOMPETENSI MANAJERIAL KEPALA SEKOLAH DALAM PENINGKATAN MUTU SEKOLAH DI MADRASAH IBTIDAIYAH NEGERI 3 BREBES
Authors: Pusveni Endah , Yuliejantiningsih Yovitha , Roshayanti Fenny
Published: February 2021

Fokus penelitian ini adalah: (1) Pelaksanaan peningkatan mutu sekolah oleh kepala sekolah di Madrasah Ibtidaiyah Negeri 3 Brebes. (2) Pengawasan peningkatan mutu sekolah oleh kepala sekolah di Madrasah Ibtidaiyah Negeri 3 Brebes.Penelitian ini mengunakan pendekatan kualitatif dan merupakan jenis penelitian studi kasus (case study) yaitu penelitian yang dilakukan langsung ke lokasi penelitian di Madrasah Ibtidaiyah Negeri 3 Brebes. Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Pengecekan keabsahan data dilakukan dengan credibility (derajat kepercayaan), transferability (dapat tidaknya ditransfer ke latar lain), defendability (ketergantungan pada konteksnya), confirmability (dapat tidaknya dikonfirmasikan dengan sumbernya).Dari hasil penelitian dapat diketahui bahwa pelaksanaan peningkatan mutu sekolah oleh kepala sekolah di Madrasah Ibtidaiyah Negeri 3 Brebes, meliputi: (a) Input, MIN 3 Brebes telah memberdayakan tenaga pendidik dan tenaga kependidikan sesuai dengan kapasitas dan kapabilitasnya; memberdayakan potensi peserta didik. (b) Proses, MIN 3 Brebes telah mengembangkan visi, misi, dan melaksanakan program dan mengelola sumber daya yang ada di sekolah; mengetahui dan memahami tentang kondisi pendidik dan tenaga kependidikan; memberikan bantuan, kemudahan interaksi, dan kemudahan komunikasi; kepala sekolah membangun komitmen untuk meningkatkan program pengajaran yang efektif dan efisien melalui kegiatan supervisi dan pemenuhan fasilitas sarana prasarana penunjang KBM dengan melibatkan seluruh warga sekolah termasuk komite sekolah. (c) Output, MIN 3 Brebes selalu memberikan pembinaan prestasi unggulan karena merupakan motivasi yang dapat meningkatkan mutu sekolah
PENGARUH GAYA KEPEMIMPINAN KEPALA SEKOLAH DAN MOTIVASI BERPRESTASI TERHADAP PRODUKTIVITAS KERJA GURU TAMAN KANAK-KANAK DI KECAMATAN PATEBON KABUPATEN KENDAL
Authors: Komariyah Komariyah , Murniati Ngurah Ayu Nyoman , Egar Ngasbun
Published: February 2021

