bluuebunny/crossref_metadata_2025_split huggingface dataset:
High Triglyceride/HDL Cholesterol Ratio is Associated with Silent Brain Infarcts in a Healthy Population
Authors: Nam Ki-Woong , Kwon Hyung-Min , Jeong Han-Yeong , Park Jin-Ho , Kwon Hyuktae , Jeong Su-Min 
Published: May 2019

Abstract
Background: Triglycerides (TG)/high-density lipoprotein (HDL) cholesterol ratio is a marker of small/dense low-density lipoprotein particles, which are closely associated with various metabolic and vascular diseases. However, the role of TG/HDL cholesterol ratio in cerebrovascular diseases has not been well studied. In this study, we evaluated the relationship between TG/HDL cholesterol ratio and the presence of silent brain infarct (SBI) in a neurologically healthy population. Methods: We retrospectively evaluated consecutive participants in health check-ups between January 2006 and December 2013. SBI was defined as an asymptomatic, well-defined lesion with a diameter of ≥ 3 mm on T1- or T2-weighted images. TG/HDL cholesterol ratio was calculated after dividing absolute TG levels by absolute HDL cholesterol levels. Results: Of 3,172 healthy participants, 263 (8.3%) had SBI lesions. In multivariate analysis, TG/HDL cholesterol ratio was independently associated with SBI (adjusted odds ratio [aOR] = 1.17, 95% confidence interval [CI] = 1.04 to 1.32, P = 0.012). This association was prominent in males (aOR = 1.20, 95% CI = 1.04 to 1.40, P = 0.015), but not in females. Other lipid parameters, such as HDL cholesterol (aOR = 0.87, 95% CI = 0.75 to 1.00, P = 0.042), TG (aOR = 1.15, 95% CI = 1.02 to 1.31, P = 0.02), and total cholesterol/TG ratio (aOR = 0.86, 95% CI = 0.75 to 1.00, P = 0.043) also showed significant relationships with SBI, when they were respectively adjusted for confounders. In the analyses of the relationships between lipid parameters and SBI lesion burden, TG/HDL cholesterol ratio was positively correlated, and total cholesterol/TG ratio was negatively correlated with SBI lesion burden, in dose-response manners (P for trend = 0.015 and 0.002, respectively). Conclusions: The TG/HDL cholesterol ratio was positively associated with the prevalence of SBI in a neurologically healthy population.
Modelling biofilm anaerobic reactor with effluent from hydrolytic/acidogenic reactor as substrate
Authors: Mendoza Marisol Vergara , Sáez Rodrigo Torres 
Published: May 2019

Abstract
This work presents modelling of an anaerobic biofilm reactor using ceramic bricks as support. The results were compared with the experimental data. It was observed that the substrate concentration curves showed the same tendency. The methane formation curves showed significant differences. The substrate removal efficiency was 83%. In the steady state, the experimental data were higher than the model, from the result the substrate degrading bacteria grew enough to reach biofilm and that the effect of the shear stress was more significant as the biofilm increased in thickness. To the methane production, the model in steady state reached a maximum value of 0.56 m3 CH4/m3 *d and the experimental data reached 0.42 (m3 CH4/m3 * d). The biofilm thickness calculated by the model was 14 μm.
Fate of two strains of extended-spectrum beta-lactamase producing Escherichia coli in constructed wetland microcosm sediments: survival and change in antibiotic resistance profiles
Authors: Vivant Anne-Laure , Boutin Catherine , Prost-Boucle Stéphanie , Papias Sandrine , Ziebal Christine , Pourcher Anne-Marie 
Published: May 2019

