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What is Death, in the 21st century? 在21世纪,死亡是什么?
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9347
Udaya Ranawaka
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引用次数: 0
PEMANFAATAN STYROFOAM SEBAGAI PENGGANTI SEBAGIAN AGREGAT HALUS PADA BETON DENGAN FAS 0.4 使用泡沫塑料可以代替FAS 0.4的普通混凝土浮力
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-03-31 DOI: 10.32722/CMJ.V3I1.3731
D. Wardana, Gilang Fadhlurrahman Evriantama, Muhtarom Riyadi
Concrete is a material commonly used for structural work. However, concrete has one disadvantage, namely that its specific gravity is high enough so that the dead load on a structure becomes large. One way to deal with high concrete density is to use Styrofoam waste as a substitute for some of the fine aggregate. This research was conducted to examine the physical and mechanical properties as well as the optimum value of compressive strength, split tensile strength and modulus of elasticity of concrete with a 0.4 fas using Styrofoam as a partial substitute for fine aggregate. The research method used is an experimental method by making the test object in the form of a concrete cylinder with a diameter of 15 cm and a height of 30 cm. The composition of the concrete mixture used is a volume ratio of 1 Pc: 2 Ps: 2 Kr with a fas 0.4. The styrofoam variations used are 10%, 20%, and 30% of the ratio to the volume of fine aggregate in normal concrete mixtures. Testing of the mechanical properties of concrete was carried out at the age of 7, 14, 21, and 28 days for the concrete compressive strength test, and 28 days for the split tensile strength of the concrete, and the modulus of elasticity. The results showed that the compressive strength of the concrete increased with the age of the concrete and the addition of the styrofoam variations with the exception of the 10% variation. For the split tensile strength test, there was an increase in line with the increase in the styrofoam variation, while the modulus of elasticity decreased at 10% variation against 0% variation and increased at 20% and 30% variation with 0% variation.
混凝土是一种常用于结构工程的材料。然而,混凝土有一个缺点,即其比重足够高,从而使结构上的恒载变大。处理高混凝土密度的一种方法是使用泡沫塑料废料代替一些细骨料。本研究以泡沫塑料作为细骨料的部分替代品,对0.4fas混凝土的物理力学性能以及抗压强度、劈拉强度和弹性模量的最佳值进行了研究。所用的研究方法是一种实验方法,将试验对象制成直径为15厘米、高度为30厘米的混凝土圆柱体。所用混凝土混合物的组成为1 Pc:2Ps:2Kr的体积比,fas为0.4。使用的发泡胶变体是正常混凝土混合物中细骨料体积比的10%、20%和30%。在7、14、21和28天龄期对混凝土的力学性能进行测试,以进行混凝土抗压强度测试,并在28天龄段对混凝土的劈拉强度和弹性模量进行测试。结果表明,除10%的变化外,混凝土的抗压强度随着混凝土的龄期和泡沫塑料的添加量的变化而增加。对于劈裂抗拉强度测试,随着发泡胶变化的增加,弹性模量增加,而弹性模量在10%变化时降低,而在20%和30%变化时增加。
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引用次数: 0
Cross-cultural adaptation of the Type D Personality Scale for use with patients diagnosed with Ischemic Heart Disease in Sri Lanka. 斯里兰卡诊断为缺血性心脏病患者的D型人格量表的跨文化适应
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9350
Chandima Kumara, Piyanjali de Zoysa, Aindralal Balasuriya, Bernard Deepal Jayamanne

Introduction: Ischemic Heart Disease (IHD), a major cardiovascular disease globally, has become the primary cause of death in Sri Lanka. Negative affectivity (NA) and social inhibition (SI) are two personality traits which increase the risk of IHD. The Type D Scale (DS-14) evaluates a person's general level of distress on NA and SI. However, DS-14 has not been translated and validated into Sinhala in Sri Lanka.

Objectives: The study aimed to cross-culturally adapt and validate the DS-14 for use with Sinhala speaking patients diagnosed with IHD.

Methods: Translation, back translation and pre-test were conducted before a two-rounds of a Delphi process which assessed content and consensual validity of the instrument. The validated questionnaires were administered to 140 patients diagnosed with IHD at a Base Hospital. Factor structure was confirmed through Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) and reliability, by internal consistency with Cronbach's alpha.

Results: The questionnaire was administered among 140 participants (85 females), aged 18-60 years. The DS-14 Sinhala version showed good content and consensual validity. Factor analysis proved two factors compatible with the original instrument, which explained the variance of 62.9%. CFA confirmed the two-factor model. The reliability analysis indicated Cronbach's alpha for NA and SI as 0.93 and 0.88, respectively.

