bluuebunny/crossref_metadata_2025_split huggingface dataset:
EDUKASI PANGAN JAJANAN AMAN PADA SISWA SDN 37 PEKANBARU
Authors: Mulyani Sri 
Published: November 2022

Pangan Jajanan Anak Sekolah (PJAS) sangat berperan penting dalam pemenuhan asupan energi dan gizi anak usia sekolah yaitu PJAS yang aman, bermutu dan bergizi yang akan sangat menentukan daya saing generasi emas bangsa Indonesia di kancah dunia nantinya. Gaya hidup dan kebiasaan anak sekolah dalam membeli jajanan sembarangan menjadi penyebab timbulnya masalah gizi pada anak sekolah. Hal ini dapat memberika dampak pada prestasi dan kemampuan belajar siswa di sekolah. Berdasarkan hal tersebut perlu adanya suatu kegiatan pengabdian masyarakat dalam memberikan pembinaan dan edukasi pada anak sekolah dalam pemilihan pangan jajanan yang aman. Salah satu upaya yang dilakukan yaitu memberikan edukasi dengan media leaflet dan poster/banner tentang pangan jajanan yang aman melalui kegiatan pengabdian masyarakat dengan judul“Edukasi Pangan Jajanan Aman pada Siswa SDN 37 Pekanbaru”. Tujuan jangka panjang dalam penelitian ini adalah dapat berkontribusi dalam penanganan masalah gizi yang ada melalui konsumsi pangan jajanan yang aman oleh siswa sekolah. Untuk jangka pendek bertujuan untuk menganalisis gambaran pengetahuan dan sikap anak tentang makanan jajanan dalam memilihan makanan jajanan di SDN 37 Pekanbaru.
Pengabdian masyarakat ini dilakukan dari bulan Januari 2021 s/d Juli 2021 di SDN 37 Pekanbaru kepada siswa dan siswi dengan metode edukasi dan advokasi. Tujuannya adalah untuk meningkatkan pengetahuan siswa dan siswi mengenai pemilihan pangan jajanan yang aman dan mengadvokasi pihak sekolah untuk melanjutkan penerapan pemilihan pangan jajanan yang aman pada siswa sekolah. Hasil pengabdian masyarakat di SDN 37 Pekanbaru menunjukkan bahwa terjadi peningkatan pengetahuan siswa dan siswi SDN 37 Pekanbaru terhadap pemilihan pangan jajanan aman setelah diberikan edukasi. Pengetahuan siswa SDN 37 Pekanbaru sebelum diberikan edukasi kategori baik adalah 13%, meningkat menjadi 78% setelah diberikan edukasi. Dapat disimpulkan bahwa edukasi dapat meningkatkan pengetahuan pada siswa SDN 47 Pekanbaru dalam pemilihan pangan jajanan aman.
KNOWLEDGE IMPROVEMENT AND BEHAVIOR CHANGE IN THE NEW NORMAL ERA IN STUDENTS OF SMPN 01 RENGAT BARAT
Authors: WITA DESWITA DES , Kusumarini Novita Kusumarini 
Published: November 2022

The rapid development of the corona virus infection has finally spread throughout the world quickly which is suspected to be transmitted through direct contact with sufferers, through goods and other media, making this epidemic finally unable to suppress its spread. For this reason, it is necessary to inculcate the habit of using health protocols in the New Normal Era, with the hope that the community, including students at schools, are able to carry out health protocols in everyday life both at home and at school. SMPN 01 is one of the schools that enforces the implementation of health protocols during the pandemic. However, based on observations, there are still many students who have not implemented health protocols properly, for that a covid task force was formed to assist in supervising the implementation of health protocols in schools.
The purpose of this activity is: to increase knowledge and change the behavior of students of SMPN 01 Rengat Barat in implementing health protocols.
Penerapan Rapidminer menggunakan metode K-Means untuk Pengelompokkan Puskesmas pada Cakupan Imunisasi Dasar (Studi Kasus : Kota Bandung)
Authors: Ramadhan Raka Rizki , Saprudin Usep 
Published: November 2022

