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Sample records for atteintes gastro-intestinales dans

  1. Cardiovasculaire en gastro-intestinale risico's bij selectieve en niet-selectieve NSAID's

    NARCIS (Netherlands)

    van den Bemt, B.J.F.; Benraad, H.B.; Rasker, Johannes J.

    2007-01-01

    - Er is veel discussie geweest over de cardiovasculaire en gastro-intestinale veiligheid van cyclo-oxygenase(COX)-2-selectieve en traditionele NSAID’s. De nationale en internationale richtlijnen zijn hierover niet eenduidig. - COX-2-selectieve NSAID’s lijken de kans op ernstige maag-darmcomplicaties

  2. MANIfESTATIONS ORL dU RGO ChEz L'ENfANT

    African Journals Online (AJOL)

    7 déc. 2011 ... Le volume de salive déglutie et sa concentration en bicarbonates semblent jouer un rôle primordial dans la clairance œsophagienne (4, 6). vidange gastrique : Des études récentes ont montré qu'il existait une gastro- parésie et des troubles de la motricité gastro-intestinale chez des enfants atteints de RGO ...

  3. L'atteinte vésicale au cours de la neurofibromatose de Von Recklinghausen

    Science.gov (United States)

    Benazzouz, Mohamed Hicham; Hajjad, Tilila; Essatara, Younes; El Sayegh, Hachem; Iken, Ali; Benslimane, Lounis; Nouini, Yassine

    2014-01-01

    La neurofibromatose de type 1 ou maladie de Von Recklinghausen est une maladie génétique autosomique dominante en rapport avec des mutations dans le gène suppresseur de tumeur NF1. L'atteinte uro-génitale au cours de cette maladie est rare et moins de 80 cas ont été rapportés à ce jour dans la littérature mondiale. Les auteurs rapportent un nouveau cas d'atteinte vésicale découverte fortuitement au cours du suivi d'une patiente atteinte de la maladie de Von Recklinghausen. A travers cette observation et une revue de la littérature les auteurs discutent également les difficultés diagnostiques, thérapeutiques ainsi que les modalités de suivi dans cette maladie. PMID:25328590

  4. Lupus systémique et atteinte rénale: Apport des anticorps anti-SSA ...

    African Journals Online (AJOL)

    -SSA dans 12 cas (40%).Cinq patients (62.5%) ayant une atteinte rénale avaient des anticorps anti DNA négatifs. Parmi ces patients avec atteinte rénale, 37.5% avaient des anticorps anti SSA sans anticorps anti DNA. La moitié des patients ...

  5. Mutation du gène NOD2 chez les patients marocains atteints de la ...

    African Journals Online (AJOL)

    CARD15 dans un groupe de patients Marocains atteint de Maladie de Crohn et étudier sa corrélation génotype-expression phénotypique. Etude transversale cas témoin menée sur une durée de 16 mois. Ont été inclus 101 patients atteints de la ...

  6. Etiologies et pronostic des occlusions intestinales aigues mécaniques à l’Hôpital National de Zinder: étude transversale sur 171 patients

    Science.gov (United States)

    Adamou, Harissou; Magagi, Ibrahim Amadou; Habou, Oumarou; Magagi, Amadou; Maazou, Halidou; Adamou, Mansour; Harouna, Yacouba

    2016-01-01

    L’occlusion intestinale aigue (OIA) mécanique, représente l’une des pathologies les plus fréquentes en chirurgie digestive d’urgence. L’objectif de cette étude était de décrire les aspects étiologiques et pronostiques des occlusions intestinales aigues mécaniques à l’Hôpital National de Zinder (HNZ), Niger. Il s’agissait d’une étude transversale sur 24 mois (Janvier 2013 à Décembre 2014) ayant inclus tous les patients opérés pour OIA. Les occlusions intestinales mécaniques représentaient 24,50% (n=171) des urgences chirurgicales digestives (n=622). L’âge médian était à 25 ans (extrêmes: 1 jour et 95 ans). Le sexe ratio était à 3,5 en faveur des hommes. Les enfants représentaient 38,60% (n=66). Le siège de l’obstacle était sur le grêle dans 60,82% (n=104), colique dans 21,63%(n=37) et mixte dans 17,54% (n=30). Le mécanisme par strangulation constituait 88,89% (n=152) dont les hernies étranglées avec 49,70% (n=85) et les invaginations intestinales aigues avec 19,88% (n=34) des patients. Les malformations ano-rectales et les tumeurs constituaient les principales étiologies par obstruction avec respectivement 7,02% (n=12) et 3,51% (n=6). Une résection intestinale était faite dans 52 cas (30,41%). Les complications septiques prédominaient (n=39/53), dont la suppuration pariétale (n=23). Le séjour moyen était de 7,82 jours. La mortalité globale était 11,70% (n=20). Celle-ci était corrélée statistiquement à la nécrose intestinale (p=0,01) et au retard d’admission (p=0,04). Les étiologies des OIA sont multiples et dominées par les hernies étranglées. La morbi-mortalité élevée qu’elles entrainent pourrait être évitée par la prise en charge précoce avant l’installation d’une nécrose intestinale. PMID:27800103

