bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mastoidektomi Revisi pada Otitis Media Supuratif Kronik Tipe Bahaya
Authors: Munilson Jacky , Nelvia Tuti 
Published: March 2020

Abstrak Operasi mastoid berkembang sebagai penanganan terhadap Otitis Media Supuratif Kronik (OMSK). Mastoidektomi revisi dilakukan bila tujuan operasi pertama tidak tercapai. Kegagalan operasi mastoid bisa disebabkan oleh berbagai hal, diantaranya penanganan air cell yang tidak adekuat, facial ridge yang tinggi, kegagalan membuang semua kolesteatom, meatoplasti yang tidak adekuat dan ketidakpatuhan pasien untuk kontrol setelah operasi. Operasi mastoid revisi biasanya lebih sulit dan berbahaya karena anatomi telinga tengah menjadi tidak jelas, landmark dapat hilang dan struktur berbahaya sudah terpapar. Dilaporkan satu kasus operasi mastoid revisi pada seorang laki-laki berumur 25 tahun, yang ditatalaksana dengan timpanomastoidektomi dinding runtuh.Kata kunci: otitis media supuratif kronik, mastoidektomi revisi, kolesteatom, meatoplasti Abstract Surgery of the mastoid developed as a treatment for chronic suppurative otitis media. Revision mastoid surgery done if the aim of first surgery not achieved. Failure of mastoid operation may caused by many things, including handling of air cells are not adequate, high facial ridge, failure to remove all cholestetoma meatoplasty in adequate and non adherence of patient to control after surgery. Revision mastoid surgery is usually more difficult and dangerous, because anatomy of the middle ear may be altered, some of the important landmarks can be loss and dangerous structure has been exposed. It was reported one case revision mastoid surgery in a man aged 25 years old, management with canal wall down tympanomastoidectomy.Keywords: chronic suppurative otitis media, revision mastoidectomy, cholesteatoma, meatoplasty
Gambaran Hematologic Scoring System pada Tersangka Sepsis Neonatorum
Authors: Izzati Nur , Maani Hanifah , Husni Husni 
Published: March 2020

Sepsis neonatorum merupakan penyebab utama morbiditas dan mortalitas neonatus di negara berkembang. Baku emasnya adalah kultur darah, namun sulit dilakukan. Pemeriksaan hematologi sederhana diperlukan untuk membantu klinisi menegakkan diagnosis sepsis neonatorum. Hematologic Scoring System (HSS) memiliki keunggulan terutama kemudahan dan kemurahannya. Tujuan penelitian untuk mengetahui gambaran HSS pada tersangka sepsis neonatorum. Penelitian ini merupakan penelitian deskriptif dengan rancangan potong lintang pada 34 pasien dengan diagnosis tersangka sepsis neonatorum awitan dini. Penelitian dilaksanakan mulai Desember 2015 hingga September 2016. Masing-masing parameter dalam skor HSS diperoleh dari pemeriksaan dengan alat hematologi otomatis dan sediaan hapus darah tepi. Hasil penelitian disajikan dalam bentuk tabel distribusi frekuensi. Tersangka sepsis neonatorum lebih banyak bayi laki-laki (58,8%), bayi berat badan lahir rendah (61,8%), dan bayi kurang bulan (64,7%). Sebanyak 14 pasien (41,2%) memiliki skor HSS <2 (bukan sepsis), 11 pasien (32,3%) dengan skor 3–4 (diduga sepsis), dan 9 pasien (26,5%) dengan skor >5 (sepsis). Skor terbanyak diperoleh dari peningkatan jumlah PMN dan penurunan jumlah trombosit, yaitu masing-masing 64,7% dan 50%. Pada skor HSS <2 tidak ditemukan peningkatan jumlah PMN imatur serta perubahan degeneratif sitoplasma PMN, sedangkan peningkatan jumlah PMN imatur dan rasio I:T ditemukan pada seluruh sampel dengan skor HSS >5. Sebagian besar pasien tersangka sepsis neonatorum memiliki skor HSS <2. Skor terbanyak diperoleh dari peningkatan jumlah PMN dan penurunan jumlah trombosit. Penelitian lebih lanjut diperlukan untuk membandingkan HSS dengan baku emas atau penanda sepsis lainnya.
Hubungan Kualitas Pelayanan Asuhan Persalinan Normal dengan Loyalitas Ibu Bersalin di Puskesmas Rawat Inap Lubuk Buaya Padang Tahun 2017
Authors: Anggraini Dewi , Serudji Joserizal , Syafrawati Syafrawati 
Published: March 2020

