bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fungi in association with chronic bacterial rhinosinusitis; relationship with a synergistic effect: a prospective study
Authors: Singh Namit Kant , Garg Lakshmi Narayan , Shekhar Shubhranshu , Rao Naiya , Kour Chandpreet , Singh Anshul , Kuhar Hitesh 
Published: August 2018

<p class="abstract"><strong>Background:</strong> The role of fungi as an etiological factor in the causation of chronic rhinosinusitis remains uncertain. The interaction of Fungi with bacteria can result formation of mixed biofilm which provide symbiotic relationship along with resistance from antimicrobials with an increased severity of symptoms.</p><p class="abstract"><strong>Methods:</strong> The cases of chronic rhinosinusitis were diagnosed and the grading of the symptom severity was done by visual analog scale in which symptoms of nasal blockage, rhinorrhea or post nasal drip, facial pain/headache, loss of smell, sleep disturbance/ fatigue were taken into consideration and each of the symptoms was graded from 1 to 10. </p><p class="abstract"><strong>Results:</strong> A strong association was detected between bacteria and fungi as 37 out of 40 (92.5%) amongst cases and 31 out of 40 (77.5%) amongst controls showed growth of both the organisms. Cases who were detected of having Fungi with Bacteria were having an average score of 8.364 and cases with bacteria alone were having an average score of 6.36. taking into consideration the individual symptom score and analyzing the data, the comparison between cases having both bacteria and fungi and cases with bacteria alone was found to be statistically significant with a p one-tail= 0.010221 and p two-tail= 0.020442.</p><p class="abstract"><strong>Conclusions:</strong> In chronic rhinosinusitis there is a higher incidence of poly microbial infection, and bacteria along with fungi co-exist with a synergistic effect leading to a higher morbidity.</p>
A NARRATIVA E O COMBATE INTERNO DO GUERREIRO, EM “PORTÕES de Fogo”, DE STEVEN PRESSFIELD COMO JOGOS DE LUZES E SOMBRAS – UMA LEITURA JUNGUIANA
Authors: Sobrinho Max Müller Cerqueira 
Published: August 2018

O sentido da análise que se propõe é o de estabelecer como elemento formal uma estética de jogo de luzes e sombras, tanto quanto à escolha da narrativa da obra em foco, elaborada por múltiplos pontos de vista, quanto ao combate interno do guerreiro, sendo este um arquétipo em luta com sua sombra, em processo de amadurecimento psíquico. Para tanto, utilizou-se do romance histórico: Portões de Fogo, de Steven Pressfield, uma narrativa do sacrifício dos Trezentos de Esparta e seus aliados, contra a invasão persa, na Batalhadas Termópilas de 480 de antes de nossa Era, com o objetivo de se buscar traços da evolução de espartanos, entendidos neste trabalho como manifestação do que os pós-junguianos Robert Bly, Robert Moore e outros, chamaram de arquétipo do masculinomaduro. Uma leitura junguiana a partir de vestígios do inconsciente na escrita.
Fluoride concentration in Peruvian salts determined with specific electrode by the direct method
Authors: Cury Jaime Aparecido , Walsh Karla Irina , Vieira Waldomiro , Ricaldi Jennifer 
Published: August 2018

