bluuebunny/crossref_metadata_2025 huggingface dataset:
Safety and efficacy of video assisted thoracoscopic surgery for non-malignant pathologies: a prospective observational study
Authors: Gajbhiye Raj N. , Tirpude Bhupesh Harish , Dhahiya Akshay , Akulwar Vikrant , Bhanarkar Hemant , Deshpande Gayatri , Jhahagirdar Deepa , Kodape Girish
Published: January 2021

Background: Video-assisted thoracic surgery (VATS) had been widely accepted because of its low complication rate, tolerable postoperative pain and early recovery of pulmonary function. Hence the present study was undertaken to assess safety and efficacy of VATS and also analyze the surgical outcomes of VATS procedures for non-malignant thoracic pathologies.Methods: A total of 32 patients with non-malignant pathologies of thorax to undergo VATS lobectomy and thoracotomy conversion cases initially approached by VATS lobectomy were enrolled. Demographic data and surgical information were noted and compare between infection and non-infection group. Primary outcomes were thoracotomy conversion rate, period of thoracic drainage, length of hospital stay, and complications.Results: The majority of patients were in the age group of 36-45 years (28.12%) with female predominance (62.50%). The commonest clinical presentation was hydropneumothorax (28.12%). Most common infective and non-infective aetiology was lung hydatid (28.12%) and benign nodule (18.75%) respectively. The commonest surgical procedures conducted using VATS were lobectomy (34.37%), and decortication (25%). The mean blood loss among the cases was 315.9±36.46 ml. Mean operative time was 157.18±12.37 minutes. Among 6.25% cases thoracotomy was conducted in view of difficult hilar dissection, while among 3.12% cases each of indistinct anatomy and bleeding. Mean duration of thoracic drainage was 6.78±1.69 days and mean hospital stay was 8.2±3.2 days. 6.25% cases had fatal complications while 21.87% cases had milder complications. Only one case recurred while 96.87% cases cured.Conclusions: VATS lobectomy for benign disease is feasible and effective in selected cases, regardless of the presence of infection.
Reconstruction of pressure ulcers with flaps in a tertiary care centre
Authors: Gopalakrishnan Ravikumar , Rajalingam Manoharan , Rajagunasekaran Balamuralee , Esakimuthu Ramya
Published: January 2021

Background: Patients with pressure ulcers have multiple risk factors and develop various post- operative complications. The purpose of the study is to analyse the outcome of management of pressure ulcers with different flaps.Methods: This is a retrospective study done in a series of patients who underwent flap reconstruction of pressure ulcers between 2016 and 2019 in the Department of Plastic and Reconstructive Surgery, Thanjavur medical college, Tamilnadu, India. Totally twenty-eight patients were operated for stage III and stage IV pressure ulcers with various types of flaps depending upon the site of pressure ulcers. Post operatively flaps were monitored for viability and post-operative complications. Results: Total 22 males, 5 females and 1 male child had undergone surgery for pressure ulcers. The age group ranged from 3years to 62 years with an average of 37 years. The sites of the pressure ulcers were as follows: 14 (50%) sacral; 10 (35.7%) ischial; 3 (10.7%) trochanteric and 1 (3.6%) multiple pressure ulcers. Most of the patients (60.7%) had traumatic paraplegia and developed pressure ulcers. 18 patients with stage III and 10 patients with stage IV pressure sores were operated with different flaps. Duration of treatment ranged from 29 to 118 days. The mean hospitalization was 78 days.  Conclusions: Effort is needed to prevent the development of pressure ulcers through the early identification of risk and early implementation of preventive measures. Flap cover is ideal to prevent recurrence. Post-operative follow- up with physiotherapy and rehabilitation are very important.
Effects of acetic acid and povidone iodine dressings as modulators of local environment in chronic wounds as synergists and separate agents
Authors: Syed Tausif Kamal , Apturkar D. K. , Dandekar K. N. , Baviskar P. K. , Jorwekar G. J. , Shaikh Meena H.
Published: January 2021

Background: Wound care management has long been a primary point of care for surgeons and clinicians alike. The burden of care and time required in the management of wounds has led to development of innovative and expensive materials which alleviate the burden of healing on our physiology and reinforce the healing mechanisms.  Methods: A case series analysis of 240 patients included on accrual was carried out. These patients were randomly assigned to 3 groups. Group A ulcers were dressed with 2% acetic acid soaked sterile pads. Group B received the acetic acid-iodine combination and group C dressed with traditional Povidone-Iodine ointment and solution. These ulcers were evaluated on admission and on intervals of 5 days with a customized scoring system, Dr. Kamal’s adaptive wound healing score (KAWHS). A sterile culture swab with coverage of healthy granulation tissue was considered the primary end point of the study. Results: Resolution of slough was significantly earlier in group A and B as compared to group C. odor subsided earliest in group A, followed by group B and C. Resolution of purulent discharge was achieved earliest in Group B which was significant in comparison to group A and C. Wound healing was observed to be better in acetic acid usage groups.  Conclusions: Acetic acid dressings are effective in treating chronic non-healing wounds with mono and poly-microbial culture.
Early complications and prognosis with multiple organ system failure score
Authors: Das Kaushik , Shaikh Junaid M. , Potey Ketika , Jadhav Sarojini P.
Published: January 2021