Program Imunisasi sejak tahun 1974 merupakan komponen penting bagi pelayanan Kesehatan bayi. Imunisasi merupakan salah satu cara dalam mengurangi angka kematian bayi dan anak karena imunisasi berfungsi untuk memperbaiki resistansi tubuh dan mengatasi penyakit. Penelitian ini bertujuan untuk pengelompokkan jumlah bayi yang dilayani oleh puskesmas dalam program imunisasi. Dalam penelitian ini metode yang digunakan ialah Algoritma K-Means . Data yang diambil dapat dikelompokkan ke dalam beberapa clustering, yaitu dari clustering tertinggi, clustering sedang dan clustering terendah. Data yang didapatkan bersumber dari open data di portal website bandung dengan portal website https://data.bandung.go.id . Data yang dipakai yaitu dari tahun 2019-2020 yang terdiri dari 80 UPT Puskesmas . Pada Penelitian ini atribut yang digunakan yaitu Jumlah total Bayi dan Jumlah total pelayanan Kesehatan bayi. Proses iterasi sebanyak 6 kali hingga memperoleh hasil pengelompokkan puskesmas yang memberikan pelayanan Imunisasi dasar. Hasil cluster yang didapatkan yaitu cluster tertinggi terdapat pada cluster 2 dengan 11 anggota, cluster sedang terdapat pada cluster 1 dengan 37 anggota , cluster terendah pada cluster 0 dengan 32 anggota. Dari 80 UPT Puskesmas yang terletak di Kota Bandung, dapat diketahui imunisasi tertinggi yaitu ada di Puskesmas Pasirkaliki dengan jumlah 2126 bayi dan terendah ada di Puskesmas Salam dengan Jumlah 37 Bayi.
Intestinal Malrotation with Midgut Volvulus Comorbidity with Bronchopneumonia: A Case Report
Authors: Sindi Fatmah , Yusri Dianne Jurnalis  , Jon Effendi  
Published: November 2022

Background: Intestinal malrotation is a congenital anomaly resulting from abnormal rotation and fixation of an imperfect midgut during embryonic development. This study aims to describe the diagnosis and management of intestinal malrotation and its comorbid diseases in children.
Case presentation: A boy, aged 9 months, was referred from a regional hospital with complaints of repeated vomiting accompanied by a distended stomach and no bowel movements for 4 days. Based on the birth history, the patient was born with vacuum assistance for the indication of prolonged phase II. The results of the physical examination showed that the patient was seriously ill, with compos mentis, pulse rate 130 x/minute, respiratory rate 34x/minute, blood pressure 90/60 mmHg, temperature 37.6ºC, 99% saturation with the help of O2 nasal canule 2L/minute. There are increased bowel sounds on abdominal examination. Blood examination showed an increase in leukocytes (10.850/mm3). The chest X-ray showed lateral bronchopneumonia, and the abdominal X-ray showed low-lying obstructive ileus. The patient was diagnosed with obstructive ileus due to volvulus, moderate dehydration, comorbid with bronchopneumonia, and global developmental delay.
Conclusion: Management of intestinal malrotation with volvulus in this patient includes general improvement and rehydration, Ladd's procedure for definitive correction of the cause. Management of comorbid global developmental delay is carried out after the emergency is resolved.
LITERATUR REVIEW: PERAN CENDAWAN NEMATOFAGUS TERHADAP NEMATODA PARASIT
Authors: Erwin Nurul Hikmah , Furtuna Dewi Klarita , Toemon Agnes Immanuela , Jabal Arif Rahman 
Published: November 2022

Latar Belakang: Cendawan nematofagus merupakan cendawan tanah yang dapat mereduksi cacing nematoda, cendawan ditemukan di berbagai tempat dan cendawan terbukti efektif sebagai agen biocontrol, Cendawan tergolong nematofagus seperti: Arthrobotrys spp., Catenaria anguillulae, Drechmeria spp., Duddingtonia flagrans., Geniculifera spp., Harposporium spp., Monacrosporium spp., Nematocnus spp., Pleurotus spp., Tridentaria implicans, Verticillium balanoides. Tujuan: mengetahui jenis cendawan nematofagus yang mempunyai efek terhadap cacing parasit nematoda pada hewan. Metode: Penelitian ini menggunakan pendekatan systematic review. Sumber data yang digunakan adalah data sekunder yang diperoleh dari Google Scholar, dan NCBI. Kata kunci yang digunakan adalah cendawan nematofagus dan nematoda, diperoleh 15 jurnal penelitian yang memenuhi kriteria inklusi dan analisis kualitas data. Hasil: 7 jurnal penelitian menyatakan cendawan dengan jenis Duddingtonia flagrans mampu membunuh cacing nematoda pada stadium L3, 3 jurnal penelitian menyatakan cendawan jenis Pochonia Chlamydosporia mampu mengontrol larva cacing parasit nematoda. 1 jurnal dengan penelitian cendawan Chysosporium spp, 2 jurnal penelitian dengan cendawan Trichoderma spp, 2 jurnal penelitian dengan cendawan jenis Purpureocillium lilacinum. Kesimpulan: Banyak jenis cendawan nematofagus yang baik dan mampu mereduksi cacing nematoda, tetapi banyaknya penelitian yang menggunakan cendawan Duddingtonia flagrans dan Pochonia Chlamydosporia, hal ini membuktikan jika kedua cendawan ini sangat bagus dalam mereduksi dan mengkontrol cacing parasit sehingga memiliki peran penting sebagai biocontrol pada lingkungan
Kata kunci: Cendawan nematofagus, nematoda, jenis, dan Peran
Management of Axial Disease in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations
Authors: Lubrano Ennio , Chan Jon , Queiro-Silva Ruben , Cauli Alberto , Goel Niti , Poddubnyy Denis , Nash Peter , Gladman Dafna D. 
Published: November 2022

