bluuebunny/crossref_metadata_2025 huggingface dataset:
Competences of Career Counsellors in Conditions of Uncertain Future - Context of 4th Industrial Revolution
Authors: Magruk Andrzej , Rollnik-Sadowska Ewa
Published: September 2021

Current labour market is influenced by uncertainty posed by challenges of occurring trends. Those trends are on the one hand shaped by demographic changes influencing labour supply and on the other hand transformations provided by 4th industrial revolution. Emerging innovative technological development, in addition to demographics and rising inequality, brings widespread automation and irreversible shifts in the structure of jobs giving rise to new opportunities but also creating new areas of uncertainty. The unpredictability of the labour market sets new tasks for the institutions supporting better adjustment of labour supply to demand needs. Crucial institution realizing those tasks are career counsellors who provide their service for different groups of clients. Effective career guidance is determined by comprehensive competences of counsellors. It should be noted that with regard to competences in the context of Industry 4.0, most of the research to date has focused on the analysis of employees' competences rather than on the competences of career counsellors. The development of the future labour market is subject to a hitherto unknown transformation. These premises, as well as the originality and validity of the research, both in the national and European dimension, prompted the authors to conduct innovative qualitative study. The aim of the article is to identify future competences of career counsellors in line with the ongoing trends on the labour market
Comparative Study Thymol Oil and Some Gel Face Washing on Resistance Propionibacterium Acnes
Authors: Mais E.Ahmed  , Jenan A.Ghafil  , Walaa Najim
Published: September 2021

Acne is elevated of skin secretion with hyperkeratosis causing Propionibacterium acnes. The goal of studywas to assess the anti-inflammatory, and antibacterial potential of Thymol oil compare Gel face ,and is themain bacterium involved in the acne. The unpredictable use of antibiotics for the treatment of acne may endup within the advancement of bacterial resistance.
Neuroprotective Effect of Moringa Oleifera Extract on Acetamiprid Induced Neurotoxicity and Apoptosis in Albino Rats
Authors: Amr A. Abdallah  , Marwa A. Ibrahim  , Eman A. Ibrahim  , Hossam El Din H. Abdelhafez  , Naglaa F. Mahmoud
Published: September 2021

Acetamiprid (ACMP) can cause neurotoxicity and induces neuronal apoptosis. The ameliorative effects ofMoringa Oleifera (MO) seed extract against the neurotoxicity induced by ACMP in adult male albino ratswere investigated. Forty male albino rats were divided into 4 equal groups. The first group served as a control,the second group administered ACMP 26.8mg/kg b.w. (representing 1/10 LD50) by gavage. The third groupwas given combination of ACMP 26.8 mg/kg b.w. and MO seed extract 150 mg/kg b.w. the fourth group wasgiven MO extract only 150 mg/kg b.w. for 28 consecutive days. Results proved the efficacy of MO extractas a neuroprotective agent through the reduction of the oxidant parameter malondialdhyde (MDA) contentby 26.9%, significant increase of reduced glutathione content (GSH) by 21.4%, and elevation of catalase(CAT) and superoxide dismutase (SOD) activities by (62.2% and 40.8%) respectively, compared to ACMPintoxicated group. Consequently, gene expression analysis for Bax and NBN genes was downregulatedby 54.5% and 36.3% respectively in MO treated rats (group III) compared with ACMP intoxicated group.Moreover, restoration of the pathological tissue injuries was noticed. In conclusion, MO proved to be aneffective neuroprotective and anti-apoptotic agent against ACMP-induced toxicity.
Health Beliefs Related to Breast Cancer and Breast Self- Examination among Indian Women: Effect of Educational Program
Authors: Apoorva Dev.M  , Githa Kishore  , Faezeh khodadadi
Published: September 2021

Background: Breast cancer is believed to be the most widespread carcinoma all over the world and themost frequent type of carcinoma among females in India. Approximately 40% of breast lesions which leadto breast cancer is detectable by breast self-examination (BSE). The identification of the barriers of earlydetection and the baseline knowledge on breast cancer symptoms, risk factors, BSE method and also theeffectiveness of a health education intervention among females in Bangalore, India are the main purposesof this research.Methodology: The study was composed of totally 500 female participants from five different institutions inurban and rural of Bangalore in 2020. Assessing baseline knowledge on breast cancer and BSE using selfadministeredquestionnaires as well as administering interventional health education in the form of a lecture,pamphlets and illustration of proper method of conducting breast self-examination using video tutorials.Conclusion: The baseline knowledge about breast cancer and BSE practice among participants for earlydetection was found to be insufficient. However, we witnessed a great progress after immediate and followup intervention. Periodic interventions are essential to prevent relapsing of certain types of barriers.
Superior Semicircular Canal Dehiscence Syndrome in a Woman: A Case Report
Authors: Arif Surgana  , Haris Mayagung Ekorini
Published: September 2021

Background: Superior semicircular canal dehiscence (SSCD) syndrome is a disease that occurs veryrare. Clinical presentation consists of Tullio’s phenomenon and Hennebert’s sign. This case presentationis atypical and clinician should be aware. Purpose: to present the rare case of Superior semicircular canaldehisence (SSCD) Case presentation: A 65-year-old woman with complaints of dizziness from 2 years agoand her recurrence. The audiogram showed bilateral sensorineural deafness with a mean hearing thresholdof 58 decibels (dB) of the right ear and 48 dB of the left ear. There is also an air-bone gap in the right earat low frequencies (250 Hz). The tympanogram revealed a type A result in both ears. Positive results wereobtained on the examination of Romberg sharpened, positive Fukuda step to the right, and the Gans test. CTscan showed dehiscence of the right superior semicircular canal. Therapy in patients was given conservativetherapy because the participants refused to undergo surgery. Conclusion: SSCD has a specific symptom ofTullio’s phenomenon and CT scan shows dehiscence of the superior semicircular canal.
Study to Assess the Prevalence of Mobile Phone Addiction Among Adolescents with Selected Demographic Variables
Authors: Arti  , Rahul Gusian  , Anamika Gautam
Published: September 2021

