bluuebunny/crossref_metadata_2025_split huggingface dataset:
The relationship of temporomandibular disorders with Class II malocclusion as a risk factor
Authors: Sadrabad Maryam Jalili , Ameli Nazila , Kianpour Mahnoosh , Ghorbani Raheb , Sohanian Shabnam 
Published: April 2021

Objectives:
The temporomandibular joints (TMJs) play a fundamental role in mastication, deglutition, speech, and even respiration. Thus, temporomandibular disorders (TMDs) can affect the quality of life, especially if they become chronic. Considering the controversy regarding the etiology of the TMDs, this study aimed to assess the relationship of TMDs with dental malocclusion.

Materials and Methods:
Totally, 885 dentate patients between 18 years and 60 years with complete dental records and no condylar ankylosis, history of trauma, bruxism, clenching, or congenital TMJ anomalies participated in this study. Tenderness on palpation, clicking, crepitus, pain, deviation on mouth opening, open bite, deep bite, cross bite, and class of malocclusion (I, II or III) were recorded for all patients.

Results:
Of patients, 60.2% were males and 39.8% were females. Gender had no correlation with TMDs. Patients had a mean age of 34.8 years. Age had no correlation with TMDs. Of TMD symptoms, clicking had the highest frequency (23.3%) followed by deviation on mouth opening (10.6%), pain at the mouth opening (2.9%), tenderness on palpation (1.4%), trismus (1.2%), and crepitus (1.1%). Of patients, 76.7% were Class I, 13.8% were Class II, and 6.2% were Class III. Less than 2% of patients had deep bite, open bite, or cross bite.

Conclusion:
TMDs had a relatively high prevalence (35%) in our study population. Age, gender, and class of malocclusion had no correlation with TMDs; however, Class II malocclusion was slightly more prevalent among TMD patients, which needs to be taken into account by patients and orthodontists.
Review Article: Obesity and Infertility
Authors: Meena S. Farman  , Marwa A. Akoul  
Published: April 2021

Obesity is a main health problem, that affects people all over the world. According to recent articles, obese patients should be denied any therapy to aim improving ovulation rates and achieving pregnancy until their BMI is reduced. We believe that this approach does not solve the issue, but rather exacerbates the maternal and perinatal complications linked to fertility clinics. Obesity independent of polycystic ovary syndrome (PCOS) is related with anovulation, and a weight loss alone is an effective treatment for inducing ovulation in both obese women with or not PCOS. As a result, weight-loss lifestyle programs should be considered an ovulation induction therapy, with due consideration for a possible pregnancy in an obese woman.
Obesity has been linked to menstrual irregularities and infertility, Despite the fact that a critical mass of adipose tissue is needed for development female reproductive function. The severity of fat tissue distribution and obesity are important factors that affect the female reproductive system. The mechanisms of pathogenetic that link them aren't well understood. Insulin resistance and hyperinsulinemia are common in obese, especially those women with upper obesity of body, as are hyperandrogenemia, increased peripheral aromatization of androgens to oestrogens, altered secretion of gonadotrophin, and reduced (SHBG), decreased growth hormone (GH) , insulin like growth factor binding proteins (IGFBPs), elevated level of leptin and changed neuroregulation of the hypothalamic‐pituitary‐gonadal axis.
Clinical Assessment and Etiological Evaluation of Optic Nerve Atrophy
Authors: Shrestha Pranav , Sitaula Sanjeeta , Sharma Ananda Kumar , Joshi Purushottam 
Published: April 2021

