bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intramedullary epinephrine and surgical hole on femoral cortex before intramedullary K-wire and bone cement insertion resulting in lower amount of PMMA (polymethyl methacrylate) particles on rabbitâ€™s myocardium
Authors: Sanjaya Putu Agung Wirahadi , Suyasa I Ketut , Kawiyana IK Siki 
Published: January 2019

Background: Cemented hip arthroplasty can result in devastating complication such as Bone Cement Implantation Syndrome (BCIS). BCIS consists of decreased blood pressure, decreased heart rate, a decrease of consciousness, and sudden death. This devastating condition caused by systemic circulation of polymethyl methacrylate (PMMA). Decrease heart rate caused byÂ PMMA reaction with the heart muscle. PMMA reach heart muscle due to the increased intramedullary pressure and the opening of the intramedullary blood vessel during cementation. Aim: The purpose of this study is to prove that intramedullary epinephrine and femoral hole before the insertion of bone cement and K-wire result in the lower amount of PMMA in rabbitâ€™s myocardium. Methods This research is conducted as experimental research with post-test only control group design with the subject rabbits. A total of 28 research subjects who met the inclusion criteria of the study were randomly divided into treatment and control groups. The control group did not receive epinephrine and femoral hole treatment. Treatment group 1 received epinephrine intramedullary only, treatment group 2 received femoral hole only, and treatment group 3 received intramedullary epinephrine and femoral hole. Results: Statistical analysis using parametric tests one-way ANOVA found a significant difference between treatment and control groups on the amount of rabbitâ€™s heart muscle. The amount of PMMA particle in all treatment groups are lower than the control group with a p-value of 0.000 (p<0.05). The amount of PMMA particle in treatment group 3 (received epinephrine and femoral hole) is lower than the control group with a p-value of 0.000 (p<0.05). Conclusion: The conclusion of this research is intramedullary epinephrine and femoral hole making before the insertion of bone cement and K-wire result in the lower amount of PMMA particle in rabbitâ€™s myocardiumÂ
Analysis of Intracranial Aneurysm Detection using Time-based Parametric Color-Coded Cerebral Angiogram Vs. Conventional Digital Subtraction Angiography
Authors: Adam Achmad , Faried Ahmad , Hadisaputra Wargian , Hermanto Beni Rio , Arifin Muhammad Zafrullah 
Published: January 2019

Introduction: The worldwide prevalence of intracranial aneurysms is estimated to be 5-10%; approximately 10-12 million people are affected by intracranial aneurysms in the United States (US), and they are considered a major problem in public health.The manual interpretation of intracranial aneurysms based on visual examinations and direct observation of medical imaging techniques such as computed tomography (CT) scans, magnetic resonance imaging (MRI), or any of the digital subtraction angiography (DSA), are still presented in monochrome form, and it takes time to interpret the medical images.Methods: Alternative methods are in development that would allow for detection of intracranial aneurysms using open source MATLAB software. This method is a way to observe the aneurysm using the 2 dimensional (2D) DSA data based on the calculations of time to peak (TTP) and time duration (TD) of the contrast agent flow in the blood vessel in order to capture the aneurysm and visualize it using a color system based on a specific index.Results: In this study, the color changes of the DSA data that were processed using open source MATLAB software were found in 24 cases (88.9%) and only 3 cases (11.1%) did not show any color changes. Based on Spearman's correlation test, there was a significant correlation between the size of the high dome, dome-neck ratio, and the aspect ratio (p <0.01) on the color changes of data that were processed using DSA MATLAB software.Conclusion: The modification methods that capture color changes in different blood vessels are expected to be able to assist clinicians in the detection of intracranial aneurysms more quickly and precisely and are also highly dependent on the subjectivity of the observer; this method is a way to help neurosurgeons come up with new approaches for the management of aneurysms. Key Words: Intracranial aneurysm, DSA, MATLAB software, color changes
Microstructural aspect of pineal body: pinealocytes population
Authors: Wirata Gede , Santoso Putu Nia Calista , Dewantari Putu Ayu Utami 
Published: January 2019