According to the Peruvian legislation, salt for human consumption should contain 200-250 mg F/kg, but there is limited data showing whether this requirement is being accomplished. Aim: In this pilot study, we evaluated the fluoride concentration in samples of salt marketed in Lima, Peru, using a standardized protocol with ion-specific electrode by direct method (ISE). Methods: Seven 1 kg salt packages of four brands were purchased in two supermarkets of Lima. Six aliquots of each package were weighed and dissolved in the proportion of 0.025 g/mL of water. Duplicates of 1.0 mL of these solutions were mixed with 1.0 mL of TISAB II and fluoride concentration was determined with ISE calibrated with standards fluoride solutions ranging from 0.25 to 16.0 µg F/mL. The ionic strength of the standards was adjusted with p.a NaCL (25 mg/mL). In addition, triplicates of 15 g of each salt package were fractionated in a set of sieves (0.590 to 0.177 mm) to determine the homogeneity of fluoride concentration in salt. Results: In four packages the mean fluoride (mean±SD,n=6) concentration (mg F/kg) was in agreement to the Peruvian regulation (214.5±10.4; 221.8±14.3; 226.9±19.1 and 237.2±52.0 mg F/kg), but in 3 packages it was lower (145.2±7.9; 145.7±23.3 and 158.4±20.6 mg F/kg). Variability in fluoride concentration was observed within the same brand and among brands. Also, the fluoride concentration was not homogeneous in none of the salt samples, ranging from 72.0 to 1449.7 mg F/kg. Conclusion: The findings suggest that the manufacturing and sanitary surveillance of fluoridated salt in Peru should be improved.
Design and Evaluation of Medicated Derma Sticks of Azadirachta indica For Antimicrobial Activity
Authors: M.G.K. Murthy  , K. Purushotham Rao  
Published: August 2018

Topical skin infections commonly occur in person in worldwide level. Plants reported to possess activity or used in traditional systems of medicine for prevention and treatment of skin disorders. Hence, present study was aimed to design and evaluate medicated sticks of Azadirachta indica extract which is very well known for the antibacterial and antifungal activity. The petroleum ether and ethanol (70%) extracts were prepared. Medicated derma sticks of Azadirachta indica extract were prepared by heating and congealing and evaluated for thickness, length and weight. The medicated derma sticks of Azadirachta indica were screened for antimicrobial activity against S. aureus, E. coli and C. albicans, and further stability studies was performed. The prepared medicated derma sticks of Azadirachta indica obtained were of uniform length, thickness and weight respectively. The zones of inhibition of medicated derma sticks of Azadirachta indica against all the microorganisms were nearer to pure drugs. The stability study of medicated derma sticks of Azadirachta indica exhibited that the formulations were safe to use in tropical application.
Correlaton of Primary Dengue Viral Infection With Body Mass Index (BMI)
Authors: Dr. Humaira Zafar  , Dr. Kiran Tauseef  , Dr. Ghulam Mustafa Lodhi  
Published: August 2018

The objective of this study is to assess the correlation of body mass index (BMI) with primary dengue viral infection in urban and rural population of district Rawalpindi. Descriptive Cross Sectional Comparative Study. Microbiology Department, Benazir Bhutto Hospital, Affiliated with Rawalpindi Medical College (RMC), Rawalpindi. It was carried out from 1st March 2010 to 30th September 2011. A Stratified random sampling was adopted for 240 (N) subjects residents of urban and rural areas of District Rawalpindi. Urban residents were 144(n) while rural ones were 96(n). The height in meter square and weight in kilogram (kg) were the parameters used to calculate BMI. A 3ml venous blood sample was drawn from each participant for the detection of IgG antibodies against dengue virus by 3rd generation ELISA (Enzyme linked Immunosorbant Assay). The prevalence of primary Dengue viral infection (DVI) for urban residents according to the current study is 34.7% (n=50 out of the total 144 subjects). While 19.7% prevalence of primary DVI (n=19 out of the total 96 subjects) was noted for the residents of Rural strata. The correlation of primary DVI with five categories of BMI amongst urban and rural residents is evaluated by applying chi square test. The p-Value was not found to be significant for any of the five categories of BMI either an urban or rural resident. There is no significant association of primary dengue viral infection with BMI of an individual.
PENINGKATAN KEMAMPUAN IBU MELAKUKAN STIMULASI PERKEMBANGAN MAKAN TODDLER PICKY EATER
Authors: Santi Eka 
Published: August 2018

