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KARAKTERISTIK KLINIS PASIEN KEJANG DEMAM YANG DIRAWAT DI RUMAH SAKIT BAPTIS BATU 斯通浸信会医院发烧病患者的临床特征
Pub Date : 2020-11-24 DOI: 10.25170/djm.v19i2.1265
Yurika Elizabeth Susanti, T. Wahyudi
Introduction: Febrile seizure is the most common type of seizure in children, mostly occurred in children aged 6 months to 5 years. The aim of the study was to describe the demographic and clinical characteristics of febrile seizures in children in the Baptist Hospital Batu. Methods: This was a cross-sectional research, including febrile seizure children (n=41) who were admitted into the Baptist Hospital Batu on January 2017 to October 2018. The data was collected from the medical records and described and presented in frequency tables. Results: Febrile seizure was common in boys (61%), aged 1 to 2 years old (46.3%). Generalized seizure (97.6%) was the most febrile seizures. The duration of seizure was <15 minutes (95.1%) with the majority patients with febrile seizure experience one seizure episode (73.2%). Simple febrile seizure (70.7%) was more common than complex febrile seizures. The body temperature was ≥38⁰ C (68.3%), however, the leukocyte counts was normal (63.4%). Conclusion: Febrile children younger than 2 years old, especially boys need to be well monitored as these children may develop into febrile seizure.
热性惊厥是儿童中最常见的惊厥类型,多发生在6个月至5岁的儿童中。本研究的目的是描述巴图浸信会医院儿童热性惊厥的人口学和临床特征。方法:这是一项横断面研究,包括2017年1月至2018年10月在巴图浸信会医院入院的热性惊厥儿童(n=41)。数据是从医疗记录中收集的,并在频率表中进行描述和呈现。结果:热性惊厥多见于男孩(61%),1 ~ 2岁(46.3%)。全身性惊厥(97.6%)以热性惊厥最多。发作持续时间<15分钟(95.1%),多数发热性发作患者有一次发作(73.2%)。单纯热性惊厥(70.7%)较复杂热性惊厥多见。体温≥38⁰C(68.3%),然而白细胞计数正常(63.4%)。结论:2岁以下发热儿童,特别是男童,有可能发展为热性惊厥,应加强监测。
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引用次数: 3
ANALISIS METODE PRESERVASI SUBKULTUR BERKALA DAN DENGAN AIR STERIL UNTUK JAMUR Aspergillus sp. DAN Candida albicans 定期观察亚文化,并对sp菌根菌和菌根菌的消毒水进行分析
Pub Date : 2020-11-24 DOI: 10.25170/djm.v19i2.1193
G. Sally, S. Kurniawan, S. S. Surja
Introduction: A good and proper preservation can maintain all collection of culture. Periodic subculture preservation is an old technique that is less able to guarantee the genetic characteristic for a long time. Sterile water is an alternative method in various studies to ensure the genetic characteristic for a long time and can be done in a simple laboratory concept. This study aimed to examine the method of periodic subculture and with sterile water Methods: This research was a descriptive study with an experimental laboratory design on Aspergillus sp. and Candida albicans. This study examined at periodic subculture methods and with sterile water in maintaining viability, level of contamination, morphology, and antifungal resistance after six months Results: The fungus had lived after being preserved with periodic subcultures without contamination, morphological changes, and resistance. Aspergillus sp. and Candida albicans also lived after being preserved with sterile water for six months with the same morphology and without contamination. The zone of inhibition of Aspergillus sp. had decreased but in Candida albicans remains the same. Conclusion: Preservation with periodic subculture and with sterile water can be applied to Aspergillus sp. and Candida albicans.