Background:Â Pineal tissue was compound with 2 types of cell known as pinealocytes and astrocyte cell. Furthermore, microanatomical research of pineal body is a rare procedure conducted for several years even in Indonesia, and its anatomical aspect needs to be explained. Â Aim: enrich the scope of knowledge related to mammalian pineal within the pineal body. Methods: 3 Wistar rats (Rattus novergicus), especially their pineal tissue, was extracted by pinealectomy method as a histotechnical procedure in a laboratory setting was prepared. Result: Pinealocytes characteristic are basophilic, large, regularly nucleus and a lot of mitochondria. On the other side, astrocyte has longer cytoplasmic processus found around the perivascular area and among the pinealocytes one. Conclusion: The quantities of pinealocytes appear as a most dominant cell that fills the inner part of the pineal body and probable to synchronize the production of melatonin and entirely supported by their neighbor, astrocyte cells.Â Keywords: histotechnical method, pinealectomy, epiphysis
Sexual violence among females who reports to Sanglah Hospital from January 2014 until October 2015
Authors: Raja Tharsini , Alit Ida Bagus Putu 
Published: January 2019

Background: Sexual violence usually involving sexual intercourse or other forms of sexual penetration perpetrated against a person without that person's consent. Available data suggest that in some countries nearly one in four women may experience sexual violence by an intimate partner, and up to one-third of adolescent girls report their first sexual experience as being forced.Methods: This descriptive cross-sectional study was conducted at Forensic Department of Sanglah General Hospital, Denpasar, Bali between July 2015 â€“ November 2015.Â A total of 44 women who came to Sanglah General Hospital with complain of sexual violence between January 2014 â€“ October 2015 were involved in the study.Results: The highest incidence of sexual violence in women who reports to Sanglah General Hospital are within the age range of 20-29 years old (36%). The majority of sexual violence in this study were commited by someone known by the victim, namely victimâ€™s boyfriend (41%), followed by their husband (18%), ex-husband (5%) and second husband (5%). Â Most of the victims did not resist during the sexual violence (80%) and had history of previous sexual relationship (86%).Conclusion: Signs of vaginal penetration were found in all of the victims. Most of the victims reported painful intercourse as a result of the violence, and presented with stable emotional state.Â Â
The accuracy of automated oscillometry compared to manual doppler in measuring ankle brachial index in suspected peripheral arterial disease patients: a systematic review
Authors: Putra Achmad Ismail Sampurna 
Published: January 2019

Background: Golden standard to diagnose Peripheral Artery Disease (PAD) is angiography. A more common and practical alternative technique is by calculating Ankle Brachial Index (ABI) using Oscillometry as systolic blood pressure measurement. Though, its accuracy remains obscure.Methods: A systematic search was performed using PubMed and Google Scholar database.Â There were 11 articles were found after reviewed for the title and abstract by inclusion and exclusion criteria. However, only 6 articles were relevant and used by the authors.Results: Based on the six journals appraised, the sensitivity of automated oscillometry in detecting PAD (ABI <0.9) ranged from 0.4-0.7. The specificity, however, showed better result around 0.75-1. It shows that those patients who scored negative for PAD with oscillometry are not likely to have the disease. Automated oscillometry in studies appraised was also seen to have moderate positive and negative predictive value, which may indicate the possibility of this simpler diagnostic tool to be used to screen PAD. Most of the studies demonstrated good likelihood ratio for oscillometry, which even adds more power to oscillometry as a PAD diagnostic tool.Conclusion: Automated oscillometry was comparable with manual Doppler due to its high specificity. Several advantages were identified such as; oscillometry required less reliant on the specialized skills, commonly available, reliable, and simple to use which can be performed by primary care physicians even in their primitive set up. Thus, the oscillometric method can be utilized as an alternative in diagnosing patients suspected with PAD.
Gambaran evaluasi tingkat nyeri pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi di Rumah Sakit Umum Pusat Sanglah Denpasar tahun 2016
Authors: Diantari Dewa Ayu Wahyu , Wiguna IGL Ngr Agung Artha , Niryana I Wayan 
Published: January 2019

