bluuebunny/crossref_metadata_2025 huggingface dataset:
Thysanoptera caught by emergence trapping from oak trees at Hamilton High Parks, South Lanarkshire, including Hoplothrips semicaecus (Uzel) new to Scotland
Authors: Collins D.W , Robinson J , Hancock E.G , Maddison L.M , Stephens J
Published: January 2020

A survey of the saproxylic invertebrate fauna of the Cadzow oaks parkland, South Lanarkshire, Scotland, part of the Hamilton High Parks Site of Special Scientific Interest, was undertaken between April 2017 and April 2018, with additional prior test trapping having started in August 2016. Several different search methodologies were utilised, including Owen emergence traps, flight interception traps, hollow tree traps, and rot hole traps. Large numbers of a non-target group of insects - thrips (Order Thysanoptera) - were noted in some of the traps from the first batch to be examined and separated out for analysis. A total of 370 individuals from eight species was identified, with 85.1% of these thrips being collected by three Owen emergence traps, a novel methodology for determining the presence, or abundance, of dispersing Thysanoptera. The majority (92.4%) of the thrips represented two fungal-feeding phlaeothripid species, Hoplothrips pedicularius and H. semicaecus. This is the first report of H. semicaecus from Scotland.
Assessment of the intensity of lipid peroxidation and catalase activity in the blood-erythrocyte serum system in patients with laryngeal cancer
Authors: Burlaka Julia , Verevka Sergiy , Grin Natalia
Published: January 2020

Aim: To evaluate the intensity of lipid peroxidation and the activity of catalase in patients with laryngeal cancer.
Materials and Methods: Samples of blood serum and erythrocytes from 40 patients with laryngeal cancer of stages II and III and 20 healthy volunteers were investigated.
Results: The level of TBA-positive products and diene conjugates in blood serum samples of stage II and III patients with laryngeal cancer was increased than that of control. In the same time catalase activity was significantly reduced. In the erythrocytes of patients in both groups the level of diene conjugates and catalase activity was higher than that of control. The level of TBA-positive products increased only in patients with III stage disease. Our results indicate the intensification of free-radical oxidation against the background of the functional stress of the antioxidant defense system in patients with laryngeal cancer, as well as the violation of the structural and functional state of erythrocyte plasma membranes, which is manifested in the activation of lipid peroxidation.
This indicates about the formation of a complex of disorders, which can play a significant role in the development and deepening of the pathological process.
Efficiency of the cochlear implantation in children with severe sensorineural hearing loss and deafness according to the data of speech audiometry in the free sound field and in the noise background
Authors: Zabolotny Dmitry , Lutsenko Viktor , Belyakova Irina , Kholodenko Tetiana
Published: January 2020

Relevance: Any kind of the hearing loss, especially in the childhood, affects the mental and intellectual development negatively as well as behavior and social position of a deaf patient in the hearing world. Cochlear implantation is the most effective and reliable method of medical and educational auditory-speech rehabilitation for both adults and children with severe hearing loss and deafness. One of the key performance indicators of the cochlear implantation is a result of speech audiometry, especially on the noise background.
The aim is to study the state of auditory function according to the subjective audiometry in the noise background and the influence of various factors on the effectiveness of rehabilitation of the children after cochlear implantation.
Materials and methods: The study involved 150 children with severe sensorineural hearing loss and deafness after cochlear implantation. In age, they ranged from 3 to 18 years old. Evaluation of the efficiency of cochlear implantation was carried out in several stages. All studies were done in the free-field with the cochlear implant on. At first, we performed the pure tone audiometry. Then we defined the 50% intelligibility threshold of numeral test. After that, we defined a word recognition percentage. And finally we defined the impact of masker on speech intelligibility at SPL of useful signal 50, 60 and 80 dB.
Results: Based on the analysis of the received data, all children with severe sensorineural hearing loss and deafness after cochlear implantation were divided into 3 groups depending on the speech intelligibility. The first group (high efficiency of cochlear implantation) included 68 children (45,3%). This group was divided into two subgroups depending on the difference between the values of the speech intelligibility in the free sound field and in the noise background. The second group (average efficiency) consisted of 45 children (30%). The third group (low efficiency) were 37 children (24,7%). The influence of various factors on the efficiency of cochlear implantation was analyzed.
Conclusion: Speech intelligibility in the noise background must be examinated in all children after cochlear implantation. The main factors affecting the effectiveness of cochlear implantation according to test of speech intelligibility in the noise background are the ethiology of hearing loss and duration of post-operation period.
Results of speech intelligibility in the noise background test will help specialists who practice the rehabilitation of children after cochlear implantation (teachers for deaf, speech therapists) to pay attention to the decrease of speech intelligibility in children in the real conditions of communication and to focus their efforts on its improving with the appropriate methods.
The advantages of using auto-fat tissue in the reconstruction of defects of the skull base in patients with CSF leak
Authors: Zabolotny Dmitry , Zabolotnaya Diana , Ismagilov Eldar
Published: January 2020