Permasalahan dalam penelitian  ini adalah 1) Apakah ada pengaruh gaya kepemimpinan kepala sekolah terhadap produktivitas kerja guru. 2) Apakah ada pengaruh motivasi berprestasi terhadap produktivitas kerja guru. 3). Apakah ada pengaruh gaya kepemimpinan kepala sekolah dan motivasi berprestasi terhadap produktivitas kerja guru.Tujuan penelitian ini adalah untuk : 1). Untuk mengetahui pengaruh gaya kepemimpinan kepala sekolah terhadap produktivitas kerja guru. 2). Untuk mengetahui pengaruh motivasi berprestasi terhadap produktivitas kerja guru. 3). Untuk mengetahui pengaruh gaya kepemimpinan kepala sekolah dan motivasi berprestasi terhadap produktivitas kerja guru.Populasi dalam penelitian ini adalah seluruh guru dan kepala Taman kanak - kanak se-Kecamatan Patebon Kabupaten Kendal yang berjumlah 107 yang tersebar di 31 Taman kanak-kanak di wilayah Kecamatan Patebon Kabupaten Kendal. Teknik sampling yang digunakan dalam penelitian ini adalah teknik probability sampling dengan jenis proporsional random sampling dari sampel sebanyak 52. Variabel dalam penelitian ini terdiri dari variable bebas yaitu gaya kepemimpinan kepala sekolah dan mottivasi berprestasi sedangkan variable terikatnya produktivitas kerja guru. Teknik pengumpulan data dengan kuesioner. Teknik analisis datanya menggunakan analisis regresi sederhana dan regresi berganda. Sebelum menguji dengan analisis regresi, terlebih dulu digunakan uji prasyarat analisis data dengan menggunakan uji normalitas, homogenotas dan multikolinieritas dengan  α = 0,05 %).Temuan penelitian ini adalah sebagai berikut: (1) ada pengaruh positif dan signifikan gaya kepemimpinan kepala sekolah terhadap produktivitas kerja guru sebesar 52.20%. (2). Ada pengaruh positif dan signifikan motivasi berprestasi terhadap produktiviats kerja guru sebesar 54.40% (3) Ada pengaruh positif dan signifikan gaya kepemimpinan kepala sekolah dan motivasi berprestasi terhadap produktivitas kerja guru sebesar 62.50%. Saran yang dapat disampaikan adalah Kepala sekolah perlu mengembangkan kegiatan yang dapat mendorong pada peningkatan motivasi kerja adalah kepada sekolah mampu mendelegasikan wewenangnya kepada guru-guru sehingga guru akan berlatih bertanggungjawab dan berlatih mengambil resiko sebuah pekerjaan.
PENGARUH KEPEMIMPINAN KEPALA SEKOLAH DAN KEDISIPLINAN GURU TERHADAP MUTU SEKOLAH DI SD DAERAH BINAAN II UNIT PENGELOLA PENDIDIKAN KECAMATAN BELIK, KABUPATEN PEMALANG
Authors: Ngadi Ngadi , Sudharto Sudharto , Abdullah Ghufron
Published: February 2021

Mutu dibidang pendidikan meliputi mutu input, proses, output, dan outcome. Input pendidikan dinyatakan bermutu apabila mampu menciptakan suasana yang  aktiv, kreativ, menyenangkan, dan bermakna. Output dinyatakan bermutu jika hasil belajar akademik dan non akademik siswa tinggi. Out come dinyatakan bermutu apabila lulusan cepat terserap di dunia kerja, gaji wajar, semua pihak mengakui kehebatan lulusan dan merasa puas. Salah satu faktor yang mempengaruhi mutu sekolah yakni kepemimpinan kepala sekolah dan kedisiplinan guru dalam mengajar.Permasalahan dalam penelitian ini adalah: (1) menganalisis pengaruh kepemimpinan terhadap mutu sekolah, (2) menganalisis pengaruh kedisiplinan guru terhadap mutu sekolah, (3) menganalisis pengaruh kepemimpinan dan kedisiplinan guru secara bersama-sama terhadap mutu sekolah di SD Dabin II Kecamatan Belik Kabupaten Pemalang.Hasil penelitian menunjukkan: (1) korelasi variabel kepemimpinan terhadap mutu sekolah sebesar 0,662 kuat, dengan pengaruh variabel kepemimpinan kepala sekolah terhadap mutu sekolah sebesar 43,8%, (2) korelasi variabel kedisiplinan guru terhadap mutu sekolah sebesar 0,602 kuat,  dengan pengaruh variabel kedisiplinan guru terhadap mutu sekolah adalah  sebesar 63,7%, (3) hasil uji regresi ganda diperoleh besaran nilai R2 adalah 0,486 artinya bahwa besaranya pengaruh variabel kepemimpinan kepala sekolahdan kedisiplinan guru terhadap mutu sekolah adalah 48,6%, sedangkan variabel lain yang berpengaruh adalah sebesar 51,4%.
PENGARUH SUPERVISI KEPALA SEKOLAH DAN MOTIVASI KERJA GURU TERHADAP KINERJA GURU SD DI UPTD DIKBUD KECAMATAN WONOSALAM KABUPATEN DEMAK
Authors: Sumarmi Wiwik , Egar Ngasbun , Nurkolis Nurkolis
Published: February 2021