一个好的和适当的保存可以保持所有的文化收藏。周期性亚种保存是一种较老的技术,不能长期保证遗传特性。无菌水是各种研究中长期保证遗传特性的替代方法,并且可以在简单的实验室概念中完成。本研究旨在探讨周期性传代培养和无菌水培养的方法。本研究是一项描述性研究,对曲霉属和白色念珠菌进行了实验设计。本研究检查了定期传代培养方法和无菌水在六个月后保持活力,污染水平,形态和抗真菌抗性的情况。结果:经过定期传代培养,真菌在没有污染,形态变化和抗性的情况下存活。曲霉和白色念珠菌在无菌水中保存6个月后,形态相同,无污染。对曲霉的抑制区减小,而对白色念珠菌的抑制区保持不变。结论:定期传代法和无菌水法可用于曲霉和白色念珠菌的保存。
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引用次数: 0
The prevalence of Helicobacter pylori infection in Baqubah city 巴古拜市幽门螺杆菌感染率调查
Pub Date : 2020-10-05 DOI: 10.26505/djm.19015150107
N. Jameel, A. Motib, A. Athab
Background: Helicobacter pylori are the most common cause’s peptic ulcer disease, and it is transmitted by oral-oral, fecal-oral and gastric oral. The prevalence of this bacteria depends on age, sex, smoking or non-smoking and also chronic disease such as diabetes. Objective: To determine the infection of H. pylori in Baqubah city and its associated with age and gender of patients. Patients and Methods: H. pylori diagnosed by used rapid urease test and histopathology test. From 200 studied groups, 127 (63.5%) males and 73 (36.5%) females ages ranged from (10 to ≥ 60) years were collected from Baqubah teaching hospitals, during the period from September 2018 till January 2019. From 200 studied groups 110 considered patients after initial diagnosis by endoscopic unit (presence symptoms) and 90 considered control group (absence symptoms). Two types of samples were collected from each studied groups including gastric biopsy specimens for rapid urease test and histopathology test to detect H. pylori infection. Results: The result of this study shows that H. pylori infection was detected by rapid urease test which appears positive results in 86 patients (78.2 %), and the positive results of histopathology test were 10 (9.0%). The incidence of H. pylori infection in male more than in female as the percentage (70.00%) and (30.00%), respectively. Minimum age was 10 years and maximum was ≥ 60. The highest age specific frequency in studied groups is in the age group (40-49) & (50-59) years old. Conclusion: The prevalence rate of gastric ulcer caused by H. pylori in Baqubah city was high and it is detected by rapid urease test which showed more accurate than histopathological test. In addition, the results showed that the rate of incidence in males more than in females, and in (40-49)&(50-59) more than other ages.
背景:幽门螺杆菌是消化性溃疡最常见的病因,主要通过口腔、粪口和胃口三种途径传播。这种细菌的流行程度取决于年龄、性别、吸烟与否以及糖尿病等慢性疾病。目的:了解巴古拜市幽门螺旋杆菌感染情况及其与患者年龄、性别的关系。患者和方法:采用快速脲酶试验和组织病理学检查诊断幽门螺杆菌。在2018年9月至2019年1月期间,从巴古拜教学医院收集了200个研究组,年龄在(10至≥60)岁之间的127名男性(63.5%)和73名女性(36.5%)。从200个研究组中,110个考虑了经内镜单元初步诊断后的患者(有症状),90个考虑了对照组(无症状)。每组取胃活检标本进行快速脲酶检测和组织病理学检测幽门螺杆菌感染两种类型的标本。结果:本研究结果显示,快速脲酶试验检出幽门螺杆菌感染86例(78.2%),组织病理学检查阳性10例(9.0%)。男性幽门螺杆菌感染率高于女性,分别为70.00%和30.00%。年龄最小为10岁,最大≥60岁。在研究组中,年龄特异性频率最高的是(40-49岁)和(50-59岁)年龄组。结论:巴古拜市幽门螺旋杆菌性胃溃疡患病率较高,采用快速脲酶试验检测幽门螺旋杆菌性胃溃疡的准确率高于组织病理学检查。另外,结果显示男性发病率高于女性,且在(40-49)和(50-59)年龄段高于其他年龄段。
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引用次数: 1
Anterior Cervical Discectomy with Fusion in Patients with Degenerative Cervical Disc Disease 颈前路椎间盘切除术融合治疗退行性颈椎间盘病
Pub Date : 2020-10-05 DOI: 10.26505/djm.19015260216
H. Hameed, Emad Khaleel Hammood
