bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Keterlaksanaan Cognitive Conflict dalam Model Inkuiri Terbimbing dan Pengaruhnya terhadap KemampuanBerpikir Tingkat Tinggi Siswa pada Materi Laju Reaksi
Authors: Saputra Roni , Syamsurizal Syamsurizal , Ernawati Dwi Wiwik 
Published: April 2020

Abstrak
Telah dilakukan penelitian tentang keterlaksanaan tahap cognitive conflict dalam model Inkuiri terbimbing pada materi laju reaksi. Penelitian ini bertujuan untuk menentukan keterlaksanaan cognitive conflict dalam model inkuiri terbimbing dan pengarunya terhadap kemampuan berpikir tingkat tinggi siswa pada materi laju reaksi. Penelitian ini merupakan penelitian Pre-Eksperimental dengan desain penelitian yang digunakan adalah One Group Pretest-Posttest. Pemilihan subjek dilakukan dengan cara purposive sampling berdasarkan pertimbangan hasil tes awal pada materi termokimia, dimana 12 siswa dengan nilai tertinggi pada kelas XI IPA 4 SMAN 10 Kota Jambi dijadikan subjek penelitian. Instrumen penelitian terdiri dari lembar observasi dengan hasil keseluruhan persentase aktivitas keterlaksanaan oleh guru 73% dengan kriteria baik. Kemudian hasil keterlaksanaan tahap cognitve conflict dalam model inkuiri terbimbing oleh siswa sebesar 75,13% dengan kategori baik, serta hasil posttest memiliki rata-rata 76, sehingga korelasi menunjukkan nilai signifikansi 0,174>0,05 yang berarti terdapat korelasi yang signifikan antara dua variabel, yaitu Ha diterima. Sehingga terdapat pengaruh pembelajaran menggunakan model inkuiri terbimbing dengan penambahan tahap cognitive conflict terhadap kemampuan berpikir tingkat tinggi siswa.
Pengembangan Lembar Kerja Peserta Didik Berbasis Problem Based Learning-Flipped Classroom untuk Meningkatkan Kemampuan Transformasi Pengetahuan
Authors: Ningsih Dewi , Rusdi Muhammad , Hariyadi Bambang 
Published: April 2020

Most of the eleventh-grade students of SMAN 3 Jambi City find difficulties in understanding the concepts of Coordination Systems in Biology subject. This study aims to create a learning tools in the form of students’ worksheets based on problem-based learning-flipped classroom. This study employs ADDIE Model. Validations were undertaken by learning design, material, and product design experts. Where as, best practice validation was done by a Biology teacher teaching in SMAN 3 Jambi City. Research subject was students of SMAN 3 consisting of 3 students for individual trial and 9 students for small group trial. Data from validation results were described qualitatively. The design stage produces a worksheet prototype based on problem-based learning-flipped classroom. The development stage produces a new version of student worksheet that has been positively responded by the research participants. In implementation stage, the worksheet has been considered very good by students. In evaluation stage, the study has produced a sudent worksheet that accommodates students needs to improve their ability in transforming knowledge. Based all stages of the ADDIE, it can be concluded that the produced student worksheet is interesting, easy to use and easy to understand. It helps students to learn coordination systems more effectively. The created student worksheet can be further developped into an e-student worksheet.
ANALYSING STREET HERITAGE TREES SURFACE TEMPERATURE FOR UHI MITIGATION USING REMOTE SENSING AND GIS APPLICATION
Authors: Yusof Nor Suhaida , Mohd Hussain Nur Huzeima , Rusli Noradila 
Published: April 2020

Urban Trees are important in reducing the heat by providing the shade and cooling effect to the urban environment. Every tree species provides different cooling effect depending on their tree characteristics. Evergreen species such as heritage tree are significant in reducing the surface temperature. In particular, heritage trees do have environmental implications which provide lots of benefits for the environment and human health. The aim of this paper is to analyse the heritage trees surface temperature in mitigating urban heat island (UHI) at Taiping Old Town. The research has conducted utilizing Landsat 8 OLI data and on-site data collection. This research integrated Geographic Information System (GIS) and remote sensing in data processing and SPSS for analysis. The result shows the low significant relationship of tree characteristics and Land Surface Temperature (LST) with (R²=0.17) indicates that external factors can reduce the cooling effect from heritage trees in reducing the surface temperature in the urban area. Moreover, there is also an analysis on the LST of land cover features together with the frequency of heritage trees. The findings revealed that the higher frequency of heritage trees planted at the hard surface; the higher the ability to reduce the LST (about 5.3°C) in urban areas.
Sandfly (Diptera: Psychodidae: Phlebotominae) present in an endemic area of cutaneous leishmaniasis in West Boyacá, Colombia
Authors: Martínez Dueñas David Camilo , Ávila Julian Leonardo , Molano Fredy 
Published: April 2020