Background: Acute pancreatitis is a common surgical entity with a wide clinical spectrum ranging from mild pancreatitis to severe acute pancreatitis with lethal complications. A number of scoring systems have been devised to predict and manage complications associated with severe acute pancreatitis. The objective of this study was to study the demographics, early complications of acute pancreatitis with their outcome, and to assess the efficacy of multi organ system failure score.  Methods: This was a descriptive study including 120 patients of acute pancreatitis done over a period of 2 years. The management of complications and their outcome were recorded in detail. A multi organ system failure score was used to predict and assess the severity of acute pancreatitis. Results: Total 120 patients were evaluated with mean age of 40 years and male preponderance. Alcohol consumption was the most common etiological factor. Acute fluid collection was the most common local complication while shock was the most common systemic complication. MOSF scoring system had a sensitivity, specificity and positive predictive value of 96%, 92.8% and 90.5% respectively. Mortality was 5.8% seen in patients with MOSF score above 5.Conclusions: The management of early complications of acute pancreatitis is mainly conservative, with surgical management limited to only a few selected patients. MOSF score is a valuable tool to predict and assess the severity of acute pancreatitis and should be used for monitoring of high risk patients.
Total laparoscopic pancreaticoduodenectomy in 26 patients: single surgeon experience
Authors: Bagree Rajendra , Jalendra Gaurav , Panwar Pradeep , Shukla Veena , Reddy Hetish M.
Published: January 2021

Background: Total laparoscopic pancreaticoduodenectomy (TLPD) has become more feasible and preferred surgery for periampullary tumour. With the innovation of latest equipment and continuous learning curve, this has become more sophisticated and rampant, along the advantages of minimal invasive surgery.  Methods: We analysed data of all the 26 patients who underwent TLPD from October 2015 to November 2019. Preoperative haematological, liver function test, tumour marker, MRCP, triphasic CT, scan with pancreatic protocol, endoscopic ultrasound guided fine needle aspiration or brush cytology done for confirmation of diagnosis, nodal status and operability. Meticulously selected patients with periampullary carcinoma of tumour size≤2.5 cm included. Demographic data, operative time, length of hospital stay, post-operative complication and pathological analyses of resected specimen (en bloc) observed. Results: TLPD for periampullary tumours attempted in twenty-six patients among them six converted to open surgery. Patients were of both genders and mean age was 45 (27-60, SD7.4) years. The mean operative time was 353 SD 28.77 (306-420) minutes. Postoperatively, there were few complications and mean length of hospital stay was 11 (9-13 days) days. The histopathology revealed maximum no. of cholangiocarcinoma with negative margins and positive nodes in all the patients.Conclusions: TLPD is feasible, safe and promising alternative to the standard open surgery with expert hands. This has benefits of short hospital stay, less blood loss, cosmetic, early recovery with few complications. Short-term surgical outcomes are superior or comparable to open surgery.
Sepsis induced sequential organ failure assessment score as a prognostic marker in surgical sepsis: a study of 30 cases in 02 years
Authors: Nagyan Tushar , Ray Mriganko S. , Varshney Priyanshu M. , Malhi Sarvpreet S. , Modi Naresh A. , Thakore Digpal H. , Gupta Sandhya
Published: January 2021

Background: For the last few decades critical care medicine has been reinventing and fine-tuning organ dysfunction grading to establish a survival scoring system to accurately predict survivality and organ salvageability of critically ill patient in intensive care unit (ICU). The sequential organ failure assessment (SOFA) score assesses the performance of several organ systems in the body and assigns a score, where higher the SOFA score, higher the likelihood of mortality and morbidity. Early prediction of outcome in surgical sepsis is very likely to aid suitable modification of management strategies 13. This may improve prognosis in such patients and prevent mortality to some extent.  Methods: Observational and prospective study of 30 cases, aged>18 years & patients admitted to post-operative ward and surgical intensive care unit (SICU) with suspected surgical infection, and with two or more criteria of SIRS. Results: In this study out of total 30 patients 63.3% patients survived and 36.6% succumbed to their illness. Our study depicted significant increase in mortality rate when the SOFA score was above 12. Ventilated patient showed a higher mortality rate. Delta, mean, total SOFA Score were statistically significant in our study.Conclusions: SOFA score is useful in predicting mortality and morbidity in critically ill patients, because has a strong correlation between a rise in the score and mortality in all stages of admission. In our study, out of 09 patients whose T0 SOFA score was very high (above 12) out of which 03 patients only survived.
Redo stapled haemorrhoidopexy: our experience at max hospital, Gurugram
Authors: Nigam Vinod Kumar , Nigam Siddharth
Published: January 2021