Relevance: At present, the method of repair of the cerebrospinal fluid fistula using mucous flaps according to the “overlay” technique is widely used in the reconstruction of the skull base and is generally accepted. We have developed an original method for reconstructing defects of the skull base in the presence of a cerebrospinal fluid fistula, using an auto-fat tissue and placing it in two layers.
Objectives: To conduct a comparative assessment of methods for the reconstruction of the skull base defect in patients with CSF leak using endoscopic endonasal approach.
Materials and methods: Under our supervision there were 46 patients with CSF leak. Depending on the technique of cerebrospinal fluid fistula repair, all patients were divided into 2 groups. The first group of 20 patients consisted of patients who underwent surgery with auto-fat tissue according to our proposed technique. The second group - 26 patients were patients who underwent repair of the skull base defect using the standard overlay technique - a mucous flap on the feeding vascular pedicle. The criterion for evaluating the effectiveness of surgical treatment was patient complaints and data from objective research methods (endoscopic examination of the nasal cavity).
Results: After 3 months after surgical treatment, a patient of group 1 had a recurrence of liquorrhea, patients of group 2 after 3 months had a recurrence of liquorrhea in 3 patients, after 6 months in 2 patients of group 2 there was a recurrence of liquorrhea.
Findings: When the size of the bone defect of the base of the skull is up to 0.6 cm, the original technique proposed by us for plastics of the cerebrospinal fluid fistula with an auto-fat tissue in two layers provides a tight closure of the bone defect and the defect of the dura mater. When using this method of plastics, the risk of the development of a recurrence of CSF leak is significantly reduced in comparison with the plastics of the cerebrospinal fluid fistula with the use of overlay grafts.
Application of Nasomer in surgical treatment of patients with polyposis rhinosinusitis
Authors: Bereznyuk Vladimir , Chernokur Alexander , Gospod Oleg
Published: January 2020

Relevance: Modern endonasal surgery allows to remove polyps from all affected paranasal sinuses, following the principles of minimal invasiveness. Minimal traumatic of surgical intervention gives the best results, accompanied by less progression of the disease. Minimal invasiveness of surgical intervention and its obligatory combination with postoperative medical treatment are common practice in many countries. One of the drugs that actively effect the restoration of the mucous membrane of the nasal cavity and paranasal sinuses in the early postoperative period is Nazomer, which includes sodium hyaluronate and dexpanthenol in saline solution.
The purpose of the study is to investigate the effectiveness of the drug Nazomer in patients with polyposis rhinosinusitis after endoscopic polyposynosotomy.
Results and discussion: The main group consisted of 30 patients with polyposis rhinosinusitis, who were prescribed Nasomer in addition to standard treatment in the postoperative period. The control group included 30 patients who underwent standard treatment in the postoperative period.
As criteria for clinical efficacy, data from endoscopic examination of the nasal cavity and indicators of anterior rhinomatometry, measured by the «Optimus» device, were selected.
In the main group, the index of nasal breathing according to rhinomatometry was better than the results of patients in the control group on the 3rd and 5th day of the postoperative period by 26% and 24%, respectively.
Conclusion: The use of the drug Nazomer in the postoperative period in patients with polyposis rhinosinusitis contributes to more active restoration of respiratory function of the nasal cavity compared with the control group, according to rhinomatometry, up to 26%. Based on the results obtained, the drug Nazomer is an effective anti-inflammatory and regenerative agent in the postoperative period in patients with polyposis rhinosinusitis.
Air exchange in the maxillary sinus in the postoperative period after maxillary sinusotomy through the inner and middle nasal airway
Authors: Naumenko Alexander , Krinichko Lilia , Rezmak K.F. Mohammed
Published: January 2020

There are many computer models that describe the airflow in various anatomical variants and the pathology of the nasal cavity and paranasal sinuses. The data that describe the Reynolds number and airflow velocity in the different section of the nasal cavity of the patients with cyst of the maxillary sinus are very different. The results of operation of the maxillary sinusotomy through the middle nasal airway are disjointed and contradictory. There is also a little information of aerodynamics in the odontogenic pathology of the maxillary sinus.
Purpose: Calculate airflow velocity in various sections of the nasal cavity, and air exchange in the maxillary sinus in patients with cysts of the maxillary sinus in the postoperative period after endonasalmaxillary sinusotomy through the lower and middle nasal airway.
Material and methods: 112 patients with maxillary sinus cyst were examined. Patients were divided into three clinical groups. The first group, 41 people, included patients who had removed the cysts of the maxillary sinus through the lower nasal airway, as well as intact structures of the middle nasal passage remained. The second group included 38 patients who had removed the maxillary sinus cyst through the middle nasal airway. In the third group, were selected 33 patients, who had not been diagnosed with nasal and nasal sinus pathology, but they were examined by an ENT specialist before implantation of the teeth.
Computer tomography of nasal sinuses was performed for all patients. The Planmeca Tomography, manufactured in Finland, was used, with the further processing of information using the software Romexis Viewer.
Using the Romexis Viewer software and MeshLabit was measured the size of the anatomical structures of the nasal cavity and nasal sinuses, the calculation of air flow velocity at the airways of the nasal cavity, the calculation of the Reynolds number. To calculate the parameters of external respiration, all patients were examined for external respiration using a mask spirometer. Statistical processing of the obtained data was carried out using SPSS software 13.
Results: The rate of air flow that passes through the nasal cavity on the inhalation and exhalation in the postoperative period in patients with cysts of the maxillary sinus that has undergone endonazal maxillary sinusotomy through the lower nasal airway, is statistically no different from those patients who had no pathology of the nasal cavity and nasal sinuses.
The volume of air exchange in the case of removal maxillary cyst through the lower nasal airway does not statistically differ from the volume of air exchange in patients without pathology of the nasal cavity and nasal sinuses.
The effectiveness of glucocorticoid hormones in the treatment of sensorineural disorders
Authors: Kazachonok Tatyana , Petrova Lyudmila
Published: January 2020

