bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factores de riesgo para mal control de asma en adultos
Authors: Fernández de Córdova-Aguirre Juan Carlos , Velasco-Medina Andrea Aída , Urquiza César , Guzmán-Guillén Karol Andrea , Velázquez-Sámano Guillermo 
Published: April 2019

Antecedentes: Estudios en niños han identificado factores asociados con la falta de control del asma. En adultos no están bien definidos.Objetivo: Identificar los factores relacionados con la falta de control del asma en adultos.Métodos: Se incluyeron adultos con asma clasificados como controlados, parcialmente controlados y no controlados según los criterios de la Global Initiative for Asthma.Resultados: Se incluyeron 200 pacientes (75.5 % mujeres), edad promedio de 38.4 ± 11.93 años. Cien pacientes con asma controlada y 100 con asma no controlada y parcialmente controlada; 35 (88.2 %) con persistencia leve, 14 (10 %) con persistencia moderada y 97 (1.8 %) con persistencia grave; en estrés se encontró RM = 0.41 (IC 95 % = 0.23-0.75), p = 0.03; en tabaquismo actual y activo, RM = 4.23 (IC 95 % = 1.35-13.2), p = 0.007; y en uso correcto de inhaladores, RM = 0.36 (IC 95 % = 0.13-0.97), p = 0.031. Los pacientes no tuvieron contacto con peluches ni alfombras.Conclusiones: Se observó asociación con tabaquismo actual activo y dermatitis atópica. Como factores de protección se identificó niveles normales de eosinófilos en sangre, uso correcto de inhaladores, VEF1 > 80 %, ausencia de estrés y de contacto con alfombras y peluches.
Awareness of oral cancer and potentially malignant oral disorder among final year medical and dental undergraduate students of Chitwan Medical College, Nepal
Authors: Subedi Sushil , Shrestha Bijayata 
Published: April 2019

Background: Oral Cancer (OCA) is a common malignancy in South East Asia and the burden of the disease is increasing. OCA is usually preceded by Potentially Malignant Oral Disorder (PMOD). The early detection of these diseases may limit the high mortality and morbidity. The objectives of this study were to assess the awareness of burden, associated risk fac­tors, early detection and prognosis of OCA and OPMD among final year medical and dental students..
Methods: This cross sectional study was conducted among final year Medical and Dental undergraduate students of Chitwan Medical College, Nepal in April 2017 using a pre tested self-administered questionnaires. All the final year students present at their respective classes (Dental= 50 and Medical=75 students) responded to the questionnaires after giving informed consent. Data entered in SPPS 20 software was analyzed using Pearson Chi Square test and Fisher exact test.
Results: Dental students had better awareness concerning PMOD. Yet, the dental students did not differ significantly from their medical coun­terpart in most of the responses related to OCA. Surprisingly, more Dental students had misconception that OCA is not preventable and early detec­tion is difficult. Few of both groups were confident in having sufficient knowledge in OCA prevention and detection. Only 18.6% of Medical stu­dents had examined PMOD and few students of both groups had exam­ined OCA.
Conclusions: This study revealed the deficient aspect in the knowledge concerning OCA and OPMD among Medical and Dental students indicat­ing the need to emphasize on these aspects of medical education.
Pulmonary function tests of mongoloid and non mongoloid group of Dharan
Authors: Ghimire Nisha , Agrawal Kopila , Deo Santosh , Chaudhary Lok Bandhu , Paudel Bishnu Hari 
Published: April 2019