ABSTRAKStimulasi perkembangan makan merupakan kegiatan yang meningkatkan kemampuan anak terhadap perilaku ketika makan. Praktek pemberian makan sangat dipengaruhi oleh peran ibu, khususnya pada anak toddler yang mengembangkan kemandiriannya, salah satunya adalah makan. Kemampuan ibu melakukan stimulasi menjadi tolok ukur perilaku makan anak. Rancangan Quasy Eksperiment dengan sampel penelitian 21 responden ibu yang memiliki anak toddler susah makan di wilayah kerja Puskesmas Banjarbaru Utara melalui teknik sampling purposive, analisis yang digunakan menggunakan Uji Wilcoxon Sign Rank Test. Hasil penelitian menunjukkan ada peningkatan kemampuan ibu melakukan stimulasi perkembangan makan antara observasi pertama dan kedua dengan p value = 0,025 menjadi p value = 0,014. Namun pada tiap komponen persepsi pendekatan health belief model tidak memberikan pengaruh terhadap kemampuan ibu. Persepsi kerentanan p = 0,317; persepsi keseriusan p = 0,564, persepsi hambatan p = 0,157 dan persepsi manfaat p = 1,000. Deteksi dini perkembangan motorik mulut sebagai bagian penting dari tumbuh kembang anak.Kata-kata kunci: stimulasi, perkembangan makan, motorik mulut.ABSTRACTStimulation of the development of eating is an activity that enhances the ability of children to behavior when eating. The practice of feeding is strongly influenced by the mother's role, particularly in children toddler who develop their independence, one of which is eaten. Mother ability stimulating the benchmark eating behavior in children. Quasy experiment with sample 21 respondents mothers who have toddler with difficult feeding in Puskesmas North Banjarbaru through purposive sampling technique and Wilcoxon Sign Rank Test is used in this study. The result showed increase the mother's ability stimulating the development of eating between first and second observation with p value = 0.025 into p value = 0.014. However, at the components of health belief model does not give effect to the mother's ability. Perceived vulnerability p = 0.317; perceived seriousness p = 0.564, perceived barrier p = 0.157 and perceived benefit p = 1.000. Early detection oral motor development should include the part of child development.Keywords: stimulation, development of feeding, oral motor.
TELE-ICU BERMANFAAT DALAM PENCAPAIAN PELAYANAN BERKUALITAS
Authors: Rizany Ichsan , Hariyati Rr. Tutik Sri 
Published: August 2018

ABSTRAKKejadian mortalitas di ruang ICU masih tinggi. Pasien kritis membutuhkan perawatan kompleks sehingga membutuhkan perawat terlatih dan kompeten tetapi penyebaran tenaga masih menjadi kendala. Pemanfaatan tele-ICU berpeluang untuk menurunkan mortalitas pasien. Tujuan dari penulisan ini adalah untuk mengeksplorasi pemanfaatan Tele-ICU. Metode yang digunakan adalah literatur review. Literatur mengunakan dari tahun 2010 – 2017 meliputi jurnal dan artikel. Tele-ICU merupakan fasilitas tehnologi yang memberikan interaksi jarak jauh oleh tenaga kesehatan untuk mendapatkan data dan kondisi pasien ICU langsung dari samping tempat tidur. Komunikasi dalam tele-ICU dilakukan melalui tehnologi audio dan video di samping tempat tidur pasien. Tele-ICU memberikan manfaat kepada pasien, perawat dan dokter. Pemanfaatan tele-ICU mempunyai peran penting dalam mengoptimalkan kualitas pelayanan keperawatan yang diterima oleh pasien sesuai dengan pengaturan dan tujuan yang tepat. Pemanfaatan tele-ICU perlu mendapat dukungan dari top manajer. Manajer harus melakukan manajemen POSAC yang tepat untuk membangun tele-ICU. Kata-kata kunci : mortalitas pasien, perawat, tele-ICU. ABSTRACTThe incidence of mortality in ICU was still very high. Critical Patients in ICU required a complex care. Conditions of complex care required the trained and competent nurses but deployment of personnel was still a constraint. The Utilization of tele-ICU have an chance to reduce mortality in patients. The purpose of this paper is to guide the use of Tele-ICU. The method used is literature review. Literature used from 2010 - 2017 such as journal and article. Tele-ICU is a technology facility that Provides long-range interactions by health workers to get the Data and conditions of ICU Patients Directly from the bedside. Communication in the tele-ICU is done through audio and video technology at the patient's bedside. Tele-ICU Provides a benefit to Patients, nurses and doctors. Utilization of tele-ICU have a key role in optimizing the quality of nursing care received by Patients in accordance with the arrangements and the right destination. Utilization of tele-ICU needs the support of top managers. The managers must perform properly management function to build a tele-ICU. Keywords : nurse, patient mortality, tele-ICU.
FAKTOR-FAKTOR YANG MEMENGARUHI KEPUASAN PENGGUNA BPJS
Authors: Kristianingsih Yustina 
Published: August 2018