Topicality: Effective treatment of acute sensorineural hearing loss is still relevant due to the fact that the number of diseases accompanied with impaired sound perceptions great, and the treatment outcome is often far from the desire done. Many researchers have noted the positive effect of systemic glucocorticoids in the treatment of acute hearing loss. Adverse effect sin case of long-term systemic use of hormones, such as insomnia, gastric ulcer, impaired glucose tolerance, arterial hypertension, etc., limitations or contraindications to their administration in patients with severe concomitant pathology, the existence of a hemato-perilymphatic barrier, which prevents penetration of glucocorticoids in to the inner environment of the ear, promote the wider use of intratympanic administration of hormones.
The purpose of this study was to evaluate treatment effectiveness following intratympanic administration of glucocorticoid hormones in patients with acute sensorineural hearing loss and exudative otitis media.
Materials and methods: Analysis was performed to compare treatment outcomes of 92 patients (the main group) with acute sensorineural hearing loss who were administered hormones intratympanically, with the treatment outcomes of 315 patients (the control group) receiving conventional therapy. Treatment outcomes of 23 patients with acute otitis media with effusion accompanied with combined hearing loss with a pronounced sensorineural component were analyzed.
Results and discussion: As a result of the treatment, a statistically significant improvement in hearing was obtained in the main group compared to the control group. Of the 23 patients with otitis media with effusion who received the treatment, hearing has restored to the norm in 19 people, and the rest showed an improvement. Thus, intratympanic administration of glucocorticoids increases treatment effectiveness in patients with acute sensorineural hearing loss and helps to restore disturbed sound perception in the treatment of patients with otitis media with effusion.
Diagnostic-combined groups as a personalization tool of doctor’s financial stimulation level and predictor of treatment cost
Authors: Samokhodsky Victor
Published: January 2020

Introduction: The mechanism of formation and use of clinical-statistical groups and diagnostic-combined groups (DSG) as a tool for determining the cost of physician work, personification of the level of financial stimulation of his quality work is proposed based on the example of ENT diseases of different degrees of complexity.
Purpose: As a result of the comparative characterization of physicians' work indicators management of diseases of five degrees of complexity, proposition to recommend the mechanism of substantiation of the levels of financial renumeration of the doctor and the possible options for reimbursement of a certain amount of the total cost of treatment.
Material and Methods: We performed retrospective analysis of case histories and outpatient charts of otorhinolaryngological patients of the regional hospital for 10 years. Taking into account certain features of the clinical course of the disease, indicators of the average working time of the doctor for the process of examination and treatment, we recommend clinical-statistical groups, divided into four which amounted to five DCG, ie diseases of five degrees of complexity. Also, a formula is proposed in which, on the basis of official data on the amount of salaries of doctors, the terms of their regulatory expenses, the so-called "increasing" coefficients, an attempt was made to determine the cost of physicians' work according to the degree of complexity of the disease and to identify possible sources of compensation to the patient from the amount of the total cost of treatment.
Results and discussion: Appropriate calculations indicated the opportunity to justify certain amounts of financial incentives for physicians, depending on the number of patients treated with varying degrees of complexity.
Possible official sources of financial compensation to the patient of a certain amount of the total cost of his treatment were also identified.
Conclusions: Given the creation of computer programs that would greatly simplify the corresponding calculations of the tables presented in the article, the recommended algorithm for practical implementation of the clinical-statistical groups and DCG system would be methodologically suitable for use in other (therapy, surgery, etc.) profile services of healthcare establishment.
Investigation of the effectiveness of the drug «Glenspray active» in patients with allergic rhinitis
Authors: Bereznyuk Vladimir , Chernokur Alexander
Published: January 2020

Relevance: Over the past decade, an increase in the number of patients with AR has been noted. According to epidemiological studies conducted in different countries, the prevalence of AR is from 1 to 40%. In most European countries, 10-25% of the population suffers from allergic rhinitis. Of particular interest for treatment are combination preparations containing topical corticosteroids and antihistamines, in particular, Glenspray Active.
The active ingredients of the drug are mometasone furoate and azelastine hydrochloride.
The purpose: study of effectiveness of the drug «Glenspray Active» usage in patients with allergic rhinitis.
Results and discussion: 69 patients with allergic rhinitis were treated in the clinic of the SE «DMA of HM of Ukraine». In 61 patients intermittent AR was diagnosed, in 8 patients - persistent AR. Efficiency criteria were an assessment of the effect of therapy with the studied drug on the nasal symptoms of allergic rhinitis. To analyze the indicators, a general nasal symptom scale (TNSS – Total Nasal Symptom Score) was used, and the overall effectiveness of treatment by the patient and the research doctor was also evaluated. Most of patients (49-57%) noted a good and excellent effect from the use of the drug which occurred already between 30 and 60 minutes after the start of treatment. 85.5% of patients noted the maximum effect of the using of the drug which was between 30 and 60 minutes.
Conclusion: The combined drug «Glenspray Active» is an effective and safe tool in the treatment of patients with AR. A good and excellent clinical effect in the form of a significant reduction in nasal symptoms (TNSS) occurs from 30 to 60 minutes in 44-57% of patients. The maximum effect from the use of the drug was observed between 30 and 60 minutes in 85.5% of patients.
Fractures of the walls of the frontal sinus: criteria for choosing the tactics of surgical treatment and indications for obliteration
Authors: Bondarchuk Oleksandr
Published: January 2020