Conclusion: The cross-culturally adapted DS-14 Sinhala version indicated the same psychometric properties as the original instrument, in the local context with IHD patients. It can be confidently applied in the investigation of Type D personality in IHD prevention and treatment, as well as in research.

简介:缺血性心脏病(IHD)是全球主要的心血管疾病,已成为斯里兰卡的主要死亡原因。负性情感(NA)和社会抑制(SI)是增加IHD发病风险的两种人格特征。D型量表(DS-14)评估一个人在NA和SI上的总体痛苦水平。然而,DS-14尚未在斯里兰卡翻译和验证为僧伽罗语。目的:该研究旨在跨文化适应和验证DS-14用于诊断为IHD的僧伽罗语患者。方法:进行翻译、反译和预测试,然后进行两轮德尔菲程序,评估工具的内容和共识效度。对某基地医院140名诊断为IHD的患者进行了有效的问卷调查。通过探索性因子分析(EFA)和验证性因子分析(CFA)来确定因子结构,并通过与Cronbach's alpha的内部一致性来确定信度。结果:共收集问卷140份,其中女性85份,年龄18 ~ 60岁。DS-14僧伽罗语版本显示了良好的内容和共识有效性。因子分析证实两个因子与原仪器相容,解释方差为62.9%。CFA验证了双因素模型。信度分析显示,NA和SI的Cronbach's alpha分别为0.93和0.88。结论:跨文化改编的DS-14僧伽罗语版本在当地IHD患者中显示出与原始仪器相同的心理测量特性。它可以自信地应用于D型人格的调查和IHD的防治,以及研究中。
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引用次数: 0
Scarabiasis revisited: a case study from Sri Lanka. 重新审视scarababasis:来自斯里兰卡的案例研究。
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9359
Priyani Gamage, Anjalie Amarasinghe, Inoka Karunaratne, Rumala Morel, Nalin Nandasiri
Scarabiasis is an ectoparasitic infestation of the gastrointestinal tract by coprophagous beetles. Herein we report scarabiasis from a 3-year-old girl from Sri Lanka, 32 years after the last report in this country. She was treated with metronidazole, lactulose syrup and advised to take hygienic precautions. No further episodes of passing beetles were observed.
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引用次数: 0
Обзор монографии Десмонда Морриса «Позы. Язык тела в искусстве» 德斯蒙德·莫里斯的专著《姿势》评论。“艺术中的肢体语言”
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-03-21 DOI: 10.46539/CMJ.V2I1.40
Elina A. Sarakaeva
В статье приводится обзор последней книги выдающегося британского художника, искусствоведа и ученого Десмонда Морриса «Позы. Язык тела в искусстве». Лондон: Издательство Thames & Hudson. Объем: 320 с. Иллюстрации: 300. Дата публикации: 24 октября 2019 г. ISBN: 9780500023556. Твердая обложка.
本文回顾了英国著名艺术家、艺术史学家和科学家德斯蒙德·莫里斯的最新著作《姿势》。“艺术中的肢体语言”。出版社:Thames&Hudson容量:320s图片:300发布日期:2019年10月24日ISBN: 9780500023556. 硬封面。
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引用次数: 0
HUBUNGAN PENGETAHUAN TENTANG METODE KONTRASEPSI DENGAN SIKAP TERHADAP PEMILIHAN METODE KONTRASEPSI PADA AKSEPTOR KONTRASEPSI WANITA 避孕方法告知与女性避孕接受者避孕的关系
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-02-07 DOI: 10.36341/CMJ.V3I3.1435
Lasiah Susanti, Vanny Nurdelima Habsi
Family planning is the first program established by the Indonesian government as one of the methods to suppress population growth in Indonesia since 1970. Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) established a sustainable development program namely Kependudukan, Keluarga Berencana dan Pembangunan Keluarga (KKBPK) which is equivalent to the international level program Sustainable Development Goals (SDGs). Participants of Riau province are using active contraception from 2017-2018 always ranks 8th lowest out of 34 provinces in Indonesia with the most methods in the form of non- long-term contraception methods (non-MKJP). One of the reason is low of society knowledge related to contraceptive methods. Knowledge and attitude are  foundation in forming a behavior that is suitable with conditions for contraceptive acceptor.The purpose of this research was to know the relationship of knowledge about contraceptive methods with attitudes about the selection of contraceptive methods in women’s contraceptive acceptors in primary health center region of Pekanbaru city.The method of this research used analytic observational study design, with a cross sectional study design. This research was conducted at 12 primary health centers region of Pekanbaru city. The sampling technique is done by stratified random sampling with a sample size of 400 people and statistically tested using the Spearman correlation test. The result of spearman 's rho correlation analysis indicate there is a significant relationship between knowledge and attitude (pvalue = 0.027) with a correlation coefficient value of 0.097.