Permasalahan dalam penelitian ini adalah: (1) adakah pengaruh supervisi kepala sekolah terhadap kinerja guru? (2) adakah pengaruh motivasi kerja guru terhadap kinerja guru? (3) adakah pengaruh supervisi kepala sekolah dan motivasi kerja guru terhadap kinerja guru SD di Kecamatan Wonosalam Kabupaten Demak?Tujuan dari penelitan ini adalah sebagai berikut: (1) untuk mengetahui pengaruh supervisi kepala sekolah terhadap kinerja guru. (2) untuk mengetahui pengaruh motivasi kerja guru terhadap kinerja guru. (3) untuk mengetahui pengaruh supervisi kepala sekolah dan motivasi kerja terhadap kinerja guru SD di Kecamatan Wonosalam Kabupaten Demak.Penelitian ini menggunakan pendekatan kuantitatif, melalui penelitian korelasional atau mencari pengaruh supervisi kepala sekolah dan motivasi kerja terhadap kinerja guru. Populasi dalam penelitian ini guru SD di Kecamatan Wonosalam dengan jumlah 424 orang, sedangkan jumlah sampel dalam penelitian ini adalah 206 orang. Teknik pengambilan sampel menggunakan teknik proportional random sampling.Hasil dari penelitian ini adalah sebagai berikut: (1) terdapat pengaruh yang positif dan signifikan supervisi kepala sekolah terhadap kineja guru SD di Kecamatan Wonosalam sebesar 39,9% sisanya dipengaruhi oleh faktor lain, hipotesis pertama terbukti. (2) terdapat pengaruh yang positif dan signifikan motivasi kerja guru terhadap kinerja guru SD di Kecamatan Wonosalam sebesar 58,8%. sisanya dipengaruhi oleh faktor lain, hipotesis kedua terbukti. (3) terdapat pengaruh yang positif dan signifikan supervisi kepala sekolah dan motivasi kerja guru terhadap kinerja guru SD di Kecamatan Wonosalam sebesar 69,4% sisanya dipengaruhi oleh faktor lain, hipotesis ketiga terbukti.Saran dari peneliti agar kepala sekolah di Kecamatan Wonosalam terus meningkatkan kompetensinya terutama masalah supervisi dengan melibatkan seluruh stakeholder sekolah untuk mencapai tujuan sekolah, meningkatkan motivasi kerja guru untuk terus bekerja keras meningkatkan kinerjanya sehingga visi misi sekolah dapat tercapai.
THE EFFECTS OF HIGH SALT DIET AND EXERCISE ON THE WATER-SALT BALANCE AND BLOOD PRESSURE IN RATS
Authors: GÜNGÖR Buket , AKDUR Afet Seçil , SILAN Coskun , AKSULU Hakki Engin , ŞAHİN Orhan
Published: February 2021

In the study which was prepared based on the factors that can take place in essential  hypertension pathology;   We aimed to investigate the interactions of intensive exercise, high salt and partial NOS inhibition applications with each other, the effects on water-salt balance and blood pressure, changes in the intrarenal dopaminergic system, which is an important natriuretic system, and the participation of oxidative stress. The rats were given intensive exercise on a treadmill at a speed of 25 m / min at 5% inclination for 30 minutes a day, LNNA at a concentration of 50 mg / L and a high salt diet of 4% for 7 days either separately or together. Blood pressures of the rats were measured on the first and last days of the experiment, and the rats were taken into metabolic cages; 24-hour water intake and urinevolume were measured. Dopamine levels were measured in 24-hour urine to detect intrarenal dopamine synthesis. In addition, oxidative stress parameters in the serums of rats; TAS, TOS and OSI levels were measured. Blood pressure was found to be high in the groups in which intensive exercise was applied together with LNNA and high salt diet. While there was no change in the water balance of this group, it was found that sodium excretion and dopamine levels increased in 24-hour urine. In addition, it was found that the total oxidant status increased in this group, and oxidative stress developed as a result of insufficient antioxidant system. It suggests that the reason of hypertension that develops with the application of intensive exercise together with LNNA and high salt diet may be due to the vascular resistance increasing effect of oxidative stress rather than water-salt retention and it points out the necessity of studies to fully detect vascular tissue oxidative stress markers and vascular oxidative damage.
Physical Activity Pattern among Students of Health Sciences in Yogyakarta
Authors:   Department of Physiotherapy, Faculty of Health Science, Universitas Aisyiyah Yogyakarta, Indriani Indriani , Safira Ade Rachma ,   Department of Physiotherapy, Faculty of Health Science, Universitas Aisyiyah Yogyakarta, Aisyiyah N Ummy ,   Department of Physiotherapy, Faculty of Health Science, Universitas Aisyiyah Yogyakarta
Published: February 2021