  7. Invagination intestinale sur sonde de jéjunostomie: à propos d'un cas

    African Journals Online (AJOL)

    L'invagination intestinale sur sonde de jéjunostomie est une complication très rare.Nous rapportons le cas d'un patient âgé de 28 ans ayant ingéré l'esprit de sel dans le cadre d'une tentative de suicide. Une fibroscopie 'sogastroduodénale a montré des lésions oesophagiennes et gastriques stade IIb selon la classification ...

  8. Travailler auprès de la personne âgée atteinte de démence: observations de huit jours à l'EMS "Les Tilleuls" : travail de Bachelor effectué dans le cadre de la formation à la Haute école de travail social de Genève

    OpenAIRE

    Wissmann, Christine; Armbruster Elatifi, Ulrike

    2014-01-01

    Ce travail de Bachelor a été distingué par le Prix Marie-Louise Cornaz 2014. À l’heure actuelle, la personne âgée atteinte de démence s’inscrit dans un contexte de peur. En effet, les pouvoirs publics s’alarment quant à l’augmentation incessante de cette maladie incurable ; les statistiques démontrent que les chiffres vont tripler dans les décennies à venir, s’élevant à 300’000 personnes atteintes en Suisse d’ici 2050. Force est de constater que cette thématique touche de près les EMS ; alors...

  9. Infection par le VIH chez les patientes atteintes de cancer du sein en Guinée (Afrique de l'Ouest)

    Science.gov (United States)

    Traore, Bangaly; Diane, Solomana; Sow, Mamadou Saliou; Keita, Mamady; Conde, Mamoudou; Traore, Fodé Amara; Kourouma, Tidiane

    2015-01-01

    L'objectif était de déterminer la prévalence de l'infection à VIH chez les patientes atteintes de cancer du sein et de comparer les caractéristiques anatomocliques et thérapeutiques de ces cancers du sein par rapports aux patientes non infectées par le VIH. Il s'agissait d'une étude rétrospective et analytique comparant les dossiers de patientes atteintes de cancers du sein histologiquement confirmés, infectées ou non par le VIH à l'unité de chirurgie oncologique de Donka, CHU de Conakry, de 2007 à 2012. Nous avons colligé 278 patientes présentant un cancer du sein dont 14 (5,0%) infectées par le VIH et 264 (95,0%) non infectées par le VIH. Les différences observées entre ces deux groupes de patientes étaient respectivement: âge médian (36,8 vs 49,0 ans), la ménopause (21,4% vs 53,4%), le nombre des patientes traitées (50,0% contre 77,1%) et la survenue de décès (78,6% vs 50,8%). Aucune différence n'a été notée dans la présentation clinique, histologique et le retard de consultation. Dans notre étude, la prévalence de l'infection à VIH chez les patients atteints de cancer du sein est élevée. L’âge jeune des patients, la faible accessibilité au traitement et la mortalité élevée doivent être confirmés par une étude sur un échantillon plus large. PMID:26523196

  10. Le Rôle du langage de programmation dans la réalisation de code ...

    African Journals Online (AJOL)

    Le Rôle du langage de programmation dans la réalisation de code de qualité, les cas de Delphi et C++ Nous discutons dans ce papier le rôle du langage de programmation dans la production d'un code de qualité. La qualité d'un code peut être atteinte en respectant certains critères simples au niveau de la programmation ...