Introduction: Optic atrophy results from the disease process that cause irreversible damage to the ganglion cells and the anterior visual pathway, but may also result from posterior visual pathway involvement. The etiology causing this condition is vast and regardless of underlying cause it carries bad visual prognosis and at times may be life threatening. The study aims to assess patients with optic nerve atrophy presenting to B.P. Koirala lions centre for ophthalmic studies and identify the underlying etiology.
Materials and methods: This is a descriptive study conducted at B.P. Koirala Lions Centre for Ophthalmic studies. All cases of optic atrophy who presented to our outpatient department from March 2016 to March 2017 were included in the study. In addition to detailed evaluation, assessment of visual acuity, color vision, contrast sensitivity and visual field were done if feasible. Other relevant investigations were conducted to establish the underlying etiological cause.
Results: A total of 62 patients were included in the study, with 35 patients having bilateral disease and 27 having unilateral disease accounting for 97 eyes with optic atrophy. The mean age of the affected was 40.63±17.36 years with male to female ratio of 1.2:1. The most common etiology for optic atrophy was traumatic neuropathy (n=16, 25.8%). Majority of eyes had pale disc (n=70, 72.2%) and the rest had temporal pallor (n=27, 27.8%).
Conclusion: Traumatic optic neuropathy was the most common etiological cause of optic nerve atrophy.
Acanthamoeba Keratitis – A Case Report
Authors: Joshi Leesha Shrestha , Gurung Reeta 
Published: April 2021

Introduction: Acanthamoeba keratitis is a serious infection of the cornea which causes severe inflammation of the eye and loss of vision.
Case description: A 45 years female came with a history of trauma of right eye with vegetative matter with severe pain and redness. Patient was treated with antibacterial, antifungal eye drops but the condition deteriorated. Diagnosis was based on presence of motile trophozoites and cyst in the culture of non nutrient agar with a lawn of E coli of the corneal ulcer scraping. Therapeutic penetrating keratoplasty was performed as the patient’s condition deteriorated.
Conclusion: Acanthamoeba keratitis is a rare parasitic vision threatening infection with poor prognosis in comparison to other infectious keratitis. Therefore prevention is very important.
Assessment of Physico-Chemical Properties of the Pasur River Estuarine Water
Authors: Shefat SHT , Chowdhury MA , Haque F , Hasan J , Salam MA , Shaha DC 
Published: April 2021

This study aimed to investigate physico-chemical properties of the Pasur River Estuarine (PRE) water connected to the Sundarbans mangrove ecosystem during the dry season for examining the ecosystem health. In-situ measurement and water sample collection were performed to assess physico-chemical properties at fifteen sampling stations along the main axis of the estuary in March 2018, April 2018, January 2019 and March 2019. Surface water temperature ranged from 20.7 to 33.7°C, pH from 7.1 to 7.9, and salinity from 8.5 to 16.2 PSU (practical salinity unit). Dissolved Oxygen (DO) concentration varied from 5.9 to 8.4 mg/L. Ammonium-nitrogen (NH4 +) was the dominant nitrogenous compound among the dissolved inorganic nitrogenous (NH4 + +NO3 -+NO2 -) compounds, and ranged from 0.11 to 2.11 mg/L. Higher NH4 + concentration in water column was largely attributed to release by tidal wash-out of the interstitial waters of the surﬁcial mangrove sediments. In contrast, phosphate concentration varied from 0.07 to 5.8 mg/L. The Pearson correlation coefficient was calculated to elucidate the correlation among physico-chemical properties during the dry season. Temperature showed a significant positive correlation with salinity and total dissolved solids (TDS), and negative correlation with DO. Similarly, salinity showed a significant positive correlation with TDS and negative correlation with DO. According to the Redfield ratio, the PRE is a nitrogen-limited estuarine system during the dry season.
Ann. Bangladesh Agric. (2020) 24(1) : 1-16
Transforming Malta Orchard into Agroforestry System with Different Crops for Improving Productivity, Profitability and Land Uses
Authors: Das AK , Rahman MA , Saha SR , Sarmin NS , Hoque MA , Bhuiyan F 
Published: April 2021