计划生育是印尼政府自1970年以来制定的第一个抑制人口增长的计划。Badan Kependudukan and Kelurga Berencana Nasional(BKKBN)制定了一个可持续发展计划,即Kependudugan,Kelurga-Berencana and Pembagunan Kelurgan(KKBPK),相当于国际层面的可持续发展目标计划。2017年至2018年,廖内省的参与者使用积极避孕方法的人数在印度尼西亚34个非长期避孕方法(非MKJP)最多的省份中始终排名倒数第8。原因之一是社会对避孕方法的了解程度低。知识和态度是形成符合避孕接受者条件的行为的基础。本研究的目的是了解佩坎巴鲁市初级卫生中心地区女性避孕接受者对避孕方法的认识与选择态度的关系。本研究的方法采用分析观察研究设计,采用横断面研究设计。这项研究在佩坎巴鲁市的12个初级卫生中心地区进行。抽样技术是通过分层随机抽样完成的,样本量为400人,并使用Spearman相关性检验进行统计检验。spearman的rho相关分析结果表明,知识与态度之间存在显著的相关性(p值=0.027),相关系数为0.097。
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引用次数: 0
KETOGENIC DIET: A NEW STRATEGY FOR HANDLING SCIZOPHRENIANS 生酮饮食:治疗精神分裂症的新策略
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-02-07 DOI: 10.36341/CMJ.V3I3.1484
Sugeng Mashudi
The use of antipsychotics in the long term > 20 years has a negative effect on people with schizophrenia. Apart from the symptoms of schizophrenia, the emergence of metabolic syndrome needs attention. Metabolic syndrome as a negative effect of antipsychotics will have an impact on heart disorders and diabetes mellitus. Various approaches have been taken to reduce metabolic syndrome starting from a mideteran diet, low gluten, and a ketogenic diet. The purpose of this study was to determine the ketogenic diet as a new strategy for handling schizophrenics. This study is a literature review using the Pubmed search engine and Science direct. The key words used was the ketogenic diet and schizophrenia. A total of 3 articles were analyzed according to the PRISMA protocol. Research is needed on the effect of the ketogenic diet on improving the condition of schizophrenics.
长期使用抗精神病药物>20年对精神分裂症患者有负面影响。除了精神分裂症的症状外,代谢综合征的出现也需要注意。代谢综合征作为抗精神病药物的负面影响,会对心脏病和糖尿病产生影响。已经采取了各种方法来减少代谢综合征,从中期饮食、低麸质和生酮饮食开始。本研究的目的是确定生酮饮食作为治疗精神分裂症的一种新策略。本研究是一篇使用Pubmed搜索引擎和Science direct的文献综述。使用的关键词是生酮饮食和精神分裂症。根据PRISMA协议,共分析了3篇文章。生酮饮食对改善精神分裂症患者病情的作用尚需研究。
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引用次数: 0
ANALISIS PEMERIKSAAN LABORATORIUM PADA KASUS LEPTOSPIROSIS DISERTAI ABSES HATI AMOEBA 分析leptospisis病例的实验室分析,并伴有阿米巴肝功能ABSES
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-02-07 DOI: 10.36341/CMJ.V3I3.1657
Donaliazarti Donaliazarti
Leptospirosis is a disease caused by spirochaeta microorganism of the genus Leptospira, while the amoebic liver abscess is an extraintestinal complication by Entamoeba Histolytica. Both diseases occurred in a 45-year-old man with poor personal hygiene and environment sanitation. Amoebic liver abscess was found to be a coincidence that was thought to have existed before the patient developed leptospirosis so that the two diseases caused overlapping clinical manifestations in the patient, but the acute symptoms experienced by the patient at the time of admission were more likely to be caused by his leptospirosis. Patient complained of high fever, yellowing of the skin and eyes, urinating like concentrated tea, stiffness in both legs, nausea, vomiting and heartburn. On physical examination found febrile, tachycardia, icteric on skin and sclera, ciliary injection, and hepatomegaly. Laboratory tests showed mild anemia with normocytic normochromic features, leukocytosis with neutrophilia shift to the right, thrombocytosis, increased ESR, prolonged APTT, hyperbilirubinemia, elevated SGOT SGPT, ALP and GGT enzymes, hypoalbuminemia, hyperglobulinemia, and bilirubinuria. Microscopic examination with negative staining of urine samples found Leptospira. Abdominal ultrasound examination showed a solitary space occupying lesion (SOL) in the right lobe of the liver and on serological examination showed positive antiamoeba. Based on the above, this patient was diagnosed as having coincident leptospirosis with amoebic liver abscess.