Abstract
Free water surface constructed wetlands (FWS CW) are efficient technologies to limit the transfer of antibiotic resistant bacteria (ARB) originating from urban effluents into the aquatic environment. However, the decrease in ARB from inflow to outflow through the FWS CW may be explained by their transfer from the water body to the sediment. To investigate the behavior of ARB in the sediment of a FWS CW, we inoculated three microcosms with two strains of extended-spectrum beta-lactamase producing Escherichia coli (ESBL E. coli) belonging to two genotypes. Microcosms were composed of two sediments collected at two locations of an FWS CW from which the strains were isolated. Phragmites were planted in one of the microcosms. The survival curves of the two strains were close regardless of the genotype and the type of sediment. After a rapid decline, both strains were able to survive at low level in the sediments for 50 days. Their fate was not affected by the presence of phragmites. Changes in the bla content and antibiotic resistance of the inoculated strains were observed after three weeks of incubation, indicating that FWS CW sediments are favorable environments for spread of antibiotic resistance genes and for the acquisition of new antibiotic resistance.
The Progressive Muscle Relaxation and Deep Breathing as Effective Procedures in Reducing the Stress Levels on Older People
Authors: Erwanto Rizky , Asmarani Fajarina Lathu 
Published: May 2019

<p><em>The world population and proportion of elderly people at present are increasing. The increasing population of the elderly people needs special attention because elderly people included in the group of a population at risk. A population at risk is the group with certain characteristics that able to generate health issues. The changes in physical capability are able to influence the entire body’s functions and capabilities. One of the occurring changes is the aging process embodied as psychosocial changes. The psychosocial changes also able to induce a stress in elderly people. One of the complementary and alternative nursing management is through the therapies of a progressive muscle relaxation and a deep breathing. Progressive muscle relaxation and deep breathing do not cause side effects, do not require additional cost, and can be performed individually as well as do not require routine training from the instructor, able to reduce the heart rate and able to relax the body. These interventions can be done by nurses or caregivers in service institutions or nursing home which performed in accordance with the determined SOP (Standard Operational Procedure). This research is aimed to determine the effectiveness of progressive muscle relaxation and deep breathing to reduce the stress on elderly people in the Hanna Nursing Home Yogyakarta. There were 40 elderly people who live in Hanna Nursing Home involved in this study. This research method was a Quasi Experimental design with pre and post test without control group design. The sample tehcnique in this study was quota sampling which considers either inclusive or exclusive criteria. The instrument of the study was DASS instrument to measure the stress levels of elderly people. The measurement results of the stress function of elderly people through the utilization of DASS show that there was a decline of mean value in about 4.4 points. From the paired t-test, 0.000 p-values were acquired. The results of the bivariate test by using the DASS instrument showed that the interventions of progressive muscle relaxation and deep breathing in reducing the stress of elderly people in Hanna Nursing Home Yogyakarta were effective. </em><em></em></p><p> </p><p><strong>Keywords</strong>:<em> the progressive muscle relaxation, deep breathing, stress, elderly people</em></p>
The relationship of pregnant women knowledge About iron deficiency Anemia and the role of family In Compliance in consuming Fe tablets in health center
Authors: Yadi Hary , Jasda Asmarita 
Published: May 2019

<p>Pregnancy leads to increased energy metabolism, hence the need for energy and other nutrients increases during pregnancy. Increased energy and nutrients are needed for growth and development of the fetus, the increase in the amount of the uterus, changes in the composition and metabolism of the mother's body. If levels of iron in the body of pregnant women is less, then there will be a condition called anemia. That's because iron is an essential microelement for the body. This substance is especially needed in hemopoiesis (blood formation), ie in the synthesis of hemoglobin. The purpose of this study was to determine Knowledge of Pregnant Women About Iron Deficiency Anemia and Family Role With Compliance In Consuming Iron Tablet in health center . This study was a quantitative research, analytical, with cross sectional study subjects all mothers who have antenatal and get a tablet Fe in Tanjungpinang health center based on data consist of 40 respondents. The result of this study was significat relationship between knowledge of pregnant women to iron deficiency anemia with Compliance Consuming Tablet iron show the value of p 0814, the p-value is greater than the p value 0:05 was shows that no have correlation between knowledge of pregnant women about iron deficiency anemia with Compliance Consuming Iron Tablets. Family Role in monitoring drinking iron tablet with Compliance Consuming Iron Tablets shows the value of p 0.00 is smaller than the value of α 0.05. This shows that there is a relationship between family role in monitoring drinking iron tablet with compliance consuming iron tablet. This study indicated to increase Knowledge Level Of a Person On Iron Deficiency Anemia Not Consume The Influence Behavior Of Iron Tablet But Can Improve The Role Of Family In Compliance With Pregnant Women Eat Iron Tablet.</p>
The Effect Of Combination Spherical Grip And Kinesio Taping Exercise To Enhance Of Muscle Strength In Ischemic Stroke Patients In Jemursari Islamic Hospital Surabaya
Authors: Mariyanto Qori , Yani Handa , Herisanti Wesiana 
Published: May 2019