Stapled haemorrhoidopexy like any other surgical procedure can also fail due to error by surgeons or machine, the stapler. Experience of the surgeon plays the most important role in avoiding recurrence of haemorrhoid after stapled haemorrhoidopexy. A description of operative technique and patient’s demographics are presented. Ten cases of recurrence of haemorrhoid after stapled haemorrhoidopexy done elsewhere were managed by redo haemorrhoidopexy between 1st June 2011-1st June 2020 at Max hospital, Gurugram, Haryana. All cases were successfully operated though the reason of recurrence was different in these cases. Haemorrhoids or piles are common surgical problem a surgeon faces. The first known mention of this disease is from a 1700 BC Egyptian Papyrus. Stapled haemorrhoidopexy is a new and successful technique to treat haemorrhoids, was developed by Dr. Antonio Longo, Italian surgeon, in 1998.Stapled haemorrhoidopexy avoids formation of wound in the operative area, has the advantage of significantly reducing the post-operative pain. Inadequate knowledge and experience, over confidence, wrong patient selection, improper fixation of circular anal dilator, purse string at wrong site, are common causes of recurrence. We managed the recurrence with taking care of causative factors while doing redo-stapled haemorrhoidopexy successfully in all cases. No case of recurrence of haemorrhoids after stapled haemorrhoidopexy was considered for conventional haemorrhoidectomy. All cases were done with redo-haemorrhoidopexy.
Is limberg flap better than excision and primary closure for treatment of sacrococcygeal pilonidal sinus- a prospective randomised study of 30 cases
Authors: Khan Nida , Singhal Pragati , Chandrashekhar Shantanu , Goel Dipesh
Published: January 2021

Sacrococcygeal pilonidal sinus is a common presentation to the office of both the General Surgeon and Coloproctologist. Over time various treatment modalities have evolved for the same. Older methods such as excision with or without closure have been associated with higher complications in the post-operative period, recurrence rates and hospital stay. Flap procedures have a longer operative period and a steep learning curve but a better overall post-operative course and lower recurrence rates. Our study was done to compare the outcomes of primary excision and closure to a Limberg flap for treatment of sacrococcygeal pilonidal sinus. The objective of the study was to determine whether Limberg flap was superior to excision and primary closure for treatment of pilonidal sinus. 30 patients presenting with chronic pilonidal sinus where randomly assigned to two groups of 15 patients each. Both the groups were compared in terms of age of presentation, sex prediliction, duration of surgery, post-operative resumption of work, complications and recurrence. We concluded that Limberg flap is superior to excision and primary closure for treatment of pilonidal sinus.
Bacteriological profile of diabetic foot
Authors: Shah Priti , Eswarawaka Mridula , Anne Dinesh , Reddy M. Sai Charan , Shah Pranjal , Srivastava Neha
Published: January 2021

Foot infections in patients with diabetes mellitus are a major cause of morbidity, can lead to gangrene and ultimately amputation of the limb. Aim of the study was to determine the type of microorganisms isolated from the Diabetic foot ulcer and antibiotic resistance pattern. We have included 50 patients having diabetic foot ulcers of Wagner's grade 1 or above in our study. Debrided tissue, pus, or swabs from the base of the ulcers were subjected to aerobic and anaerobic culture. The organisms were identified, and further antibiotic sensitivity was conducted. Seventy-two aerobic and 13 anaerobic organisms were isolated. Among the aerobic and anaerobic bacteria isolated, most predominant organisms were S. aureus and Bacteroides spp.; respectively.  Of the S. aureus, 77.8% were methicillin resistant, while 42.1% of gram-negative Enterobacteriaceae were extended spectrum beta-lactamase (ESBL) positive. Klebsiella spp. was the highest ESBL producer. Acinetobacter spp. was the highest MBL producer. Most sensitive drugs for S. aureus were linezolid, vancomycin and amikacin. Gram-negative bacteria were mostly sensitive to piperacillin-tazobactam and amikacin. Pseudomonas spp. were usually sensitive to meropenem, piperacillin -tazobactam. Acinetobacter spp. was sensitive to colistin, tigecycline. As diabetic ulcers are often infected by multidrug-resistant bacteria, a knowledge of the common bacterial pathogens implicated as well as their sensitivity pattern helps the clinician to choose the proper antibiotic for a timely treatment.
Extraappendiceal goblet cell carcinoid of the transverse colon
Authors: Bowles Madison
Published: January 2021

Goblet cell carcinoids (GCC) are a rare subgroup of neuroendocrine tumours which exhibit mixed endocrine and exocrine features and are almost exclusively localised to the appendix. A few cases of extraappendiceal GCC have been reported in the literature however these are exceedingly rare. They are biologically aggressive tumours that are believed to arise from pluripotent intestinal epithelial crypt base stem cells. Given their rarity, no guidelines currently exist for the management of extraappendiceal GCC, however treatment for GCC’s is generally based on their tumour stage in line with staging for typical adenocarcinomas. This case gives an account of a colonic goblet cell carcinoid within the transverse colon encountered in a 66-year-old male. A literature search did not identify any previous documented cases of a GCC at this location.
Laparoscopic approach of excision of anterior abdominal wall actinomycosis
Authors: Mark Satkunan , Firdaus Mohd , Muselim Mohd , Rajakumar Lewellyn
Published: January 2021

Actinomycosis of the abdominal wall is a rare disease. While most of the reported cases are women, we present a 42-year-old male with an abdominal mass for 4 months. Clinical examination of the abdomen revealed a well circumscribed mass in the left iliac fossa. CT abdomen showed an anterior abdominal wall mass with infiltration to the sigmoid colon however colonoscopy ruled out intraluminal origin. In contrast to traditional open approach, a laparoscopic approach was done. The abdominal wall tumour and sigmoid colon was resected en- bloc and continuity restored extra- corporeally through a small incision. Histopathology of the specimen reported an abdominal wall actinomycosis and patient was discharged with antibiotics. Laparoscopic approach was successful as the tumour was small. We therefore conclude that an initial laparoscopic assessment can be advocated and a laparoscopic excision is always possible if the features are favourable.
A case of jejunal perforation secondary to jejunal diverticulosis in a patient with COVID-19 pneumonia
Authors: Sharma Varsha A. , Kamat Manmohan M. , Sathyan Jeena K. , Barman Seema , Shetye Shravani
Published: January 2021