Background: Insufficient physical activity (PA) causes health problems globally. The information related to lack of physical activity among university students in Yogyakarta is still limited. Thus, it is important to monitor the pattern of physical activity as a part of health promotion efforts. This study aimed to provide information physical activity pattern among health science students in Yogyakarta. Subjects and Method: A cross-sectional study was carried out at Faculty of Health Science, X University, Yogyakarta. A total of 112 students was enrolled in this study. The variables in this study were student’s characteristic, sedentary behavior, and physical activity. The data was taken by using the Global Physical Activity Questionnaire (GPAQ) form, categorized as low activity (<600 METs), medium activity (600-3000 METs,) and high activity (>3000 METs). The data were analayzed descriptively. Results: Total of 61 students (54.4%) had low PA activity. Male were more active than female (Mean= 186.56; SD= 220.57) with METs and duration per minute per week were low (Mean= 49.51; SD= 298.90). There was a positive relationship between age, gender, and sedentary behavior, and they were statisticatlly significant. Conclusion: There is a positive relationship between age, gender, and sedentary behavior. In order to increase interest, institutions need to carry out socialization and increase the implementation of active campus programs that can be regulated in rules / regulations to be more active. In this way, a supportive environment for the control of non-communicable diseases and mental health is achieved. Keywords: physical activity, sedentary, health sciences students, health promotion Correspondence: Indriani. Department of Physiotherapy, Faculty of Health Science, Universitas Aisyiyah Yogyakarta, Indonesia. Email: indriani@unisayogya.ac.idmobile: +6282137645299. DOI: https://doi.org/10.26911/the7thicph.02.10
Implementation of Home Visit Programs in Improving Nutritional Status of Under-Five Children in Developing Countries: A Scoping Review
Authors:   Universitas ‘Aisyiyah Yogyakarta, Zulfa Siti Zakiah , Pratiwi Cesa Septiana ,   Universitas ‘Aisyiyah Yogyakarta
Published: February 2021

Background: In developing country, malnutrition of under five children was still a severe problem because it may have an impact on the quality of human resources in the future. Various program has been tried in many places to overcome this problem, one of which is through a home visit program, which is very necessary for educational purposes to manage malnutrition. This study aimed to determine how to implement a home visit program to improve the nutritional status of under five children in developing countries. Subjects and Method: A scoping review method was conducted using Arksey and O’malley (2005) framework with five steps: (1) Identify the scoping review question; (2) Identify relevant articles; (3) Article selection; (4) Mapping; (5) Present the results, discussion and conclusion. The search included Pubmed, Wiley, Ebsco, Science Direct, and Google scholar databases. The inclusion criteria were original articles in Indonesian and English from developing countries published from 2010 to 2019. The data were reported by PRISMA flow chart. Results: Five of the 159 articles were selected, and found that five themes were summarized, namely: (1) effective implementation of home visits, (2) types of rehabilitation of nutritional status of under-five children on home visits, (3) home visit officers 4) time and activities for conducting home visits and 5 ) constraints on home visits for malnutrition education purposes. Conclusion: Home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting and wasting in under five children only when combined with other programs. Several knowledge gaps identify which confirm through further research. Keywords: home visit, nutritional status of under-five children, malnutrition, developing countries Correspondence: Siti Zakiah Zulfa. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Email: zakiya_zulfa@ymail.com. Mobile: 085641349694. DOI: https://doi.org/10.26911/the7thicph.02.11
The Association between Food Hygiene and the Escherichia Coli Contamination on School Snack at Elementary School in Cakung Subdistrict, East Jakarta
Authors:   Public Health Postgraduate Study Program, Faculty of Public Health, Universitas Indonesia, Thoriqoh Hanifatun Nisa Ath , Haryanto Budi ,   Department of Environmental Health, Faculty of Public Health, Universitas Indonesia, Laelasari Ela ,   Department of Environmental Health, Faculty of Health Sciences, UIN Syarif Hidayatullah Jakarta
Published: February 2021