Background: Ethnicity is seen to effect normal reference values and pre­diction equations of pulmonary function tests (PFTs). The normal refer­ence of PFTs among mongoloid and non mongoloid group of Dharan is not available. The aim of the study was to find out the normal reference val­ues of two groups in Dharan and also to find out the correlation of height, weight and body surface area with different PFT parameters.
Methods: This cross-sectional study was conducted among 250 (125 mongoloids and 125 non mongoloids) healthy male subjects. Convenient sampling technique was done. Every 5th patient attendant who was per­manent resident of Dharan coming to clinical Physiology lab was selected as subject in each group. Portable PFT machine (CHESTOGRAPH, HI-101 Spirometry system) was used for measurement of our test. The test was conducted according to European Respiratory Society (ERS)/American Thoracic Society (ATS criteria.
Results: Independent sample t-test was used to compare means be­tween two groups. There was significantly more height (165.30±8.21 vs 161.43±7.35), p <.05], weight [(59.29±11.64 vs 55.32±10.75), p<.05andbody surface area [(1.64±.172Vs1.57±.149), p<.05], in the non-mongoloid group compared to mongoloid group. PFT param­eters were also higher in non-mongoloid group VC [(3.3982±.70725 Vs3.0982±.78832) p<.05], FVC [(3.2798±.74312 Vs 2.988±.81970), p <.05], and FEV1 [(3.0668±.72044 Vs 2.7861±.83061) p<.05]. The prediction equations were also calculated for both groups.
Conclusions: There was difference in PFT parameters between two groups. Prediction equations were also different in both groups.
Le paradigme de l’absence dans l’œuvre de Jean Muno
Authors: Bizek-Tatara Renata 
Published: April 2019

In the works of Jeane Muno the absenteeism theme has got diffrent features and forms. Escape from grey and sad reality to world of imagination is the best way to deal with mental and physical absenteeism: weary figure is looking for loneliness away from his everyday reality. He wants to dream and reflect in peace and quite.
The absence has been showed as a lack, also has been presented in the perspective of ontological. Characters created by J. Muno have personality problems cause by time reality and society. Society determined who character should become. All efforts being yourself ends failure.
Muno in his works presents french speakers Belgians, called la belgitude. Heroes of Muno have problem with find them national identity, they suffer because of double culture. They are able to accept and take advantage of this situation.
Tom est mort/Mot est mort – l'impossibilité du langage dans le roman de Marie Darrieussecq
Authors: Kotowska Katarzyna 
Published: April 2019

An emptiness after one’s child death seems to be impossible to describe. In her novel Tom is dead, Marie Darrieussecq explores mother’s forbidden thoughts. She reconstructs her grieving process ten years after an accidental death of her four years old son. She starts to write a journal to finally deal with her trauma. Darrieussecq challenges the taboo or writing about things that words are almost impossible to express.
The significant thing is that the boy’s name “Tom”, is the anagram of “mot” which stands for “a word” in French. For that reason the death of Tom becomes the death of word. The analysis of the novel in the optic of psychoanalysis results in interesting conclusions, just likewise Marie Darrieussecq’s study in meta-literary context.
THE EFFECT OF LINE DRAWING IN TEACHING ENGLISH VOCABULARY AT THE SEVENTH GRADE STUDENTS OF SMPN 19 MATARAM IN ACADEMIC YEAR 2016/2017
Authors: Yulia Yulia 
Published: April 2019

Line drawing is the draw which can be made in the board directly in the classroom or it can be prepared in certain papers before entering the classroom. The aim of this research was to investigate the use of line drawing has an effect or not in teaching English vocabulary at the seventh-grade students of junior high school. The research was conducted the first semester at the seventh-grade students of SMP Negeri 19 Mataram. The population in this research was the seventh-grade students of SMP Negeri 19 Mataram, in which the total number of the class were five classes and in this research just conducted in two classes. The sampling technique was cluster sampling. The total numbers of the students as sample were 62 students from two classes and each class consist of 31 students. During the period of time, the experimental group was treated by using line drawing and the control group was treated without using line drawing. The result of the research reveals that the mean score of the experimental group is 24.6 and the control group is 12.9. In the other hand, the standard deviation of the experimental group is 2.8 > 1.5 under the identification of t-test formula. It is found that the value of it is 5.62 > 0.05% and 0.01% at the degree of freedom infinitive which is 1.67 and 2.39. From this point, it can be concluded that the alternative hypothesis is accepted or the line drawing has an effect in teaching English vocabulary at the seventh-grade students of SMPN 19 Mataram.
The Use of Picture in Teaching Degrees of Comparison
Authors: Lukman Lukman , Ilham Ilham 
Published: April 2019