Introduction: Adolescence is a time of moving from immaturity of childhood to maturity of adulthood.Technologies especially the mobile phone has considerably the new epidemic in century. It has become anessential part of the modern community and necessities in the people’s lifestyle over the past decade andgained unparallel fame because it facilitates communication between individual and shortening distance, agood investment of time.Method: It was a Descriptivestudy conducted amongst 100 consented students of age 13-18yr of Gurugramschools. Data was collected through a self – structured questionnaire to assess the prevalence of mobilephone addiction among adolescents.Result: Prevalence of smartphone addictions shows majority 65% adolescent are at high to developsmartphone addiction, 26% are at mild level of addiction and remaining 9% are at severe level of addiction.The chi square association of prevalence of mobile phone addiction among adolescent with selecteddemographic variables (0.003) was found to be statistically significant with standard only, whereas showedknow no statistically significant association with other demographic variablesConclusion: Study concludes that Prevalence of smartphone addictions shows majority 65% adolescent areat high risk to develop smartphone addiction, 26% are at mild level of addiction and remaining 9% are atsevere level of addiction.
Treatment of Lupus Nephritic with Severe Preeclampsia: A Case Report
Authors: Asri Insanur Rahma  , Lita Diah Rahmawati
Published: September 2021

A 25 years-old pregnant woman with history of Systemic Lupus Erythematosus (SLE) complained shortnessof breathing and swelling legs. Physical examination showed hypertension, tachycardia, tachypnea,anemic conjunctiva, and pitting edema in both legs. Workup examination found anemia, hypoglycemia,hypoalbuminemia, proteinuria, metabolic acidosis, strong positive dsDNA, trivial MR, mild TR, PR, dilatedLV, decrease of LV systolic function, hypokinetic global LV, eccentric LVH, and severe oligohydramnios.The patient was diagnosed with severe preeclampsia, severe oligohydramnios, SLE, Lupus Nephritic (LN),stage II JNC VII hypertension, and peripartum cardiomyopathy.An emergency caesarean section was planned as the main management to prevent infant and maternalmorbidity and mortality. MgSO4 was given to prevent eclampsia. Methylprednisolone and azathioprinewere given to control SLE and LN activity. Furosemide, spironolactone, ramipril, methyldopa and nifedipinewere given to control blood pressure, help normalizing heart function, and prevent organ failure. The patientwas suggested to postpone next pregnancy until 1 year after LV function turns to normal.
Hand Hygiene Compliance Behavior and Glove Use in the Pediatric Intensive Care Unit During COVID-19 Pandemic
Authors: Bangkit Putrawan  , Dominicus Husada  , Parwati Setiono Basuki  , Risa Etika  , Ismoedijanto  , Dwiyanti Puspitasari  , Leny Kartina
Published: September 2021

Background: The condition of Covid-19 pandemic potentially influences hand hygiene compliance as aresult of workload changes, increased awareness of healthcare workers (HCWs) and personal protectiveequipment procedures, especially in terms of hand glove use,Objective to know the adherence of healthcare workers at the pediatric intensive care unit (PICU) to complywith hand hygiene and glove use during the pandemic.Methods An observational prospective study was carried out including all HCWs stationed at the PICU DrSoetomo General Hospital during January 2021. All participants were to sign an informed consent beforethe study took place. A target of 500 opportunities was estimated during the observation, and recorded usinginfra-red cameras placed at ten points. Hand hygiene compliances were evaluated according to the videosurveillance records by an independent auditor. Compliance was measured by dividing total number ofobserved appropriate hand hygiene by the sum of opportunities. Data were analysed using Chi Square testat a significance of p<0.05.Results: A total of 28 HCWs were eligible for the study; 9 were excluded. The majority were female(21; 75%), the mean age was 37.9 (SD 5.2) years. During 72 hours’ observation among 526 glove-useopportunities 104 (19.7%) actual glove-use episodes were evident. The hand hygiene compliance was lower(41.3%) when wearing gloves as compared to those with no glove use (68.2%) (p<0.001).
Molecular Evaluation of Efficacy of Freshwater and Marine Acellular Fish Skin Matrixes in Reconstruction of Ventro- Lateral Hernia in Bucks
Authors: Bassam H. Gumaa  , Ahmed H. F. AL-Bayati
Published: September 2021

The objective of present study is to compare between the effectiveness of freshwater and marine acellularfish skin (AFS) matrices on the reconstruction of large abdominal wall hernias in Iraqi bucks using ofmolecular evaluation depending on Real Time-quantification Polymerase Chain Reaction (RT-qPCR)technique to investigate the levels of basic-fibroblast growth factor (b-FGF) and vascular endothelial growthfactor (VEGF) genes during the healing process of the abdominal wall hernias. Ventral-lateral abdominalwall hernias (7X7cm) were induced experimentally in 18 bucks. Thirty days post-inducing of hernias, theanimals were divided randomly into two main groups (9 Bucks/ group). The hernias in animals of group (A)were treated with onlay implantation of freshwater AFS sheet. While, the hernias in animals of group (B)were treated with onlay implantation of marine AFS sheet. Molecular evaluation was depended at 2, 8, and12 weeks post-treatment of hernias. The results revealed that the significant elevation of the level of b-FGFbetween treatment groups was at week 8th in group B and at week 12th in group A. While, the significantelevation of level of VEGF between treatment groups was recorded in group A, 12 week post-treatment.
Combined Effect of Physical and Psychological Stress Exposure during Pregnancy on the Expression of Caspase-3 Cerebrum and Cerebellum of Newborn Mus Musculus
Authors: Binta Dwi Novitasari  , Hermanto Tri Joewono  , Widjiati
Published: September 2021