Treatment of fractures of the walls of the frontal sinus complicates the presence of intracranial pathology.
The main goals of surgical treatment of such states are: protection of intracranial structures, sealing of the cavity of the skull; prevention of early and late purulent-inflammatory complications; correction of aesthetically significant deformation and restoration of the shape of the frontal area. To determine the indications for frontal sinus obliteration (LP), it was necessary to detect changes to the operation that prevented it from being stored as an airborne cavity, or would make such an attempt "risk" for relapse. The main step in prevention of complications is the surgical removal of the mucous membrane and the closure of the mucus, therefore, the criterion for choosing surgical tactics for lesions of the foam-basal localization, and surrounding tissues is to determine the condition of the fronto-nasal constriction and its walls Failure to comply with these provisions will inevitably lead to complications in the postoperative period.
The advantages of using a fragment of the fascia lata and autobone in the reconstruction of defects in the base of the skull in patients with CSF leak
Authors: Zabolotnaya Diana , Ismagilov Eldar
Published: January 2020

Relevance: Diagnosis and treatment of patients with CSF leak, today, is not a fully resolved problem. With small defects in the base of the skull, the overlay technique has worked relatively well. However, when the size of the bone defect is more than 0.6 cm, the surgeon has to resort to the underlay technique of transplant placement.
Thus, the search for the optimal technique for reconstruction surgery of the cerebrospinal fluid fistula, especially with large defects of the skull base, is a complex and urgent problem.
Purpose of the study: To conduct a comparative assessment of the techniques for reconstruction of the skull base defect lager than 0,6 cm in the anterior cranial fossa in patients with CSF leak using endoscopic endonasal approach.
Materials and methods: We observed 44 patients with CSF leak. Depending on the technique of cerebrospinal fluid fistula repair, all patients were divided into 2 groups. The first group of 21 patients was patients who underwent reconstruction surgery of the skull base defect using a generally accepted technique using a fragment of the fascia lata and nasoseptal flap. The second group – 23 patients, consisted of patients who underwent reconstruction surgery with a fragment o fascia lata with fixation of it by a fragment of an autobone according to our technique, followed by the use of a nasoseptal flap. The criterion for evaluating the effectiveness of the surgical treatment was lack of relapse of CSF leak and data from objective research methods (endoscopic examination of the nasal cavity).
Results: 1 month after surgical treatment, 3 (14,28%)patients of the 1st group experienced a recurrence of CSF leak, and 1(4,34%) patient of the 2nd group had a recurrence of CSF leak. In 2 patients of the 1st group there was a relapse of CSF leak in the 3rd month of observation, there was no recurrence of CSF leak in patients of the 2nd group, after 6 months in 1 patient of the 1st group there was a relapse of liquorrhea.
Conclusions: In patients with CSF leak with a bone defect greater than 0.6 cm, it is appropriate to use the sandwich technique.
The technique of reconstruction CSF fistula using a fascia lata with its fixation by autologous bone can significantly reduce the risk of CSF recurrence in comparison with the use of generally accepted techniques for CSF leak.
The use of autobone in reconstruction of the cerebrospinal fluid fistula does not affect the change in the architectonics of the nose compared to the generally accepted technique.
Surgical treatment of benign tumors of parapharyngeal space
Authors: Zabolotny Dmitry , Lukach Erwin , Zabolotnaya Diana , Yevchev Fedor , Tsvirinko Irina , Kizim Yaroslav
Published: January 2020

Background: Neoplasms of the oropharynx and parapharyngeal space are quite rare, characterized by nonspecific development of the disease, and the involvement of important anatomical structures in the pathological process. Problems of diagnosis and choice of tactics of surgical treatment are relevant today.
Aim: To evaluate the effectiveness of transoral approach when removing benign tumors of the parapharyngeal space.
Materials and methods: In State Institution “O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Sciences of Ukraine” in recent years, 92 patients underwent surgical treatment with benign tumors of the parapharyngeal space. Men – 39 (42.4%), women – 53 (57.6%). All patients underwent total removal of the tumor in the parapharyngeal space by transoral approach.
Results: In patients evaluated the postoperative period, the type of postoperative wound healing, the presence of complications and the quality of life. The following postoperative complications were observed: in 13 (14.1%) patients lockjaw was observed, which regressed on average for 2-3 days, bleeding from the postoperative site in the early postoperative period – 4 (4.3%) and acute cerebrovascular accident in the early postoperative period in 1 patient (1.1%).
Conclusions: Given the good blood supply to the parapharyngeal space, bleeding is one of the most common complications. Vascular complications are more common when neurogenic or vascular tumors are removed. Angiography is useful in evaluating post-styloid lesions in order to demonstrate their connection with large vessels and differentiate neurogenic and vascular lesions. The advantages of transoral removal of the tumors of the parapharyngeal space are the absence of cosmetic defects, the rapid healing of postoperative wounds and the rapid restoration of the patient’s working capacity.
Modern diagnostics of face and neck skin neoplasma
Authors: Yevcheva Anhelina
Published: January 2020