Sustainable agricultural practices like agroforestry systems are being advocated to overcome various problems of farming. A young malta (Citrus sinensis) orchard (3 years old) was transformed into a fruit tree-based agroforestry system in which the performances of summer (okra and Indian spinach) and autumn (mungbean and kangkong) crops and year-round spices (ginger and turmeric) were evaluated following randomized complete block design (RCBD) with three replication each and eventually compared between agroforestry systems and respective sole cropping (control) from March 2018 to February 2019 at BSMRAU field. The experimental results revealed that the yields of the associated crops deprived when grown at the closest row position from the bed of malta tree and spices. Yields of okra, Indian spinach, mungbean, kangkong, turmeric and ginger were reduced by 7.57, 6.52, 14.86, 13.26, 9.70 and 16.23%, respectively under agroforestry system as compared to control. However, malta yield was increased by 5.35% in agroforestry system than control trees. The findings also indicated that the crops in agroforestry system was less hindered by the shade effect of malta trees due to less dense canopy of young malta trees. In comparison to sole cropping system, the higher benefit-cost ratio (BCR) (2.93) and land equivalent ratio (LER) (2.83) were obtained in the studied agroforestry system that explicated higher system productivity and land uses. Notable improvement of total nitrogen and organic matter were obtained in the soil under agroforestry system. Therefore, malta-based agroforestry system can be a promising alternative to provide higher economic benefits, boosting food and nutritional security, improving soil nutrient status and utilization of land.
Ann. Bangladesh Agric. (2020) 24(1) : 113-125
Tecnologia educacional híbrida- blended learning no olhar do discente de enfermagem
Authors: Silva Najara Araújo da , Silva Larissa Leocadio da , Souza Daylene dos Santos , Viana Jaqueline Santos , Oliveira Jefferson Carlos de 
Published: April 2021

Objetivo: O estudo em questão teve como objetivo identificar a fluência digital por meio da utilização do questionário, de Piconez nos graduandos de enfermagem. Método: Estudo de abordagem transversal, quantitativo, composto por 91 graduandos distribuídos entre o 1° ao 5° semestre do curso de Enfermagem. A coleta de dados ocorreu no mês de abril de 2019. Aplicado um formulário contendo os dados sociodemográficos e o Instrumento de Piconez. Os dados foram apresentados de modo descritivo. O projeto foi submetido a Plataforma Brasil sob o n° CAEE 89610218.1.0000.5493. Resultado: A variável predominante foi 68% gênero feminino e 23% gênero masculino. Quanto analisado o semestre, 24% eram do 5° semestre, 22% do 1° semestre, 17% do 2° e 4° semestre, 10% do 3°semestre e 1% nulo. Conclusão: O uso da tecnologia na modalidade hibrida abre precedentes e lacunas a serem exploradas e mobilizadas para o uso como estratégias de ensino. Nessa perspectiva traz inovações a serem utilizadas e implementadas no que tange a abordagem pedagógica como mediador do conhecimento e aprendizagem.
Kajian Penambahan BahanOrganik Pada Media Tanam VW Pada Organogenesis AnggrekDendrobium SecaraIn Vitro
Authors: Rahmah Siti , Rahayu Tintrim , Hayati Ari 
Published: April 2021

In vitro tissue culture is a growth optimization technique of Dendrobium orchid with according to media composition. Nutritions in the media are important for dendrobium orchid. Dendrobium orchid include plant from orchidaceae family its spread throughout the world like indonesia. Its features are easily planted, intersest is continuous and varied, easily assembled, the flower crown is not easy to fall and wither. Research aimed at obtaining media compositions that are easily available and able to fulfill the needs of orchid plants. The research was conducted using descriptive methods to compare different trearment; Vacin & Went and VW media with adding organic matter; extract bean sprouts, potato extrac, and water coconut; wich is conducted for eight weeks after planting. The result of addition organic matter on VW media was different toward organogenesis of orchid. The average number of shoots is 1.8; the number of leaves average of 6.8 and the number of roots average of 3.6 formed from two until eight weeks after culture.Keywords: tissue culture, growing media, Dendrobium orchid, organogenesis.ABSTRAKKultur jaringan in vitro adalah salah satu teknik optimalisasi pada pertumbuhan tanaman angrek Dendrobium dengan menyesuaikan komposisi medianya. Nutrisi yang terdapat di dalam media sangat penting bagi pertumbuhan anggrek. Anggrek Dendrobium termasuk tanaman dari keluarga Orchidaceae yang penyebarannya sampai ke pelosok dunia seperti Indonesia. Keistimewaanya mudah ditanam, bunganya terus-menerus dan bermacam-macam, mudah disusun, serta mahkota bunga tidak mudah jatuh dan layu. Penelitian yang bertujuan untuk mendapatkan komposisi media yang mudah didapat dan mampu memenuhi kebutuhan tanaman anggrek. Penelitian dilakukan menggunakan metode deskriptif untuk membandingkan perlakuan media yang berbeda yaitu media Vacin & Went, dan VW dengan penambahan bahan organik; ekstrak tauge kacang hijau, ekstrak kentang, dan air kelapa muda; yang dilakukan selama delapan minggu setelah tanam. Hasil penambahan bahan organik pada media VW berbeda terhadap organogenesis eksplan anggrek. Jumlah tunas rata-rata 1,8; Jumlah daun rata-rata 6,8 dan jumlah akar rata-rata 3,6 yang terbentuk dari dua minggu setelah kultur (MSK) sampai minggu terakhir pengamatan delapan MSK.Kata kunci: kultur jaringan, media tanam, angrek Dendrobium,organogenesis.
Pengetahuan Kader Tentang Stimulasi Deteksi Intervensi Dini Tumbuh Kembang Anak
Authors: Pratiwi Erinda Nur , Windiyani Winda 
Published: April 2021