Background: Prenatal stress affects fetal development including brain development. When a stressor isfelt, the brain as the main target for stress will release a hormone that stimulates the release of pro-apoptoticproteins and activate caspase-3 which acts as an executioner caspase in the cell death process. The aim of thestudy was to analyze the effect of combined stress during pregnancy on the expression of caspase-3 cerebrumand cerebellum of newborn Mus musculus. Methods: An experimental study using 24 pregnant mice (Musmusculus). Subjects were randomized into four groups, consisting of physical stress exposure group (forcedswimming) (G1), psychological stress exposure group (noise) (G2), combination stress exposure group(forced swimming + noise) (G3), and control group (G4). Stress exposure was given on 6th-15th days ofpregnancy. From each mother, three Newborn of Mus musculus were taken to make preparations from braintissue. Immunohistochemical examination was performed to assess caspase-3 expression. Results: Thestudy shows that the mean and standard deviation of the expression of caspase-3 cerebrum and cerebellumin the physical stress exposure group is 5.70 ± 0.99 and 5.80 ± 1.35, the psychological stress exposure groupis 7.23 ± 1.39 and 7.40 ± 1.24, the combined stress exposure group is 8.67 ± 1.09 and 9.30 ± 1.12, and thecontrol group 4.17 ± 1.18 and 3.90 ± 1.06. ANOVAs statistical test results show significant differencesamong groups with a value of p = 0.000 in the cerebrum and p = 0.000 in the cerebellum. Conclusion:Exposure to physical and psychological stress during pregnancy increases the expression of caspase-3 in thecerebrum and cerebellum of newborn mice.
Case Study in Fatal Motorcycle Injury Patterns
Authors: Budiatri Retno Noormaningrum  , Idha Arfianti Wiraagni  , Dhiwangkoro Aji Kadarmo
Published: September 2021

Crash injury is one of the leading causes of premature death globally. In Indonesia, a motorcycle crash is themain cause of road traffic injuries. As a city with a high number of motorcycles, Yogyakarta needs the rightmitigation approach based on the local characteristics. The aim of this study was to evaluate the patterns ofinjury in a fatal motorcycle crash in Yogyakarta. Data were described from five dead motorcyclists that werebrought to the mortuary of Bhayangkara Hospital.
Pattern of Drowning Cases at a Tertiary Care Hospital, Khammam
Authors: Pondurthi Srinivas Rao  , Bharath Kumar Guntheti
Published: September 2021

The diagnosis of death by drowning is one of the hardest challenges in forensic pathology. Circumstantialfactors and physical evidence such as autopsy findings are both important in drowning.There were 68 casesof drowning deaths during one-year study period from Jan 2019 to Dec 2019, at dept of Forensic MedicineMMC&MGH, Khammam, consisting of 60 male and 8 female victims.The largest number of victims,26[38.23%] were found in the age group 31 to 40 years. Males [n=60, 88.23%] were predominantly affected.37[54.41%] cases were married, in which 32 were males (47.05%) and femaleswere 5(7.35%) and 31 casesare unmarried out of which 28[41.17%] are male and 3 females. Most of the victims were follows Hindubelief, habitat of rural. Approximately 30[44.11%]of victims come from the student unemployed group.Incidence of fresh water drowning is more than sea water drowning. The wet drowning accounted morethan dry drowning. Highest number [n=32, 47.05%] occurred inafternoonthan other timings. The incidenceof drowning was more in summer. Major fatalities occurred within one to three days of hospitalization.Accidental falls 56 [ 82.35%] were the commonly occurring incidents that leads to drowning death and mostof drowning deaths 58[ 70.58%] occurred in the lakes. Majority of victims died at the place of drowning.Most of the victims witnessed respiratory complications [55.2%]. 10.00% of the deceased were the testedpositive for alcohol, while 4[6.66%] were confirmed as drug abusers. Non swimmers were victims morethan swimmers. Decomposition changes on the body were found in 10 % cases. Externally, frothy or bloodstaineddischarge at mouth and nostrils and “washer-women” appearance on the hands and feet were thecommon postmortem findings; while internally, congestion, edema of the lungs and presence of foreignbodies in an airway, were the common findings. Out of 68 cases 62[91.17%] cases were showing positiveresults for same diatoms in bone marrow and sample water, in 45.88% cases, only sample water showedpositive results, 22.94% cases were showing no diatoms in bone marrow and sample water. The aim of thestudy is to analyzed different main objective of the study is epidemiological factors andpattern of drowning,contributing factors, and arriving diagnosis of ante mortem drowning by diatom test.
A Review of the Use of Strategic Management Tools in the HealthSector
Authors: Dani Sahirul Alim  , Nur Wening
Published: September 2021