<p>Ischemic stroke patients are the main problem that occurs when disruption of cerebral blood flow. Data Global Burden Disease shows that all populations obtained 80% ischemic stroke and 20% hemorrhagic stroke with physical mobility barriers namely muscle weakness obtained 58%. Nursing actions that can be done, one of which is by giving activity to stroke patients who are useful to increase cerebral blood flow. This study aims to analyze the effect of the combination of spherical grip exercise and<em> Kinesiotaping</em> to the muscle strength of ischemic stroke patients in Jemursari Islamic Hospital Surabaya.</p><p>This research is designed by <em>Quasi Experiment </em>with approach <em>pre post test control group design</em>. All populations are ischemic stroke patients in the azzahra room 1 as many as 41 people, a sample of 38 respondents divided into 19 treatment and control groups. In the intervention group was given a combination of Spherical Grip and Kinesiotaping Exercise for 20 minutes twice a day for 3 weeks. Whereas in the control group was given training accordance with Hospital procedures. Statistical analysis used <em>Wilcoxon signed rank test</em> and <em>Mann-Whitney</em>α test&lt; 0,05.</p><p>The results of this study indicated that the mean increase in muscle constriction in the intervention group 2.83, and a big control group is 1.10. Analysis with <em>Mann Whitney </em>showed <em>p</em>= 0.000. So that H0 rejected this means that there is an effect of a combination of Spherical Grip and Kinesiotaping exercises on increasing muscle strength in ischemic stroke patients in Jemursari Islamic hospitals.</p><p>The combination of Spherical Grip and Kinesiotaping exercises that are routinely performed can increase muscle strength, resulting in increased muscle strength in ischemic stroke patients. Nurses need to apply Spherical Grips and Kinesiotaping to ischemic stroke patients in the rehabilitation phase.</p><p> </p><p><strong>Keyword</strong> : Ischemic stroke, <em>Spherical Grip</em> and <em>Kinesiotaping</em>, Muscle Strength.</p><p> </p>
Implementation of Documentation of Nursing Care in Wates Hospital
Authors: Kurniawandari Erna , Fatimah Fatma Siti 
Published: May 2019

<p><em>The documentation of nursing care is the important part nurse duty, the best documentation of nursing care process that sees best and have a certain quality should be acurate, complete, and standard. Curently documenting of nursing care in Wates Hospital is practically not yet done according to Standard Operational Procedure. This study aims to know the description of the nursing care of documentation in Inpatient Room of Wates Hospital. This research is descriptive quantitatif which take the sample from inpatient documentation of nursing care in March 2017. The population was about 1106 documents of medical records which the sample obout 111 documents. The technique to take the sample was using cluster random. The research was held on June 2017. The data collection used medical record of patient. The univariat of data analysis used frequency distribution. This research showd that the completeness os documenting of nursing care in assessment aspect (77,5%), diagnosis (93,7%), planning (73,9%), action (45,9%), evaluation (76,6%), nursing care note (45%). The completeness of documentation of nursing care in Inpatient Room of Wates Hospital Kulon Progo is claimed complete (27,9%).</em></p><p> </p><strong>Keywords:</strong> Nursing documentation, nursing process
Analysis of the influence of pregnant women satisfaction on the motivation in compliance to antenatal care visits In Panti Community Health Centers, Jember Regency
Authors: Muflihatin Indah , Chairina Raden Roro Lia , Wicaksono Andri Permana 
Published: May 2019