The problem of modern diagnosis of neoplasms of the human skin is relevant in connection with the growing number of patients with tumorous formations of the skin of the human body.
The aim of the study was to evaluate the results of the diagnosis of tumor lesions of the face and neck skin on the basis of the analysis of clinical semiotics, dermatoscopy (microscopy) and morphological research.
Material and Methods: The study included 50 patients with neoplasms of the external nose and ear skin.
There were 30 women and 20 men, aged from 40 to 80 years.The patients were divided into two groups, depending on the location of the neoplasm. The 1st group included 25 patients with tumors of the outer skin of the nose and 2nd group – 25 patients with skin tumors of the outer ear.
All neoplasms in the process of vital activity were subjected to physical irritations of various degrees that may develop the malignant process of the skin.
The results and discussion: The evaluation of diagnostic results was carried out on the basis of the use of complex diagnostics, with the help of which a malignant skin process was detected in 50 patients. A basal cell carcinoma of the ear was revealed in 23 (46 %) patients, squamous cell carcinoma in 24 (48%) patients, low grade nasal cancer in 3 (6 %) patients.
Complex diagnostics allowed to determine the morphological structure and tissue affiliation in 100% of patients. Іt contributed to the correct choice of the method of treatment.
Conclusions: The results of the study suggest that a comprehensive detection technique makes it possible to fulfill a final diagnosis of the skin disease and to plan treatment adequately.To diagnose timely and reduce the number of malignant skin formations it is necessary to train the population to self-diagnose and to conduct preventive measures for reducing excessive ultraviolet, various chemical and mechanical effects on healthy skin.
Immunomodulating properties of Cinnabsin
Authors: Melnikov Oleg , Zabolotnaya Diana , Zajac Tatyana , Sidorenko Tatyana , Bredun Alexander , Kushnirenko Tetiana , Timchenko Мarina , Rylska Oksana , Faraon Inna
Published: January 2020

Introduction: Complex natural medicines are successfully used in various inflammatory diseases of the upper respiratory tract, but their immunomodulatory activity has not been studied enough, in particular in case of Cinnabsin. Therefore, the aim of the study was to determine the effect of the medicine on the production of cellular and humoral factors of immunity and inflammation by tonsil cells of the children.
Materials and methods: The studies were performed in vitro using 24-hour cultures of children`s pharyngeal tonsil cells after adenotomy. Altogether 90 samples of cultures were examined before and after the influence of the medicine. The effect of complex natural medicine Cinnabsin on the cells production of various cytokine groups (γ-interferon, interleukins 1, 4, 10), expression of surface antigens CD14+, CD16+, and cytolytic activity of natural killer cells were investigated. Methods of enzyme immunoassay, light microscopy and cellular cytolysis with xenogenic targets were used. Statistical processing was carried out with the Student`s non-parametric criterion, and the Fisher`s angle transformation method when processing ratios.
Results: Cinnabsin, both in dosage 10 μg/ml and 100μg/ml, increased the number of cells with the expression of the antigen CD16+ and partially CD14+, activated the natural cytotoxic cells of the tonsils, reduced the production of IL-1β and increased the production of IL-10 and γ-interferon in cell culture.
Conclusion: According to the sum of the effects and the immunomodulation vectors, it is possible to state the modulating effect of the medicine on the activity of various immunity reactions, which allows concluding the pronounced anti-inflammatory and antiviral effect of Cinnabsin.
Pengetahuan Masyarakat Penghuni Gunung Kemukus Tentang Pencegahan HIV-AIDS Di Kabupaten Sragen
Authors: Sulistyowati Dwi
Published: January 2020

Abstract: Commercial Sex Workers, Knowledge, HIV-AIDS Prevention Efforts. The number of HIV-AIDS sufferers in Indonesia continues to increase and most productive attacking a young age. Health care workers interview results in Hospital SoeratnoGemolong in October 2014, there were 25 HIV-positive AIDS, largely affected by HIV-AIDS is not a native districts Miri Sragen. To analyze the mountain commercial sex workers kemukus knowledge about HIV-AIDS on HIV-AIDS prevention. The study design was observational analytic, using a cross-sectional approach in which to make observations and measurements only once when the measurement variables were analyzed with the model Kai squared test (Chi-Square) to analyze the relationship between one or more independent variables with the dependent variable category. The result of statistical test analysis Fisher's exact Test the relationship between knowledge of HIV-AIDS prevention efforts gained value P-Value: 0.005> 0.001. HIV-AIDS prevention at the commercial sex workers in Mount Kemukus significant associated with HIV-AIDS knowledge
Pengaruh Modul Bergambar Terhadap Peningkatan Keberhasilan Toilet Training Anak Toddler Di Puskesmas Sibela Surakarta
Authors: Patriyani Ros Endah Happy , Rahayu Sunarsih
Published: January 2020