  11. Mutation du gène NOD2 chez les patients marocains atteints de la maladie de Crohn: prévalence, étude génotypique et corrélation au phénotype de la maladie

    Science.gov (United States)

    Tamzaourte, Mouna; Errabih, Ikram; Krami, Hayat; Maha, Fadlouallah; Maria, Lahmiri; Benzzoubeir, Nadia; Ouazzani, Laaziza; Sefiani, Ahmed; Ouazzani, Houria

    2017-01-01

    L'objectif était de déterminer la prévalence des mutations du gène NOD2/CARD15 dans un groupe de patients Marocains atteint de Maladie de Crohn et étudier sa corrélation génotype-expression phénotypique. Etude transversale cas témoin menée sur une durée de 16 mois. Ont été inclus 101 patients atteints de la maladie de Crohn, entre Janvier 2012 et Avril 2013 ainsi qu'un groupe contrôle de 107 patients. L'analyse génétique a consisté à rechercher 3 variants du gène NOD2: p.Arg702Trp, p.Gly908Arg et p.Leu1007fsins. Puis une étude de corrélation génotype-expression phénotypique a été menée. L'analyse génétique des patients atteint de maladie de crohn a mis en évidence la présence de la mutation NOD2 chez 14 patients (13,77%) contre 7 patients (6,53%) du groupe témoin. L'étude de la fréquence des différents allèles a retrouvé la mutation de p.Gly908Arg dans 6,43%, p.Leu1007fsins dans 0,99% et p.Arg702Trp dans 0,49% contre respectivement 2,80%, 0% et 0,46% dans le groupe témoin. L'étude de la corrélation génotype, expression phénotypique a démontré que la mutation CARD15 est corrélée à une localisation iléo-caecale de la maladie, à une présentation fistulisante et sténosante ainsi qu'à une évolution sévère avec recours fréquent à la chirurgie et aux immunosuppresseurs. La prévalence de la mutation NOD2/ CARD15 dans notre série est faible. Cette mutation est corrélée à une forme grave de la maladie. PMID:28819537

  12. Apport de l'imagerie dans le diagnostic des sacroiliites infectieuses : à propos de 19 cas

    Science.gov (United States)

    Abid, Hanen; Chaabouni, Salim; Frikha, Faten; Toumi, Nozha; Souissi, Basma; Lahiani, Dorra; Bahloul, Zouhir; Ben Mahfoudh, Khaireddine

    2014-01-01

    Les sacro-iliites infectieuses méritent d’être mieux connues. Leur diagnostic est souvent retardé en raison d'une symptomatologie trompeuse et des diffcultés d'exploration de l'articulation sacro-iliaque. Notre travail est basé sur une étude rétrospective portant sur les cas de SII, recueillis sur une période comprise entre 1997 et 2008 dans notre centre universitaire Sfax-Tunisie. Le diagnostic de sacro-iliite était retenu en présence d'arguments cliniques et radiologiques d'atteinte sacroiliaque. Nous rapportons dix neuf cas de sacroiliites infectieuses (10 hommes et 9 femmes), avec un âge moyen de 32 ans. L'atteinte était unilatérale dans tous les cas. Les radiographies standard faites dans tous les cas ont été suggestives dans 14 cas et normales dans les autres cas. La TDM faite dans 13 cas a montré, un abcès des parties molles dans 8 cas et un séquestre osseux dans 2 cas. L'IRM réalisée dans 8 cas, a objectivé une infiltration des parties molles dans tous les cas et un abcès dans 3 cas. Le germe a été identifié dans 9 cas (3 cas de tuberculose, 3 cas de brucellose, 2 sacro-iliites à pyogène et un cas de candidose). Cette identification était faite par biopsie dans 3 cas, hémocultures dans 2 cas, prélèvement au niveau de la porte d'entrée dans 1 cas et sérodiagnostic dans 3 cas. Pour les autres cas, l'origine pyogène a été retenue sur des arguments cliniques et biologiques. L'imagerie joue un rôle primordial dans le diagnostic précoce et l'orientation étiologique d'une sacroiliite infectieuse. PMID:25120884

  13. Caractérisation et simulation des mouvements d'atteinte par un opérateur humain en position assise en vue d'applications ergonomiques

    OpenAIRE

    CHEVALOT, N

    2006-01-01

    La simulation de mouvements d'atteinte effectués par un opérateur assis est particulièrement utile pour les constructeurs d'automobiles. Elle permet d'améliorer l'ergonomie de l'habitacle et des commandes, le plus en amont possible dans la conception. Elle consiste à simuler un mouvement et à prédire son inconfort. Cependant, ce type de simulation se heurte à des problèmes pratiques et théoriques. Pour la partie pratique, une méthode de simulation générique et stable pour tout type de mouveme...