AbstrakAngka Kematian Ibu (AKI) dapat menggambarkan bagaimana kualitas pelayanan persalinan di puskesmas. Puskesmas rawat inap Lubuk Buaya Padang termasuk penyumbang jumlah kematian ibu kematian ibu di kota Padang. Tujuan: Menentukan hubungan kualitas pelayanan Asuhan Persalinan Normal (APN) dengan loyalitas ibu bersalin. Kepuasan pasien sebagai confounding variable dan menganalisis kualitas pelayanan APN di Puskesmas Lubuk Buaya Padang tahun 2017. Metode: Penelitian ini menggunakan desain mixed method (kuantitatif dan kualitatif). Hasil: Pada analisis bivariat diketahui bahwa terdapat hubungan yang bermakna antara kualitas pelayanan asuhan persalinan normal (p = 0,004) dan kepuasan ibu (p = 0,001) terhadap loyalitas ibu bersalin. Pada analisis multivariat diketahui kepuasan ibu yang lebih dominan dibandingkan kualitas pelayanan APN dalam mempengaruhi loyalitas ibu bersalin (P=0,001, OR=8,867). Pada aspek input ditemukan bahwa pemerataan penempatan petugas di klinik bersalin puskesmas masih perlu diperhatikan, kemudian diberikan tambahan tenaga bidan untuk mengoptimalkan pelayanan di klinik puskesmas, dan untuk sopir ambulans, tidak selalu ada pada saat dibutuhkan. Aspek perencanaan belum direalisasikan dalam bentuk dokumen. Pelaksanaan pelayanan, langkah-langkah APN tidak selalu semuanya dikerjakan. Pada pengawasan tidak ditemukan dokumentasi hasil pengawasan yang telah dilakukan oleh pihak puskesmas kepada petugas di klinik bersalin. Simpulan: Capaian ibu yang melakukan persalinan normal di puskesmas lebih rendah dibanding jumlah ibu yang melakukan pemeriksaan kehamilan.
Analisis Pelaksanaan Program Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK) Balita di Puskesmas Kota Padang Tahun 2018
Authors: Syofiah Putri Nelly , Machmud Rizanda , Yantri Eny 
Published: March 2020

AbstrakProgram SDIDTK merupakan program pembinaaan tumbuh kembang anak secara komprehensif dan berkualitas melalui kegiatan Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK) pada masa balita. Program SDIDTK balita di Kota Padang masih dihadapkan pada pengelolaan yang kurang profesional diberbagai tahapan. Tujuan: Menganalisis sistem pelaksanaan program SDIDTK balita di Puskesmas Kota Padang tahun 2018. Metode: Penelitian dilakukan dengan pendekatan kualitatif. Pemilihan informan dilakukan secara purposive sampling. Analisis data dilakukan secara triangulasi sumber dan teknik. Hasil: Pengolahan dan analisis data pada komponen input kebijakan sudah ada. Standar Operasional Pelayanan dan Pedoman sudah ada, tetapi jumlahnya belum mencukupi. Tenaga kesehatan masih belum memenuhi standar. Dana telah dianggarakan. Ketersediaaan sarana dan prasarana belum cukup memadai. Komponen proces perencanaan dan pengorganisasian sudah ada. Lokakarya mini sudah dilaksanakan secara berkala. Pelaksanaan pelayanan masih ada yang melaksanakan tidak sesuai dengan buku pedoman yang ada. Supervisi dan evaluasi masih kurang maksimal. Pencatatan dan pelaporan belum berjalan dengan baik. Simpulan: Kegiatan Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang (SDIDTK) belum dilaksanakan secara maksimal.
A FUNÇÃO DOS TRIBUNAIS NO ESTADO CONSTITUCIONAL CONTEMPORÂNEO
Authors: Oliveira Jadson Correia de , Silva Danilma Melo da 
Published: March 2020