This paper is a review and study of various research related to tools of strategic, and factors that influenceboth of internal and external strategic in medical facilities research. The purpose of the review is to exploreand connecting theories from various research. This paper identified 51 articles with related topics publishedthe last decade. The results of this study that research related to implementation tools of strategic in healthfacilities still rarely. The use of SWOT (strengths weaknesses opportunities threats) analysis is the mostpopular tool used (42.86%), followed by Break-even analysis (28.56%), Balanced scorecard (BSC) and PEST(political, economic, socio-cultural, technology) each (14.29%). Based on the analysis of environmentalfactors related to internal factors in the health facility amount of 33.33%. External environmental factors inhealth facilities that have been studied amounted to 66.66%. Based on the summary of research related tointernal and external, it is known that industry environment factors and rivalry environment factors are stillrarely studied. The general environmental factors of demography and epidemiology are still rare studies andhave the opportunity to be researched and developed.
The Effect of Exposure Qari and Qariah Recitation During Pregnancy to the Number of Astrocyte Glia Cells in the Cerebrum Newborn Rattus Norvegicus
Authors: Dwi Nurdi Puspita Sari  , Widjiati  , Hermanto Tri Joewono
Published: September 2021

The quality of human resources should be prepared since in early stage. Pregnancy is one of a significantperiod which can take advantage to by providing proper nutrition and adequate stimulation. For instance,sound and music, the most harmonious combination and easily accepted by the fetus(1). Experimentalanalytic type with post-test only control group design was employed on 30 pregnant Rattus norvegicus whichwere divided randomly into 3 groups, namely the control group, qari group, and qariah group. Each of thegroups had stimulation starting 6th to 17th days of pregnancy for 60 minutes. At 18 days of pregnancy, themother of Rattus Norvegicus was sacrificed and bring forth with Sectio Caesarea (SC). As a result, thenumber of astrocyte glia cells in the cerebrum was higher in the qaria recitation stimulation group (22.62 ±3.75), compared with the group that was listened to qari recitation stimulation group (19.84 ± 2.48), whilethe control group (16.54 ± 2.78). A significant difference found in the number of astrocyte glia cells inthe Cerebrum Rattus norvegiccus newborn that were listened to the qari and qariah recitation stimulationgroup and the control group. The highest number of Glia cells is obtained from the stimulation of qariahrecitation.
Clinical Profile of Scabies in Children in the Outpatient Installation of Dr. Moewardi General Hospital Surakarta, the Period of January 2015- December 2019
Authors: Eka Devinta Novi Diana  , Alfina Rahma  , Frieda  , Indah Julianto  , Moerbono Mochtar  , Suci Widhiati
Published: September 2021

Background: Scabies is caused by parasite, called Sarcoptes scabiei, infestation into the skin. Scabies isgenerally found in children who live in crowded environments and poor hygiene.Methods: This is a retrospective descriptive study with secondary data collection from medical record datain the Outpatient Installation of RSDM for the period January 2015-December 2019. The subjects wereinfants to children aged 14 years with a diagnosis of scabies. Data variables used included age, gender,family history of scabies, diagnosis, comorbidities, supporting examinations and, therapy in scabies patients.Results: There were 88 pediatric patients with scabies. The most age group that experienced child scabieswas 11-14 years (33%) with the most sex being male (55%). The largest source of scabies transmission wasfrom the family (39%). The most common lesion morphology was papules and excoriations (49%). Thelesion location was found mostly between the fingers (24%). Examination of skin scrapings using NaCl0.9% was positive only in 5 patients (6%) with the most diagnosis was scabies (77%)Conclusion: This study shows that most of pediatric patients with scabies in the 11-14 years range aredominated by males. The most common sources of infection were families with papule morphology andexcoriation, whereas the most lesions were found between the fingers. Skin scrapings are only positive 6%of cases. The most commonly used topical therapies are 5% permethrin and 2% ointment mupirocin whilethe systemic therapies are cetirizine and cefadroxil.
Effect of Aqueous and Alcoholic Extract of Hydrastiscanadensis Plant on Bacteria Isolated from Otitis Media
Authors: Eman Fadal Abbas Al-Lahibi  , Hadeel MizherYounis Al-Hadeethy
Published: September 2021

The results of the current study showed that the effect of the alcoholic extract of theHydrastiscanadensisplant was more effective than the aqueous extract on the bacteria isolated from otitis media at the sameconcentrations.As the alcoholic extract had the highest effect on proteusmirabilis,Staphylococcusaerues,Staphylococcus epidermidis,Escherichia coli, Pseudomonas aeruginosa and Klepsiella pneumoniawith aninhibition diameter ranging (20, 18, 17, 16 ,16, 15) mm respectively at a concentration of 200 mg/ml,The study also showed that the higher the concentration of the extract, the greater the inhibitory activityagainst the bacterial species,with significant differences in the probability level 0.05 of the two extractson the bacterial species, exceptPseudomonas aeruginosa, Staphylococcusaerues there was no significantdifference in the effect.
Molecular Docking Human Plasma Kallikrein to Prevent Acute Respiratory Distress Syndrome(ARDS) in COVID-19 Patient
Authors: Feriawan Tan  , Cindy ApriliaEkaPrasanty  , Anna Surgean Veterini  , YuaniSetiawati  , Rizki Awaluddin  , Fadilah Fadilah  , Siti Khaerunnisa
Published: September 2021