  14. Potenzialità immunomodulanti di Akkermansia muciniphila in modelli animali di inflammatory bowel disease (IBD)

    OpenAIRE

    Russo, Valentina

    2016-01-01

    Circa 500 specie diverse di batteri colonizzano il tratto gastro-intestinale, in una quantità pari a 1000 miliardi/grammo, dando vita all’ecosistema microbico commensale, le cui dimensioni ne fanno un vero e proprio organo metabolicamente attivo. La microflora intestinale, che risiede principalmente nel colon, svolge funzioni molto importanti per la salute del nostro organismo come la sintesi di vitamine, acidi grassi (butirrato e proprionato) e amminoacidi, ma è anche in grado di interagi...

  15. Apport de l'endoscopie digestive dans l'hypertension portale de l ...

    African Journals Online (AJOL)

    ... le rôle de l'endoscopie dans le traitement et la surveillance. Méthodes: Notre étude est une analyse rétrospective de 135 endoscopies digestives hautes effectuées chez 68 enfants atteints d'hypertension portale sur une période de 8 ans. Résultats: L'endoscopie a permis de mettre en évidence les varices oesogastriques ...

  16. Profil inflammatoire biologique des patients atteints de rhumatismes ...

    African Journals Online (AJOL)

    Profil inflammatoire biologique des patients atteints de rhumatismes inflammatoires chroniques au Togo. ... des auto-anticorps et la recherche de facteurs génétiques de susceptibilité pourrait permettre la mise en route précoce d'antirhumatismaux modificateurs de la maladie (ARMM) en vue d'une amélioration du pronostic ...

  17. Prevalencia de helmintos intestinales en caninos del departamento del Quindío.

    Directory of Open Access Journals (Sweden)

    María Isabel Giraldo

    2005-09-01

    Full Text Available Introducción. Los helmintos intestinales son agentes patógenos que afectan animales domésticos y que a través de ellos pueden infectar humanos. Objetivo. El objetivo del trabajo fue determinar la prevalencia de helmintos intestinales en perros con dueño del departamento del Quindío. Materiales y métodos. Estudio descriptivo prospectivo. Se aplicó una encuesta epidemiológica a los propietarios de los perros. Se recolectaron muestras de heces de los caninos registrados en la jornada de vacunación antirrábica del 2003 en el departamento del Quindío. Las muestras de materia fecal frescas fueron analizadas utilizando la técnica de diagnóstico de Ritchie. Resultados. Se analizaron 324 muestras de heces caninas; el 67,6% de los perros eran de razas puras y el 32,4% razas mestizas. Se encontró una prevalencia del 22,2%; Ancylostoma caninum fue el parásito más frecuente, 13,9%. También se observó Trichuris vulpis, 4,3%; Toxocara canis, 2,5%, y Strongyloides stercoralis, 4,0%. El 2,46% de las mascotas se encontraron multiparasitadas. Conclusión. La frecuencia de helmintos intestinales en el departamento del Quindío fue de 22,2% y la presencia de estos parásitos coincide con factores como la edad y la permanencia del canino en la calle, entre otros. Por esta razón, es necesario establecer programas de vigilancia y prevención en la población humana y canina.

  18. Exploration fonctionnelle de l'axe corticotrope de la brebis atteinte de tremblante

    OpenAIRE

    Galéa, Jessie

    2001-01-01

    L'objectif de cette étude expérimentale était d'identifier l'origine de l'augmentation de production de cortisol par les glandes surrénales induite par la tremblante grâce à une exploration fonctionnelle de l'axe hypothalamo-hypophyso-surrénalien. Pour cela les cinétiques temporelles des concentrations plasmatiques d'ACTH des brebis atteintes de tremblante ont été analysées et le taux de production d'ACTH a été déterminé chez 14 brebis (6 brebis saines et 8 brebis atteintes de tremblante). De...

  19. Aspectos epidemiológicos de las parasitosis intestinales en niños de Vegón de Nutrias, Venezuela

    OpenAIRE

    Lacoste Laugart, Esperanza; Rosado García, Félix Manuel; Núñez, Fidel Ángel; Rodríguez Peña, Martha Solangel; Medina Fundora, Iris Caridad; Suárez Medina, Ramón

    2012-01-01

    Introducción: las infecciones por parásitos intestinales presentan altas tasas de prevalencia y amplia distribución mundial, principalmente en las regiones tropicales y subtropicales. En Latinoamérica las enfermedades parasitarias tienen una alta prevalencia y Venezuela no escapa a esta tendencia, al reportarse la aparición frecuente de infecciones con helmintos y protozoarios, sobre todo en niños. Objetivos: estimar la prevalencia de parasitosis intestinales, así como factores de riesgo asoc...