O presente trabalho tem por objetivo analisar o papel dos tribunais constitucionais no contexto da sociedade hipercomplexa, tendo por provocação a abordagem dos desafios enfrentados pelos Estados constitucionais na construção do direito contemporâneo. Nesse contexto, em primeiro lugar, foi abordada a função do sistema jurídico, tendo por base a teoria sistêmica de Niklas Luhmann. Em segundo momento discorreu-se sobre a colocação da Constituição como subsistema do direito, trazendo para isso a discussão acerca dos direitos fundamentais, sob os quais recai toda a problemática da baixa efetividade. Para finalizar, mas com relação ainda aos direitos constitucionais fundamentais, tratou-se da posição dos tribunais constitucionais no direito e a sua função diante dos desafios locais de inclusão. O método deste consiste numa pesquisa bibliográfica com marco teórico na teoria sistêmica de Luhmann e nas leituras recentes acerca da centralidade dos tribunais constitucionais, conexão necessária para compreender o papel do direito na complexidade do mundo.
DESJUDICIALIZAÇÃO DAS RELAÇÕES FAMILIARES: O RECONHECIMENTO EXTRAJUDICIAL DA PARENTALIDADE SOCIOAFETIVA COMO MEIO DE PROMOÇÃO DA DIGNIDADE DA PESSOA HUMANA
Authors: Barbosa Fernanda Nunes , Malheiros Joana D'Arc De Moraes 
Published: March 2020

O fenômeno da desjudicialização das relações familiares vem se consolidando em nossos dias como uma alternativa viável e eficiente da sociedade na busca da efetivação de situações jurídicas sem a necessidade de se recorrer ao Poder Judiciário. Atualmente, inúmeras são as famílias que possuem em seu núcleo familiar filhos ditos do coração, cujos laços se estabeleceram não pela consanguinidade, mas pelo fio condutor do afeto. Diante deste contexto, de que maneira a desjudicialização poderá concretizar o reconhecimento extrajudicial da parentalidade socioafetiva e qual o papel do registrador neste procedimento administrativo para garantia de segurança e promoção da dignidade humana?
SIFAT-SIFAT DASAR PERLUASAN INTEGRAL LEBESGUE
Authors: Lesnussa Yopi A. , Wattimanela Henry J. , Talakua Mozart W. 
Published: March 2020

EL-Integral is extended of Lebesgue integral, 1 k b EL f d L f d . Lebesgue integral is defined with early arrange measure theory that famous with Lebesgue measure. A function f :a,b is said EL-integrable on a,b , if there exist series interval that no piled up   k I in a,b so that  ,   0 k  a b  I  ,   k f L I for every k and 1 IkA L f d finite. Value A is called value of EL Integral function f on a,b . Extended of Lebesgue integral (EL-Integral) is notated by :  kbE a k I EL f d f d L f d     .
LOS MENORES EXTRANJEROS NO ACOMPAÑADOS DE MELILLA. ANÁLISIS DE SU SITUACIÓN Y PROPUESTA DE FORMACIÓN SOCIOEDUCATIVA
Authors: Sánchez-Fernández Sebastián , Milud-Ahmed Yasmina , Mohamed Abdel-lah Asma , Mohamed Abdelkader Nadia , Mohamed Mohamed Berkan Nadia 
Published: March 2020