ObjectiveAxial involvement in patients with psoriatic arthritis (PsA) is a common subset of this condition, but a unanimous definition has yet to be established. It has been defined by using different criteria, ranging from the presence of at least unilateral grade 2 sacroiliitis to those used for ankylosing spondylitis (AS), or simply the presence of inflammatory low back pain (IBP). Our aim was to identify and evaluate the efficacy of therapeutic interventions for treatment of axial disease in PsA.MethodsThis systematic review is an update of the axial PsA (axPsA) domain of the treatment recommendations project by the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA).ResultsThe systematic review of the literature showed that new biologic and targeted synthetic disease-modifying antirheumatic drug classes, namely interleukin (IL)-17A and Janus kinase inhibitors, could be considered for the treatment of axPsA. This would be in addition to previously recommended treatments such as nonsteroidal antiinflammatory drugs, physiotherapy, simple analgesia, and tumor necrosis factor inhibitors. Conflicting evidence still remains regarding the use of IL-12/23 and IL-23 inhibitors.ConclusionFurther studies are needed for a better understanding of the treatment of axPsA, as well as validated outcome measures.
Management of Dactylitis in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations
Authors: Palominos Penélope Esther , Fernández-Ávila Daniel G. , Coates Laura C. , Adebajo Adewale , Toukap Adrien Nzeusseu , Abogamal Ahmed , Polachek Ari , van Kuijk Arno W.R. , Caso Francesco , de Marco Gabriele , Kaeley Gurjit S. , Steinkoenig Ingrid , Chau Jeffrey , Feletar Marie , Vis Marijn , Elkayam Ori , Sewerin Philipp , d’Angelo Salvatore , Aydin Sibel Zehra , AlShehhi Waleed , Helliwell Philip S. 
Published: November 2022

ObjectiveThis literature review aimed to identify the most efficacious current interventions for dactylitis and provide up-to-date scientific evidence to support the 2021 Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) recommendations on the management of psoriatic arthritis.MethodsOriginal articles published from 2013 to 2020, registered in MEDLINE, Embase, and Cochrane Library, describing interventional trials and reporting dactylitis-related outcomes were included. The 20 members of the GRAPPA dactylitis group were divided into 9 subgroups according to treatment, and members of each group independently extracted data from articles/abstracts corresponding to their group by using a standardized data extraction form.ResultsForty-nine publications were analyzed, representing 40 randomized clinical trials (RCTs) and including 16,752 patients. Dactylitis was assessed as a secondary outcome in 97.5% of these trials and more than 40% of RCTs did not employ a specific dactylitis measure or instrument.ConclusionThe emergence of agents with novel mechanisms of action in recent years, such as interleukin 17 (IL-17), IL-12/23, IL-23, and Janus kinase inhibitors, has significantly expanded the available treatment options for dactylitis. This article points out the lack of consensus regarding dactylitis assessment and the paucity of data concerning the effect of local steroid injections, nonsteroidal antiinflammatory drugs, and conventional disease-modifying antirheumatic drugs. Clinical trials evaluating the effect of these traditional and low-cost medications used to treat dactylitis should be encouraged.
Management of Nail Disease in Patients With Psoriatic Arthritis: An Updated Literature Review Informing the 2021 GRAPPA Treatment Recommendations
Authors: Laheru Dhruvkumar , Antony Anna , Carneiro Sueli , Di Lernia Vito , Garg Amit , Love Thorvardur Jon , del Rocio Macias Garcia Karla , Mendonça José Alexandre , Mukherjee Sandeep , Olteanu Rodica , Perez-Chada Lourdes , Rosen Cheryl F. , Tannenbaum Rachel , Yazbek Michel Alexandre 
Published: November 2022