The objective of this quantitative study is to investigate whether there any influence of using a picture in teaching degree of comparison or not and to know the students’ responses at the second year students of SMP Negeri 9 Mataram in academic year 2014/2015. The population of this study was taken from all the second year students. The writer chose two classes to compare by using the technique of taken sample “cluster random sampling.” The first class as the experimental class (A class) was taught by the degree of comparison through pictures. The second class as a control class ( B class) was taught without pictures. While 34 students of the experimental group and 34 students of the control group. This study used an experimental study with a quantitative method — the data collected procedure by test and questionnaire. The writer gave the pre_test, the treatment, the post_test, and the questionnaire. After collecting and calculating the data, the writer found out that the experimental class gains a high score than the control class. Based on the result, the means scores of A class was 25 while the B class was 16. Moreover it was found that the value of t_test was higher than t_table, where t_test 2, 5 ≤ t_table = 2, 0 (0, 5% or 95%). The finding showed that there any influence of using the picture in teaching comparison degrees. The picture increases students’ responses to learning degree of comparison the class and also given good influence concerning students’ skill in mastering the subject of comparison degrees. It showed by students’ responses of the data from the questionnaire that more than half of students answer yes with percentage was 73%. It means that the picture has a great contribution for students in learning comparison degrees. Therefore, it can be concluded that Ha is accepted and H0 is rejected.
The Use of Testing, Demonstrating, Practicing, and Revising (TDPR) Technique to Improve Students' Ability in Pronouncing Plosive Consonants
Authors: Rahmaniah Rima 
Published: April 2019

Testing, Demonstrating, Practicing and Revising (TDPR) technique is a technique which includes testing, demonstrating, practicing and revising activities to know and improve the students’ pronunciation ability. Deriving from the importance of pronunciation, the main purpose of the current study is to investigate the use of Testing, Demonstrating, Practicing and Revising (TDPR) technique to improve the students’ ability in pronouncing plosive consonants. Based on the purpose of the study, a series of classroom activities with TDPR technique was done. In gathering the data, the researcher applied a quasi-experimental research method. Pre-test and post-test were distributed to 72 students of SMKN 1 Praya Tengah. The result of the study has revealed that there was a significant difference between the mean of pre-test and the post-test, t-test 5.10 ˃ t-table 1.994, it means that the null hypothesis (Ho) is rejected meanwhile alternative hypothesis (Ha) is accepted. It proved that the TDPR technique can improve students’ ability in pronouncing plosive consonants.
Regulation of A375 melanoma cell adhesion and migration by EphB4 and EphrinB2 – insights from co-culture experiments
Authors: Neuber Christin , Laube Markus , Mamat Constantin , Belter Birgit , Pietzsch Jens 
Published: April 2019

BACKGROUND: Malignant melanoma is the most malignant skin neoplasm due to early metastasis and resistance to currently available therapies. Inflammatory tumor infiltrate, particularly macrophages, are of outstanding importance for melanoma progression and therapy response. EphB4 receptor and its preferred ligand EphrinB2 are also associated with melanoma progression, metastasis, and therapy resistance. OBJECTIVE: The aim of our study was to systematically investigate the role of EphB4 for melanoma cell adhesion and migration, also in the presence of macrophages, considering experimental i) EphB4 overexpression, ii) EphB4 activation, iii) inhibition of EphB4 and EphrinB2 interaction, and iv) inhibition of EphB4 and downstream signaling. RESULTS: Overexpression of EphB4 resulted in increased A375 melanoma cell adhesion showing EphrinB2 reverse signaling rather than EphB4 forward signaling being responsible. By contrast, A375 melanoma cell migration was not affected by EphB4 overexpression and effects due to modulation of EphB4/EphrinB2 signaling were inconsistent. In co-culture experiments macrophages (HL-60(M)) showed substantial influence on adhesion and migration of A375 cells. However, HL-60(M)-mediated effects could not be assigned to EphB4/EphrinB2 signaling, but rather to cytokine signaling pathways. CONCLUSIONS: Under the used experimental settings EphB4 is important for adhesion, but not for the migration of A375 melanoma cells. Macrophages influenced adhesion and migration of melanoma cells but without significant involvement of EphB4/EphrinB2 signaling.
Hubungan Karakteristik, Pengetahuan dan Keterampilan Hidup (Life Skill) Remaja tentang Perilaku Berpacaran
Authors: Lindawati Rizki Dwi , Rindu Rindu 
Published: April 2019