Introducción: El objetivo fundamental de este trabajo es conocer la realidad que viven los menores extranjeros no acompañados en Melilla con la doble finalidad de elaborar una propuesta de formación para ellos y de concienciar a la ciudadanía en general, y particularmente a la melillense, sobre su situación. Metodología: Hemos analizado el marco legal correspondiente y, para el estudio de campo, los hemos entrevistado siguiendo un guión semiestructurado. Resultados: Hemos constatado las carencias y dificultades que viven los menores extranjeros no acompañados en Melilla, que en muchos casos no se solucionan por parte de las instituciones encargadas de su tutela al amparo de la legislación específica. Igualmente, se aprecia una gran diferencia entre las opiniones de los propios menores y la de los ciudadanos melillenses sobre su situación, lo que refuerza los casos de exclusión y marginación. Conclusiones: El estudio de la situación de estos menores, contrastando las versiones que ellos nos han dado con las que ofrecen los ciudadanos melillenses, analizándolas a la luz del marco legal y de los principios educativos que rigen su atención escolar y social, nos ha permitido elaborar una propuesta formativa para los menores y reclamar la necesidad de hacer otra para los ciudadanos melillenses.
Prevention of port site infection after laparoscopic cholecystectomy for acute destructive cholecystitis in patients with I—II degree obesity
Authors: R. V. Bondariev  , O. I. Sopko  , R. M. Kozubovich  , V. M. Ivantsok  , O. O. Bondarieva  
Published: March 2020

The aim — to assess the incidence of port site infection after laparoscopic cholecystectomy and laparoscopic cholecystectomy with bacteriophage therapy for acute destructive cholecystitis.Materials and methods. The analysis of the results of treatment of 96 patients with obesity of I — II stages at the age of 37 to 67 years carried out. All patients underwent laparoscopic cholecystectomy for acute destructive cholecystitis. The average body mass index was 35.04 ± 0.2 kg/m2. In the comparison group (n = 42), the subxiphoid trocar wound was sanitized with a 0.02 % decamethoxin solution in an isotonic sodium chloride solution (decasan solution) after gall bladder extraction. In the main group (n = 54), the subxiphoid trocar wound was irrigated with therapeutic and prophylactic bacteriophages (Sextaphag, Intesti‑bacteriophage, coli protein bacteriophage, and their combination). Treatment results were evaluated by the nature and frequency of infection of the trocar wound area.Results and discussion. Infiltrate and/or seromas of trocar wounds in the comparison group have observed in one (2.4 %) patient, in the main group — in 2 (3.7 %) patients. Suppuration of the trocar wound has observed only in the comparison group — 2 (4.8 %) cases. The nature of microbial bile flora and the exudate of the abdominal cavity, its amount, the sensitivity of microorganisms to antibiotics and bacteriophages were studied. In patients with gangrenous cholecystitis and local purulent peritonitis, microbial associations prevailed (65.9 %), Pseudomonas aeruginosa, Candida strains and anaerobic flora were detected. In patients with phlegmonous form of cholecystitis, the sensitivity of Escherichia coli, Staphylococci, Streptococci, Proteas and Klebsiella to Sextaphag was 76.9 — 100.0 %.Conclusions. The bacteriophage therapy after laparoscopic cholecystectomy for acute destructive cholecystitis contributed to a reduction of port site infection incidence in the postoperative period from 8.5 to 2.4 %.
Surgery for distal ischemia of the upper limbs correction
Authors: A. G. Orlov  , O. V. Kuzmenko  , P. F. Gulmamedov  
Published: March 2020

The aim — to study the surgery efficacy on the distal parts of the arteries in the treatment of acute limb ischemia.Materials and methods. A comparative analysis of the results of thoracic and periarterial sympathectomy in patients with various occlusive diseases of the distal arteries of the upper extremities was performed. From 2001 to 2013, 68 patients with chronic ischemia of distal upper extremities were operated. Men were 44, women — 24. Age varied from 26 to 92 years, the average age was 49.09 years.Results and discussion. In all patients who underwent interventions on the palmar arterial arch, the main blood flow was restored. The data of triplex scanning of the palmar arterial arch and digital arteries and transcutaneous oximetry indicated an increase in the linear blood flow velocity and a decrease in the indices of peripheral vascular resistance in all cases. The linear blood flow velocity in patients with thromboangiitis obliterans after performing digital periarterial sympathectomy increased on average by 64 %, in patients with Raynaud’s syndrome — by 100 %, in patients with obliterating atherosclerosis — by 135 %.Conclusions. The obtained results showed that the revascularization effect of desimpation is the higher, the more distantly eliminated sympathetic nerve fibers. Periarterial digital sympathectomy gives a pronounced long‑lasting effect, which makes it possible to consider it as a method of choice for the treatment of acute arm ischemia. Direct intervention on the arterial arch of the hand in some cases allows to restore the main blood flow, which significantly improves treatment results.
An Analysis of Interlingual and Intralingual Errors in EFL Learners’ Composition
Authors: Murtiana Rahmila 
Published: March 2020