ABSTRAKKepuasan terhadap pelayanan kesehatan dipengaruhi oleh beberapa faktor seperti fasilitas fisik dan lingkungan pelayanan kesehatan, sistem perjanjian termasuk waktu tunggu, menunggu giliran, serta lingkup dan sifat keuntungan layanan kesehatan yang diberikan. Fenomena saat ini masih masyarakat pengguna BPJS yang mengeluhkan pelayanan yang kurang baik, lambatnya penanganan, kerumitan prosedur untuk mendapatkan pelayanan. Tujuan penelitian ini untuk mengidentifikasi faktor- faktor yang memengaruhi kepuasan pengguna BPJS. Desain penelitian yang digunakan adalah diskriptif dengan populasi seluruh pengguna BPJS di RW V sebanyak 91dan jumlah sampel 74 responden pengguna BPJS di RW 05 Kelurahan Sawunggaling Kecamatan Wonokromo Surabaya. Teknik sampling menggunakan Simple Random Sampling. Variabel dalam penelitian ini adalah Faktor-faktor yang memengaruhi kepuasan Pengguna BPJS yang meliputi Kualitas Produk, Harga, Kinerja, Estetika Fasilitas dan komunikasi yang dianalisa secara diskriptif. Hasil penelitian didapatkan mayoritas (97,3 %) responden menyatakan faktor pelayanan merupakan faktor yang paling memengaruhi kepuasan pengguna BPJS. Peningkatan layanan pengurusan administratif dengan pengurusan secara online, perbaikan data base serta kemudahan persayaratan dalam mengurus kepesertaan BPJS agar semakin meningkatkan kepuasan anggota BPJS. Kata-kata kunci: kepuasan, pelayanan, BPJS. ABSTRACT Satisfaction to health services is influenced by several factors such as the physical facility and healthcare environments, system agreements including waiting time, waiting, as well as the scope and nature of the health services provided advantages. The phenomenon in the community of users still complain BPJS poor service, slow handling, the complexity of procedures to obtain services. The purpose of this study to identify factors that affect user satisfaction BPJS.The study used discriptive desing with a sample of 74 respondents BPJS users in RW 05 Sawunggaling Wonokromo Surabaya with Simple Random Sampling. The variables in this study are the factors that affect user satisfaction BPJS.The result of this study showed the majority (97.3%) of respondents said the service factor is the factor most affecting user satisfaction BPJS. Important if BPJS improve management of administrative arrangements to be online, improve the data base as well as convenience to the terms in the care of membership BPJS order to increase level satisfaction. Keywords: Satisfaction, services, BPJS.
KADAR TRIGLISERIDA DAN STATUS GIZI PADA KLIEN TUBERKULOSIS
Authors: Diani Noor , Rahmayanti Devi 
Published: August 2018