Introducción: Sandfly are known for having vector species for the tropical disease known as leishmaniasis, endemic to West Boyacá; the municipality of Otanche displays one of the main focus for cutaneous leishmaniasis.
Objetivo: To identify the species of sandfly present in an endemic area of cutaneous leishmaniasis in West Boyacá.
Métodos: The search and collection of sandflies was carried out using CDC gravid traps, over a period of twelve hours (18:00- 06:00). Identification was carried out by revising the genitalia on both male and female samples under a microscope. The distribution took as reference households with a history of people infected with this disease, locating them intra, peri and extra domicile.
Resultados: 361 individuals were recollected (252 females and 109 male), belonging to 9 genres and 16 species. 60% of all recollected phlebotominae consists of Nyssomyia yuilli and Nyssomyia trapidoi. Other species recollected and relevant, due to vector precedent, are Lutzomyia hartmanni, Psychodopygus panamensis, Lutzomyia gomezi and Psychodopygus carrerai.
Conclusión: It was established that, due to its abundance and vector precedent for the country and the area under study, Nyssomyia yuilli and Nyssomyia trapidoi constitute the species of phlebotominae which may be involved in the transmission of cutaneous Leishmaniasis in the region.
Preoperative radiographic and clinical factors associated with the visualization of intraoperative cerebrospinal fluid during endoscopic transsphenoidal resection of pituitary adenomas
Authors: Rotman Lauren E. , Alford Elizabeth N. , Davis Matthew C. , Vaughan T. Brooks , Woodworth Bradford A. , Riley Kristen O. 
Published: April 2020

Background:
Intraoperative visualization of cerebrospinal fluid (CSF) during endoscopic endonasal resection of skull base tumors is the most common factor contributing to the development of postoperative CSF leaks. No previous studies have solely evaluated preoperative factors contributing to intraoperative CSF visualization. The purpose of this study was to identify preoperative factors predictive of intraoperative CSF visualization.

Methods:
Retrospective review of patients who underwent transsphenoidal resection of pituitary adenomas was conducted. Clinical and radiographic variables were compared for those who had CSF visualized to those who did not. Nominal logistic regression models were built to determine predictive variables.

Results:
Two hundred and sixty patients were included in the study. All significant demographic and radiographic variables on univariate analysis were included in multivariate analysis. Two multivariate models were built, as tumor height and supraclinoid extension were collinear. The first model, which considered tumor height, found that extension into the third ventricle carried a 4.60-fold greater risk of CSF visualization (P = 0.005). Increasing tumor height showed a stepwise, linear increase in risk; tumors >3 cm carried a 19.02-fold greater risk of CSF visualization (P = 0.003). The second model, which considered supraclinoid tumor extension, demonstrated that extension into the third ventricle carried a 4.38-fold increase in risk for CSF visualization (P = 0.010). Supraclinoid extension showed a stepwise, linear increase in intraoperative CSF risk; tumors with >2 cm of extension carried a 9.26-fold increase in risk (P = 0.017).

Conclusion:
Our findings demonstrate that tumor height, extension into the third ventricle, and extension above the clinoids are predictive of intraoperative CSF visualization.
Does neurofibromatosis 1 status impact outcomes for pediatric/young adults undergoing spinal fusion?
Authors: Freedman Isaac , Koo Andrew , Yeagle Erin , Diluna Michael , Kolb Luis , Yeung Jacky 
Published: April 2020

Background:
Although spinal deformities are common in patients with neurofibromatosis type 1 (NF1), there is a paucity of data as to how this impacts outcomes of spinal fusion surgery in pediatric/young adult patients.

Methods:
Using the Nationwide Inpatient Sample (2005–2014) for all patients undergoing spinal fusion ≤26 years of age, we compared the following factors: demographics, comorbidities, and perioperative variables (e.g., between NF1 vs. non-NF1, and between NF1 and propensity score (PS)-matched non- NF1 spinal fusion patients) using univariate hypothesis tests and multivariate regression analyses. Our main interest focused on length of stay, complication rates, adverse postoperative events, and incidence of nonroutine discharges.