Background: Unsafe food hygiene poses threats for becoming disease transmission. The most common of foodborne pathogenic bacteria is Escherichia coli. The purpose of this study was to examine the association between food hygiene and the contamination of escherichia coli bacteria on school snack. Subejcts and Method: A cross-sectional study was conducted in Cakung, East Jakarta from December 2016 to January 2017. A sample of 60 food handlers from a total of 147 foods handlers’ population was selected by cluster sampling. The dependent variable was E. coli bateria. The independent variables were proper hand washing, food serving aids, proper equipment washing, types of selling facilities, sanitation facilities, the placement of cooked food, and food preparation. The data were collected by laboratory test result and questionnaire. The data were analyzed by multiple logistic regressions. Results: As many as 45% of the positive snacks were contaminated with E. coli bacteria. E. coli bacterial contamination on food was related to the practice of using food serving aids (OR= 5.00; 95% CI= 1.19 to 20.92; p= 0.044), a place to store cooked food (OR= 6.11; 95% CI = 1.73 to 21.59; p = 0.007) and method of presentation (OR = 7.14; 95% CI = 1.43 to 35.57; p = 0.002). Conclusion: The incidence of Escherichia coli contamination on food is related to the practice of using food serving aids, the placement of cooked food and food serving. Keywords: Escherichia coli, school snack Corresponden: Hanifatun Nisa Ath Thoriqoh. Public Health Postgraduate Study Program, Faculty of Public Health, University of Indonesia, Depok, West Java. Email: hanifatunnisa10@gmail.com. Mobile: 081808157745. DOI: https://doi.org/10.26911/the7thicph.02.13
Experience of Students in the Menstrual Hygiene Management in Schools: A Scoping Review
Authors:   Aisyiyah University Yogyakarta, Mutiarini Menik , Nuzuliana Rosmita ,   Aisyiyah University Yogyakarta
Published: February 2021

Background: The implementation of menstrual hygiene management (MHM) for students in schools in the context of developing countries still faces many multifactorial obstacles. This scoping review aims to reveal various experiences of students related to the implementation of menstrual hygiene management in schools. Subjects and Method: This was a scoping review using the framework from Arksey and O’Malley. This review was conducted by searching for articles published from 2009 to 2019 from databases including PubMed, EBSCO, Science Direct, Willey and Google Scholar databases. The Inclusion criteria were articles in English, primary research and articles in peer review journals. The data were reported by PRISMA flow diagram. Results: There were 9 articles selected from 263 articles that went through the identification process. It was found that students’ experiences in implementing menstrual hygiene management in school to several important points, namely the lack of access to information about menstrual hygiene management in schools, poor implementation related to the lack of school sanitation infrastructure, social, economic, and cultural problems. Conclusion: Many challenges faced by students in fulfilling their menstrual health rights in schools have resulted in various bad experiences for school students in developing countries. Keywords: School Girls, School, Menstrual Hygiene Management, Developing Countries Correspondence: Menik Mutiarini. Aisyiyah University Yogyakarta. Jl. Siliwangi, Yogyakarta, Indonesia. Email: menik82mutiarini@gmail.com. Mobile: 082223019842 DOI: https://doi.org/10.26911/the7thicph.02.15
The Effect of Health Education on Prevention of Cardiovascular Disease Risk Factors Towards Knowledge and Attitudes of Overweight Adolescents
Authors:   School of Health Polytechnics, Ministry of Health Jakarta I, SOLIHAH II , Arnis Amelia ,   School of Health Polytechnics, Ministry of Health Jakarta I
Published: February 2021