Radang pada usus buntu merupakan peradangan dari apendiks vermiformis. Pasien pasca operasi radang usus buntu yang ditangani dengan bedah terbuka atau laparoskopi akan merasakan suatu sensasi nyeri dari tindakan pembedahan yang dilakukan. Tujuan: Mengetahui gambaran evaluasi tingkat nyeri secara umum dan berdasarkan karakteristik data sampel. Metode: Penelitian ini menggunakan desain retrospektif observasional. Sampel ialah pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi di Rumah Sakit Umum Pusat Sanglah Denpasar dari tahun 2016 dari hari pertama hingga hari ketiga pasca operasi. Pengambilan data menggunakan data sekunder, meliputi: skor VAS (visual analog scale) yang telah tertera pada rekam medis pasien. Tingkat nyeri dilihat dari hari pertama hingga hari ketiga pasien pasca operasi radang usus buntu dengan bedah terbuka dan laparoskopi. Hasil: Terdapat sebanyak 44 orang pasien bedah terbuka memberikan gambaran tingkat nyeri yang terdata pada hari pertama 75% nyeri ringan dan 25% nyeri sedang, hari kedua 2,3% tanpa nyeri, 86,4% nyeri sedang, dan 11,4 nyeri berat, serta pada hari ketiga 9,1% tanpa nyeri, 88,6 nyeri ringan, 2,3% nyeri sedang. Terdapat pula 6 orang pasien dengan laparoskopi yang terdata pada hari pertama 50% tanpa nyeri danÂ 50% nyeri ringan, pada hari kedua 66,7% tanpa nyeri dan 33,3% nyeri ringan, serta pada hari ketiga 83,3% tanpa nyeri dan 16,7% nyeri ringan. Simpulan: Gambaran evaluasi tingkat nyeri pasien pasca operasi radang usus buntu dengan bedah terbuka adalah nyeri ringan, sedangkan untuk laparoskopi adalah tanpa nyeri.Â
Gambaran pengetahuan, sikap, dan praktik ibu balita terhadap penatalaksanaan diare pada anak balita di wilayah kerja Puskesmas Abang 1
Authors: Suryapramita Dusak Made Rahayu , Sukmayani Yetty , Apriliana Hardika Stephanie , Ariastuti Luh Putu 
Published: January 2019

Latar Belakang: Diare merupakan salah satu permasalahan kesehatan dunia yang menjadi penyebab utama kedua kematian anak dibawah lima tahun. Diare dan gastroenteritis dengan penyebab infeksi juga ditemukan masih termasuk ke dalam 10 besar penyakit dengan kunjungan terbanyak di Puskesmas Abang I, Karangasem. Edukasi kesehatan mengenai diare pada balita serta penanganannya penting untuk keefektifan penatalaksanaan kasus diare. Berdasarkan survei singkat yang dilakukan pada 10 orang ibu balita terkait dengan penanganan diare di rumah didapatkan bahwa sebagian besar (70%) ibu balita memberikan penanganan yang kurang tepat. Hal ini menunjukkan kecenderungan perilaku yang kurang tepat dalam penatalaksanaan diare di rumah.Metode: Â Penelitian ini merupakan studi deskriptif cross sectional dengan melibatkan 62 subjek penelitian yang merupakan ibu balita di wilayah kerja Puskesmas Abang I. Penelitian ini dilakukan bertujuan untuk mengetahui gambaran pengetahuan, sikap, dan praktik ibu balita dalam penatalaksanaan diare pada anak balita di wilayah kerja Puskesmas Abang I. Penelitian ini menggunakan metode purposive sampling untuk memilih tiga desa yang berada di wilayah kerja Puskesmas Abang I dan pengambilan sampel dilakukan dengan snowballing method. Cara pengumpulan data pada penelitian ini dengan melakukan wawancara berbasis kuesioner.Hasil: Pada penelitian ini didapatkan gambaran pengetahuan mengenai diare pada balita mayoritas dalam kategori kurang (91,9%).Simpulan: ibu balita memiliki pengetahuan kurang terkait penatalaksanaan diare pada balita, dimana sebagian besar ibu balita masih merespon negatif dalam penanganan awal saat anak mengalami buang air besar lebih encer dari biasanya serta penanganan diare cukup dengan oralit saja. Selain itu, sebagian besar ibu balita juga masih memiliki praktik yang kurang tepat terkait penggunaan obat tradisional dan pemberian teh manis pada balita dengan diare.
Pengaruh personal hygiene terhadap timbulnya akne vulgaris pada mahasiswa Program Studi Pendidikan Dokter angkatan 2014 di Fakultas Kedokteran Universitas Udayana
Authors: Putra I Putu Indra Ardhiyana , Winaya Ketut Kwartantaya 
Published: January 2019