Pada masa remaja mereka akan mengalami masa yang penuh dengan perubahan, mereka harus dapat melewati masa transisi kehidupannya dengan baik dan tepat. Oleh sebab itu, agar remaja dapat melalui setiap transisi ini dengan baik salah satu syaratnya adalah memiliki keterampilan hidup (life skill). Keterampilan hidup (life skill) adalah kemampuan untuk berperilaku yang adaptif dan positif yang membuat seseorang dapat menyelesaikan kebutuhan dan tantangan sehari-hari dengan efektif. Tujuan penelitian ini adalah untuk mengetahui hubungan karakteristik, pengetahuan dan keterampilan hidup (life skill) remaja mengenai perilaku berpacaran pada mahasiswa jurusan psikologi di Universitas Gunadarma tahun 2015. Desain penelitian yang digunakan adalah kuantitatif dengan cross sectional, jumlah sampel pada penelitian ini adalah 30 responden. Hasil penelitian menunjukan bahwa pengalaman berpacaran, pekerjaan orang tua, dan pengetahuan responden memiliki hasil p-value lebih besar dari 0,05 memberikan arti bahwa terdapat hubungan yang bermakna dengan perilaku berpacaran, sedangkan untuk usia, jenis kelamin, dan keterampilan hidup (life skill) tidak terdapat hubungan bermakna dengan perilaku berpacaran. Berdasarkan hasil penelitian maka penulis menyarankan kepada Universitas Gunadarma untuk bekerja sama dengan badan kesehatan seperti PKPR (Badan Kesehatan Peduli Remaja) untuk mendapatkan penyuluhan atau pengetahuan tentang kesehatan reproduksi.
Kata kunci : Keterampilan Hidup (Life Skill), Pengetahuan, Perilaku Berpacaran
Pengetahuan, Sumber Informasi, Umur, Kepercayaan terhadap Perilaku Personal Hygiene pada Remaja Putri
Authors: Puspitasari Sinta , Fitria Yossi 
Published: April 2019

Kesehatan Reproduksi tidak lepas dari kesehatan di bidang kebidanan dan kandungan. Hingga saat ini masih banyak dijumpai penyakit- penyakit infeksi yang menggangu alat reproduksi (alat kelamin/ genetalia) wanita. Salah satu penyebabnya yaitu penanganan bagaimana cara menjaga personal hygiene dengan baik dan benar untuk dapat
menghindari bahaya infeksi alat reproduksi berdasarkan hasil studi pendahuluan di dapatkan hasil bahwa masih ada siswi yang belum memahami tentang personal hygiene yang benar serta pengetahuan mereka tentang personal hygiene yang masih rendah. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pengetahuan kesehatan reproduksi terhadap perilaku personal hygiene siswi SMAN 1 Megamendung. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Dengan populasi seluruh siswi kelas X dan XI di SMAN 1 Megamendung tahun 2017 yaitu sebanyak 124 orang. metode pengambilan sampel dengan teknik random sampling dengan menggunakan kriteria inklusi dan ekslusi. Berdasarkan hasil analisa univariat masih terdapat (61,3%) siswi yang memiliki pengetahuan rendah mengenai kesehatan reproduksi. Analisa bivariat menunjukkan bahwa perilaku personal hygiene dengan pengetahuan menunjukkan hubungan yang bermakna (0,001), sumber informasi (0,027), umur (0,009), dan kepercayaan (0,014). Hasil penelitian diharapkan dapat meningkatkan pengetahuan siswi SMAN 1 Megamendung dan dijadikan bahan masukan bagi peneliti selanjutnya, serta pembuatan kebijakan dengan pihak sekolah dalam perilaku personal hygiene. Penyuluhan secara berkala bagi siswi SMAN 1 Megamendung sebagai upaya pencegahan sehingga diharapkan masalah kesehatan reproduksi Indonesia dapat menurun.
Pengaruh Konsentrasi Klorin Terhadap Penurunan Kadar Amoniak (NH3) Pada Air Limbah Domestik
Authors: Maria Maria , Ahmad Affan 
Published: April 2019