SARS CoV-2 infection causes various clinical manifestations ranging from mild to severe. Acute RespiratoryDistress Syndrome (ARDS) is a severe complication of COVID-19 caused by activation of the kallikreinkininsystem which produces bradykinin which is a potent proinflammatory mediator. This research is anin silico study which aims to determine the potential of active medicinal plant compounds in inhibiting thekallikrein-kinin system.Molecular docking in this study using Autodock 4.2 with Lamarckian GA criteria.Human plasma kallikrein (PDB ID: 5TJX) was docked with 70 compounds and one native ligandand analyzedusing Autodock 4.2.The smallest binding energy obtained from docking 5TJX with several compoundsin sequence, namely, xanthohumol, nafamostat, demethoxycurcumin, epicatechingallate, beta mangostin,alpha mangostin (-9.52, -9.35, -9.33, -9.28, -9.19, -9.06 kcal/mol). Therefore, the compound shows the bestpotential as a plasma kallikrein inhibitor. However, further research is still needed to determine the potentialof drugs and medicinal plant active compounds for medical treatment.
Serum Uric Acid Level in Oral Cancer Patients -Original Study
Authors: G. Florence Sangeetha  , K.M.K. Mastan  , N. Aravindha Babu  , S. Leena Sankari  , Jayasri Krupa  , T. Gopala Krishnan
Published: September 2021

Background Uric acid is a result of the metabolic breakdown of purine digestion. Serum uricacid ensures against carcinogenesis by means of its cell reinforcement properties and forestalls thedevelopment of oxygen extremists. High blood groupings of uric acid can prompt gout and are relatedwith diabetes and development of kidney stones. Serum uric acid fixation mirror the harmony betweenuric acid combination and discharge. Studies have indicated that high uric acid is a danger factorfor hypertension, diabetes and Cardio Vascular illness.Squamous cell carcinoma is characterized asthreatening epithelial neoplasm showing squamous separation as described by the development of keratinor the bury cell spans. It also includestheinitialpresenceofaprecancerous lesion.Moreover,specificmedicalconditionscancontributetotheoral potentially malignant disordersprevalenceOral squamous cellcarcinoma is the most well-known neoplasm speaking to over 80% of all oral malignancy cases. Serum uricacid has been proposed to be related with the danger of malignant growth and it was seen that raised degreesof serum uric acid was related with an expanded disease frequency contrasted with typical qualities.Aim and Objectives : The aim of this study is to evaluate the serum uric acid level in oral cancer patients,to find out the association between low serum uric acid level and risk of squamous cell carcinoma and tocompare the serum uric acid levels in oral cancer patients with normal individuals.Materials and Methods : This is a hospital based study to find out the uric acid level in oral cancer patients.The participants were selected from the out patients, Department of Oral Pathology and Microbiology. Thestudy included a total numbe of 28 persons. Out of the 28 persons 15 oral cancer patients were selected forthe experimental group. The remaining 13 subjects were in the normal group.Results : In this study, mean uric acid level in this stroke population with CAD is 6.37 mgs/dl and in thosewithout CAD is 5.00 mgs/dl and thus establishes a statistically significant relationship (‘p’0.0004). Whenmales and females are considered, males have a significant association with a ‘p’ value of 0.0003. The buccalmucosa of the oral cavity was the most common involved site followed by the vestibule.Conclusion : The studies showed that serum uric acid level was significantly lower in oral cancer patientscompared to the control group. Uric acid may prevent the formation of oxygen radicals and there by protectagainst carcinogenesis. In human’s uric acid is the most abundant antioxidant and is an important intracellular free radical scavenger. Early detection of oral cancer and Habit should be controlled to reducemortality rates and help to provide successful cancer treatment.
Evaluation of Oral Manifestations of Patients with Parkinson’s Disease–An Observational Study
Authors: T. Gopalakrishnan  , K.M.K. Mastan  , P.E. Chandra Mouli  , Naga Leela Guntuku  , Priyadharshini A  , G. Florence Sangeetha
Published: September 2021

Background: Parkinson’s disease is the second most common neurodegenerative disorder which affectsaround four million people globally.Many of the signs of Parkinson’s disease are found in the head andneck. The typical “masklike” facial appearance with infrequent blinking and lack of expression is causedby bradykinesis.. Abnormalities in oral behaviour, such as purposeless chewing, grinding, and suckingmovements, are also well recognized in patients with Parkinson’s disease.Aim and Objectives: The aim of this study is to assess the overall oral health status of the patients withParkinson’s disease and to analyze the impact of Parkinson’s disease on the oral cavity of the individualssurviving with the disease.Materials and Methods: The study sample included 50 Parkinson’s disease patients. The patients of all agegroups and both genders were included.Results: Out of fifty patients. majority of the patient s were above 60 yrs. 6% of the patients reported withPositive family history of Parkinson’s diseases.14% of the patients had gross facial asymmetry, 68% of thepatients showed dryness of mouth.8% of the patients suffered loss of taste.14% of the patients showed hypersalivation. 54% of the patients showed gingivitis. And 76% of the patients were found having periodontitis.Conclusion: Treatment for oral and dental problems of Parkinson’s disease affected patients is mandatory.Treatment can be done by supplementing artificial saliva for dryness of mouth, dental fillings for dentalcaries, periodic scaling for periodontal problems, oral rehabilitation measures and regular dental check up
Clustering of Provinces in Indonesia based on Maternal Health Indicators
Authors: Herti Maryani  , Lusi Kristiana  , Astridya Paramita  , Pramita Andarwati  , Nailul Izza
Published: September 2021