Abstrak Tuberkulosis (TBC) mengakibatkan penurunan asupan dan malabsorbsi nutrien serta metabolisme tubuh berubah sehingga terjadi massa otot dan lemak menurun akibat mekanisme malnutrisi dari energi protein. Malnutrisi pada TBC berpengaruh terhadap prognosis dan tingkat kematian. Peningkatan produksi IFNl- γ dan IL-6, TNF α menghambat dari aktivitas Lipo Protein Lipase (LPL) dijaringan lemak. Enzim LPL berperan dalam proses bersihan trigliserida. Peningkatan ini meningkatkan trigliserida sehingga proses sintesis lemak menurun dan proses lipolisis lemak meningkat di jaringan. Tujuan penelitian ini menganalisis hubungan trigliserida dan status gizi pada klien TBC. Metode penelitian ini korelasi analitik dengan pendekatan cross-sectional, sampel 25 orang, dengan uji korelasi Pearson-Product Moment. Hasil penelitian status gizi dibawah normal 56%, normal 40% dan kelebihan berat badan 4%. Kadar Trigliserida normal 84%, trigliserida tinggi 16%. Kesimpulan ada hubungan antara kadar trigliserida dan status gizi yakni r hitung sebesar 0,5: r tabel = 0,396 sehingga r hitung > r tabel dengan korelasi positif.Kata Kunci : Trigliserida, Status Gizi, Tuberkulosis.AbstractTuberculosis(TB) resulting the decreasing of nutrient intake and malabsorbsi as well as changing the metabolism of the body. The wasthing are decreased protein energy. Malnutrition on TB affects the prognosis of the treatment and death rates. The increase TNF α will inhibit the enzyme activity of Lipoprotein Lipase (LPL) in the fat tissue. LPL enzyme plays a role in cleavage process of triglycerides. This research was to analyze the relationship of triglycerides and nutrition status on the client with tuberculosis. The design was cross-sectional approach. The respondents were gathered from 25 newly TB patients. The analyzed using Pearson Product-Moment correlation. The results showed 56% respondents undernutrition, and normal 40% and over nutrition 4%. Most triglyceride level of the respondent were normal (84). The concluded was a relationship between triglycerides and the nutritional status with a positive correlation ( P value 0,396).Keywords : Triglycerides, Nutritional Status, Tuberculosis
Efek Pemberian Ikan Saluang (Rasbora Spp.) Terhadap Kadar Kalsium Tulangtikus Putih (Rattus Norvegicus) Malnutrisi
Authors: Lestari Rizky Mutiara , Triawanti Triawanti , Yunanto Ari 
Published: August 2018