Limbah rumah sakit merupakan salah satu sumber pencemaran air yang sangat potensial. Pengolahan limbah amoniak (NH3) perlu dilakukan dengan baik agar tidak mencemari lingkungan. Tujuan penelitian ini untuk mengetahui pengaruh konsentrasi klorin terhadap penurunan kadar kadar (NH3) pada air limbah domestik. Jenis penelitian ini adalah Quacy Exsperiment. Variabel bebas penelitian ini adalah konsentrasi klorin, variabel terikat adalah kadar amoniak, variabel control adalah volume limbah cair, kecepatan pengadukan, waktu pengadukan dan variabel pengganggu adalah pH dan suhu. Pengumpulan data dilakukan dengan pengukuran pH, suhu dan kadar amoniak sebelum dan sesudah perlakuan dengan klorin. Analisis yang digunakan uji paired t test dan uji Anova. Hasil uji paired t test menunjukkan ada pengaruh pemberian klorin terhadap penurunan kadar amoniak (NH3) pada air limbah domestik IPAL Kartika RSPAD Gatot Subroto, yaitu pada konsentrasi klorin 2,5 ml/l rata-rata kadar amoniak 14,72 mg/l, pada konsentrasi klorin 5 ml/l rata-rata kadar amoniak 12,92 mg/l, dan pada konsentrasi klorin 7,5ml/l rata-rata kadar amoniak 11,16 mg/l. Uji Anova menunjukkan nilai signifikan 0,000 yang berarti ada pengaruh pemberian klorin terhadap penurunan kadar amoniak. Peneliti menyarankan pihak rumah sakit dapat menggunakan klorin sebagai salah satu cara untuk menurunkan kadar NH3.
Pengaruh Tindakan Penghisapan Lendir (Suction) terhadap Perubahan Kadar Saturasi Oksigen pada Pasien kritis di ICU
Authors: Septimar Zahrah Maulidia 
Published: April 2019

Salah satu kondisi yang dapat menyebabkan gagal napas adalah obstruksi jalan napas, termasuk obstruksi pada Endotracheal Tube (ETT). Penanganan untuk obstruksi jalan napas akibat akumulasi sekresi pada Endotracheal Tube (ETT) pada pasien kritis adalah dengan melakukan tindakan penghisapan lendir (suction) dengan memasukkan selang catheter suction melalui hidung/mulut/Endotracheal Tube (ETT) yang bertujuan untuk membebaskan jalan napas, mengurangi retensi sputum dan mencegah infeksi paru. Metode Penelitian yang digunakan adalah desain penelitian pra pasca test (one group pra – post test design). Teknik sampel yang digunakan peneliti adalah teknik total sampling dengan jumlah sampel sebanyak 40 responden. Teknik analisis data menggunakan analisis univariat dan analisis bivariat. Berdasarkan hasil penelitian diketahui bahwa nilai p value sebesar 0,000 (< 0,05), maka dapat disimpulkan bahwa Ho ditolak, yang berarti terdapat pengaruh antara tindakan suction dengan kadar saturasi oksigen pasien yang dirawat di ruang ICU RS An-Nisa Tangerang. Kesimpulan penelitian ini adalah terdapat pengaruh antara tindakan suction dengan kadar saturasi oksigen pasien yang dirawat di ruang ICU RS An- Nisa Tangerang.
Faktor-Faktor yang Berhubungan dengan Kepatuhan Berobat Jalan Pasien Diabetes Mellitus Tipe II
Authors: Lenny Lenny , Fridalina Fridalina 
Published: April 2019