钩端螺旋体病是由钩端螺旋体属的螺旋体微生物引起的疾病,而阿米巴肝脓肿是由溶组织内阿米巴引起的肠外并发症。这两种疾病均发生在一名个人卫生和环境卫生状况较差的45岁男子身上。发现阿米巴肝脓肿是一种巧合,认为在患者出现钩端螺旋体病之前就已经存在,两种疾病在患者身上造成了重叠的临床表现,但患者入院时出现的急性症状更有可能是由他的钩端螺旋体病引起的。病人主诉发高烧,皮肤和眼睛发黄,小便像浓茶,双腿僵硬,恶心,呕吐和胃灼热。体格检查发现发热,心动过速,皮肤及巩膜黄疸,睫状体注射,肝肿大。实验室检查显示轻度贫血伴正红细胞、嗜中性粒细胞右移的白细胞增多、血小板增多、ESR升高、APTT延长、高胆红素血症、SGOT、SGPT、ALP和GGT酶升高、低白蛋白血症、高球蛋白血症和胆红素尿。尿样镜检阴性发现钩端螺旋体。腹部超声检查显示肝右叶孤立性占位性病变(SOL),血清学检查显示抗阿米巴阳性。基于以上,诊断为钩端螺旋体病合并阿米巴肝脓肿。
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引用次数: 0
HUBUNGAN MOTIVASI PASIEN PROLANIS DENGAN FREKUENSI KUNJUNGAN PROLANIS DI PUSKESMAS MELUR KOTA PEKANBARU TAHUN 2020 2020年,普罗兰尼斯病人与普罗兰尼斯经常访问北坎镇
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-02-07 DOI: 10.36341/CMJ.V3I3.1673
Ratih Ayuningtiyas, R GhifariIhsan
Motivasi adalah dorongan yang diperoleh pada diri seseorang dalam berupaya mengubah perilaku seseorang agar lebih baik dalam mencapai kebutuhannya. Motivasi tidak hanya diperlukan oleh orang yang sehat, tetapi juga diperlukan oleh orang yang sakit atau sedang menderita suatu penyakit seperti penyakit kronis. Salah satu upaya pemerintah untuk menurunkan komplikasi penyakit hipertensi dan Diabetes Melitus tipe 2 yaitu dengan menerapkan sistem Prolanis. Puskesmas Melur sudah melaksanakan kegiatan Prolanis sejak tahun 2014 dan memiliki anggota Prolanis terbanyak di Kota Pekanbaru. Namun, frekuensi kunjungan peserta Prolanis di Puskesmas Melur dalam 3 bulan terakhir (Oktober-Desember 2019) hanya mencapai 20%. Penelitian ini bertujuan untuk mengetahui hubungan motivasi pasien Prolanis dengan frekuensi kunjungan Prolanis di Puskesmas Melur Kota Pekanbaru tahun 2020. Adapun metode yang digunakan yaitu desain studi observasional analitik, dengan rancangan penelitian cross sectional. Hasil penelitian didapatkan sampel sebanyak 32 responden. Dari 32 responden penelitian didapatkan pasien Prolanis yang memiliki motivasi tinggi sebanyak 19 (59,3%) dengan tingkat frekuensi kunjungan tinggi yang bervariasi, kemudian dari 32 responden tersebut sebanyak 13 (40,6%) memiliki motivasi rendah dengan tingkat frekuensi kunjungan yang bervariasi. Hasil dari uji korelasi Spearman didapatkan nilai p-value yaitu 0,001 (<0,05) dan koefisien korelasi (r) = 0,541 artinya terdapat hubungan yang bermakna antara motivasi pasien Prolanis dengan frekuensi kunjungan Prolanis di Puskesmas Melur kota Pekanbaru tahun 2020 dengan arah korelasi positif.