Jejunal diverticulitis is a rare disease, with jejunal perforation as its rarest complications due to low intraluminal pressure. Since the current pandemic of COVID-19 it has shown to be affecting gastrointestinal system in a proportion of patients, and worsening of pre-existing GI conditions. We encountered a case of a 75 years old gentleman, suffering with severe COVID-19 pneumonia, who during the course of the disease presented with spontaneous Jejunal perforation, secondary to jejunal diverticulosis. Jejunal diverticula are the least common type of small bowel diverticula & perforation as their complication is the rarest of all complications. Their presentation is variable from asymptomatic to chronic abdominal symptoms and the complications such as perforation as described in our case. Their relative clinical rarity and varied presentation may make diagnosis both delayed and difficult.
Rare presentation of metastatic adenocarcinoma of prostate as inguinal lymphadenopathy and its management
Authors: Nimbalkar Ajay G. , Mehta Sony B. , More Vinal T.
Published: January 2021

Prostate cancer is among the top ten cancers in India. Approximately half of patients with prostate cancer have metastasis on presentation, bones and regional lymph nodes being most common. A case of metastasised cancer of prostate presenting only with an inguinal mass without any other symptom is rare. A 72-year-old presented with a right inguinal mass for six months without any other complaints. Biopsy of the inguinal mass was done, and histopathology showed metastatic adenocarcinoma. His serum PSA (prostate specific antigen) was 117.325 ng/ml. PET CT (positron emission tomography-computed tomography) showed PSMA (prostate specific membrane antigen) expressing lesion in left lobe of prostate involving left seminal with metastatic pelvic, right inguinal, retroperitoneal and mediastinal adenopathy with increased tracer uptake in sclerotic skeletal lesions in right iliac bone, acetabulum and right femoral shaft. TRUS (trans rectal ultra-sonography) guided biopsy of prostate (12 CORE) was performed and showed conventional prostatic adenocarcinoma with maximum Gleason score 4+4=8, grade group IV. The patient's clinical stage was T3b N1 Mb. Patient is currently on abiraterone with degarelix with normal repeat serum PSA (0.067 ng/ml) on follow up at 5 months. Metastatic prostatic carcinoma usually presents with iliac nodes or bony metastasis, but rarely they present with inguinal lymphadenopathy and should be dealt with high clinical suspicion as they are already in advanced stage of the disease process.
Innovative option for removal of encrusted, incarcerated longstanding indwelling Foleys catheter
Authors: Paul Sanjay L. , Deka Alankrita , Deka Archana
Published: January 2021

Encrustation of indwelling Foley’s catheter is one of the common complication associated with long term indwelling catheter, encrusted catheter are often incarcerated and difficult to remove. Many methods have been evolved to remove stuck urethral catheter but each has its own complications. Here we have described a case of 90 year old male patient with chronic indwelling (7 months) Foley urethral catheter, who presented with chronic urinary retention. After initial bladder drainage with 8 Fr feeding tube by the side of catheter. Massive encrustation was fragmented by performing laser cyst lithotripsy with 6/7.5 Fr semi rigid ureter scope and 30 Watt Holmium laser. Catheter was removed intact and stone fragments evacuated. Post-operative recovery was uneventful. Surgical removal with minimally invasive technique should be treatment of choice for encrusted and stucked urethral catheter. Traditional technique of performing suprapubic cystostomy for removal of Foleys catheter are associated with  various complications and should be reserved for hospital with limited facilities.
Giant lipoma of breast-a diagnostic dilemma
Authors: Balsarkar D. J. , Suryawanshi Sachin A. , Shaikh Muna , Dhobale Sudhir
Published: January 2021

Lipoma is the most common benign tumor of adipose tissue. Giant lipoma of breast is very rare.Majority of them are small in size, slow growing and asymptomatic until they reach large size. Most patients seek medical advice due to asymmetry in the breast and due to fear of malignancy. Breast lipomas pose a diagnostic challenge due to similarity of their texture to normal breast parenchyma and make it difficult to distinguish from other common breast lesions. The clinical and radiographic identification of breast lipoma remains challenging. Complete surgical excision with the capsule is essential to prevent recurrence. Breast reconstruction may require, to prevent asymmetry following surgical excision of giant breast lipoma. High degree of clinical suspicion and histolopathological correlation will help in preopertaive diagnosis of this clinical condition. Here, we report a case 50- year -old woman with left breast lump which clinically, radiologically and on fine needle aspiration cytology was diagnosed as phyllodes tumor, but after surgical excision it was reported as breast lipoma on final histopathology.
Why are we still using antibiotic prophylaxis in elective laparoscopic cholecystectomy for the low-risk groups? a review of literature
Authors: Shyam Devajit Chowlek , Shyam Ranjit Chowlek , Khongwar Donkupar , Tongper Dathiadiam
Published: January 2021