Abstract: Effect of giving saluang fish (rasbora spp.) on bone calcium of malnutried rat’s (rattus norvegicus). Malnutrition due to lack of calcium is vital especially in young age because it can damage body’s function. Calcium is source of bone’s development and play some role in motoric function. This research aims on analyzing the difference of calcium level in malnutrition rats and rats feeded with saluang fish. This is an experimental study with posttest only with control group design, consist of malnutrition (M) group, standard feeding (P) group, and saluang (S) group. The bone’s calcium level is measured using titrimetry method. The average result of bone’s calcium level are M=1,00 mg/gram, P=1,68 mg/gram, and S=1,23 mg/gram respectively. Kruskal-Wallis test shows a significant result (p<0,05). Mann-Whitney test shows the standard feeding group have the highest calcium level among other groups. This research concludes that giving saluang fish (Rasbora spp.) for 4 weeks can not repair the bone’s calcium level due to malnutrition if compared to standard feeding.Keywords : saluang fish, bone’s calcium level, malnutrition. Abstrak: Efek pemberian ikan saluang (rasbora spp.) terhadap kadar kalsium tulang tikus putih (rattus norvegicus) malnutrisi. Malnutrisi akibat kurangnya asupan kalsium yang sangat dibutuhkan terutama usia dini dapat mengganggu berbagai fungsi tubuh. Fungsi kalsium bagi tubuh adalah sebagai nutrisi untuk pertumbuhan tulang, serta menunjang perkembangan fungsi motorik agar lebih optimal dan berkembang dengan baik. Tujuan penelitian ini untuk menganalisis perbedaan kadar kalsium tulang tikus putih malnutrisi yang diberi ikan saluang dan yang tidak diberi ikan saluang. Penelitian ini merupakan penelitian eksperimental dengan posttest-only with control group design, terdiri dari kelompok malnutrisi (M), kelompok pemberian ikan saluang (S), kelompok pemberian pakan standar (P) yang diukur dengan menggunakan metode titrimetri. Rerata kadar kalsium tulang masing-masing kelompok adalah 1,00 mg/gram tulang, 1,23 mg/gram tulang, dan 1,68 mg/gram tulang. Uji Kruskal-Wallis menunjukkan perbedan signifikan (p<0,05). Uji Mann Withney menunjukkan pada kelompok pakan standar memiliki kadar kalsium tulang yang lebih tinggi dibandingkan dengan saat malnutrisi. Berdasarkan hasil penelitian yang dilakukan dapat diambil kesimpulan bahwa pemberian ikan saluang (Rasbora spp.) selama 4 minggu tidak berpengaruh secara bermakna terhadap peningkatan kadar kalsium tulang tikus putih malnutrisi dibandingkan dengan pakan standar. Kata-kata kunci: ikan saluang, kalsium tulang, malnutrisi
Gambaran Isolat Bakteri Aerob Diare pada Anak yang Dirawat di RSUD Ulin Banjarmasin Tahun 2015
Authors: Muttaqin Gusti Muhamma Edy , Hartoyo Edi , Marisa Dona 
Published: August 2018

Abstract: Diarrhea is one of the major health problems in children, especially children under five in developing countries because the mortality and morbidity rate is still high. In the world, 4 to 6 million children die every year from diarrhea, most of these deaths occur in developing countries. In general, the cause of diarrhea can not be separated from the bacterial infection. Bacteria that cause diarrhea varies by age, place, and time. The purpose of this study is analyzing anaerobic bacterial isolate in patients hospitalized children with diarrhea in general hospital ulin Banjarmasin. This study was an observational study with cross sectional design. Types of bacteria in pediatric patients in hospitals Ulin Banjarmasin period August-October 2015 at most is Escherichia coli by 26 samples (72.22%), Salmonella typhi by 7 samples (19.44%), and Shigella sp by 3 samples (8, 33%). Keywords: aerobic bacterial isolate, hospitalized children, diarrhea Abstrak: Diare merupakan salah satu masalah kesehatan utama pada anak terutama balita di negara berkembang karena angka kematian dan kesakitannya masih tinggi. Di dunia, sebanyak 4 sampai 6 juta anak meninggal tiap tahunnya karena diare, dimana sebagian besar kematian tersebut terjadi di negara berkembang. Pada umumnya penyebab diare tidak terlepas dari infeksi bakteri. Bakteri penyebab diare berbeda-beda berdasarkan umur, tempat, dan waktu. Tujuan penelitian ini adalah untuk Mengidentifikasi isolat bakteri aerob diare pada pasien diare anak yang dirawat di RSUD Ulin Periode Agustus – November 2015. Penelitian ini adalah penelitian observasional dengan rancangan cross sectional. Sampel diambil adalah feses dari seluruh populasi anak penderita diare yang dirawat di RSUD Ulin Banjarmasin dengan menggunakan metode total sampling. Dari hasil penelitian didapatkan bahwa jenis isolat bakteri pada pasien anak di RSUD Ulin Banjarmasin periode Agustus – Oktober 2015 dengan total 36 sampel paling banyak adalah Eschericia coli dengan jumlah 26 (72,22%) sampel, Salmonella typhi dengan jumlah 7 (19,44%) sampel, kemudian Shigella sp. 3 (8,33%) sampel. Kata-kata kunci: isolate bakteri aerob, anak yang dirawat, diare