<p class="abstrak"><em>This study aims to investigate the occurrence of errors committed by EFL learners in their composition in terms of interlingual and intralingual errors. The setting of the study was a state Islamic university in Banjarmasin South Kalimantan, Indonesia. The research participants were undergraduate students majoring in English Education. Data were collected </em><em>through</em><em> documentation of students’ composition and analyzed based on Corder’s Error Analysis (EA) theory. From the samples of 38 compositions submitted, it was identified that interlingual errors occurred more frequently than intralingual errors. Interlingual errors comprised morphological selection, lexical selection, syntactical selection, and misordering. Meanwhile, intralingual errors were evident in both omission and addition in the areas of word formation and syntax. The findings of this study revealed that first language interference caused more errors in writing than learners’ incomplete process of acquiring second language rules. To prevent the errors from being fossilized, it is suggested that in the teaching and learning process, language instructors provide continuous corrective feedback, and learners be more active in finding exposure to the correct form of the target language.</em><em></em></p><p class="StyleAuthorBold">Abstrak</p><p class="abstrak">Penelitian ini bertujuan untuk menyelidiki terjadinya kesalahan yang dilakukan oleh pembelajar bahasa asing dalam tulisan mereka yang berupa kesalahan interlingual dan intralingual. Penelitian dilakukan di sebuah universitas Islam negeri di Banjarmasin Kalimantan Selatan Indonesia. Partisipan penelitian adalah mahasiswa S1 jurusan Pendidikan Bahasa Inggris. Data diperoleh melalui dokumentasi hasil karangan mahasiswa yang kemudian dianalisa berdasarkan teori Error Analysis dari Corder. Sebanyak 38 sampel karangan mahasiswa dikumpulkan dan ditemukan bahwa kesalahan interlingual lebih banyak terjadi daripada kesalahan intralingual. Kesalahan interlingual berupa kesalahan dalam memilih kosa kata dan menyusun kalimat yang disebabkan oleh pengaruh bahasa asli. Sedangkan kesalahan intralingual berupa penghilangan atau penambahan yang tidak tepat pada bentuk kata atau bentuk kalimat. Hasil penelitian menunjukkan bahwa pengaruh bahasa asli yang menyebabkan kesalahan interlingual dalam tulisan terjadi lebih banyak daripada kesalahan intralingual. Untuk mencegah melekatnya kesalahan, disarankan agar dalam proses belajar mengajar guru dapat terus memberikan umpan balik, dan siswa harus lebih aktif dalam mencari contoh-contoh bentuk bahasa yang benar.</p><p class="abstrak"><strong>Kata Kunci: </strong>kesalahan, interlingual, intralingual, karangan</p>
DAYA HAMBAT DAUN MANUKAN (Rhinacanthus nasutus (L) Kurz) TERHADAP BAKTERI STAPHYLOCOCCUS AUREUS SECARA IN VITRO
Authors: Sunarti Sunarti , Paninsari Debora 
Published: March 2020