Background: At present, the world’s leading burden of cardiovascular disease (CVD) is in low and middle-income countries including Indonesia. However, little is known about the cardiovascular health in Indonesia. This study aimed to determine effect of health education on prevention of cardiovascular disease risk factors towards knowledge and attitudes of overweight adolescents in Senior high school in Jakarta. Subjects and Method: This was a quasi-experiment with case control study was conducted in Senior high school in Jakarta. A sample of 30 was selected by randomly. The inclusion criteria were BMI with the category of obesity, blood pressure, smoking habits, history of hypertension, diabetes mellitus, and stroke. The data was analyzed by t-test. Results: This study showed an increase in the results of measuring knowledge and attitudes before intervention (Mean = 11.2; SD = 9.04) and after intervention (Mean = 14; SD = -10.15), and it was statistically significant (p <0.001) Conclusion: Education influences changes in knowledge and lifestyle attitudes of adolescents with nutritional status Keywords: health education, knowledge, attitudes, youth Correspondence: Ii Solihah. School of Health Polytechnics, Ministry of Health Jakarta I. Jl. Wijayakusuma Raya Cilandak, South Jakarta. Email: Ii_125@yahoo.co.id DOI: https://doi.org/10.26911/the7thicph.02.20
Effect of Hypnoparenting on Nutritional Status in Preschool Age Children at Al-Fathir Kindergarten, Tangerang, Banten
Authors:   Academy of Midwifery Karya Bunda Husada, Maryani Diani , Anggraeni Liza ,   Academy of Midwifery Karya Bunda Husada
Published: February 2021

Background: Malnutrition is estimated to account for more than one third of all child deaths, although it is rarely listed as a direct cause. Hypnoparenting is an attempt by parents to bring their children into the subconscious. This study aimed to determine the effect of hypnoparenting on nutritional status in preschool age children at Al-Fathir kindergarten, Tangerang, Banten. Subjects and Method: This was a quasi-experiment with a non-randomized pretest posttest design was conducted at Al-Fathir Kindergarten, Tangerang City, Banten Province from April to August 2020. A sample of 36 selected by purposive sampling. This study was divided into 2 groups: (1) 18 respondents were given hypnoparenting treatment and for the second group; and (2) 18 respondents were not given hypnoparenting. The dependent variable was nutritional. The independent was hypnoparenting. The data were analyzed by non-parametric tests. Results: There was a significant difference between nutritional status before hypnoparenting (p= 0.293) and nutritional status after hypnoparenting (p= 0.406) but there was no effect between changes in nutritional status made in the intervention group (Mean= 16.25; SD= 2.46; p= 0.222) and the control group (Mean= 16.18; SD= 3.88; p= 0.150). Conclusion: Hypnoparenting has effect in nutritional status of preschool age children, but it is statistically non-significant. Next, researchers will conduct further research on overcoming problems in children, especially nutritional problems, and the parents/guardians of students to be more effective in doing hypnoparenting to be maximized. Keyword: BMI, age, pre-school, hypnoparenting Correspondence: Diani Maryani, Academy of Midwifery Karya Bunda Husada, Tangerang, Banten. E-mail: dhianeyrs@gmail.com. Mobile: 081381234008. DOI: https://doi.org/10.26911/the7thicph.02.23
Application Development of Inspection of Fire Protection Equipment, First Aid Kit and Incident Reporting Case Study
Authors:   Department of Computer Engineering, Faculty of Engineering, Universitas Diponegoro, Windasari Ike Pertiwi , Purba Jojor Kakanda ,   Industrial Engineering, Faculty of Engineering, Universitas Diponegoro, Eridani Dania ,   Department of Computer Engineering, Faculty of Engineering, Universitas Diponegoro, Septiana Risma ,   Department of Computer Engineering, Faculty of Engineering, Universitas Diponegoro, Mahachandra Manik ,   Industrial Engineering, Faculty of Engineering, Universitas Diponegoro
Published: February 2021

Background: Occupational Safety and Health (OSH) is an important part of the work environment. Both workers and employers are responsible for maintaining a safe environment in the workplace. However, by comparing and mapping the general situation of occupational safety and health legislation in some countries, we found that the current occupational safety and health standards in the retail industry are seriously insufficient or even absent. This study aimed to examine design an application development of inspection of fire protection equipment, first aid kit and incident reporting case study in the Faculty of Engineering, Diponegoro University. Subjects and Method: Use the Scrum method to develop Android-based occupational safety and health inspection applications. The user of this application is the P2K3 team from each department at the Faculty of Engineering, Diponegoro University. The study phases used in this research are as follows: meeting with customers, creating user stories and product backlogs, application development. Results: The result of this research is a mobile application to record the condition of the fire extinguisher and first aid kit. Conclusion: The application made has been able to handle the records of K3 inspection tools, namely fire extinguishers and first aid kits and can be used to report incidents. Keywords: Information Systems, APAR, First Aid Correspondence: Ike Pertiwi Windasari. Universitas Diponegoro, Semarang, Central Java. Email: ike@ce.undip.ac.id. Mobile: 0856400826 52 DOI: https://doi.org/10.26911/the7thicph.02.25
Effect of Early Menarche on Reproductive Health: A Scoping Review
Authors:   Universitas ‘Aisyiyah Yogyakarta, Wulandari Hanny , Ernawati Dwi ,   Universitas ‘Aisyiyah Yogyakarta
Published: February 2021