Indonesian health issues that deserved top priority was maternal and child health because it determines thequality of the human resources of future generations. The objective of this research is to analyze the clusteringof provinces in Indonesia based on maternal health indicators. This cross-sectional study was conducted in34 provinces using secondary data from the Basic Health Research and Statistics Indonesia. Analysis ofprovincial clustering used FUZZY C-MEANS. Analysis produces six clusters. Cluster 2 has a high meanvalue of maternal health indicators that exceeded the Indonesian target, consisting of the provinces of DKIJakarta, DI Yogyakarta, and East Nusa Tenggara. Cluster 2 was formed by the value equation variable Age offirst mating, Ownership of maternal and child health monitoring book, Vitamin A Provision, K4, postpartumvisits, Iron supplementation tablets consumption and Childbirth delivery in health facilities. Indicators ofownership of the maternal and child health monitoring book for pregnant women had met Indonesia targetin all clusters. Meanwhile, the active participation of family planning program indicator was still below theIndonesia target in all clusters.
Steroidogenesis Mechanism, Disruption Factor, Gene Function, and Role in Male Fertility : A Mini Review
Authors: I Gede Widhiantara  , Anak Agung Ayu Putri Permatasari  , I Wayan Rosiana  , Putu Angga Wiradana  , BagusKomang Satriyasa
Published: September 2021

Male fertility can be defined as the ability of the male reproductive system to impregnate a woman, whileinfertility is the condition of a married couple who have been married for one year or more and have had sexualintercourse regularly or without using contraception but do not have a pregnancy or offspring. About 10% ofmarried couples experience infertility. The main organ of male reproduction is the testes because in the testesthe process of forming spermatozoa and the hormone testosterone occurs. The hormone testosterone plays adirect role in the continuity of spermatogenesis. Testosterone is produced through a series of steroidogenesismechanisms in testicular Leydig cells. Several factors influence the course of steroidogenesis such as Leydigcells, steroidogenesis proteins, related genes to the influence of free radicals. These factors are closelyrelated to diet and lifestyle. This study is important to understand in efforts to prevent infertility in men.
Effects of Medical Hand Washing on Hand Flora among Staff Nurses
Authors: Kabita Dhami  , Padmapriya S  , Sasi Kumar S
Published: September 2021

Background: One of the leading causes of hospital associated infection is providing patient care withcontaminated hands as a result of transmission of microorganism from health care provider to patientsand others. Hand washing is the most important and simple act of reducing the spread of transmission ofinfectious agent and reducing hand flora. Materials and Methods: The study was done to evaluate theeffects of medical hand washing on hand flora among staff nurses working in a selected hospital, Bengaluru.One group time series design was used. Swabs were taken from a randomly selected sample of 25 nursesworking in medical ward for hand flora analysis. Results: Study results revealed that before hand washingthere were many colonies of hand flora were found. After medical hand washing there was a significantreduction in the number of colonies of the hand floras between the pre-test mean (O1= 10.02) and post-testsmean (O2= 4.23, O3 = 4.02 and O4 = 2.36) and was found to be statistically significant at H= 83.288 andP value = 0.001. Conclusion: Medical hand washing is an effective technique to reducing the hand floraamong the staff nurses working in the different medical wards of hospital.
Thyroid Storm in Post-Partum in Bangkalan Hospital: A Case Report
Authors: Lambu Henderika Dacosta  , Ferdy Royland. Marpaung
Published: September 2021

Thyroid crisis is a rare complication of hyperthyroidism, with a greater risk about 10 times during pregnancy,also clinical manifestations and significant increasing of level of thyroxine (T4) and tri-iodothyronine (T3).Thyroid crisis could cause mortality in >10%. A 58-year-old female was referred from Bangkalan Hospital,presented with palpitation, shortness of breath, diarrhea 2-3×/day, vaginal bleeding, fever for 1 day beforeadmittance. Hyperthyroid for 3 years ago and routinely consumed thyrozol (1×2tab) in 2 years but didnot take the medicine for 1 year ago. Physical examination: BP 147/100 mmHg, pulse rate 124×/minute,temperature 38.4 ºC, RR 30/minute, conjunctiva anemia, thyroid palpable, exopthalmus. ECG results:presence of sinus tachycardia, Chest X-Ray: cardiomegaly. Burch Wartofsky Score obtained a total scoreof 45, (temperature 38.5 C=15, diarrhea=10, tachycardia=15, CHF=5). Laboratory results: TSH <0.004 IU/mL, FT4 5.31 ng/dl. Thyroid crisis is a rare case of hyperthyroidism, a greater risk during pregnancy whichcould lead to death. Many symptoms arise in hyperthyroidism which could lead to thyroid crisis. The criteriawhich used to assess thyroid analysis is the Burch Wartofsky Score, FT4 levels increased 5.31 ng/dl. Thispatient was diagnosed as thyroid storm in post-partum, based on Burch Wartofsky Score, low TSH level andan elevated FT4 level and not taking medicine for 1 year ago.
Stigma and Mental Health during COVID-19 New Normal Transition in Indonesia
Authors: Leny Latifah  , Yusi Dwi Nurcahyani  , Diah Yunitawati  , Marizka Khairunnisa  , Cati Martiyana
Published: September 2021

Background: Social isolation and economic catastrophic became the main characters of the current pandemic.Historically, the strongest stigmas related to diseases were characterized as highly transmittable, potentiallylethal, and without remedy. All represented COVID-19 during the early transition into the new normal. Weaimed to analyzed stigma and economic stressors concerning mental health. Method: We conducted a crosssectionalonline survey of 1375 participants in Java, Indonesia. Mental health status evaluated with DASS-21. The presence of social and self-stigma related to Covid-19 assessed with a questionnaire developed basedon seven domains of public stigma. Demographics and other psychosocial stressors were assessed withan online questionnaire. Descriptive analyses and logistic regression had carried out. Result: A very highpercentage of perceived and anticipated self-stigma and social stigma revealed. Controlling demographicsfactors, clear self-stigma increased the risk for depression (2.323 (1.241-4.346), p<0.05), anxiety (2.134(1.205-3.777), p<0.05) and stress 3.931 (1.779-8.685), P<0.001). Clear social stigma increased the risk foranxiety (2.000 (1.066-3.756), p<0.05) but not on depression and stress.Conclusion: Ensuring basic needsfulfilment and eliminating stigma is critical for supporting mental health in the Covid-19 pandemic. Furtherresearch into the stigma-related risks is necessary because it represents an important need for interventionin public health.
Comparative Analysis of Acute Physiological Responses between Short and Middle Distance Swimming Athletes with Physical Loading Test
Authors: M. Ali Machfud  , Muchammad Rif’at Fawaid As’ad  , HariSetijono  , Lilik Herawati
Published: September 2021