Latar Belakang: Akne vulgaris (AV) merupakan penyakit kulit yang meradang berasal dari folikel pilosebasea. Ada beberapa Faktor yang mempengaruhi terjadinya akne vulgaris antara lain terdapat peningkatan produksi sebum, penyumbatan folikel pilosebasea, peningkatan kolonisasi bakteri Propionibacterium acnes. Personal hygiene dapat berpengaruh terhadap timbulnya keluhan penyakit kulit seperti personal hygiene. Kebersihan yang baik adalah kebersihan yang menghilangkan kelebihan sebum tanpa merusak lipid pelindung kulit, dan menghilangkan bakteri dari permukaan kulit. Kebanyakan remaja khususnya pelajar SMA seringkali mengabaikan tentang pentingnya menjaga kebersihan wajah mereka. Penelitian ini bertujuan mengetahui hubungan antara personal hygiene terhadap keluhan acne vulgaris. Â Metode: Penelitian ini merupakan jenis penelitian crossectional analitik untuk mencari hubungan antara personal hygiene dengan acne vulgaris. Data dari penelitian ini menggunakan data primer yang didapat dari hasil kuisionerÂ Dengan jumlah sampel sebanyakÂ 43. Sampel penelitian adalah mahasiswa program studi pendidikan dokter angkatan 2014 di Fakultas Kedokteran Universitas Udayana.Hasil: Berdasarkan hasil uji chi square antara tingkat personal hygiene dan kejadian akne vulgaris menunjukkan hasil yang signifikan (p=0,020) sehingga terdapat hubungan yang signifikan antara tingkat personal hygieneÂ dengan kejadian akne vulgaris.Simpulan: Dapat disimpulkan bahwa Mahasiswa yang memiliki tingkat personal hygiene buruk lebih banyak mengalami acne vulgaris. Terdapat hubungan yang signifikan antara menjaga personal hygiene dengan timbulnya akne vulgaris (p=0,020).Â Â
Efektifitas ekstrak lidah buaya terhadap jumlah sel fibroblast pada proses penyembuhan luka incisi marmut
Authors: Dewi Putu Sulistiawati 
Published: January 2019