Gallstone disease is one of the most common gastrointestinal conditions requiring surgery and more than 90% of cholecystectomies are done laparoscopically. The major complications of laparoscopic cholecystectomy are major bleeding, Bile duct injury, and wound infection or surgical site infection. The incidence of Surgical site infection in laparoscopic cholecystectomy (0.4-1.13%) is significantly low compared to open cholecystectomy (3-47%) and the probable reasons are the smaller incision and the use of trocar along with almost nil to minimal wound contamination as compared to open cholecystectomy. Port site infection is a type of surgical site infection (1.8%) and the Umbilical port site is the most common site followed by the epigastric port site. In spite of the low-risk of surgical site infection, many surgeons still practice antibiotic prophylaxis in elective laparoscopic cholecystectomy for low-risk patients. Antibiotic prophylaxis is a debatable topic in the low-risk group undergoing elective laparoscopic cholecystectomy.Meticulous preoperative skin preparation is one of the established local factors to prevent the occurrence of SSI.
Controlled traction-a key for safe laparoscopic cholecystectomy
Authors: Manangi Mallikarjuna , Dharini Dharini , Kumar Tanvi Sunil , Vishweshwara Ramya M.
Published: January 2021

Laparoscopic cholecystectomy (LC) is one of the most common laparoscopic procedures performed. The technique of LC has witnessed numerous modifications according to surgeon’s preferences to improve the ergonomics, surgical ease, safety and outcome. Dissection of the gall bladder from the liver bed is one of the troublesome steps. We aim to describe a unique method which is technically easy to perform and provides excellent exposure as well. A total of 206 patients underwent laparoscopic cholecystectomy at our Institute over a year from January 2017 to 2018. The technique of torquing the gallbladder to dissect it off its bed is surgeon friendly with advantages of instrumentation and visualization.
Perilaku Over Protective Orang Tua dengan Penyesuaian Diri Remaja di SMA Negeri 1 Wiradesa
Authors: Musthofa Moh Edy
Published: January 2021

Abstract The responsibility of parents fulfills the needs of children in order to develop their entire existence, these needs include biological and psychological such as feeling safe, loved, understood as children, so that children can grow and develop in harmony. Many parents deliberately or not over protective behavior. Correlational quantitative descriptive method with over protective behavior scale of parents contains statements that are favorable and unfavorable. The sample in this study was 150 students from a population of 300 grade 2 students of SMA Negeri 1 Wiradesa. The results showed that there was a moderate relationship between the over protective behavior of parents and adolescents' self-adjustment which was indicated by the value (r) of -0.433 ranging from 0.40 to 0.599. This means that the over protective behavior of parents has a moderate impact on adolescent adjustment. In addition, there is an effective contribution of over protective behavior of parents with adolescent adjustment of grade 2 SMA 1 Wiradesa by 18.8% while the remaining 81.2% comes from other factors. AbstrakTanggung jawab orang tua mencukupi kebutuhan anak guna mengembangkan keseluruhan eksistensinya, kebutuhan tersebut meliputi biologis maupun psikologis seperti rasa aman, dikasihi, dimengerti sebagai anak, sehingga anak dapat tumbuh dan berkembang kearah harmonis. Banyak orang tua yang dengan sengaja maupun tidak berperilaku over protective. Metode deskriptif kuantitatif korelasional dengan skala perilaku over protective orang tua memuat pernyataan yang bersifat favourable dan unfavourable. Sampel dalam penelitian ini 150 siswa dari populasi 300 siswa kelas 2 SMA Negeri 1 Wiradesa. Hasil penelitian terdapat hubungan yang sedang antara perilaku over protective orang tua dengan penyesuaian diri pada remaja yang ditunjukkan dengan nilai (r) sebesar -0.433 berkisar 0.40-0.599. Artinya perilaku over protective orang tua berdampak sedang terhadap penyesuaian diri remaja. Selain itu terdapat sumbangan efektif perilaku over protective orang tua dengan penyesuaian diri remaja siswa kelas 2 SMA 1 Wiradesa sebesar 18.8% sedangkan sisanya sebesar 81.2% berasal dari faktor lain.
Efek Color Retention Agent pada Mi Basah dengan Pewarna Alami Cabai Merah (Capsicum Annuum L.) pada Karakteristik Fisikokimia
Authors: Aisya Alyarahma Nur , Susanti Siti , Setiani Bhakti Etza
Published: January 2021

There are many innovations in wet noodle processing with color variations. One of wet noodle processing innovations is the use of natural dyes such as fruit or vegetable dyes. The essence of red chilies can be used as a natural dye for wet noodles. Natural dyes dissolve easily during the boiling process, therefore color retention agents can be added in the processing and expected to be able to retain the red color of chilies in wet noodles. This study aims to determine the effect of adding color retention agents on physicochemical characteristics, namely moisture content, color resistance, texture, and vitamin C content in wet noodles. The method used in this study was a completely randomized design (CRD) with 5 treatments of color retention agents each with 4 repetitions. The treatments applied were T0: without the addition of a color retention agent, T1: ascorbic acid (C6H8O6), T2: citric acid (C6H8O7), T3: magnesium hydroxide (Mg(OH2)), and T4: magnesium carbonate (MgCO3). The test results were analyzed using Analysis of Variance (ANOVA) and if there is a significant effect at the 5% significance level, then proceed with the Duncan Multiple Region Test to determine the differences between treatments. All data analyses were calculated by using a computer program SPSS 21.0 for windows. Data from the test for vitamin C content were analyzed using Microsoft Excel through graphical analysis. The results is addition of color retention agent treatment to wet noodles with natural dyes from chilies had a significant effect on the color resistance, moisture content, texture, and vitamin C content of wet noodles. T4 wet noodle is the best wet noodle treatment in maintaining the red color with the physical characteristics according to SNI.