Background: Anterior cervical discectomy with fusion (ACDF) is challenging with respect to both patient selection and choice of surgical procedure. Objective: To determine the age of patients with degenerative cervical disc disease undergoing surgery, to determine the clinical and radiological findings of degenerative cervical disc disease, and to find out the rate of success for relieving pain and radiculopathy. Patients and Methods: This is a clinical prospective study of 50 patients (case series of patients with chronic degenerative cervical disease) operated on from October 2015 to October 2018. Their ages ranged from 48-78 years, they were treated with anterior cervical discectomy with fusion, and fusion was achieved with Polyether ether ketene (PEEK) cage. Follow up using visual analog scale (VAS), out of 10 scores, was done for at least one year after the operation (at six months, nine months and one year postoperatively) for both neck pain and shoulder pain (radicular pain). Results: The mean age + SD was 63.8 + 8.4 years, 54% of the patients were females, 92% of the patients had single level ACDF, and 8% had multiple levels ACDF. The most common presentation in both genders was pain & radiculopathy (56%), followed by radiculopathy (28%), and less common presentation was pain alone (16%). The patient who has short history of the symptom (less than 6 months) gave good postoperative results and showed improvement in the symptom, 64% of the patients improved and 4% of them had no change.In the 2 nd group (the symptom more than 6 months): 10 patients improved out of 16 (62.5%), four of them had no change and two of them deteriorated & re-operated for adjacent level. Conclusion: ACDF is an effective treatment for pain & radiculopathy in selected patients with chronic degenerative cervical disease (CDCD) after one year of follow up.
背景:前路颈椎椎间盘切除术融合(ACDF)在患者选择和手术方式选择方面都具有挑战性。目的:确定退行性颈椎间盘病患者的手术年龄,确定退行性颈椎间盘病患者的临床和影像学表现,了解缓解疼痛和神经根病的成功率。患者与方法:对2015年10月至2018年10月手术治疗的50例慢性退行性宫颈疾病患者(病例系列)进行临床前瞻性研究。患者年龄48-78岁,行颈前路椎间盘切除术融合治疗,采用聚醚醚烯(PEEK)保持器实现融合。术后至少1年(术后6个月、9个月和1年)对颈痛和肩痛(神经根痛)采用视觉模拟量表(VAS)进行随访,评分为10分。结果:平均年龄+ SD为63.8 + 8.4岁,女性占54%,单级ACDF占92%,多级ACDF占8%。男女中最常见的表现是疼痛和神经根病(56%),其次是神经根病(28%),较不常见的表现是疼痛(16%)。症状史短(小于6个月)的患者术后效果好,症状改善,64%的患者症状改善,4%的患者无变化。第2组(症状超过6个月):16例患者中有10例(62.5%)好转,4例无变化,2例恶化并再次手术至邻近水平。结论:经1年随访,ACDF是治疗慢性退行性宫颈疾病(CDCD)患者疼痛和神经根病的有效方法。
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引用次数: 0
Recurrent abdominal pain as a type of epilepsy among children in Diyala province/ Iraq 在迪亚拉省/伊拉克儿童中作为癫痫类型的反复腹痛
Pub Date : 2020-10-05 DOI: 10.26505/djm.19015160114
Falah Mkhaiber Mustafa, Children-Diyala-Iraq, M. Alchalabi, Nadhim Ghazal Noaman
Background: Abdominal epilepsy is a rare condition mostly found in children, consisting of gastrointestinal disturbances caused by epileptiform seizure activity. Objective: To study chronic about pain in relation to about to aplie. Patients and Methods: A cross sectional study conducted in Albatool teaching hospital with a total number of 450 patient enrolled in the study suffering from chronic abdominal pain with signs and symptoms suggestive of either abdominal migraine or abdominal epilepsy and the sample selected according to electroencephalogram finding and the response to antiepileptic drugs. Results: The incidence of abdominal epilepsy was 34 patient (7.5%) most of them were of age group between 6-12 year, which was 23 patient (67.6). All had common symptoms of paroxysmal abdominal pain , Paleness after attack observed as a common feature (32patient), tendency to sleep after attack seen in 25patient (73.5%).constipation and bloating together seen in 32 patient (94.4%) while diarrhea seen in 4 patient All of these patients investigated thoroughly for their gastrointestinal symptoms to rule out any organic diseases. All patients had constant abnormality on electroencephalogram suggestive of seizure disorder. These patients given anticonvulsant with a good response in a followout period of two years. Conclusion: Abdominal epilepsy was a common health problem.
