Hubungan Pengetahuan Orang Tua Tentang Demam Tifoid Dengan Kebiasaan Jajan Pada Anak Di Wilayah Kerja RSUD Mala Kecamatan Melonguane Kabupaten Kepulauan Talaud

Abstrack : Typhoid fever is a bacterial infection in humans caused by salmonella thypi disorder characterized by prolonged fever, abdominal pain, diarrhea, delirium, spenomegali, and sometimes accompanied by complications of bleeding and bowel perforation. The emergence of typhoid fever is a lack of parental attention on the bad habits that snack at random in children. The purpose of this study is to analyze the relationship of parental knowledge about the habit of eating snacks typhoid fever in children in the working area of the General Hospital of the District Mala Melonguane Talaud Islands. This Study Methods used a survey method with the analytic cross sectional design. The samples in this research uses purposive sampling technique to sample as many as 30 people. Results of analysis using Fisher\u27s Exact test statistic chi-square that matches the value of ρ = 0.047 <0.05. The conclusion of this study is that there is a relationship parents knowledge about the habit of eating snacks typhoid fever in children in the region of the Regional Public Hospital District of Mala Melonguane Talaud Islands

Trends in childhood pneumococcal vaccine coverage in Shanghai, China, 2005–2011: a retrospective cohort study

Abstract Background In China, the pneumococcal conjugate vaccine (PCV7) and the pneumococcal polysaccharide vaccine (PPSV23) are not offered under the government’s Expanded Program on Immunization and are instead administered for a fee. PCV7 is more effective and covers more serotypes associated with invasive disease in children, but is also more expensive, than PPSV23. Because of their expense, there is concern that these vaccines, especially PCV7, have low uptake particularly among non-locals, migrants from outside of Shanghai. This paper characterizes the differential coverage of PCV7 and PPSV23 between locals and non-locals in Shanghai, and illustrates coverage trends over time. Methods In this retrospective cohort study, children born between 2005 and 2011 were sampled from the Shanghai Immunization Program Information System. Bivariate and multivariable analyses examined the relationships between demographic characteristics, residency status (non-locals vs locals), and vaccination coverage. Results PPSV23 coverage (29.8 %) among children over 2 years of age was higher than PCV7 coverage (10.1 %) for locals and non-locals. Uptake of PCV7 increased substantially after children were 2 years of age. Overall, non-local populations had higher PPSV23 coverage (OR: 1.34; 98 % CI: 1.22, 1.46) but lower PCV7 coverage (OR: 0.617, 98 % CI: 0.547, 0.695) than locals. Conclusions There is a need for increasing overall pneumococcal coverage in Shanghai children, particularly with the more effective PCV7 vaccine. Morbidity and mortality due to invasive pneumococcal disease for children <1 year of age are unlikely to be mitigated if the current age-related vaccination patterns are not improved.http://deepblue.lib.umich.edu/bitstream/2027.42/117253/1/12889_2016_Article_2785.pd

Penentuan Waktu Optimum dalam Pembuatan Bioetanol dari Bonggol Pisang Tanduk(Musa Paradisiaca Formatypisa) melalui Fermentasi

Banana tuber contains 76% starch as a source of organic material that can be changed to bioethanol which is an alternative of fuel oil. This study aimed to determine the optimum time of fermentation in the process of producing bioethanol from banana (musa paradisiaca formatypisa) tuber. In this study the fermentation of banana tuber is determined using saccharomyces cereviseae with the variation time of 3, 4, 5, 6, 7, 8 and 10 days. The stages carried out in this study were preliminary or sample preparation, delignification, hydrolysis, fermentation and separation. Bioethanol from the fermented ricestraw was analyzed using alcoholmeter. The content of bioethanol product increased on days 3 to 7 and reach the optimum on the day 7 which was 8.90%, where on the day 8 and 10 decreased the ethanol content

Does the Vulnerable sun bear Helarctos malayanus damage crops and threaten people in oil palm plantations?