Latar belakang : Proses pembedahan seringkali melibatkan tindakan insisi yang dapat menyebabkan kerusakan jaringan, dimana kerusakan jaringan ini akan menstimulasi terjadinya proses pemulihan atau yang biasa disebut dengan proses penyembuhan luka. Penyembuhan luka merupakan proses yang dinamis dan terdiri dari fase inflamasi, fase proliferasi dan fase maturasi. Sel fibroblas mulai muncul pada fase proliferasi. Salah satu tanaman herbalÂ yang berperan dalam penyembuhan luka adalah lidah buaya yang berkhasiat membantu proses regenerasi sel, anti bakteri, anti jamur dan anti inflamasi Tujuan : Penelitian ini dilakukan untuk mengetahui efektifitas ekstrak lidah buaya terhadap jumlah sel fibroblas dalam proses penyembuhan luka insisi pada hewan marmut. Metode : Penelitian ini menggunakan 9 ekor marmut jantan dewasa berumur 5-6 bulan dengan berat sekitar 700-800 gram. Dua buah luka insisi dibuat pada punggung masing-masing marmut dengan panjang insisi kurang lebih 1,5 cm, kedalaman 2 mm dan dengan jarak antar insisi kurang lebih 3 cm, insisi dibuat vertikal pada daerah punggung marmut. Luka insisi pertama kemudian diberi perlakuan dengan ekstrak lidah buaya 75% sebagai kelompok uji, sedangkan luka insisi kedua diberi aquades sebagai kelompok kontrol. Perlakuan diberikan selama 4 hari, pada hari ke-5 semua hewan uji didekapitasi dan dilakukan pemeriksaan histologi untuk menghitung jumlah sel fibroblas kemudian dianalisis menggunakan uji Independent t-test. Hasil penelitian : terdapat perbedaan yang signifikan antara jumlah sel fibroblas kelompok uji dengan jumlah sel fibroblas kelompok kontrol (sig < 0,05). Kesimpulan : pemberian ekstrak lidah buaya 75% dapat meningkatkan jumlah sel fibroblas dalam proses penyembuhan luka insisi pada marmut.
Pengaruh suhu penyimpanan terhadap kedalaman pengerasan dan kekuatan resin komposit
Authors: Harahap Kholidina Imanda 
Published: January 2019

Introduction: Temperature plays a role in polymerization process of composite resin. Depth of cure is often used as a marker of polymerization adequacy in composite resins. Adequate polymerization will increase the mechanical properties of composite resin. The aim of this study was to evaluate the effect of storage temperature on depth of cure and compressive strength of composite resin.Â Method: Samples were made from nanofiller composite resin (Filtek Z350 XT,3M,ESPE,USA) after the materials were stored at 4Â°C and 24Â°C for two weeks. Twenty samples of nanofiller composite resins for each test group were prepared using metal mould with 6 mm in diameter and 4 mm thick.Â Samples were cured under visible blue light for 20 second. The polymerized composite resin was measured for determining the depth of cure. Compressive strength of samples was tested by using Universal Testing Machine.Â Result: The results showed that depth of cure value of 24Â°C (3.90 Â± 0.07 mm) was higher than 4Â°C (3.83 Â± 0.17 mm) and compressive strength of 24Â°C (35.20 Â± 4.63 MPa) was higher than 4Â°C (26.47 Â± 3.13 MPa). Statistical analysis showed that depth of cure were no siginificant differences (p > 0.05) but in compressive strength were significant differences between test groups (p < 0.05).Â Conclusion: Storage temperature can affect the depth of cure and compressive strength of composite resin, although no significant difference on the depth of cure.
Assessing institutional empathy in medical settings
Authors: Atkins Sarah , Roberts Celia 
Published: January 2019

The use of role-play in standardised medical assessments raises many problems, particularly around the measurement of interpersonal skills such as ‘empathy’. Research on the use of simulations has tended to focus on quantified, psychometric assessments of their reliability and validity. However, communication, which often forms a central part of the assessment in medical simulations, is a difficult matter to address through this post hoc analytic method. A sociolinguistic approach to analysing real recordings of simulated medical assessments allows greater insight into communication and interpersonal skills. We use our research on medical licensing exams to illustrate some of the current questions about the examining of such skills through understanding the fine-grained detail of talk. Drawing on Goffman to critique simulated relationships and on Gumperz to analyse the role of differences in communicative style, and based on microanalysis of video-recorded role-players and candidates, we argue that the focus on interpersonal skills in standardised assessments amplifies the problem of using simulated empathy and requires additional interactional work. This focus on interpersonal skills in such assessments can lead to inequalities, since an unfair weight may be put upon candidates trained overseas. The paper concludes that the debate on ‘language’ in such exams and their standardisation in superdiverse societies needs to be reset. CC-BY - This work is licensed under https://creativecommons.org/licenses/by/4.0/
As imagens do saber no prólogo (v. 1-32) do poema Da natureza, de Parmênides
Authors: De Souza Nogueira Ricardo 
Published: January 2019