Masa Keemasan pada pertumbuhan dan perkembangan anak biasanya ada pada usia dibawah 5 tahun atau lebih dikenal dengan masa Golden Age. Masa anak- anak hanya memiliki satu kali masa kemesasan atau masa periode golden age yang tidak bisa terlewatkan, Dari data Riskesdas tahun 2018 bahwa di Indonesia Balita tidak melakukan penimbangan berat badan sekitar 54,6%, sedang kan balita yang tidak melakukan pengukuran tinggi badan atau panjang badan sekitar 77,8% dalam 1 tahun terakhir pada anak usia 0-52 bulan. Peran kader posyandu sangat penting selain tenaga kesehatan, orang tua, kader juga berperan aktif dalam proses pemantauan pertumbuhan dan perkembangan anak. Salah satu upaya dalam menunjang pemantauan pertumbuhan dan perkembangan anak pemerintah menerbitkan Pedoman Pelaksanaan Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang di Tingkat Pelayanan Kesehatan Dasar(Aticeh 2015). Peran kader sangatlah penting dalam melaksanakan Skiring Stimulasi Deteksi intervensi Dini Tumbuh Kembang Anak. Maka dari itu diharapkan kader dapat mempunyai pengetahuan atau wawasan yang luas sebagai modal dalam pelaksanaan skrining Stimulasi Deteksi Intervensi Dini Tumbuh Kembang Anak. Jenis penelitian yang digunakan adalah deskriftif dengan jumlah responden sebanyak 33 responden. Hasil dari penelitian menunjukan pengetahuan kader berada pada kategori cukup. Kesimpulan dan saran diharapkan kader dapat meningkatkan pengetahuannya.
TINGKAT PENGETAHUAN DAN SIKAP REMAJA TUNARUNGU TENTANG MASA PUBERTAS DI SMP-SMA SLB NEGERI BINJAI TAHUN 2018
Authors: Zahriany Ade Ira 
Published: April 2021

Pubertas adalah secara etimologi berasal dari kata latin,yakni usia menuju remaja. Arti pubertas lebih mengarah kepada proses perubahan fisiologis ketimbang perilaku.Tunarungu adalah sebutan bagi mereka yang mengalami gangguan pendengaran, mulai dari yang ringan sampai dengan yang berat. Oleh karena itu anak tunarungu memerlukan bantuan khusus, baik dalam kehidupan sehari-hari maupun dalam pendidikan. Pengetahuan adalah hasil “tahu” dan ini terjadi setelah orang mengadakan penginderaan terhadap suatu objek tertentu. Sikap merupakan reaksi atau respon seseorang yang masih tertutup terhadap suatu stimulus atau objek. Metode penelitian yang digunakan adalah metode penelitian kuantitatif dengan pendekatan deskriptif. Penelitian dilakukan di SMP- SMA SLB Negeri Binjai. Pengumpulan data diambil menggunakan data primer dengan sampel semua total populasi (total sampling) seluruh remaja tunarungu yang bersekolah di SMP-SMA SLB Negeri Binjai. Hasil penelitian menunjukkan bahwa remaja tunarungu berpengetahuan kurang tentang pubertas sebanyak 27 orang (90%) dan minoritas berpengetahuan cukup sebanyak 3 orang (10%). Remaja tunarungu bersikap positif tentang pubertas sebanyak 28 (93,33%) dan bersikap negatif sebanyak 2 orang (6,67%). Disarankan kepada instansi SMP-SMA SLB Negeri Binjai khususnya tenaga pengajar yang mendidik remaja tunarungu diharapkan aktif mencari informasi mengenai masa pubertas dan memberikan pendidikan tentang masa pubertas tersebut secara berkala kepada remaja tunarungu.
Kata kunci : Pengetahuan, Tunarunggu, Masa Pubertas
HUBUNGAN PENGETAHUAN DAN SIKAP BIDAN TENTANG RETENSIO DENGAN PENATALAKSANAAN MANUAL PLASENTA DI WILAYAH KERJA PUSKESMAS HUTA RAKYAT SIDIKALANG
Authors: Sianturi Effendi 
Published: April 2021

