bluuebunny/crossref_metadata_2025_split huggingface dataset:
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.
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.
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.
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