Faktor Risiko Wasting dalam Penerapan Full Day School pada Anak di Paud Pesantren Ummusabri Kendari

Wasting adalah permasalahan kesehatan yang paling menonjol di Negaranegara miskin dan Negara-negara yang sedang berkembang yang dampaknya sangat besar. Pada tahun 2013, secara nasional prevalensi kurus pada anak Balita masih 12,1%, yang artinya masalah kurus di Indonesia masih merupakan masalah kesehatan masyarakat yang serius. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan full day school terhadap status gizi pada pendidikan anak usia dini di Pesantren Ummusabri Kendari.Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan pendekatan case control. Populasi dalam penelitian ini adalah semua peserta taman kanak-kanak PAUD Pesantren Ummusabri tahun 2018 yang berjumlah 114. Jumlah untuk sampel kasus sebanyak 26 orang dan sampel kontrol adalah 26 orang, Hasil uji odds ratio menunjukkan bahwa pola makan merupakan faktor risiko status gizi wasting (OR =5,727. CI 95% 1,645-19,942 >1), kebersihan lingkungan bukan faktor risiko status gizi wasting (OR = 0,494 CI 95% 0,125-1,949 <1), metode pembelajaran bukan faktor risiko status gizi wasting(OR =3,068 CI 95% = 0,982-9,591 <1), peran keluarga merupakan faktor risiko status gizi wasting (OR = 3,889 CI 95% = 1,178 – 12,841 >1). Diharapkan kepada Paud Pesantren Ummusabri Kendari untuk dapat menggunakan hasil penelitian ini sebagai informasi dan bahan pertimbangan dalam meningkatkan kepedulian terhadap anak dengan masalah gizi kurang

Examining the prevalence, correlates and inequalities of undiagnosed hypertension in Nepal: a population-based cross-sectional study

Objective To examine the prevalence, correlates and sociodemographic inequalities of undiagnosed hypertension in Nepal. Design This study used cross-sectional 2016 Nepal Demographic and Health Survey (NDHS) data. Undiagnosed patients with hypertension were defined as an NDHS respondent who was diagnosed as hypertensive (systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg) during the survey, but never took any prescribed anti-hypertensive medicine to lower/control blood pressure and was never identified as having hypertension by a health professional prior the survey. Multiple binary logistic regression analysis was performed, and Concentration Index was measured. Setting Nepal. Participants Adult patients with hypertension. Results Among 3334 patients with hypertension, 50.4% remained undiagnosed during the survey in Nepal. Adjusted model reveals that patients who were male, belonged to households other than the highest wealth quintile, and lived in province 4 and province 5 were at higher risk of remaining undiagnosed for hypertension. Patients who were ≥65 years of age and were overweight/obese were at lower risk of remaining undiagnosed for hypertension. The poor-rich gap was 24.6 percentage points (Q1=64.1% vs Q5=39.6%) and poor:rich ratio was 1.6 (Q1/Q5=1.6) in the prevalence of undiagnosed hypertension. Undiagnosed hypertension was disproportionately higher among lower socioeconomic status groups (Concentration Index, C=−0.18). Inequalities in the prevalence of undiagnosed hypertension further varied across other geographic locations, including place of residence, ecological zones and administrative provinces. Conclusions Undiagnosed hypertension was highly prevalent in Nepal and there were substantial inequalities by sociodemographics and subnational levels. Increasing awareness, strengthening routine screening to diagnose hypertension at primary health service facilities and enactment of social health insurance policy may help Nepal to prevent and control this burden