Este artigo apresenta uma proposta de análise da maneira como quatro imagens referentes ao conhecimento são construídas no Prólogo, fragmento 1 (v. 1-32), do poema de Parmênides intitulado Da Natureza. O trabalho contém ainda uma tradução desse texto, com base na manutenção dessas mesmas imagens. A análise pretendida fundamentou-se na utilização dos conceitos de imagem, metáfora e alegoria, amparados por ferramentas próprias da análise do discurso.
Onde começam e onde terminam os deuses?: “o alfa e o ômega” mediterrânico e as interações culturais helenísticas
Authors: Chevitarese André 
Published: January 2019

O artigo tem por objetivo discutir as origens do modelo “alfa/ômega” presenteno livro Apocalipse, considerando seu ambiente originário e suas recepções até otempo presente. O trabalho parte do modelo “alfa/ômega” amplamente disseminado, até hoje, nas experiências religiosas de caráter cristão por meio de diferentes tipos de suportes materiais e textuais até sua origem na Bacia Mediterrânica helenizada nos primeiros séculos da Era Comum. Por meio de indícios documentais de diferentes naturezas, explica como asorigens cristãs sempre foram plurais e dialogaram intensamente com as demaisexperiências religiosas com as quais conviveu e interagiu. Por fim, tendo em vista que nenhuma experiência religiosa nasce sagrada, conclui que a audiência mediterrânica estava familiarizada com divindades intituladas como “alfa/ômega”, portanto, muito antes de ser inédita, a divindade cristã foi percebida em suas origens como muito semelhante às demais de sua cultura originária.
A Arte Geométrica grega: considerações sobre a análise dos motivos figurados do repertório iconográfico geométrico argivo (c. 900 a 700 a.C.)
Authors: De Souza Camila Diogo 
Published: January 2019

A análise do repertório iconográfico da produção cerâmica argiva do Período Geométrico na Grécia (c. 900 a 700 a.C.) revela sua originalidade, especificidade e autonomia e fornece elementos e indícios para a compreensão das relações entre a arte e a sociedade, principalmente no que diz respeito aos pressupostos e características da Arte Geométrica. Neste breve artigo, focaremos nossa abordagem e perspectiva de análise em determinados motivos figurados peculiares das composições iconográficas argivas por meio da técnica aplicada e do desenvolvimento estilístico dos mesmos durante o PeríodoGeométrico. Este pequeno recorte de estudo visa refletir e compreender como tais elementos estão engendrados por modificações sociais, culturais e políticas características do final deste período com o processo de emergência e formação da pólis argiva e permite, ainda, levantar questões sobre a importância da produção geométrica argiva na Arte Geométrica grega.
As redes sociais construídas pelos esparciatas na sissítia, do período clássico
Authors: Bantim de Assumpção Luis Felipe 
Published: January 2019

Ao interagirmos com a documentação literária da Antiguidade notamos que a pólis de Esparta foi representada como um referencial de equilíbrio, igualdade e coesão político-social. Nesse contexto, autores como Heródoto, Xenofonte e Plutarco destacaram que esta peculiaridade espartana teria sido o resultado dos esforços de seu mítico legislador, Licurgo. Para tanto, Licurgo teria estabelecido que os jovens aprendessem a se comportar como cidadãos (esparciata) aoobservarem a conduta dos homens adultos durante as sissítia (sing. sissition). Todavia, esta teria sido uma representação promovida pelos autores clássicos, de tal maneira que Esparta fosse tomada como um modelo de conduta político-social. Dessa maneira, objetivamos lançar um olhar alternativo a percepção historiográfica comum sobre as sissítia. Sendo assim, tomaremos o sissition como um ambiente de interação política, onde o esparciata construía e fortalecia as suas redes sociais, no intuito de obter benefícios e se diferenciarem no interior de sua pólis.