Penyakit DM merupakan ancaman kesehatan masyarakat secara global, dimana sekitar 90% dari semua pasien yang menderita DM di seluruh dunia adalah DM tipe II. Hasil survei awal yang dilakukan di RSU Kabanjahe mengenai data pasien yang menderita DM Tipe IIpada tahun 2016 penderita DM tipe II sebanyak 426 orang, dan melakukan berobat jalan sebanyak 382 orang. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kepatuhan berobat.Jenis penelitian adalah survei analitik dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh pasien DM tipe II di RSU Kabanjahe Januari – Desember 2016 sebanyak 382 orang, dengan jumlah sampel sebanyak 92 orang (accidental sampling). Analisis data menggunakan uji chi square. Hasil penelitian menunjukkan tidak terdapat hubungan pekerjaan (p=0,741), lama menderita (p=0,299), motivasi berobat (p=0,333), keterjangkauan pelayanan kesehatan (p=1,000), keikutsertaan askes (p=0,515), dukungan keluarga (p=0,254), peran tenaga kesehatan (p=0,880) dengan kepatuhan berobat jalan. Namun pengetahuan (p=033) berpengaruh signifikan dan merupakan faktor yang dominan berhubungan dengan kepatuhan berobat jalan pasien DM II di RSU Kabanjahe 2017 dengan nilai Exp B = 0,330. Dengan demikian diharapkan bagi masyarakat yang menderita penyakit DM Tipe II agar memeriksakan diri dan melakukan pengobatan secara teratur untuk meningkatkan kesehatannya dan peran petugas dan pihak RSU Kabanjahe dapat mengajak masyarakat melalui upaya promotif, preventif, kuratif dan rehabilitatif agar dapat meningkatkan kualitas hidup pasien, terutama dalam upaya peningkatan kualitas hidup masyarakat.
Hubungan Pengetahuan, Sarana, dan Sosial Ekonomi dengan Kebiasaan Buang Air Besar Sembarangan (BABS) pada Masyarakat
Authors: Nina Nina 
Published: April 2019

Perilaku buang air besar sembarangan (BABS) termasuk salah satu contoh yang tidak sehat, sebagai upaya untuk merubah perilaku buang air besar yang masih belum memenuhi syarat kesehatan diperlukan berbagai strategi yang salah satunya adalah melalui penyuluhan. Puskesmas sebagai ujung tombak pelayanan kesehatan masyarakat harus melaksanakan pemberdayaan kepada masyarakat untuk mencegah penyakit dan meningkatkan kesehatan setiap individu, keluarga, dan lingkungan secara mandiri. Penelitian ini bertujuan untuk mengetahui hubungan antara buang air besar sembarangan (BABS) dengan pengetahuan, sarana, dan sosial ekonomi di Desa Tugu Utara Dusun Rawa Gede Kecamatan Cisarua Kabupaten Bogor. Penelitian ini menggunakan metode kuantitatif deskriptif dengan desain Cross Sectional berdasarkan perhitungan besar sampel, maka besar sampel minimal yang dibutuhkan adalah 98 responden. Teknik pengambilan sampel menggunakan Accidental Sampling. Analisis menggunakan Chi-Square menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan P=0,026; OR=0,382, sarana P=0,025; OR=384, sosial ekonomi P=0,004; OR=3,735 dengan perilaku buang air besar sembarangan. Salah satu strategi untuk menyelesaikan masalah buang air besar sembarangan (BABS) adalah open defecation free (ODF) atau stop buang air besar sembarangan (stop BABS). Melihat keterbatasan di Desa TuguUtara Dusun Rawa Gede dibutuhkan sistem gotong royong dari setiap aspek pembangunan di Desa. Mengubah kesadaran masyarakat dengan cara menjelasakan bagaimana akibat dari buang air besar sembarangan (BABS).