Results:
In this study, 238 (0.92%) NF1 spine patients were compared to 25,558 (99.08%) non-NF1 spine patients. NF1 fusion patients were younger, included fewer females, and were more likely to be on Medicaid. Perioperatively, NF1 patients underwent more anterior approaches, had more vertebrae fused, required more transfusions, had a longer length of stay (LOS), and were less likely to be discharged home. However, after PS- matching, all differences between NF1 and non-NF1 groups disappeared were similar (P > 0.05). In PS-matched multivariate analyses, NF1-status was not a significant independent predictor of length of stay or nonroutine discharge disposition.

Conclusion:
NF1-status was, therefore, not an independent predictor of complications, adverse postoperative events, longer LOS, or nonroutine hospital discharge in this cohort analysis. Further prospective studies are necessary to understand how outcomes in patients with NF1 compare to non-NF1 pediatric and young adult patients.
Acromegaly in preadolescence: A case report of a 9-year-old boy with acromegaly
Authors: Mbadugha Tobechi , Ogiwara Toshihiro , Nagm Alhusain , Hasegawa Takatoshi , Kamiya Keisuke , Matsumoto Yuki , Kobayashi Mikiko , Hongo Kazuhiro 
Published: April 2020

Background:Acromegaly has been reported in adolescents and young adults, but it is unusual in preadolescence. Diagnosis and management pose different challenges in this age group. Here, we present a rare case of acromegaly in preadolescence.Case Description:A 9-year-old boy presented with acromegalic features and MRI revealed a pituitary tumor. He was diagnosed as having growth hormone secreting pituitary adenoma based on the multidisciplinary assessment, and underwent gross total tumor resection through an endoscopic endonasal approach (EEA) with subsequent normalization of the hormonal parameters.Conclusions:Advances in EEA have made safe removal and cure possible even in children. However, long- term follow-up is needed in such younger patients with multidisciplinary management by neurosurgeons, endocrinologists, pediatricians, and ENT surgeons.
Mycobacterium abscessus mimicking tubercular spondylodiscitis following ozone therapy: A case report and review of literature
Authors: Shahi Prem Bahadur , Panigrahi Vishnuprasad , Adsul Nitin , Kumar Manoj , Acharya Shankar , Kalra K. L. , Chahal R. S. 
Published: April 2020

Background:
The incidence of Mycobacterium abscessus (MA), a rapidly growing species of nontuberculous mycobacteria (NTM)-related infections, has been steadily rising over the past decade. Despite the increased prevalence of NTM-related infections, it is largely underreported from TB-endemic countries due to lack of awareness and limited laboratory facilities. Here, we report a rare case of L4–L5 spondylodiscitis caused by MA following ozone therapy (a noncondoned method of lumbar disc management).

Case Description:
A healthy, nonimmunocompromised 43-year-old female presented with bilateral lower extremity radiculopathy. She underwent a fluoroscopically guided percutaneous ozone treatment for degenerated disc disease at the L4–L5 level. She was symptom free for 3 months duration. She then presented with severe low back pain, bilateral lower extremity radiculopathy, and spondylodiscitis at the L4–L5 level. This was treated with a L4–L5 transforaminal lumbar interbody fusion. MA was cultured from the epidural purulent material collected during the surgery. The patient was discharged on oral clarithromycin 500 mg twice daily and intravenous amikacin 500 mg twice daily for 6 weeks. The plan was to then continue oral clarithromycin for another 6 weeks till resolution of primary infection.

Conclusion:
Early diagnosis and appropriate therapy is required to treat NTM which is more prevalent in epidemic/endemic regions.
Comportamientos asociados al autoconcepto y rol relaciones de los habitantes de Pascuales
Authors: Vintimilla López Elva Faviola , Morán Asencio Rosa Piedad , Castro Shirley 
Published: April 2020

La comunidad de Pascuales cuenta con una población de 70.887. El estado civil que predomina es el casado, seguido de la unión libre, con un número promedio de hijos de 4, y las familias antiguas con 8 o más hijos. (ASIS, 2019). Conocer la sinergia de las relaciones familiares, interpersonales, laborales y los sentimientos de valía de los habitantes genera una base para la toma de decisiones en atención primaria de salud con enfoque psicosocial.
Para esta investigación se utilizó un enfoque cuantitativo, de tipo descriptivo de manera transversal, el grupo etario escogido en un rango entre 15 a 74 años de edad dando un total de 48.434 personas. La muestra se definió mediante fórmula de cálculo de población finita de 273 personas encuestadas. El instrumento de recolección de datos se aplicó en diversas cooperativas, este instrumento está conformado por preguntas de la entrevista planteada por patrones funcionales de Marjorie Gordon, otra mediante preguntas consideradas por el Test FANTÁSTICO.
Los datos más relevantes obtenidos son el 31% a veces y el 28% casi nunca tienen con quien hablar y el 29% a veces y el 15% casi nunca da y recibe cariño.
Como conclusión se llegó a qué conociendo la realidad laboral del Ecuador y de América Latina, concuerda que el 27% casi nunca se sienten contento con su trabajo o actividades que realiza. Hay que gestionar actividades con ONGs que fomenten a la población en emprendimientos afines con sus habilidades y destrezas.
Pengaruh konsultasi gizi terhadap asupan karbohidrat dan kadar gula darah pasien Diabetes Mellitus Tipe II di Poliklinik Endokrin RSUZA Banda Aceh
Authors: Mulyani Nunung Sri 
Published: April 2020