<p><em>Examination of Antenatal Care (ANC) is an examination of pregnancy to optimize the physical and mental health of pregnant women so they can face the birth, post-partum period, breastfeeding preparation, and restore the health of reproductive system naturally. Family planning, antenatal care, clean and safe vaginal delivery, and obstetric care should be applied to all women of reproductive age as stated in the Safe Motherhood with its concept of the four pillars. Utilization of health facilities needs to be improved to reduce morbidity and maternal mortality. As for the achievement of K1 and K4 coverage at Puskesmas Panti in the last two years remain below the target, namely K1 by 117%, while the K4 as much as 67.84%. In 2016, K1 coverage is equal to 414 (70.29%) of 589 pregnant women, K4 is as much as 38.54% of 227 pregnant women. These data indicate a considerable gap between the coverage of K1 and K4. The gap between K1 and K4 in Puskesmas Panti in 2016 is quite large, 31.75% of the target gap which should not exceed 10% (Data of PWS Puskesmas Panti, 2016). This study aimed to analyze the relationship between motivation and satisfaction levels of pregnant women in antenatal care at the Puskesmas Panti, Jember Regency. This research is quantitative research using path analysis method. This study design was cross-sectional with a sample of 50 pregnant women taken with the technique of consecutive sampling. Data were collected in August-November 2017. Data were analyzed using data processing software. The results showed that there was a positive relationship between satisfaction with patient motivation in conducting ANC with a value of CR 2.78, there was a significant effect between satisfaction with safety in conducting ANC with a CR value of 0.34, and there was satisfaction with non-support that increased the meeting patients in performing ANC with a CR value of 0.39.Furthermore, the results of the analysis and conclusions of the study will be the basis for solving health problems. The recommendation is provided based on results of the study as an attempt to improve the performance of K1 and K4.</em></p><p> </p><p><strong>Keywords:</strong> Motivation , Satisfaction, Antenatal Care</p>
Application of Load Balancing with the Nth Method on Multiple Gateway Internet Networks
Authors: Rasna Rasna , Ashari Ahmad 
Published: May 2019

The Performance of a Network Is Necessary by the Office of the Special Jayapura Regent in matters related to networking. One of the technological problems to increase connections in the network is to use three ISPs and become microtik as a balanced load. Each ISP uses load sharing that can be divided evenly in each section. Wireless networks that are connected to distributed systems make load balancing techniques that can be received from a system. Load balancing can be applied to HTTP servers, proxies, databases, and gateways. This research implements a proxy with load balancing method on an internet network that has three gateway lines through a router. Expected to be expected to be expected to be expected to load three ISP. The results of the research on the application of load balancing with the method on several internet gateways in the Jayapura District Regent Office is an inconsistency in bandwidth for each client before the implementation of the Nth method and using the Nth method with ten active clients can used when bandwidth on some clients is not much different and more evenly distributed than without load load balancing Nth.
COMPARISON OF TRUWINIST INTERDIGITAL METHOD AND CONVENTIONAL IN LEARNING APPROPRIATE DRUG SELECTION AND PRESCRIBING FOR TYPE 2 DIABETES MELLITUS
Authors: Sitorus Trully Deti Rose , Kuswinarti Kuswinarti , Istriati Istriati 
Published: May 2019

Background: Medical education in Indonesia has been using Problem Based Learning curriculum. Meanwhile, the patient management ability evaluation showed the lowest result among all evaluation in Ujian Kompentensi Mahasiswa Program Pendidikan Dokter (UKMPPD). Truwinis Interdigital Method (TIM) has been developed to improve student ability in choosing the appropriate drug and prescribing for Diabetes Mellitus type 2. The purpose of this research is to compare the effectiveness of TIM toward Conventional Method (CM).Methods: This research used cross-sectional design. The subject is 82 student who attend Clinical Skill Laboratory of Endocrine and Metabolism System of Faculty Medicine of Universitas Padjadjaran. The subject is divided into two groups, Group I: CM (control), Group II: TIM (Intervention). TIM consist of e-learning and audiovisual material. Parameters in this research were ability of choosing appropriate drugs test and Objective Skill Clinical Examination (OSCE). The data is analyzed statistically. Results: The data showed homogenousity in both groups (p>0,05). The average test score for CM group was 25,11 ± 10,84 and for TIM group was 80,06 ± 14,19. This was statistically significant (p < 0,0001). The average test score of OSCE for CM group was 39,63 11,73 and for TIM group was 62,74 ±14 ,07. This was also statistically significant (p<0,0001).Conclusion: Truwinist Interdigital Method is more effective than the Conventional Method in learning appropriate drugs selection and prescribing for type 2 Diabetes Mellitus.
CORRELATION BETWEEN MEDICAL STUDENTS’ PERCEPTION ON LEARNING ENVIRONMENT AND STRESS LEVEL
Authors: Akbar Resti Rahmadika , Wahid Mardiastuti , Werdhani Retno Asti 
Published: May 2019