Vertigo as a Predominant Manifestation of Neurosarcoidosis

Sarcoidosis is a granulomatous disease of unknown etiology that affects multiple organ systems. Neurological manifestations of sarcoidosis are less common and can include cranial neuropathies and intracranial lesions. We report the case of a 21-year-old man who presented with vertigo and uveitis. Extensive workup including brain imaging revealed enhancing focal lesions. A lacrimal gland biopsy confirmed the diagnosis of sarcoidosis. The patient was initially treated with prednisone, which did not adequately control his symptoms, and then was switched to methotrexate with moderate symptomatic improvement. Our patient had an atypical presentation with vertigo as the predominant manifestation of sarcoidosis. Patients with neurosarcoidosis typically present with systemic involvement of sarcoidosis followed by neurologic involvement. Vertigo is rarely reported as an initial manifestation. This case highlights the importance of consideration of neurosarcoidosis as an entity even in patients that may not have a typical presentation or systemic involvement of disease

Exploiting Microfluidics for Extracellular Vesicle Isolation and Characterization: Potential Use for Standardized Embryo Quality Assessment

Recent decades have seen a growing interest in the study of extracellular vesicles (EVs), driven by their role in cellular communication, and potential as biomarkers of health and disease. Although it is known that embryos secrete EVs, studies on the importance of embryonic EVs are still very limited. This limitation is due mainly to small sample volumes, with low EV concentrations available for analysis, and to laborious, costly and time-consuming procedures for isolating and evaluating EVs. In this respect, microfluidics technologies represent a promising avenue for optimizing the isolation and characterization of embryonic EVs. Despite significant improvements in microfluidics for EV isolation and characterization, the use of EVs as markers of embryo quality has been held back by two key challenges: (1) the lack of specific biomarkers of embryo quality, and (2) the limited number of studies evaluating the content of embryonic EVs across embryos with varying developmental competence. Our core aim in this review is to identify the critical challenges of EV isolation and to provide seeds for future studies to implement the profiling of embryonic EVs as a diagnostic test for embryo selection. We first summarize the conventional methods for isolating EVs and contrast these with the most promising microfluidics methods. We then discuss current knowledge of embryonic EVs and their potential role as biomarkers of embryo quality. Finally, we identify key ways in which microfluidics technologies could allow researchers to overcome the challenges of embryonic EV isolation and be used as a fast, user-friendly tool for non-invasive embryo selection

PART SCALE SIMULATION OF HEAT AFFECTED ZONES FOR PARAMETER OPTIMIZATION IN A MICROSCALE SELECTIVE LASER SINTERING SYSTEM

The Microscale Selective Laser Sintering (μ-SLS) system can produce feature sizes on the order of a single micrometer, far smaller than existing metal additive technologies. Despite this advantage, there are challenges in producing reliable small-scale parts due to unwanted heat transfer in the nanoparticle bed. To address this issue, a multiscale Finite Element thermal model has been developed to predict the temperature changes that occur during sintering within the particle bed. Nanoscale particle models are used to quantify material property changes experienced by particle groups that undergo laser sintering. This work processes the property relationships developed by the particle models and integrates comprehensive property functions into the partscale model to capture the nuanced thermal evolution that occurs during sintering. The multiscale model predicts the extent of heat spread and part formation during sintering to optimize input laser parameters, reduce unwanted heat spread, and improve the minimum feature resolution of printable parts.Mechanical Engineerin

Typing of human rotaviruses: Nucleotide mismatches between the VP7 gene and primer are associated with genotyping failure

BACKGROUND: Rotavirus genotyping is performed by using reverse transcription PCR with type-specific-primers. Because the high rotavirus mutation rate generates an extensive genomic variation, different G-type-specific primer sets are applied in different geographical locations. In Bangladesh, a significant proportion (36.9%) of the rotavirus strains isolated in 2002 could not be G-typed using the routinely used primer set. To investigate the reason why the strains were untypeable, nucleotide sequencing of the VP7 genes was performed. RESULTS: Four nucleotide substitutions at the G1 primer-binding site of the VP7 gene of Bangladeshi G1 rotaviruses rendered a major proportion of circulating strains untypeable using the routine primer set. Using an alternative primer set, we could identify G1 rotaviruses as the most prevalent genotype (44.8%), followed by G9 (21.7%), G2 (15.0%) and G4 (13.8%). CONCLUSION: Because of the natural variation in the rotaviral gene sequences, close monitoring of rotavirus genotyping methods is important