Background: Wasting is nutritional status in school children. In the community it is known as thin nutrition which is an important public health problem because it has a big impact. Thin nutrition can increase the risk of illness and death in children Diabetes Mellitus is a disorder of carbohydrate metabolism caused by a deficiency of insulin released by the pancreas gland both relative and absolute. In addressing the prevalence of Diabetes Mellitus in the Regional General Hospital dr. Zainoel Abidin Banda Aceh held nutritional consultations in outpatients and inpatients aimed at making changes to the knowledge, attitudes, and behavior of patients' eating patterns. In Aceh, in 2016 the number of Diabetes Mellitus patients was 29% and increased in 2017 by was 30%.Objectives: To determine the effect of nutritional consultation on carbohydrate intake and blood sugar levels in Type II Diabetes Mellitus patients.Methods: This type of research is descriptive analytic, sampling is done by purposive sampling and obtained 30 samples. This research was conducted in June 2017 at in Endocrine Polyclinic of RSUZA hospital Banda Aceh. The data taken are primary and secondary data. Data collection by interview using a questionnaire, food recall with interview techniques and examination of blood sugar levels before and after consultation. Data analysis uses T-Dependent Test (Paired Sample T-Test) with SPSS.Results: The results showed that there were significant differences in carbohydrate intake between before and after nutrition consultations were given in patients of Diabetes Mellitus Type II with a p-value= 0.001. Blood sugar level also shows the difference between after being given a nutrition consultation with a value of p-value= 0.000 in patients of Diabetes Mellitus Type II in the in Endocrine Clinic of RSUZA hospital, Banda Aceh.Conclusion: Nutrition consultation has a significant effect on carbohydrate reduction and blood sugar levels in patients with Diabetes Mellitus Type II in the Endocrine Polyclinic of RSUZA Banda Aceh. Keywords
Pengaruh ekstrak daun rambutan (Nephelium lappaceum L.) terhadap kematian larva nyamuk aedes aegypti
Authors: Fajriansyah Fajriansyah 
Published: April 2020

Background: The effort to control mosquitoes can be done by terminating the life cycle of mosquitoes, eradication of the larval sadium, namely larvicides. Rambutan leaves (Nephelium lappaceum L.) contain tannin compounds, saponins. Saponins are destroying red blood cells through the reaction of hemolysin, are toxic to cold-blooded animals, including cold-blooded insects, one of the insects that often interfere with human life is mosquitoes.Objectives: The purpose of this study was to determine the extract of rambutan leaves on the death of Aedes aegypti larvae Methods: This research is an experimental research. The object of research was Aedes aegypti mosquito larvae. The study was conducted at the writer home of Lamjamee Village, Banda Aceh. Research time is August 23-25, 2017. Type of research is an experimental study that is the effect of rambutan leaf extract on the death of Aedes aegypti larvae. The object of research is the population of Aedes aegypti larvae. The research subjects taken were Aedes aegypti mosquito larvae that lived because of the administration of rambutan leaf extract with a concentration of 5%, 10%, 15%. Statistical data analysis used Anova LSD test.Results: The results showed that the death of Aedes aegypti larvae by using rambutan leaf extract (Nephelium lappaceum L.) dose of 5% with an average of 19.7. Dose 10% had an average of 34.3, and a dose of 15% of the average mortality was 43.7. There is a significant difference between each dose of the mortality rate of Aedes aegypti larvae, with a value of F= 28.1 (F-count > F-table = 4.07).Conclusion: Various concentrations of the three treatments of rambutan leaf extract namely 5%, 10% and 15% are very effective against the death of Aedes aegypti larvae. Suggestions, can be used and practiced in everyday life, so as to reduce the use of chemical insecticides.
Analisis Kemampuan Aplikasi Metode Kalender Keluarga Berencana Wanita Usia Subur (WUS) Dalam Menentukan Masa Subur Di Puskesmas Balowerti Kota Kediri
Authors: Retnaningtyas Erma , Astutik Fitri , Wati Anisa Fajar , Malo Sariyati 
Published: April 2020