动机是一种激励,即某人的自我能够改变某人的行为,以更好地满足他们的需求。动机不仅是健康人所需要的,病人或患有慢性病等疾病的人也需要动机。政府减少高血压和2型糖尿病并发症的努力之一是应用Prolanis系统。梅勒尔的图书馆自2014年开始运营Prolanis,拥有北京市最大的Prolanis。然而,Prolanis在过去3个月(2019年10月至12月)访问Melur Puskesmas的频率仅达到20%。本研究旨在了解2020年Prolanis患者与新城启蒙中心Prolanis就诊频率的动机关系。至于使用的方法,它是一项分析性观察性研究的设计,有一个横断面研究计划。研究结果获得了32名响应者的样本。在32名受访者中,Prolanis患者有19名(59.3%)动机较高,就诊频率不同,32名受访者有13名(40.6%)动机较低,就诊频率也不同。Spearman相关检验结果的p值为0.001(<0.05),相关系数(r)=0.541,这意味着Prolanis患者动机与Prolanis 2020年在北京新城融汇中心的就诊频率之间存在显著相关性,且呈正相关。
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引用次数: 1
HUBUNGAN FREKUENSI PEMBERIAN MAKANAN PENDAMPING ASI (MP-ASI) DENGAN STATUS GIZI ANAK USIA 6-24 BULAN 母乳喂养的频率与6-24个月儿童营养状况的关系
IF 0.4 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2021-02-07 DOI: 10.36341/CMJ.V3I3.1672
Yulnefia Yulnefia, Arif Rahman Faris
Prevalensi status gizi balita 0-59 bulan dengan indeks BB/U di Indonesia tahun 2018 mengalami peningkatan prevalensi gizi buruk sebesar 1,10%, dan gizi lebih sebesar 1,3% dibandingkan tahun 2017. Provinsi Riau memiliki prevalensi status gizi buruk, kurang dan lebih di atas prevalensi nasional yaitu sebesar 21,9%. Kabupaten dengan prevalensi status gizi buruk dan gizi kurang tertinggi di Provinsi Riau adalah Kabupaten Indragiri Hilir dengan angka prevalensi sebesar 25,6%. Periode usia 0-24 bulan adalah periode usia yang sangat penting bagi anak, karena saat itu adalah proses pertumbuhan dan perkembangan otak yang signifikan. Salah satu faktor yang menentukan kecukupan energi yang diterima oleh anak adalah frekuensi pemberian MP-ASI. Tujuan penelitian ini adalah untuk mengetahui hubungan frekuensi pemberian makanan pendamping ASI (MP-ASI) dengan status gizi anak usia 6-24 bulan di wilayah kerja Puskesmas Gajah Mada Tembilahan Kabupaten Indragiri Hilir. Metode penelitian ini menggunakan desain studi observasional analitik, dengan rancangan penelitian cross sectional. Penelitian ini dilakukan di 24 Posyandu di wilayah kerja Puskesmas Gajah Mada  Tembilahan. Teknik pengambilan sampel yang digunakan yaitu accidental sampling. Data diuji secara statistik menggunakan uji  korelasi Spearman. Hasil penelitian berdasarkan uji korelasi Spearman didapatkan nilai p-value yaitu 0,000 (< 0,05) dan koefisien korelasi (r) = 0,669 untuk hubungan antara frekuensi pemberian makanan pendamping ASI (MP-ASI) dengan status gizi anak usia 6-24 bulan. Kesimpulan penelitian ini adalah terdapat hubungan yang bermakna antara frekuensi pemberian makanan pendamping ASI (MP-ASI) dengan status gizi anak usia 6-24 bulan di wilayah kerja Puskesmas Gajah Mada Tembilahan dengan korelasi kuat dan arah korelasi positif.
印尼0-59个月的儿童BB/U指数(BB/U索引)幼童营养状况的流行率为2018年,不良营养率增加了1.10%,营养水平比2017年增加了1.3%。廖内省营养不良的患病率比全国人口21.9%高。廖内营养状况较差和营养较低的地区是下游的Indragiri摄政,患病率为256%。24个月的寿命对儿童来说是一个非常重要的年龄阶段,因为这是一个重要的大脑成长和发育的过程。决定儿童摄入量的一个因素是母乳喂养的频率。这项研究的目的是确定下游因dragiri区一名6-24个月大的儿童营养状况与母乳喂养频率(MP-ASI)的关系。该研究方法采用分析观察设计和交叉研究设计。这项研究是在丘坛象田工作地区的Posyandu进行的。采用的抽样技术是意外采样。数据通过Spearman相关性测试进行统计测试。根据对Spearman相关性的测试,研究发现p值为p值(< 0.05),而相关性系数为(r) = 0.669,因为母乳喂养的频率与6-24个月儿童的营养状况之间的关系。这项研究的结论是,母乳伴食的频率(MP-ASI)与Puskesmas大象田的6-24个月儿童营养状况与有效相关和正相关方向之间存在一种有意义的联系。
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引用次数: 0
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Ceylon Medical Journal
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