Indonesia’s swimming achievements are still far from that of other countries. Among other things, at the 2018Asian Games, Indonesia did not succeed in getting a single medal. If not improved, Indonesia’s swimmingperformance will get worse. One of the innovations is to identify the physical abilities and physiologicalresponses of an athlete through a physical loading test. This study aims to analyze the differences in acutephysiological responses between short and middle distance swimming athletes through continuous andinterval high intensity physical test. The sample of males aged 14-18 years consisted of the short distance(n=12) and middle distance (n=12) swimmers. Participants did a high intensity physical test with anergocycle for 21 minutes with a 7-minute warm-up and 3-minute cool down, intervally, and without restingfor continuous test. The variables studied included resting pulse rate, blood lactate, leg and shoulder musclestrength, arm andleg power. Data collected inbefore (pre) and after(post) physical test. The results showedthat the short distance swimmers had greater increase inlactate level and pulse rate in both physical tests.The leg power decreased significantly in the short distance swimmer when performed continue physical test,whereas the middle distance swimmer when performed interval physical test. The conclusion of this studywas to differ the leg power as acute physiology response for swimmers is more appropriate using continuousor interval high intensity physical test. Based on these results, training program for swimmer type can bedeveloped. However, further research is still needed to enhance the swimmers performance.
Effect of Health Literacy Intervention on Medication Adherence among Older Adults with Chronic Diseases
Authors: Magda M. Mohsen  , Bahiga Galal Abd El-Aal  , Sally S. Hassan  , Amal A. El-Abbassy
Published: September 2021

Background: Medication adherence is essential for controlling chronic conditions, treating temporaryconditions, and overall health and well-being. Aim: Examine the effect of health literacy intervention onmedication adherence among older adults with chronic diseases. Design: A quasi-experimental (study andcontrol design). Settings: Family health unit in Dragel village, Menoufia Governorate, Egypt. Sample:a purposive sample of 140 older adults. Tools:1) Interviewing questionnaire that includes; the sociodemographicdata, medical history, medication knowledge, factor affecting medication adherence andphysiological measurement 2) The Medication Adherence Scale. 3) Self-Efficacy for appropriate medicationuse scale. Results: There was remarkable improved medication adherence and self-efficacy in medication usein the study group compared to pre-intervention and the control group. Also, there was improved knowledgeand practice regarding medication use. Also, there was significant control in random blood glucose leveland blood pressure in the study group compared to pre-intervention and the control group. Conclusion: Thehealth literacy intervention was effective in enhancing medication adherence, successful in improving selfefficacyin medication use, and significantly controlling random blood glucose and blood pressure amongolder adults. Recommendation: Health care providers especially nurses should provide regular follow upfor older adults with chronic diseases regarding medication adherence.
Comparative Study Thymol Oiland Some Gel Face Washing on Resistance Propionibacterium A
Authors: Mais E.Ahmed  , Jenan A.Ghafil  , Walaa Najim
Published: September 2021

Acne is elevated of skin secretion with hyperkeratosis causing Propionibacterium acnes. The goal of studywas to assess the anti-inflammatory, and antibacterial potential of Thymol oil compare Gel face ,and isthemain bacteriuminvolved in the acne. The unpredictable use of antibiotics for the treatment of acne may endup within theadvancement of bacterial resistance.
Capturing richer information: On establishing the validity of an interval-valued survey response mode
Authors: Ellerby Zack , Wagner Christian , Broomell Stephen B.
Published: September 2021

Obtaining quantitative survey responses that are both accurate and informative is crucial to a wide range of fields. Traditional and ubiquitous response formats such as Likert and visual analogue scales require condensation of responses into discrete or point values—but sometimes a range of options may better represent the correct answer. In this paper, we propose an efficient interval-valued response mode, whereby responses are made by marking an ellipse along a continuous scale. We discuss its potential to capture and quantify valuable information that would be lost using conventional approaches, while preserving a high degree of response efficiency. The information captured by the response interval may represent a possible response range—i.e., a conjunctive set, such as the real numbers between 3 and 6. Alternatively, it may reflect uncertainty in respect to a distinct response—i.e., a disjunctive set, such as a confidence interval. We then report a validation study, utilizing our recently introduced open-source software (DECSYS), to explore how interval-valued survey responses reflect experimental manipulations of several factors hypothesised to influence interval width, across multiple contexts. Results consistently indicate that respondents used interval widths effectively, and subjective participant feedback was also positive. We present this as initial empirical evidence for the efficacy and value of interval-valued response capture. Interestingly, our results also provide insight into respondents’ reasoning about the different aforementioned types of intervals—we replicate a tendency towards overconfidence for those representing epistemic uncertainty (i.e., disjunctive sets), but find intervals representing inherent range (i.e., conjunctive sets) to be well-calibrated.
Upaya Peningkatan Prestasi Belajar Siswa Kelas XI TKRO dengan Menggunakan Metode Project Based Learning Pada Mata Pelajaran Pengelasan Di SMK Taman Karya Madya Teknik Kebumen
Authors: Sobirin Achmad , Jatmoko Dwi
Published: September 2021