背景:腹部癫痫是一种罕见的疾病,多见于儿童,由癫痫样发作活动引起的胃肠道紊乱组成。目的:探讨慢性约痛与约痛的关系。患者和方法:在Albatool教学医院进行横断面研究,共纳入450例慢性腹痛患者,伴有腹部偏头痛或腹部癫痫的体征和症状,根据脑电图发现和对抗癫痫药物的反应选择样本。结果:腹部癫痫34例(7.5%),以6 ~ 12岁年龄组为主,23例(67.6);所有患者均有阵发性腹痛的共同症状,发作后面色苍白为常见特征(32例),发作后嗜睡25例(73.5%)。32例(94.4%)同时出现便秘和腹胀,4例(94.4%)同时出现腹泻。所有这些患者都进行了彻底的胃肠道症状检查,以排除器质性疾病。所有患者脑电图均持续异常,提示癫痫发作。这些患者给予抗惊厥药,随访2年,反应良好。结论:腹性癫痫是一种常见的健康问题。
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引用次数: 0
The Role of E-cadherin in the Differentiation of Ductal and Lobular Breast Carcinomas e -钙粘蛋白在乳腺导管癌和小叶癌分化中的作用
Pub Date : 2020-10-05 DOI: 10.26505/djm.19015250212
Tara M A Saeed, Tamara Almufty, Fairuz A Kakasur, Namir Ghanim Al-Tawil Hawler
Background: Diagnosis of certain types of breast cancer can be difficult due to similarities in their histopathological patterns. In such cases markers can be useful in confirming results. E-cadherin is one such marker. Objective: To differentiate the rate of E-cadherin immunohistochemical expression between the major histological types of breast cancer (lobular versus ductal), in addition to correlating it to the clinicopathological factors such as age of patients and grade of the tumor and explore the effectiveness of using it in distinguishing the cases with overlapping features. Patients and Methods: A total of 100 malignant breast samples (55 ductal lesions, 24 lobular lesions, and 21 uncertain types), collected during the period of 2014 – 2017 in Erbil, and were reviewed before undergoing E-cadherin immunohistochemistry (IHC) staining. The results from IHC were compared with the results from the morphological study of the samples and they were statistically analyzed in relation with clinicopathological factors. Results: The normal ductal cells had strong complete homogenous membrane E-cadherin reactivity in 85% of the ductal carcinoma cases. The complete absence of E-cadherin membrane staining occurred in all 24 cases of lobular cases. The rest of the 21 cases, showed variable degrees of staining. Conclusion: There is diagnostic usefulness in the detection of E-cadherin expression by immunohistochemistry as a tool in distinguishing ductal from lobular carcinoma.