Background: Learning environment in medical education is one of several aspect determine students’ academic success. The medical education itself has been the biggest source of depression or stress for students, beside personal, financial, or family problems. The purpose of this study is to assess the correlation between students’ perception on learning environment and stress levels.Methods: This study was a cross sectional study, conducted from December 2016 to April 2017, involving the 1st, 2nd, 3rd, 4th year students of the Faculty of Medicine, Baiturrahmah University (FK UNBRAH), Padang, with a total of 595 students. Students’ perceptions on learning environment were assessed using the Dundee Ready Educational Environment Measure (DREEM) questionnaire and the student stress level was assessed by the questionnaire of Depression Anxiety Stress Scale 42 (DASS 42). Both questionnaires have been validated and available in Bahasa.Results: Respondents involved in this study were 477 (80.1%).The median of the students’s perceptions on their learning environment was 132 (92-200), which means "more positive than negative". Students’ perceptions on learning environment between 1st year students with other academic years differed significantly. There was no significant difference between female and male students' perceptions on the learning environment. The median value of student stress level of FK UNBRAH was categorized as normal. There was no statistically significant difference in stress level based on academic level and gender. The correlation between students’ perception toward learning environment and academic level was found to be significant with very weak negative correlation (p<0,05)Conclusion: The better students’ perception on the learning environment, the lower the stress level.
THE RELATION BETWEEN STUDENT’S PERCEPTION OF LEARNING ENVIRONMENT AND LEARNING MOTIVATION OF PRE-CLINICAL MEDICAL STUDENT
Authors: Pringgoutami Zafira , Lisiswanti Rika , Oktaria Dwita 
Published: May 2019

Background: Academic achievement is influenced by two factors, internal and external factor. Learning environment is one of the external factors that affect the academic achievement. A conducive learning environment can improve students learning motivation and affect academic achievement.The aim of this research is to find out the relation between student’s perception of learning environment and learning motivation of pre-clinical student in Medical Faculty of Lampung University.Methods: This research was using cross sectional approach. The sample of this research consisted 248 pre-clinical student in Medical Faculty of Lampung University which determined by proportional-random sampling. This research used two questionnaires: Dundee Ready Educational Environment Measure (DREEM) and Motivated Strategies of Learning Questionnaire (MSLQ). Data were analysed using Spearman.Results: The result showed that most of pre-clinical student in Medical Faculty of Lampung University have perception about learning environment was decent (74,6%) and learning motivation was high (98,8%), there was significant relation between student’s perception of learning environment and learning motivation which determined by p value <0,05 and r 0,462.Conclusion: From this research can be concluded that the better student’s perceptions of learning environment, the higher learning motivation becomes.
Producción audiovisual amateur: variaciones y continuidades en la era digital
Authors: Moreno Acosta Adriana Marcela 
Published: May 2019

Este texto fue presentado como avance de investigación en las Jornadas de Investigación del año 2016 del CEIICH-UNAM, allí se exponían las generalidades y avances del proyecto de investigación posdoctoral <em>Producción audiovisual amateur: variaciones y continuidades en la era digital</em>, desarrollado en el periodo 2015-2016 gracias al Programa de Becas Posdoctorales de la UNAM, dentro del Programa de Investigación en Estudios Visuales, del Centro de Investigaciones Interdisciplinarias en Ciencias y Humanidades (CEIICH) de la Universidad Nacional Autónoma de México (UNAM). El proyecto de investigación buscó reflexionar sobre la importancia del audiovisual como vector necesario para entender los cambios generados en la producción y circulación de la información en la era digital, así como dar cuenta de la relación entre los procesos tecnoculturales del presente y los del pasado. Se presenta el texto original con algunas actualizaciones y se referencian publicaciones posteriores derivadas del proyecto.