Bagi yang menginginkan kehamilan, masa subur biasa dijadikan patokan untuk melakukan hubungan seksual karena saat ini ovulasi sedang tejadi sehingga kemungkinan hamil sangat besar. Desain penelitian ini menggunakan analitik korelasional dengan menggunakan pendekatan cross sectional. Populasi sebanyak 60 wus dengan menggunakan teknik accidental sampling diperoleh responden 52 responden. Hasil penelitian pada 52 responden didapatkan hampir setengah dari responden berpengetahuan kurang sebanyak 24 orang (46,2 %), hampir sebagian besar dari responden tidak dapat menentukan masa subur sebanyak 32 orang (61,5 %), sebagian besar dari responden tidak dapat melaksanakan aplikasi keluarga berencana sebanyak 36 orang (69,2 %). Hasil analisa dengan uji regresi logistic didapatkan penentuan masa subur dengan nilai p-value sebesar 0,000 atau < 0,05 dan pengetahuan dengan nilai p-value sebesar 0,000 atau < 0,05 sehingga Hı diterima dan Hօ ditolak yang artinya ada hubungan antara penentuan masa subur dan tingkat pengetahuan dengan aplikasi keluarga berencana.
Hubungan Pengetahuan Dengan Kunjungan Kelas Ibu Hamil Di Desa Jogomulyan Kecamatan Tirtoyudo Kabupaten Malang
Authors: Rahayu Atik Muji , Ambarika Rahmania , Chusnatayaini Arina 
Published: April 2020

Faktor kurangnya pengetahuan ibu hamil menyebabkan kunjungan ibu hamil di kelas ibu hamil mejadi sangat rendah. Hal ini mengakibatkan ibu hamil tidak mendapatkan manfaat dari kegiatan tersebut. Penelitian bertujuan mengetahui hubungan tingkat hubungan pengetahuan dengan kunjungan kelas ibu hamil. Penelitian deskriptif korelasional dengan pendekatan cross sectional. Populasi seluruh Ibu Hamil trimester 3 di Desa Jogomulyan Kecamatan Tirtoyudo Kabupaten Malang, pada bulan Februari 2019. Menggunakan teknik Purposive sampling, besar sampel 25 responden. Pengumpulan data dengan instrumen kuesioner. Hasil penelitian menunjukkan 64% tingkat pengetahuan cukup dan 72% mengikuti kelas ibu hamil. Hasil uji Chi square didapatkan p = 0,000, ada hubungan antara tingkat pengetahuan dengan kunjungan kelas ibu hamil. Kunjungan kelas ibu hamil merupakan wujud perilaku ibu hamil yang dalam pelaksanaannya berkaitan erat dengan pengetahuan yang dimiliki. Hal ini berarti bahwa semakin tinggi tingkat pengetahuan yang dimiliki semakin tinggi pula kunjungan kelas ibu hamil.
Pengetahuan Ibu Tentang Cara Penanganan Kejadian Ikutan Paska Imunisasi (KIPI) Pada Bayi Usia 0-1 Tahun Di Puskesmas Mojosari Kabupaten Mojokerto
Authors: Hety Dyah Siwi , Susanti Ika Yuni 
Published: April 2020

Imunisasi sebagai salah satu pencegahan upaya preventif yang berdampak positif terhadap kesehatan masyarakat harus dilaksanakan sesuai standar. Imunisasi juga dapat menimbulkan dampak yang tidak diinginkan seperti efek panas setelah imunisasi PDT dan Campak. Tujuan penelitian untuk mengetahui pengetahuan ibu tentang cara penanganan kejadian ikutan paska imunisasi pada bayi usia 0-1 tahun. Jenis penelitian adalah deskriptif. Variabel penelitian adalah pengetahuan ibu. Populasi dalam penelitian seluruh ibu yang mempunyai bayi usia 0-1 tahun sebanyak 36 orang dan sampel sebanyak 36 responden. Teknik sampling yang digunakan adalah non probability sampling tipe total sampling. Penelitian dilakukan di Puskesmas Mojosari Mojokerto pada September 2019 – Pebruari 2020. Pengumpulan data menggunakan lembar kuesioner. Pengolahan data dengan cara editing, coding, scoring, tabulating dan dianalisis dengan persentase. Kesimpulan penelitian adalah pengetahuan ibu tentang cara penanganan kejadian ikutan pasca imunisasi pada bayi usia 0-1 tahun di Puskesmas Mojosari Mojokerto adalah kurang.