背景:某些类型的乳腺癌的诊断可能是困难的,由于其相似的组织病理模式。在这种情况下,标记物可用于确认结果。e -钙粘蛋白就是这样一种标记物。目的:探讨E-cadherin免疫组化表达率在乳腺癌主要组织学类型(小叶型与导管型)之间的差异,以及与患者年龄、肿瘤分级等临床病理因素的相关性,探讨其在鉴别特征重叠病例中的应用价值。患者和方法:收集2014 - 2017年埃尔比勒地区100例乳腺恶性肿瘤标本(导管病变55例,小叶病变24例,不确定类型21例),进行e -钙粘蛋白免疫组化(IHC)染色。将免疫组化结果与标本形态学研究结果进行比较,并对其与临床病理因素的关系进行统计学分析。结果:85%的导管癌患者正常导管细胞均具有较强的全膜e -钙粘蛋白反应性。24例小叶病例均未见e -钙粘蛋白膜染色。其余21例显示不同程度的染色。结论:免疫组化检测E-cadherin表达可作为鉴别导管癌和小叶癌的诊断工具。
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引用次数: 0
Fine Needle Aspiration Cytology (FNAC) in Thyroid Gland Lesions, How Accurate is it? A Correlation with Histopathology 细针穿刺细胞学(FNAC)在甲状腺病变中的准确性如何?A与组织病理学的相关性
Pub Date : 2020-10-05 DOI: 10.26505/djm.19015270219
Jawher Taher Omer
Background: For the purpose of preoperative diagnosis of thyroid lesions, the Fine Needle Aspiration Cytology (FNAC) has now replaced many other conventional pathology tests. Objective: To know to what extent the FNAC results are accurate by correlating them with results of histopathology. Patients and Methods: In this retrospective study, ninety-four cases of thyroid gland lesions were collected from the Department of Histopathology at Rizgary Teaching Hospital, Erbil City, Iraq during the period of three years, from January 2015 to December 2017, and correlate their FNAC outcome with that of histopathology. Results: A total of 94 cases were included in this study, 70 cases (74%) were female. Fifty cases (53%) were between 21-40 years of age. FNAC and histopathological results were correspondent in 84 cases (89.4%). The most common thyroid gland lesion was nodular colloid goiter occurred in 72 cases (77%) as confirmed by histopathology. Conclusion: The FNAC is relatively safe, simple, and cost effective preoperative diagnostic tool for thyroid lesions. However, it has some limitations.
背景:在甲状腺病变的术前诊断中,细针穿刺细胞学检查(FNAC)已经取代了许多其他的常规病理检查。目的:通过与组织病理学结果的比较,了解FNAC结果的准确性。患者与方法:回顾性研究2015年1月至2017年12月3年间,伊拉克埃尔比勒市Rizgary教学医院组织病理科94例甲状腺病变患者,并将其FNAC结果与组织病理学结果进行比较。结果:共纳入94例,其中70例为女性,占74%。50例(53%)年龄在21-40岁之间。FNAC与组织病理学结果相符84例(89.4%)。甲状腺病变以结节状胶质性甲状腺肿最常见,病理证实72例(77%)。结论:FNAC是一种安全、简便、经济的甲状腺病变术前诊断工具。然而,它也有一些局限性。
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引用次数: 0
The Numerical Simulation for Asymptotic Normality of the Intensity Obtained as a Product of a Periodic Function with the Power Trend Function of a Nonhomogeneous Poisson Process 非齐次泊松过程周期函数与幂趋势函数乘积强度渐近正态性的数值模拟
Pub Date : 2020-09-30 DOI: 10.24042/DJM.V3I3.6374
Ikhsan Maulidi, M. Ihsan, V. Apriliani
In this article, we provided a numerical simulation for asymptotic normality of a kernel type estimator for the intensity obtained as a product of a periodic function with the power trend function of a nonhomogeneous Poisson Process. The aim of this simulation is to observe how convergence the variance and bias of the estimator. The simulation shows that the larger the value of power function in intensity function, it is required the length of the observation interval to obtain the convergent of the estimator.