Largely as a result of the expansion of oil palm Elaeis guineensis, forest fragmentation has occurred on a large scale in Borneo. There is much concern about how forest-dependent species, such as the Vulnerable sun bear Helarctos malayanus, can persist in this landscape. The absence of sufficient natural food in forest fragments could drive sun bears into oil palm plantations, where they risk coming into conflict with people. We interviewed oil palm plantation workers and farmers in the Lower Kinabatangan region of Sabah, Malaysian Borneo, to ascertain if sun bears were utilizing plantations, if they were causing damage to the crop, and how the bears were perceived by people. To obtain a comparative baseline we extended these questions to include other species as well. We found that bears were rarely encountered in plantations and were not considered to be destructive to the oil palm crop, although they were generally feared. Other species, such as macaques Macaca spp., bearded pigs Sus barbatus, and elephants Elephas maximus, had more destructive feeding habits. Sun bears could use this readily available food resource without being targeted for retribution, although incidental human-related mortality remains a risk. Although bears could gain some nutritional benefit from oil palm, plantations do not provide the diversity of food and cover available in a natural forest

A Complete Triad of Zero-Valent 17-Electron Monoradicals of Group 7 Elements Stabilized by m-Terphenyl Isocyanides

The first consistent series of mononuclear 17-electron complexes of three Group 7 elements has been isolated in crystalline form and studied by X-ray diffraction and spectroscopic methods. The paramagnetic compounds have a composition of [M0(CO)(CNp-F-ArDarF2)4] (M = Mn (1), Tc (3), Re (6); ArDArF2 = 2,6-(3,5-(CF3)2C6H3)2­C6H3)) and are stabilized by four sterically encumbering isocyanides, which prevent the metalloradicals from dimerization. They have a square pyramidal structure with the carbonyl ligands as apexes. The frozen-solution EPR spectra of the rhenium and technetium compounds are clearly anisotropic with large 99Tc and 185,187Re hyperfine interactions for one component. High-field EPR (Q band and W band) has been applied for the elucidation of the EPR parameters of the manganese(0) complex

Exploring the psychological rewards of a familiar semirural landscape: connecting to local nature through a mindful approach

This study analyses a 53,000 word diary of a year engaging with nature through over 200 trips to a semi-rural landscape. Thematic analysis revealed two themes; the transition from observer to nature connectedness and the ways in which the natural environment was experienced once a connection was made. These themes are discussed in relation to theories that seek to explain the positive effect of nature and nature connectedness. The findings are important as they suggest that repeated engagement with local semi-rural countryside can lead to a mindful approach and psychological rewards that do not require travel into the wilderness. The work informs further research into outcomes and processes of nature based interventions such as: trip frequency, duration and diary keeping

Is there still a place for the concept of therapeutic regression in psychoanalysis?

The author uses his own failure to find a place for the idea of therapeutic regression in his clinical thinking or practice as the basis for an investigation into its meaning and usefulness. He makes a distinction between three ways the term ‘regression’ is used in psychoanalytic discourse: as a way of evoking a primitive level of experience; as a reminder in some clinical situations of the value of non-intervention on the part of the analyst; and as a description of a phase of an analytic treatment with some patients where the analyst needs to put aside normal analytic technique in order to foster a regression in the patient. It is this third meaning, which the author terms “therapeutic regression” that this paper examines, principally by means of an extended discussion of two clinical examples of a patient making a so-called therapeutic regression, one given by Winnicott and the other by Masud Khan. The author argues that in these examples the introduction of the concept of therapeutic regression obscures rather than clarifies the clinical process. He concludes that, as a substantial clinical concept, the idea of therapeutic regression has outlived its usefulness. However he also notes that many psychoanalytic writers continue to find a use for the more generic concept of regression, and that the very engagement with the more particular idea of therapeutic regression has value in provoking questions as to what is truly therapeutic in psychoanalytic treatment

Three-dimensional quantization of the electromagnetic field in dispersive and absorbing inhomogeneous dielectrics

A quantization scheme for the phenomenological Maxwell theory of the full electromagnetic field in an inhomogeneous three-dimensional, dispersive and absorbing dielectric medium is developed. The classical Maxwell equations with spatially varying and Kramers-Kronig consistent permittivity are regarded as operator-valued field equations, introducing additional current- and charge-density operator fields in order to take into account the noise associated with the dissipation in the medium. It is shown that the equal-time commutation relations between the fundamental electromagnetic fields $\hat E$ and $\hat B$ and the potentials $\hat A$ and $\hat \phi$ in the Coulomb gauge can be expressed in terms of the Green tensor of the classical problem. From the Green tensors for bulk material and an inhomogeneous medium consisting of two bulk dielectrics with a common planar interface it is explicitly proven that the well-known equal-time commutation relations of QED are preserved