Penelitian ini bertujuan untuk: 1) Mengetahui keberhasilan penerapan metode pembelajaran Project Based Learning pada mata pelajaran pengelasan dalam meningkatkan prestasi belajar dan keaktifan siswa kelas XI TKRO 10. 2) Mendapatkan bukti peningkatan prestasi belajar dan keaktifan siswa kelas XI TKRO 10 setelah adanya penerapan metode pembelajaran Project Based Learning pada mata pelajaran pengelasan. Metode penelitian yang diterapkan adalah penelitian tindakan kelas. Penelitian ini dilaksanakan dengan kolaborasi antara peneliti, observer dan guru kelas dan melibatkan partisipasi siswa. Subjek penelitian ini adalah siswa kelas XI TKRO 10 SMK Taman Karya Madya Teknik Kebumen, yang berjumlah 40 0rang siswa. Teknik pengumpulan data dilakukan melalui kegiatan berupa 1) observasi, 2) metode tes, 3) tes unjuk kerja dan 4) dokumentasi. Prosedur penelitian meliputi tahap perencanaan, pelaksanaan, observasi dan refleksi. Hasil penelitian menyimpulkan bahwa: 1) Adanya penerapan metode pembelajaran project based learning pada mata pelajaran pengelasan berhasil meningkatkan prestasi belajar dan keaktifan siswa. 2) Hasil peningkatan prestasi belajar dan keaktifan siswa dapat terlihat dari hasil belajar teori dimana pada tahap pra siklus diperoleh rata-rata sebesar 66,5 dengan prosentase kelulusan 42,5%, siklus 1 perolehan rata-rata sebesar 72,75 dengan prosentase 65%, siklus 2 perolehan rata-rata sebesar 80,12 dengan prosentase 87,5%. Hasil belajar praktek dimana pada tahap pra siklus diperoleh rata-rata sebesar 68,92 dengan prosentase kelulusan 35%, siklus 1 diperoleh rata-rata sebesar 74,52 dengan prosentase kelulusan 57,5%, siklus 2 diperoleh rata-rata sebesar 82,47 dengan prosentase kelulusan 82,5%. Selanjutnya hasil belajar praktek berdasarkan tingkatan kompetensi yang diperoleh siswa dengan kriteria ≥Kompeten sebesar 75%, pada tahap pra siklus diperoleh prosentase sebesar 30%, siklus 1 sebesar 55%, siklus 2 sebesar 82,5%. Hasil keaktifan siswa untuk prestasi belajar ranah afektif dimana pada tahap pra siklus diperoleh berdasarkan rerata skor jawaban 3,05, jumlah skor jawaban 610 dengan prosentase 61%, siklus 1 diperoleh rerata skor 3,52, jumlah skor jawaban 705 dengan prosentase 70,50%, siklus 2 diperoleh rerata skor jawaban 3,94, jumlah skor jawaban 788 dengan prosentase 78,80%. Sedangkan untuk hasil keaktifan siswa untuk prestasi belajar ranah psikomotorik dimana pada tahap pra siklus diperoleh rerata skor jawaban 3,34, jumlah skor jawaban 1337 dengan prosentase 66,85%, siklus 1 diperoleh rerata skor jawaban 3,66, jumlah skor jawaban 1467 dengan prosentase 73,35%, dan siklus 2 diperoleh rerata skor jawaban 4,07, jumlah skor jawaban 1630 dengan prosentase 81,50%.
Empirically Mapping the Evolutionary Phases of Tourism Area Life Cycle (TALC)
Authors: Gore Surabhi , Borde Nilesh , Hegde Desai Purva , George Babu
Published: September 2021

This
paper aims to simulate the stages of the
Tourism Area Life Cycle (TALC) in Goa, India, based on the number of tourist
arrivals and tests whether the stages correspond with the stages of TALC as predicted in the theory. The
graphs are plotted for total, foreign, and domestic tourists from 1962-2018. A
compliance assessment of the indicators with the TALC stages is also done to
ascertain the extent of development. The leading indicators of the exploration,
stagnation, and decline stages are identified. The lagging indicator shows
sluggish tourism planning initiatives. It is observed that the TALC differs for
domestic and foreign tourists' arrivals. The study
provides an important historical
perspective on the pattern of growth of tourism in Goa. The pattern can further
be employed as a basis to guide the process of strategy formulation.
A Comparison of Tourist Arrivals Among Franchised Versus Independent Hotels
Authors: Kavarić Andrea , Đurašević Silvana
Published: September 2021

The purpose of this article is to review the different influences of
franchised hotels and independent hotels on tourist arrivals, length of stay,
overnights, and generating markets of tourists to highlight differences between
these two business concepts. The data for this study were obtained by MONSTAT,
the Montenegrin statistical office, and combined with author calculations. Data
are arranged in time series from 2009 to 2018. The analysis reveals significant
differences between the influence of franchised hotels and independent hotels
in terms of increased tourist arrivals, generating markets, length of stay, and
consequently overnights. The findings of this study may support decision-makers
in tourism to develop better strategies and action plans that are specifically
important in small markets where a lack of space is evident.
Основы экологической культуры
Authors: Kuznetsov G. T.
Published: September 2021

Рассматриваются основные понятия и законы экологии, структура экологических знаний, воздействия человека на окружающую среду, а также формы и методы изучения и охраны природных объектов. Содержит описание форм и методов педагогической работы с детьми, направленной как на развитие чувства любви к природе, так и на стремление к ее познанию.