本文给出了非齐次泊松过程的周期函数与幂趋势函数乘积的核型估计的渐近正态性的数值模拟。这个模拟的目的是观察如何收敛方差和偏差的估计。仿真结果表明,强度函数中幂函数的值越大,估计量的收敛性要求观测区间的长度越长。
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引用次数: 1
The Influence of Jigsaw-type Cooperative Learning Model on Students' Mathematics Learning Outcomes and Motivation 拼图式合作学习模式对学生数学学习成果和学习动机的影响
Pub Date : 2020-09-30 DOI: 10.24042/DJM.V3I3.6831
M. Amin, F. Nur, mardhiah diah, Eka Damayanti, Suharti harti
The learning process is inseparable from the learning model. The application of a learning model is an attempt to improve learning outcomes and learning motivation. This research aimed to determine the effect of the Jigsaw-type cooperative learning model on students’ motivation and learning outcomes. This research was a quasi-experimental research with a non-equivalent control group design. The research instruments used were learning motivation questionnaires and tests. Data analysis techniques used were descriptive analysis and inferential analysis using the MANOVA test. The results showed that there was an influence of the Jigsaw-type cooperative learning model on students’ motivation and learning outcomes.
学习过程离不开学习模式。学习模式的应用是提高学习效果和学习动机的一种尝试。本研究旨在探讨拼图式合作学习模式对学生学习动机和学习成果的影响。本研究为准实验研究,采用非等效对照组设计。使用的研究工具是学习动机问卷和测试。使用的数据分析技术是描述性分析和使用方差分析检验的推理分析。结果表明,拼图式合作学习模式对学生的学习动机和学习效果有影响。
{"title":"The Influence of Jigsaw-type Cooperative Learning Model on Students' Mathematics Learning Outcomes and Motivation","authors":"M. Amin, F. Nur, mardhiah diah, Eka Damayanti, Suharti harti","doi":"10.24042/DJM.V3I3.6831","DOIUrl":"https://doi.org/10.24042/DJM.V3I3.6831","url":null,"abstract":"The learning process is inseparable from the learning model. The application of a learning model is an attempt to improve learning outcomes and learning motivation. This research aimed to determine the effect of the Jigsaw-type cooperative learning model on students’ motivation and learning outcomes. This research was a quasi-experimental research with a non-equivalent control group design. The research instruments used were learning motivation questionnaires and tests. Data analysis techniques used were descriptive analysis and inferential analysis using the MANOVA test. The results showed that there was an influence of the Jigsaw-type cooperative learning model on students’ motivation and learning outcomes.","PeriodicalId":11442,"journal":{"name":"Dwight's Journal of Music","volume":"7 1","pages":"235-246"},"PeriodicalIF":0.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89404516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The Annual Premium of Life Insurance on The Joint-Life Status based on The 2011 Indonesian Mortality Table 基于2011年印度尼西亚死亡率表的共同生活状态下的人寿保险年保费
Pub Date : 2020-09-30 DOI: 10.24042/DJM.V3I3.6761
Stacia Litha Suryani, Rudi Ruswandi, A. Faisol
Life insurance is insurance that protects against risks to someone's life. Joint Life Insurance is insurance where the life and death rules are a combination of two or more factors, such as husband-wife or parent-child, and if the first death occurs, then the premium payment process is stopped. The annual premium is the premium paid annually. In this study, the annual premium is calculated continuously with the equivalence principle based on the 2011 Indonesian Mortality Table.  The calculation shows that the amount of annual premiums for 2 (two) and 3 (three) people is not much different. The factors that influence the annual premium amount are the duration insurance period, age at signing the policy, interest rates, life chances, force of mortality, and the number of benefits.
人寿保险是保护某人免受生命风险的保险。共同人寿保险是一种生死规则是夫妻或亲子等两种或两种以上因素结合在一起的保险,如果发生第一次死亡,则保险费支付过程停止。年保费是每年支付的保费。在本研究中,基于2011年印度尼西亚死亡率表,采用等效原则连续计算年保费。计算结果表明,2(2)人和3(3)人的年保费金额相差不大。影响年保费金额的因素是保险期限、签订保单时的年龄、利率、生活机会、死亡力量和福利数量。
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引用次数: 0
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Dwight's Journal of Music
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