 

Keywords: color retention agents, noodles, red chili
Pengaruh Media pada Karakter Biokimia dan Keberhasilan Pencangkokan Tanaman Teh (Camellia sinensis L. (O.) Kuntze) pada Klon TRI 2025
Authors: Widyastuti Ika Betty , Yudono Prapto , Putra Eka Tarwaca Susila
Published: January 2021

The large number of old, damaged, or dead tea plants cause the plant population per hectare to be low that eventually decreases the productivity. Propagation using the transplantation technique is used for embroidery because it has the advantage of a shorter immature plant period and higher seed size so that it can compensate for the surrounding plants but the weakness of transplantation is low success rate. This study aims to 1) determine the morphological changes of root transplantation and biochemistry on TRI 2025 clone transplantation using cocopeat, husk charcoal, and moss, 2) determine the success rate of transplantation in each medium. This research was conducted in August 2018–January 2019 at the Pagilaran production garden, PT. Pagilaran, Batang, Central Java. Field experiments were prepared using a single factor Completely Randomized Environment Design (CRD). The factors tested were the type of transplantation media, namely the media of husk charcoal, cocopeat, and moss. Observations were made on transplantation root morphology, levels of glucose, sucrose, and total sugar in the transplanted stem bark and the concentration of auxin, gibberellin, and cytokinin in the transplant roots. The data obtained were then analyzed using variance and if there was a significant difference between treatments, the Duncan multiple distance test (DMRT) was continued at the 95% confidence level. The results showed that the type of media had no significant effect on the ability to form glucose, sucrose, and total sugar in the bark. The development of root morphology of cocopeat media was seen to be the highest. The ratio of cytokinin/auxin in cocopeat was the lowest but the highest levels of cytokinin and auxin were found in moss, while cocopeat had the highest level of gibberellin. The highest transplanting success rate was found in moss medium with 58.33%, cocopeat and husk charcoal media had the same success rate, namely 41.60%.

 

Keywords: transplantation, biochemistry, media, success, TRI 2025
Kandungan Logam Kadmium (Cd) pada Air Laut, Sedimen, dan Kerang Hijau di Perairan Tambak Lorok dan Perairan Morosari
Authors: Ersan Noviansyah  , Lumban Batu Djamar Tumpal Floranthus , Setyobudiandi Isdradjad
Published: January 2021

Cadmium metal is dangerous for green mussel organisms because it can interfere with fertility. Green mussels are organisms widely distributed, can survive in poor environments, and sedentary organisms. Green shellfish is a filter feeder and is used as a bioindicator to monitor the concentration of Cd metal in the waters. The research objective was to measure the concentration of Cd metal in sea water, sediment, and green mussel meat in the waters of Tambak Lorok and Morosari. The Cd metal contents of seawater, sediments, and green mussels were measured using Atomic Absorption Spectrophotometer. The results showed that Cd metal concentrations in seawater in May, July, and August 2018 in Tambak Lorok and Morosari waters were below the detection limit (0.001mg/L); 0.002 mg/L; and 0.002 mg/L, respectively. The concentrations of cadmium in sediment in May, July, and August in Tambak Lorok waters were below the detection limit (0.004 mg/kg); 0.0023 mg/kg; and 0.0021 mg/kg, respectively, and in Morosari waters were below the detection limit (0.004 mg/kg); 0.002 mg/kg; and 0.0114 mg/kg, respectively. Cd metal concentrations in green mussel meats in May, July, and August in Tambak Lorok waters were below the detection limit (0.01mg/kg); 0.0060; and 0.1277 mg/kg, respectively, and in Morosari water were below the detection limit (0.01mg/kg); 0.0067 mg/kg; and 0.0493 mg/kg, respectively. Cd metal concentrations in sea water and green mussels in the waters of Tambak Lorok and Morosari were below the quality standard and the concentrations of Cd metal in seawater, sediments, and green mussel meat in the waters of Tambak Lorok and Morosari were not significantly different.   Keywords: cadmium, green mussels, morosari, seawater, sediments, Tambak Lorok
Arthropoda yang Berasosiasi dengan Tanaman Refugia pada Pertanaman Padi di Desa Besur, Kabupaten Lamongan, Jawa Timur
Authors: Rizki Fathan Hadyan , Maryana Nina , Triwidodo Hermanu
Published: January 2021

Rice farmers in Besur Village planted four species of refugia plants around rice plants to enhance biological control as a part of Healthy Plant Management Program. These refugia plants were flowering plants i.e., Cosmos sulphureus, Helianthus annuus, Zinnia elegans, and Sesamum indicum. The objective of this research was to observe the Arthropods associating with these refugia plants. This research was conducted in December 2017 to March 2018 at Besur Village, Lamongan District, East Java Province. Samples were obtained from each refugia species by branches beating, sweep net, pitfall trap, and direct observation method in the vegetative, generative, and postharvest periods paddy plant. The results showed that Arthropods associated with refugia plants are mostly belong to the order of Diptera, Hymenoptera, and Araneae. Detritivore group was the most abundant in all periods. Analysis of the diversity and similarity of all refugia species showed moderate to high values with high similarities each other.