Penatalaksanaan manual plasenta merupakan tindakan operasi kebidanan untuk melahirkan retensio plasenta. Rentensio plasenta dapat menyebabkan perdarahan, perdarahan merupakan penyebab nomor satu (40%-60%) kematian ibu melahirkan. Menurut WHO dilaporkan bahwa 15-20% kematian ibu di sebabkan oleh retensio plasenta dan insidennya adalah 1% untuk setiap kelahiran. Jenis penelitian ini adalah Analitik Korelasi dengan menggunakan metode pendekatan Cross Sectional. Penelitian ini dilaksanakan di wilayah kerja Puskesmas Huta Rakyat Sidikalang, dari bulan Maret sampai dengan Juli 2015. Populasi dan sampel dalam penelitian ini semua bidan yang mempunyai praktek sendiri/klinik yang berada di wilayah kerja Puskesmas Huta Rakyat Sidikalang, sampel diambil dengan cara Total Sampling dengan jumlah sampel 35 orang. Penelitian ini menggunakan uji Chi Square dengan a = 0.05. Hasil penelitian menunjukkan bahwa ada hubungan pengetahuan bidan tentang retensio plasenta dengan penatalaksanaan manual plasenta dengan nilai ? = 0,001 (? < 0,05), dan ada hubungan sikap bidan terhadap retensio plasenta dengan penatalaksanaan manual plasenta di dengan nilai ? = 0,001 (? < 0,05). Diharapkan pada bidan yang mempunyai pengetahuan dan sikap yang kurang mengerti tentang retensio plasenta dan penatalaksanaan manual plasenta agar lebih aktif dan tanggap dalam mendapatkan informasi dari berbagai media seperti buku, internet, dan pengalaman dari bidan yang lebih senior sehingga bidan dapat mengambil keputusan dengan tepat dan tidak tidak terjadi keterlambatan dalam pelaksanaan asuhan kebidanan pada ibu bersalin dengan retensio plasenta.
GAMBARAN PENGETAHUAN TENTANG PENGGUNAAN GIGI TIRUAN SEBAGIAN LEPASAN TERHADAP KONDISI GIGI DAN MULUT PADA MASYARAKAT DUSUN JAWA DESA KAMPUNG DALAM RANTAU PRAPAT
Authors: Ria Ngena 
Published: April 2021

Artificial teeth are used to substitute the lost teeth. Removable artificial teeth are favored by people since they are relatively inexpensive, can be removed, and worn by the owner. The cleanliness of removable artificial teeth should be taken care of; otherwise, they will contain debris and calculus which can damage oral cavity. The research used descriptive method which was aimed to find out the knowledge of using removable artificial teeth toward dental and mouth condition in the people of Dusun Jawa, Kampung Dalam Village, Rantau Prapat. The data were gathered by distributing questionnaires and directly examining oral cavities. The samples consisted of 30 people. The result of the research showed that 20 respondents (66.67%) were in good criteria in their knowledge of using removable artificial teeth, and 17 respondents (56.67%) were in moderate criteria in their knowledge of dental and mouth condition, and in dental condition, the number of DMF-T was 361 with the mean DMF-t of 12. It is recommended that people clean their removable artificial teeth at least twice a day, after breakfast before going to bed and soak them in clean water during the night. Teeth should be extracted if there is indication that they have to extracted, change them with artificial teeth, keep them and mouth hygienic to forestall dental damage.
PENGARUH TEKNIK RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI PUSKESMAS MULIOREJO TAHUN 2020
Authors: Megawati Megawati 
Published: April 2021