Background: Teenagers aged 15-19 encounter a disproportionate burden of adverse sexual and reproductive health outcomes, especially in low- and middle-income countries. The urgent ongoing efforts are needed to lead healthy, safe, and productive lives of teenage girls. This scoping review aimed to identify the association of early menarche with negative sexual and reproductive health outcomes. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, EBSCO, and Wiley databases. The keywords were “effect” OR “outcomes” AND “menarche” OR “menstruation” OR “menstrua” OR “menses” OR “early menarche” AND “reproductive health” OR “sexual reproducti” AND “sexual behavior” OR “sexual debut” OR “sexual partners” OR “unsafe sex” OR “unprotected sex”. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 116 full text articles was obtained. After the review process, nine articles were eligible. The data were reported by the PRISMA flow chart. Results: Four articles from developing countries (Nigeria, Malawi, Philippine) and five articles from developed countries (France, United States of America, England, Australia) met the inclusion criteria with cross-sectional and cohort design studies. The existing literature showed that early menarche was associated with sexual and reproductive health (early sexual initiation, low use of contraception), sexually transmitted diseases (genital herpes, HIV), and other factors (income, education level, sexual desire). Conclusion: Early age at menarche may contribute to the increase vulnerability of girls into negative sexual and reproductive health outcomes. Quality comprehensive sexual education may improve the sexual and reproductive health and well-being of adolescents. Keywords: early menarche, reproductive health, adolescent females Correspondence: Hanny Wulandari. Universitas Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Sleman, Yogyakarta 55592. Email: hannywulandari11@gmail.com. Mobile: +6281249747223. DOI: https://doi.org/10.26911/the7thicph.02.26
Sex Education Strategy for Adolescents: A Scoping Review
Authors:   Universitas ‘Aisyiyah Yogyakarta, Pratami Yustika Rahmawati , Kurniati Nurul ,   Universitas ‘Aisyiyah Yogyakarta
Published: February 2021

Background: Comprehensive Sexuality Education (CSE) plays an important role in preparing safe and productive lives of adolescents through understanding about HIV/ AIDS, sexually transmitted infections, unintended pregnancy, gender-based violence, and gender disparity. This scoping review aimed to investigate the appropriate method of sex education and information for adolescents. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selec­tion; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, ScienceDirect, Wiley Online Library, ProQuest, and EBSCO databases. The inclusion criteria were English-language and full-text articles published between 2009 and 2019. A total of 460 articles was obtained from the searched database. After the review process, twenty articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: Eleven articles from developing countries (Nigeria, Thailand, Iran, California, Vietnam, Spain, South Africa, Indonesia) and nine articles from developed countries (USA, England, Australia) met the inclusion criteria with quantitative (cross-sectional, quasi-experiments, cohort, RCT) and qualitative design studies. The findings discussed available sources of sex education for adolescents including peers, school, media, and other adults. Digital media (internet and TV) contributed as preferable sources for adolescents. The parents and teacher’s involvement in providing sex education remained inadequate. Inappropriate sources of sex education like invalid information from the internet and other adults caused negative consequences on the sexual and reproductive health of children and adolescents. Conclusion: Parents-school partnership strategies play an important role in delivering appropriate information about sex education for children and adolescents. Keywords: digital media, sex education, parents, schools, adolescents Correspondence: Yustika Rahmawati Pratami. Jl. Siliwangi No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: yustikarahmawati068@gmail.com. Mobile: +6282198915596. DOI: https://doi.org/10.26911/the7thicph.02.27