Abstract: Pictured module, Toilet Training, Toddler. One of development stage that must achieve in 1 – 3 years old (toddler) is toilet training. In a toddler, the ability of sfingter urethra that was functioned for controlled sensation wants to defecation and sensation want to urinary started development so that its sfingter more ability for controlling sensation want to urinary and sensation want to defecation. Each child had deference of ability and time to reach its ability. One strategy that can was used to parent for help ready to toilet training for a child with a used pictured module. Knowing is the effect of pictured module conduct to increased of resulting toilet training of toddler in work of area of sibela primary health care of Surakarta. The study was using a quasi experiment method with pre-test – post-test design. Analyze data was using the dependent t-test. Pictured module can increase of resulting toilet training of toddler with a value of p=0.002. Occurs increased of resulting toilet training 1.070 points, with correlation level is low (correlation value was 0.683). The nurse must give support for mothers of a toddler, and usually monitored increased of resulting in toilet training for toddler periodically in work of area of Sibela Primary Health Care of Surakarta.
Efektifitas Penusukan Titik Zusanli (ST 36) Dan Taichong (LR 3) Pada Kasus Melasma Ibu Guru SMPN III Colomadu, Karanganyar
Authors: Haryanto Joko Tri , Kristiyana Abhiseka
Published: January 2020

Abstract: Transfixion Point Zusanli (St 36) and Taichong (Lr 3), Melasma. The effectiveness of Transfixion Point Zusanli (St 36) and Taichong (Lr 3) in the case of Junior High School Teacher Motherland of Melasma III Colomadu, Karanganyar. Melasma is a skin hyperpigmentation disorders face in the form of macula/patch symmetrical hyperpigmentation in the region of the forehead, around the nose, around the mouth, around the eyes, cheeks, and Chin with yellow-brownish or dark brownish to blackish, without subjective complaints of patients. Factors of the incidence of this disorder are ultraviolet radiation, hormone MSH, sex hormone imbalance and the contraceptive pill. Stabbing point Zusanli (ST 36) and Thaichong (Lr 3) can be per peran in the body's hormonal balance. The purpose of this study to the effectiveness of Zusanli and Taichong point stabbing on the case of melasma. the design research of using "One Group Pretest-Postest Design. The technique of data analysis with the Wilcoxon test and using a Purposive sampling technique of Sampling a number of 26 respondents. Wilcoxon Test on against darkness level melasma before and after stabbing point Zusanli and Taichong obtained that the value of significance p = 0.05, 0.014 < is no difference color darkness level melasma before and after stabbing Zusanli and Taichong point, in other words, the use of points Zusanli and Taichong effective for lowering the level of the dark color of the melasma.
Pengaruh Motivasi Kerja Terhadap Pengembangan Soft Skill Preseptor Dalam Pembelajaran Praktek Klinik
Authors: Rosalinna Rosalinna , Andriyani Asti
Published: January 2020

Abstract: Motivation, Preceptor, Softskills. As a vocational education, midwifery institutions educate students' skills largely through the process of clinical practice learning. The need for soft skills in today's workplace is not negotiable, including midwife skills in working with health care institutions. The purpose of this study was to determine the effect of work motivation on the development of soft skills Preseptord in clinical practice learning. The method used in this research is quantitative with survey design. Population in this research are all midwives who work in RS Karanganyar and RS Sragen. Samples in this research is midwife who work in Maternity Room of Karanganyar Hospital and Sragen Hospital. The analysis of this study used chi square test and multiple logistic regression. The result of this research shows that there is influence of work motivation toward the development of soft skills of Preseptord in clinical practice learning (p value = 0,017) and POR = 9,000. Multivariate analysis of motivational influence controlled by characteristic variable (age, education, duration of work and training) showed that motivation and duration significantly influenced the development of soft skill of preceptor (ρ value = 0,011) and POR Adjusted = 2,546. Further analysis shows the influence of motivation with every aspect of soft skill (discipline, responsibility, communication and cooperation (ρ value <0.05). Conclusion: work motivation influences the development of soft skills (discipline, responsibility and cooperation) of preceptor in clinical practice learning.
Jamblang (Syzygium Cumini (L.) Dan Bioaktivitasnya
Authors: Silalahi Marina
Published: January 2020

Backgoun: Syzygium cumini is a species in the Myrtaceae, which is used as traditional medicine. In Indonesia S. cumini found in the yard and home garden, which use as producer of fruit and shading. The using of natural product as traditional medicine is better than sintetic, but improper has a negative impact. This article aims to explain the uses of S. cumini as traditional medicine and its bioactivity. Method: This article is based on the study of literature obtained on line and off line such as used Web, Scopus, Pubmed, and scientific journals, then synthesized according to the research objectives so that comprehensive information. Result: The traditional medicine of S. cumini have been used to cure diabetes mellitus, anti-inflammation, anti-ulcers, vaginal discharge, stomach disorders, fever, stomach aches, wounds, digestive disorders, and skin infection. The bioassay of S. cumini has activities as anti-diabetes mellitus, antioxidant, antimicrobial, anti-allergy, anti-hyperlipidemic, anti-cancer, gastroprotective, hepatoprotective, cardioprotective, anti-inflammatory, and anti-pyretic. Conclusion. Our study of S. cumini is very potential to be developed as an anti-diabetes mellitus drug because it is considered safer therefore it is necessary to do further research.
Hipervolemia Pada Pasien Congestive Heart Failure (CHF)
Authors: Astuti Yeni Eka , Setyorini Yuyun , Rifai Akhmad
Published: January 2020