 

Keywords: beneficial insect, flower, healthy plant management, integrated pest management, paddy field
Hubungan Antara Tingkat Pendidikan dan Pendapatan Karyawan dengan Pengetahuan dan Sikap Keamanan Pangannya pada Tempat Makan di DKI Jakarta
Authors: Riandi Arie Norman , Rahayu Winiati Pudji , Nurjanah Siti
Published: January 2021

Food safety is an important aspect of consumption behavior, especially for employees in the office. Lack of food safety knowledge and awareness can endanger the health and reduce the productivity of employee. This study aims to describe the level of food safety knowledge and attitudes of employees at food stalls as well as their preferences for lunch at office environment, determine the effectiveness of information media as a source of food safety information and also the role of the government in food safety education and food safety supervision at food stalls. This study used an online questionnaire with 405 respondents who work in the DKI Jakarta. The data collected were analyzed statistically using the SPSS program. The results showed that the characteristics of the employees, such as education level and nett income level, had an effect on the food safety knowledge level and food safety attitudes at the food stalls. Most of  employees (87,7%) have a good level of food safety knowledge and 67,7% of employees also have a good level of food safety attitude at food stalls. The results of the Spearman correlation test showed that the level of food safety knowledge and attitude at food stalls was correlated with the level of education and nett income. Most of the employees (37,8%) choose the canteen as a place to eat in the office and some choose food stalls (16,0%) and restaurants (10,1%). Information media considered effective enough for spreading the information of food safety according to employees was social media.

 

Keywords: attitudes, consumption behaviour, employees, food safety, knowledge
Evaluasi Penerapan Good Manufacturing Practice dan Sanitation Standard Operating Procedure pada Rumah Pemotongan Hewan Unggas di Bogor
Authors: Nurjanah Siti , Rahayu Winiati Puji , Najib Rara Nabila
Published: January 2021

Microbial contamination in chicken meat is caused by unsanitary practices during slaughtering in poultry slaughtering house. Poultry slaughtering house need to apply Good Manufacturing Practice (GMP) and Sanitation Standard Operating Procedure (SSOP) system to produce the standard microbial requirements of meat. This study was aimed to evaluate the implementation of GMP and SSOP and categorize 30 slaughtering houses located in Bogor. Observation was carried out in 4 modern slaughtering houses (RPH-U) and 26 traditional slaughtering houses (TPH-U). Parameter evaluation was determined based on the Indonesian national standard SNI 01-6160-1999 and the veterinary control certificates which consisted of eight aspects of GMP and six aspects of SSOP. The categorization was clustered in five levels. The results showed that modern slaughtering houses were categorized into 1st and 2nd level, whilst traditional slaughtering houses were categorized into 2nd and 3rd  level. The highest incompliance of GMP in modern slaughtering house was the waste treatment aspect (31%) and in traditional slaughtering house was the cold storage presence aspect (95%).  The highest incompliance of SSOP in modern slaughtering house was the sanitation facilities and avoiding cross-contamination aspect (21%) and in traditional slaughtering house was the cleanliness of food contact surface aspect (97%). There are some recommendations for improvement the fulfillment of GMP and SSOP aspects based on the critical parameters.   Keywords: chicken meat, Good Manufacturing Practice, modern slaughteringhouse, Sanitation Standard Operating Procedure, standard slaughteringhouses
Pertumbuhan Batang Bawah Karet pada Beberapa Komposisi Media Tanam dalam Root Trainer
Authors: Junaidi Junaidi , Atminingsih Atminingsih , Febrianto Eka Boby , Maharany Rina Maharany
Published: January 2021

The rubber tree rootstock nursery using the root trainer method is aimed to promote root growth through the use of non-soil growing media in a special container. This technology offers the advantages of a shortened breeding process, good rooting, and ease of delivery. The objective of this study is to investigate the effect of the planting media composition of oil palm bunches compost, manure, rice husk, solid decanter, and Trichoderma viride on the growth of rubber rootstock under the root trainer method. The research was carried out in the greenhouse of the Sungei Putih Research Center, Indonesian Rubber Research Institute, Deli Serdang, North Sumatra in January-May 2019. The observation included plant height, number of leaves, stem diameter, dry weight, and root length, and successful grafting percentage. The results indicated that the mixture of oil palm bunches compost, solid decanter, and Trichoderma viride (Te treatment) was the most potential to be developed as a planting media for rubber rootstock nursery under root trainer system. At 18 weeks after planting, the Te treatment had an average height of 82.66 + 14.27 cm with an increment rate of 3.25 + 0.81 cm/week, number of leaves 11.33 + 3.21 leaves with the increment of 0.52 + 0.20 leaves/week, stem diameter 5.29 + 0.73 mm with an increase of 0.33 + 0.05 mm/week. The Te treatment had a length and root weight of 41.97 + 2.40 cm and 1.68 + 0.77 g, respectively, with the grafting successfulness percentage of 47.37%. Besides showing good growth, these materials are also available in large and continuous quantities. The use of Trichoderma viride not only for increasing plant growth but also as a biocontrol of white root disease.   Keywords: growth, growing media, Hevea brasiliensis, rootstock, root trainer
Review Manajemen Rantai Pasok Produk Pertanian Berkelanjutan: Konseptual, Isu Terkini, dan Penelitian Mendatang
Authors: Jaya Rachman , Yusriana Yusriana , Fitria Eka
Published: January 2021