ObjectiveNail psoriasis is common, impairs fine motor finger functioning, affects cosmesis, and is associated with a lower quality of life. This review updates the previous Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) treatment recommendations for nail psoriasis.MethodsThis systematic literature review of the PubMed, MEDLINE, Embase, and Cochrane databases examined the updated evidence since the last GRAPPA nail psoriasis treatment recommendations published in 2014. Recommendations are based on preformed PICO (Patient/Population - Intervention - Comparison/Comparator - Outcome) questions formulated by an international group of dermatologists, rheumatologists, and patient panel members. Data from this literature review were evaluated in line with Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.ResultsOverall, there is insufficient evidence to make any recommendation for the use of topical corticosteroids, topical calcipotriol, topical tazarotene, topical cyclosporine, dimethyl fumarates/fumaric acid esters, phototherapy, and alitretinoin. There is a low strength of evidence to support the use of calcipotriol and corticosteroid preparations, topical tacrolimus, oral cyclosporine, oral methotrexate, intralesional corticosteroids, pulsed dye laser, acitretin, Janus kinase inhibitors, and apremilast.ConclusionThe highest strength of supporting evidence is for the recommendation of biologic agents including tumor necrosis factor inhibitors, and interleukin 12/23, 17, and 23 inhibitors.
Utility of IQCODE (Informant Questionnaire on Cognitive Decline in the Elderly) in Diagnosing Dementia in Malayalam Speaking Population
Authors: Mathew Robert , Sheetal S , Sauda P , Lekha Chitra , Byju P 
Published: November 2022

Background:Among screening instruments used to diagnose dementia by interviewing the caregivers rather than the patients, Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) is widely used.Objectives:To adapt and validate IQCODE in a Malayalam-speaking population and to study the utility of IQCODE in diagnosing dementia.Materials and Methods:Cross-sectional study conducted as a two-phase survey on individuals aged ≥55 years availing dementia care services at three tertiary care hospitals and a dementia clinic in Kerala, India. In the first phase, modifications were made in the questionnaire (IQCODE) in accordance with local social and cultural practices. The questionnaire was then translated to Malayalam and back-translated to English. In the second phase, this was administered to healthy elderly subjects and close caretakers of dementia patients. These patients underwent neuropsychology evaluation consisting of mini-mental state examination (MMSE) and Addenbrooke's cognition examination-Malayalam (ACE-M), and the statistical correlation between mean IQCODE scores and ACE-M scores was assessed using ANOVA test.Results:A total of 396 patients with dementia were included in the study. The mean age group was 72.54 ± 7.11 years. The mean IQCODE score was 3.93 ± 0.68, and the mean ACE-M score was 39.96 ± 23.41. It has a statistically significant correlation with the total score of MMSE and ACE-M scales, confirming its utility as a good screening instrument.Conclusion:The IQCODE could be adapted and translated to Malayalam without making any major changes in its content and has good acceptance among this cohort of hospital-based subjects.
Streptococcus Agalactiae Meningitis Presented with Cerebral Infarction in Adult Patient – Clinical Case and Review
Authors: Tsalta-Mladenov Mihael Emilov , Dimitrova Vladina Miroslavova , Georgieva Darina K , Andonova Silva Peteva 
Published: November 2022

Background:
Bacterial meningitis (BM) is an inflammation of the meninges, associated with the invasion of bacteria. The etiologic agents vary by age group. BM because of Group B streptococcus (GBS) is common for the neonatal period but considered as rare in adult patients. Acute BM can have various presentations and adverse effects, such as ischemic stroke in 10% to 29% of the cases.

Objective:
This study aimed to present a rare case of GBS meningitis presented with cerebral infarction (CI) in an adult patient and to make a brief review of the etiology and incidence of GBS infections in adults.

Case Report:
We present a case of a 62-year-old female who presented with acute onset of central lesion of the right facial nerve, mild hemiparesis on the right, and partial sensorimotor aphasia. There were no signs of meningoradicular irritation. The pupils were equal, with slow reaction to light, and unaffected eye movements. There was a central lesion of the right facial nerve and mild hemiparesis on the right. Tendon reflexes were unremarkable and Babinski's sign was negative bilaterally.