The use of antimicrobial such as antibiotics Â against infectious diseases with no control is quite common in Indonesia. This leads to increase morbidity and incidence of drug resistance. Staphylococcus aureus is a pathogenic bacteria, particularly infects the skin. The resistance it difficult to determine which antimicrobials were suitable for therapy. Manukan leaves have an active substance Rhinacanthin can be used as an anti-bacterial. The aim of this study was to determine the inhibition of ethanol extract of manukan leaves (Rhinacanthus nasutus (L) Kurz) against gram-positive bacteria (Staphylococcus aureus) in vitro with the extract concentration of 15, Â 30, and 60% as a control. This study was a true experiment through the in vitro test with the Kirby Bauer method. The results showed that the average diameter of the inhibition zone was at an extract concentration of 15, 30, and 60% are 9.97 mm, 10.95mm, and 13.18 mm. The Kruskal-Wallis test results showed a significant difference between the four treatment groups (p= 0.010). The Mann-Whitney test showed significant differences in the inhibition zone between control andÂ treatment at 15, 30 and 60% (p= 0.037). In conclusion leave ethanol extract of manukan has antimicrobial activitiy in inhibiting staphylococcus aureus.
Pengaruh Kualitas Layanan terhadap Kepuasan Nasabah Mobile Banking pada Bank Pembangunan Daerah Provinsi Sumatera Barat
Authors: Fernos Jhon , Gietricen Gwen 
Published: March 2020

This study aims to analyze the effect of reliability, responsiveness, assurance (assurance), empathy (empathy) and direct evidence (tangibles) on satisfaction of mobile banking customers at the Regional Development Bank of West Sumatra Province. The research design is correlational. The population in this study were all Sharia banking customers in Surakarta City, a sample of 100 mobile banking customers at the Regional Development Bank of West Sumatra Province with a proportion of rendom sampling as a sampling technique. Data analysis in this study used multiple linear regression (multiple regression analysis). The results showed that there was no tangible variable effect (X1) on customer satisfaction of the Regional Development Bank of West Sumatra Province. No effect on reliability variable (X2) on customer satisfaction of the Regional Development Bank of West Sumatra Province. There is no effect on the responsiveness variable (X3) on customer satisfaction. There is the effect of assurance variable (X4) on customer satisfaction. There is the influence of the empathy variable (X5) on customer satisfaction.
As novas formas do presente: como a moralidade própria e a formação de clusters interferem na manutenção de fake news
Authors: Arantes de Assis Cláudia Maria , Andrade de Oliveira Ivan Carlos , Scheibe Roberta 
Published: March 2020

As redes sociais são atualmente campo fértil para a disseminação de notícias falsas e boatos. Mas até mesmo os comentários em matérias de jornalísticas que esclarecem sobre fake news podem ser usados para disseminar inverdades. O artigo buscou analisar os comentários da notícia UOL Confere no Facebook, que desmente o boato segundo o qual o ex-deputado Jean Willys teria depositado 50 mil reais para a defesa do responsável pela facada no então candidato Jair Bolsonaro. Foi utilizada neste trabalho a pesquisa bibliográfica para fundamentar o entendimento sobre o indivíduo atuante e sobre redes e internet. A análise demonstrou que muitos dos que comentam não leem a matéria, comentando a partir dos comentários com mais visibilidade. Palavras-chave: Fake news. Comentários. Uol confere. Facebook. Internet.
Testemunhas de si mesmo: mudanças no jornalismo na era dos testemunhos
Authors: Gerk Cristine , Barbosa Marialva 
Published: March 2020

Este trabalho pretende discutir o que denominamos Jornalismo na Era dos Testemunhos, a partir de uma reflexão a respeito da forma como os relatos são tratados em produtos midiáticos na contemporaneidade. Tratamos das implicações entre memória, testemunho e jornalismo, a partir do testemunho dos próprios jornalistas, eleitos pelos pares como referências na profissão no Brasil. Escolhidos como porta-vozes por mais de cem profissionais com passagens por redações do Rio de Janeiro, Caco Barcellos, Ricardo Boechat, Eliane Brum, Glória Maria e Leslie Leitão analisam as mudanças na profissão hoje, tendo como norte a análise do impacto deste também chamado jornalismo declaratório. Palavras-chave: Jornalismo. Contemporaneidade. Mídia. Prática profissional