Lanjut usia mulai mengalami penurunan fungsi salah satunya pada sistem peredaran darah. Penurunan elastisitas dinding pembuluh darah yang dapat menyebabakan peningkatan tekanan darah. Salah satu upaya penanganan yang dapat dilakukan untuk menurunkan tekanan darah adalah terapi relaksasi otot progresif. terapi relaksasi otot progresif pada lanjut usia bertujuan untuk memunculkan respon relaksasi yang dapat merangsang aktivitas saraf simpatis dan parasimpatis sehingga terjadi penurunan tekanan darh pada lanjut usia. Penelitian ini bertujuan untuk mengetahui pengaruh teknik relaksasi otot progresif terhadap penurunan tekanan darah pada lansia di Puskesmas Muliorejo.
Metode penelitian yang digunakan adalah Pra Eksperimen Design Group Pre-Post Test Design yang bertujuan untuk mengetahui pengaruh teknik relaksasi otot progresif terhadap penurunan tekanan darah pada lansia di Puskesmas Muliorejo. Populasi dalam penelitian ini berjumlah 55 lansia. Metode pengambilan sample menggunakan Purposive sampling dan dapatkan sampel sebanyak 35 responden. Penelitian ini menggunakan uji regresi logistik dengan ?= 0,05.
Hasil penelitian adalah 1) sebelum dilakukannya relaksasi otot terdapat 22 orang (62.9%) dikategorikan mengalami hipertensi dengan tingkat stage 1 (sistolik140-159 mmHg / distolik 90-99 mmHg). 2) Sesudah dilakukannya relaksasi terdapat 8 orang (22.9%) dikategorikan tekanan darah dalam kondisi Prehipertensi yaitu tekanan darah normal (sistolik 120-139 mmHg / distolik 80-89 mmHg), 3) Terdapat pengaruh teknik relaksasi otot progresif terhadap penurunan hipertensi pada lansia di Puskesmas Muliorejo yang dibuktikan dengan nilai Sig. = 0,000.
Kesimpulan maka dapat dinyatakan bahwa ada pengaruh teknik relaksasi otot progresif terhadap penurunan tekanan darah pada lansia di Puskesmas Muliorejo. Sarannya bagi responden diharapkan dapat menerapkan teknik relaksasi otot progresif sebagai terapi pengobatan.
PENGARUH PENAMBAHAN LATIHAN CORE STABILITY TERHADAP PENINGKATAN KESEIMBANGAN BERDIRI PADA PENDERITA STROKE DI KECAMATAN MEDAN TUNTUNGAN
Authors: Siregar Harrijun Kapabella , Tinah Tinah 
Published: April 2021

Patients with stroke will experience various balance disorders. Standing balance disorders in stroke patients are related to the inability to regulate weight transfer and decreased muscle mobility so that body balance decreases. Patients with recurrent strokes have problems with postural control, thus hindering their movement. Balance is also a parameter for stroke patients to the success of their therapy, so that the functional ability of stroke survivors will suffer a lot. A good intervention by providing activation of the core muscles in the form of Core Stability exercises is expected to be able to increase the strength of the core muscles that are able to support the body to stay strong.
This study aims to determine the effect of core stability with improved standing balance in stroke patients in Medan Tuntung District. The treatment was carried out at the Physioroom Clinic in Medan. The type of research used is a quasi experiment using a pre test and post test group design. The study was conducted on 20 stroke patients who were given Core Stability exercises before and after the intervention. The statistical test used was paired t-test.
The results showed that the mean value of pre 53.40 and the mean of post was 43.75. The results of the analysis using the paired t-test obtained the value of p = 0.000 where p <0.001. So the results obtained there is an effect of core stability training on improving standing balance in stroke patients in the Medan fortune district.