Discussion:
This review shows an increasing incidence of cases in elderly patients. A higher risk of GBS is found in adults with more medical comorbidities. CI, as a rare adverse effect in BM, is both a sign for severity and a predictor of a poor clinical outcome with a high lethal rate. GBS infections are a growing problem in older adults and those with chronic medical conditions. The involvement of the central nervous system as meningitis is a less common manifestation with a high lethal rate.

Conclusions:
CI is a rare adverse effect of neuro infections leading to an even worse clinical outcome. Early recognition of the infection and appropriate antimicrobial therapy are the crucial moments of successful management of GBS disease.
Mental and Psychosocial Health
Authors: Ray Suman 
Published: November 2022

Background:India, with a total population of 1,309,053,980, has 0.29 psychiatrists, 0.00 child psychiatrists, and 0.80 mental health nurses per 100,000 population. The mental health expenditure per person is just 4 INR as per Mental Health ATLAS 2017 (World Health Organization). The treatment gap for mental disorders still remains very high. These raise issues to our mental health status post coronavirus disease 2019 (COVID-19). Higher levels of anxiety, stress, and depression after the stay-at-home order post COVID-19 could lead to further psychological trauma besides mental health. A younger age, the female gender, and the caregiver status have a greater degree of stressfulness because of the pandemic.Objective:To assess the mental health status of the general population post COVID-19 in India.Material and Methods:An online survey was conducted using Depression Anxiety Stress Scale (DASS) 21 in the month of July, 2020.Results:The results of the online survey using DASS 21 conducted in the month of July, 2020, in India support the mental distress in the general population too.Conclusions:Systematic and regular surveys need to be conducted to allow for monitoring of the mental health impact of COVID-19 from time to time and prepare ourselves so as to prevent the second wave of mental health crises post the COVID-19 pandemic.
Pituitary Dysfunction Following Snakebite Envenomation
Authors: Roy Ayan , Suryadevara Varun , Nagarajan Krishnan , Sahoo Jayaprakash , Naik Dukhabandhu , Perumal Nandhini Lakshmana , Narayanan Niya , Merugu Chandhana , Patel Deepika , Patil Milind , Kamalanathan Sadishkumar 
Published: November 2022

Background:Snakebite envenomation (SE) is an important tropical disease in India, causing significant morbidity and mortality among patients. The hormonal deficiencies due to the involvement of the pituitary in case of SE can present in either acute or delayed setting. Hypopituitarism (HP) is often an underrecognized and relatively rarely reported complication of this neglected disease.Methods:We present here the data of 15 patients diagnosed to have HP following systemic SE and are being currently followed-up in the Endocrinology outpatient department of a tertiary care hospital of South India. The study was approved by the Institute ethics committee, and informed onsent was taken from all the study patients. The study was a record-based retrospective analysis of the patients with HP following SE. Clinical data including lag time in diagnosis and type of snake were determined. Further, hormonal data including all the anterior pituitary functions (thyroid stimulating hormone, free T4, cortisol, insulin-like growth factor (IGF-1) luteinizing hormone, follicular-stimulating hormone, testosterone; prolactin) and water deprivation test to determine diabetes insipidus (DI) in patients with polyuria on follow-up were extracted from the records and the hospital information system. An experienced neuroradiologist examined the magnetic resonance imaging (MRI) findings of the pituitary.Results:The mean age of the patients was 43 ± 9 years and 80% were male. Around 90% of patients belonged to upper–lower socioeconomic status according to the modified Kuppuswamy scale. The commonest snake species reported was Russell's viper. Thirteen patients had delayed HP. The median duration from snakebite to onset of HP symptoms was 1 year (range 0.33–10 years). However, the median time from snakebite to the diagnosis of HP was 7 years (range 1–13 years). Central hypothyroidism and hypogonadism were present in all subjects. However, central hypocortisolism was noted in 93% of patients. Low IGF-1 was noted in all the six patients where data were available. One patient had partial central DI. Thirteen out of 15 patients had reduction of pituitary volume in MRI.Conclusion:HP in patients with SE can appear slowly and the diagnosis is frequently delayed for years. Following snakebite, multiple pituitary hormone deficiencies associated with radiological abnormalities like a significant reduction in the pituitary volume are common.