Background: Congestive Heart Failure (CHF) is a condition in which the heart is unable to pump blood normally, causing disturbed venous return pressure to cause edema. The problem that arises is hypervolemia or intracellular fluid resuscitation to the interstitial that causes edema so that can be arranged nursing intervention one of them is giving diuretic and monitor fluid balance. Describes nursing care performed in Congestive Heart Failure (CHF) patients with hypervolemia. Method: This study uses data analysis method that is conducting the nursing process of two patients Congestive Heart Failure (CHF) who suffered from Hypervolemia disorder and then compared with case study journal as well as other sources. Result: After nursing action in both patients the Hipervolemia problem is equally partially resolved by fluid restriction nursing interventions, and the administration of diuretics. Conclusion: In providing nursing care to patients with Congestive Heart Failure (CHF) should pay attention to fluid restriction and appropriate diuretic administration to reduce edema.
Efektifitas Anti Inflamasi Formulasi Kunyit (Curcuma Longa), Daun Binahong (Anredera Cordifolia) Dan Daun Sambiloto (Andrographis Paniculata) Terhadap Luka Sayat Pada Kelinci
Authors: Astuti Kh Endah Widhi , Handajani Sih Rini
Published: January 2020

Background: Perineal lacerations are tears that occur in the perineum because of the second stage of labor. The Javanese people do the purpose of this study is the effectiveness of anti-inflammatory formulation of turmeric (curcuma longa), leaves of Binahong (Anredera cordifolia) and leaves of Sambiloto (Andrographis paniculata) against incisions in rabbits. Method: The method used in this study is the method in this study. This research uses a quantitative method with a type of pure treatment research in the form of pre-post test design. The sample in this study was 10 rabbits per group in 5 groups. Results: There was an anti-inflammatory effect of the turmeric formulation, binahong leaves of bitter leaf (F1, F2 and F3) in the incision wound in rabbits (ρ <0.001). There is an anti-inflammatory effect of turmeric formulation, binahong leaves of bitter leaf on leukocyte levels in rabbit incisions in F1, F2 and F3 compared to the control group (ρ <0.001). Conclusion: Turmeric formula, binahong leaf, bitter leaf (F1, F2 and F3) in the incision in rabbits can improve the wound healing process.
Perbedaan Pengaruh Infusa Kunyit (Curcuma Longa) Dengan Infusa Kelor (Moringa Oleifera) Untuk Pencegahan Kerusakan Pada Organ Lambung, Organ Hati, Organ Ginjal Dan Organ Testis Tikus Yang Diinduksi Acetosal
Authors: Santoso Joko , Prihati Dwi Retna , Wael Syahran
Published: January 2020

Background: Continuous use of acetosal can result in an increase in the amount of free radicals in the body which can damage cells. Turmeric contains vitamin C which can neutralize superoxide free radicals, hydrogen, and hydroxyl peroxides. Moringa contains flavonoids which can capture superoxide, peroxide, and hydroxyl free radicals. Objective to see differences in the effect of turmeric and Moringa in preventing cell damage due to acetosal. Method: The research design used was experiment laboratory post-test design. A total of 10 rats were divided into 2 groups. Group 1 (given acetosal (90 mg) / rat and turmeric extract (100 mg / 200 mg BB), group 2 (given acetosal (90 mg) / rat and Moringa extract (200 mg / 200 mg BB). Results: Oral treatment for seven days The results showed turmeric and moringa had the same effect on the prevention of gastric organ damage (p = 1.0), liver (p = 0.4), kidney (p = 0.65) and testicles (p => 5). Conclusion: Turmeric infusion and Moringa infusion are equally good for preventing cell damage.
Skrining Kemampuan Phonological Awareness Anak Pra Sekolah
Authors: Siswanto Arif , Pratomo Hafidz Triantoro Aji
Published: January 2020

Background. In the learning process at school, especially in pre-school education, phonological ability is the entrance for children in mastery of language. In Indonesia, research that focuses on phonological abilities in pre-school children is still very limited. Objective. This study aims to determine the profile of pre-school children's phonological awareness abilities. Method. Participants were recruited from the Surakarta ABA Thoyibah Kindergarten with a total of 27 class B children to participate in this study. Screening is given to participants. The screening results will reflect the profile of children's phonological awareness abilities. Results. There are five items that can be used to screen pre-school children's phonological awareness skills: rhyme, syllable blending, initial phoneme identification, medial phoneme identification, and final phoneme identification. The results of the internal validation analysis of phonological awareness subtest were as follows: rhyme 0.684, syllable blending 0.772, initial phoneme identification 0.880, medial phoneme identification 0.862, and final phoneme identification 0.735. Conclusion. The value of internal validity or the correlation between items in phonological awareness screening is good because all items correlated have a correlation with a low probability value.
Beda Efektivitas Pengaruh Pemberian TENS Dan Stretching Dengan Lllt Dan Stretching Terhadap Penurunan Nyeri Pada Kasus Sindroma Piriformis
Authors: Suwarni Sri , Nugroho Fendy
Published: January 2020