Energy Distribution associated with Static Axisymmetric Solutions

This paper has been addressed to a very old but burning problem of energy in General Relativity. We evaluate energy and momentum densities for the static and axisymmetric solutions. This specializes to two metrics, i.e., Erez-Rosen and the gamma metrics, belonging to the Weyl class. We apply four well-known prescriptions of Einstein, Landau-Lifshitz, Papaterou and M$\ddot{o}$ller to compute energy-momentum density components. We obtain that these prescriptions do not provide similar energy density, however momentum becomes constant in each case. The results can be matched under particular boundary conditions.Comment: 18 pages, accepted for publication in Astrophysics and SpaceScienc

Serial Magnetic Resonance Imaging in Creutzfeldt-Jakob Disease: a Case Report and Literature Review

Creutzfeldt-Jakob disease (CJD) is a rare, degenerative, invariably fatal brain disorder. CJD usually appears in later life and runs a rapid course. Typically, the onset of symptoms occurs about age 60 and about 90% of individuals die within one year. We report a case of 67-year-old male presented with progressive aphasia, confusion, dysphagia and inability to carry out activities of daily life (ADLs) over a period of three to four weeks. The patient had past medical history of chronic atrial fibrillation and hypertension. Prior to admission, the patient was treated for ischemic stroke of left basal ganglia but continued to have worsening encephalopathy. The spinal tap revealed a 14-3-3 protein level of thirteen times the upper limit of normal; electroencephalogram (EEG) showed a diffuse slowing of the background and periodic sharp waves with greater involvement of the left hemisphere. Diffusion-weighted imaging (DWI) magnetic resonance imaging (MRI) at the time of admission showed extensive signal abnormality in the basal ganglia bilaterally and in the cerebral cortex bilaterally, particularly over the left cerebral hemisphere. The persistence of the MRI findings over several weeks was concerning for spongiform encephalopathy. The probable diagnosis of Creutzfeldt-Jakob disease was made based on these imaging findings taken together with the patient’s clinical signs and symptoms of a rapidly progressive encephalopathy. The patient was able to have some quality time with his family as the diagnosis was made earlier than perhaps otherwise and expired peacefully after comfort care measures were chosen. Serial MRI may serve as a clue to the early diagnosis of CJD and potentially provide a better quality of life for the patients

Probing the Structure and Evolution of BASS AGN through Eddington Ratios

We constrain the intrinsic Eddington ratio (\lamEdd ) distribution function for local AGN in bins of low and high obscuration (log NH <= 22 and 22 < log NH < 25), using the Swift-BAT 70-month/BASS DR2 survey. We interpret the fraction of obscured AGN in terms of circum-nuclear geometry and temporal evolution. Specifically, at low Eddington ratios (log lamEdd < -2), obscured AGN outnumber unobscured ones by a factor of ~4, reflecting the covering factor of the circum-nuclear material (0.8, or a torus opening angle of ~ 34 degrees). At high Eddington ratios (\log lamEdd > -1), the trend is reversed, with < 30% of AGN having log NH > 22, which we suggest is mainly due to the small fraction of time spent in a highly obscured state. Considering the Eddington ratio distribution function of narrow-line and broad-line AGN from our prior work, we see a qualitatively similar picture. To disentangle temporal and geometric effects at high lamEdd, we explore plausible clearing scenarios such that the time-weighted covering factors agree with the observed population ratio. We find that the low fraction of obscured AGN at high lamEdd is primarily due to the fact that the covering factor drops very rapidly, with more than half the time is spent with < 10% covering factor. We also find that nearly all obscured AGN at high-lamEdd exhibit some broad-lines. We suggest that this is because the height of the depleted torus falls below the height of the broad-line region, making the latter visible from all lines of sight.Comment: Accepted by ApJ