Recently, the interest of academic and research institutions in sustainable agric-supply chain management (SASCM) has risen. This fact can be seen from the number of papers published as special issues. Agric-supply chain management is a substance deepening from conventional supply chain management which is discussing integration of economical, environmental, and social aspects to reach a goal of organization. The objective of this research was to describe the state of the art about this topic and future research issues. The number of papers analyzed were 111 articles published from 2003–2020. The articles were obtained from scientific provider such as Science direct, EBSCO, Cross-Reff, Researchgate, DOAJ, Academia.Edu, and Google Scholar. In this research, we cluster (SASCM) to several items such as supply chain management, sustainable supply chain management, and sustainable supply chain management for agricultural product. The content analysis was used to describe the state of the arts and novelty. The result of the study show that it is critical for the actors of agricultural business to apply sustainability concepts including economic, social, environmental, and institution on the systems of agricultural supply chain based on industry 4.0 approach to reach a sustainable business process. Synthesis and determination of main topics of research in the future is undertaken at the end.   Keywords: agricultural product, management, sustainable supply chain
Prevalence of Respiratory Symptoms among Quarry Workers in Brunei Darussalam
Authors: Trivedi Ashish , S.C Lai Alice , Tasim Mahmud , A.A Tuah Nik
Published: January 2021

Background: The mining and quarrying industry is considered a hazardous work sector due to occupational exposure to quarry dust and particulate matter, resulting in workers' respiratory illnesses. These occupational respiratory illnesses tend to have a long latency before the diagnosis is made, and therefore early detection of respiratory symptoms is crucial to prevent the development of chronic irreversible respiratory conditions. This study aimed to assess quarry workers' self-reported respiratory symptoms and their health-related quality of life (HRQOL) in Brunei.
Methods: A descriptive study using a convenient sampling method was involving 23 quarry workers from three quarry companies in Brunei. The data were collected using the adapted St. George's Respiratory Questionnaire (SGRQ), which was self-administered to all participants. Data were analyzed using descriptive statistics.
Results: Cough was the most typical reported symptom (26.1%) among quarry workers, followed by cough with phlegm (8.6%), shortness of breath (4.3%), and chest discomfort (4.3%). The mean total SGRQ score was 7.51 (±11.70), while the sub-domain scores for symptoms, activity, and impact were 10.60 (±12.37), 6.30 (±11.43), and 7.35 (±15.87), respectively.
Conclusion: The key findings revealed that there was a low prevalence of respiratory symptoms in quarry workers. Prevalence of respiratory symptoms was higher among workers who were smokers, those who were exposed to quarry materials, and those who had been employed longer. The study's findings can be utilized by health professionals to plan, implement and evaluate preventative measures for mining and quarrying work settings.
Evaluation of Occupational Exposure of Bus Drivers to Road Particulate Matter in Bojnurd, Iran
Authors: Sepahi Zoeram Faeze , Mehri Hamidreza , Faramarzi Koohsar Meisam , Hassan Zadeh Maryam , Esmaeilzadeh Kavaki Morteza
Published: January 2021

Background: Drivers of public vehicles, especially in highly polluted and crowded areas, are exposed to high air pollutants, especially particulate matter less than ten microns (PM10). The purpose of this study was to measure and evaluate the level of exposure of city bus drivers to PM10 particles in Bojnurd, Iran.
Methods: This descriptive-analytical study was conducted in Bojnurd, Iran. A sampling of particulate matter was taken through bus drivers' respiratory area in two routes from the main routes of the city using the Haz-Dust device. This device has been designed and manufactured based on the NIOSH-500 method. Using an impactor 10, the amount of particulate matter less than ten microns was read from the device.  Particle sampling was performed in both round-trip buses in three shifts in the morning, noon, and evening for one year. The results of the measurements were statistically analyzed by descriptive statistics and mean statistical indices, independent t-test, Mann-Whitney test and One-way ANOVA test at 95% significance level by SPSS software version 24.
Results: A total of 420 times, PM10 particles were measured in the drivers' respiratory area.  Approximately 21% of the measurement days had a concentration of more than 150 micrograms per cubic meter of air (or µg/m3). Measurements show that among 140 days of measurement, the highest concentration was on May 21 (with 380.66 µg/m3 of air), and the lowest concentration was on August 9 (with 35.33 µg/m3 of air). The average daily exposure of drivers in this one-year was 151.29 µg/m3 of air.
Conclusion: The exposure of city bus drivers to PM10 particles in Bojnurd was much higher than recommended by the World Health Organization (50 µg/m3 of air) and slightly higher than the US Environmental Protection Agency standard (150 µg/m3 of air), which predisposes them to cardiovascular disease in the future. The active buses on these two routes did not use the air conditioning system, which allowed suspended particles to penetrate the bus from the outside. It is suggested that in order to reduce the drivers' exposure, effective control measures should be adopted and implemented as soon as possible, such as launching an air conditioning system equipped with a HEPA filter.