Background: Piriformis syndrome causes a decrease in mobility thereby reducing productivity. Objective to find out the difference between giving TENS therapy with stretching and LLLT with stretching to reduce the comfort of cases of Piriformis syndrome. Subjects were 30 piriformis syndrome patients Methods:. Experimental with two pre and post test designs. ANALYSIS: normality test with saphiro wilk obtained VAS score data with normal distribution with p > 0.05 for the first group and LLLT postal group with abnormal distribution data p < 0.05, parametric test with paired sample test in group I get the results sought with significance value p = 0,000 and non parametric Wilcoxon test for group II with p = 0.001. Post and post different tests of the two groups with the mann whitney test obtained p = 0.028. Result: providing TENS therapy with stretching and LLLT with stretching respectively in reducing pain in the case of Piriformis syndrome. Conclusion: Provision of TENS therapy with stretching is more effective than LLLT with stretching in the sense of decreased in cases of Piriformis syndrome.
Faktor-Faktor Yang Berhubungan Dengan Pengetahuan Perawat Tentang Penatalaksanaan Asuhan Keperawatan Pasien Dekompensasi Kordis Di Ruang ICVCU RSUD Dr.MOEWARDI
Authors: Widodo Widodo
Published: January 2020

Abstract : Knowledge, Management, Nursing Care Application Of Cardiac Decompensation. This study is a non-experimental quantitative research using correlation descriptive method. Research subjects are nurses who provide nursing care in patients with cardiac decompensation. There are 22 people as respondents. the form of data collection is using questionnaire. The Data analysis techniques using the Rank Spearman.The results show the value of the bivariate analysis Rank Spearman formula that there is no correlation between nurse’s age with the nurse's knowledge about the management of the nursing care of patients with cardiac decompensation, shown as calculated values of rcount < rtable (0, 082 <.428). there is no correlation between level of a nurse's knowledge education about management of the nursing care of patient with cardiac decompensation shown as calculated values of rcount < rtable (0.290 < 0.428), there is no correlation between the long time of nurse working with the nurse’s knowledge about the management of nursing care of patients with cardiac decompentation, shown as the value of rcount < rtable (0.245 < 0.428), and there is a correlation between training program with the knowledge of nurse on the management of the of the patients nursing care with cardiac decompensation which is counted rcount < rtable (0.542> 0.428). There is a correlation between training factor with the nurses knowledge about nursing care management of patients with cardiac decompensation
Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisis DI RSUD Dr. Soehadi Prijonegoro Sragen
Authors: Al Aziz Ika Hayun , Sudiro Sudiro
Published: January 2020

Abstract: Family Support, Level Of Anxiety, Chronic Renal Failure, And Hemodialysis. Chronic kidney disease is a threat for human because the prevalency increase every years. Patient of chronic kidney disease with teraphy hemodialysis can cause psychological pressure pasca hemodialysis. One example of psychological pressure is anxiety. For decrease anxiety of patient with terapy hemodialysis need family support. Objectives To identity the relationship among family support with level of anxiety chronic renal failure of patients with therapy hemodialisis in Dr.Soehadi Prijonegoro Hospital. Methods Design of the research used descriptive analytic with cross sectional approach. The sampling method is total sampling. Instrument that used for measure level anxiety and family support is a questionnaire. Analysis for data used Kendall Tau. Ressearch result The majority of family support level is good with amount 38 (70,4%). The majority of level anxiety is not anxiety with amount 38 (70,4%).The result of kendall tau is α : 0,000, τ : 0,865.Conclusion There is relationship between family support with level of anxiety chronic renal failure of patients with therapy hemodialysis.
Pengaruh Suction Terhadap Kadar Saturasi Oksigen Pada Pasien Koma Di Ruang ICU RSUD Dr. Moewardi Surakarta Tahun 2015
Authors: Nizar Afif Muhamad , Haryati Dwi Susi
Published: January 2020

Abstract : Saturation Of Oxygen, Suction, Coma Patients. Decreas consciousness and coma is very deep response. Comatose patients often experience problems mainly due to accumulation of secretions that coma patients decreased cough reflex. So that the patient needs to be done to free the airway suctioning of secretions. A phenomenon that occurs in the ICU Hospital Dr. Moewardi almost comatose patients conducted periodically suction approximately every 2 hours.The purpose of this study was to determine the effect of suction on oxygen saturation in patients with coma in the ICU Hospital Dr. Moewardi Surakarta 2015. This type of research is quasy experimental research design is a one-group pretest-posttest design and analysis using paired samples T-test.Based on the results of the Shapiro-Wilk normality test can be concluded that the data tedistribusi normal. So using a paired samples T test with significance value (p) was 0.000, which is the value of p <0.05. This means that there is an average difference of oxygen saturation value before the suction action after the suction action. Oxygen saturation difference is -1.79, meaning that oxygen saturation values prior to suction smaller than the value of the oxygen saturation after the suction.