  20. Syndrome d´Apple-Peel avec nécrose intestinale | Khattala | Pan ...

    African Journals Online (AJOL)

    Syndrome d´Apple-Peel avec nécrose intestinale. Khalid Khattala, Youssef Bouabdallah. Abstract. Pan African Medical Journal 2012; 13:63. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL.

  1. État de santé, limitations d’activité, restrictions professionnelles et degré d’invalidité chez les Canadiens atteints d’un trouble de l’humeur ou d'anxiété

    Directory of Open Access Journals (Sweden)

    L. Loukine

    2016-01-01

    Full Text Available Introduction : Cette étude fournit, au moyen d’un échantillon de ménages fondé sur la population, le premier aperçu, chez des Canadiens adultes atteints de troubles de l’humeur ou d'anxiété, de leur état de santé globale et de santé mentale perçu, de leurs limitations fonctionnelles, de leurs restrictions professionnelles et de leur degré d’invalidité, ainsi que des facteurs associés à une invalidité grave. Méthodologie : Nous avons utilisé les données de l’Enquête sur les personnes ayant une maladie chronique au Canada – Composante des troubles de l’humeur et d'anxiété. L’échantillon est composé de Canadiens âgés de 18 ans et plus, atteints d’un trouble de l’humeur ou d’anxiété autodéclaré et habitant l'une des 10 provinces (n = 3 361; taux de réponse 68,9 %. Nous avons mené des analyses de régression logistiques multidimensionnelles multinomiales et descriptives. Résultats : Parmi les Canadiens adultes atteints d’un trouble de l’humeur ou d’anxiété, plus d’un quart ont rapporté un état de santé globale (25,3 % et de santé mentale (26,1 % « passable ou médiocre », plus du tiers (36,4 % ont mentionné avoir une ou plusieurs limitations fonctionnelles, la moitié (50,3 % ont déclaré qu’une modification de leur emploi a été nécessaire pour continuer à travailler et plus du tiers (36,5 % souffrait d'une invalidité grave. Les personnes avec troubles de l’humeur et d'anxiété concomitants ont mentionné de moins bons résultats : 56,4 % avaient une ou plusieurs limitations fonctionnelles, 65,8 % ont mentionné qu’une modification de leur emploi a été nécessaire et 49,6 % souffraient d'une invalidité grave. Après ajustement pour les caractéristiques individuelles, les personnes atteintes d’un trouble de l’humeur ou d’anxiété qui étaient plus âgées, dont le revenu familial était situé dans le quintile du plus faible revenu ou du revenu faible

  2. LA PELLAGRE: ASPECTS EPIDEMIOLOGIQUES ET CLINIQUES DANS LA REGION OUEST DU BURKINA FASO

    Directory of Open Access Journals (Sweden)

    Fatou Barro/Traoré

    2013-10-01

    Full Text Available Introduction: La pellagre est une carence en vitamine PP qui regroupe l’acide nicotinique ou niacine et le nicotinamide. Elle est encore fréquente dans notre pays. Le but de cette étude était de décrire les aspects épidémiologiques et cliniques de la pellagre dans la région Ouest du Burkina Faso. Patients et Méthodes: Il s’est agi d’une étude rétrospective, descriptive à partir des dossiers des patients ayant consulté ou ayant été hospitalisés dans les services de dermatologie-vénéréologie et de psychiatrie à Bobo-Dioulasso, de 2005 à 2012. Résultats: Durant la période, 223 cas de pellagre ont été enregistrés. L’âge moyen des patients était de 37,7+17,2 ans avec des extrêmes de 6 et 85 ans et un sex-ratio de 1/3. Ces cas ont été observés dans les zones aussi bien rurales qu’urbaines de l’Ouest du Burkina Faso. Les femmes étaient les plus atteintes (76,7%, particulièrement les femmes au foyer (47,1%. Les formes ulcéreuses représentaient 6,3% des cas, les atteintes neurologiques 62% et la diarrhée chronique (6,5%. Trois patients sont décédés (1,3%. Conclusion: La pellagre est une affection fréquente chez les femmes dans l’Ouest du Burkina Faso où le maïs constitue la céréale de base dans l’alimentation des populations. Les formes ulcéreuses pouvaient égarer le diagnostic. Une sensibilisation de la population est indispensable pour prévenir cette affection.

  3. Parasitosis intestinales en relación con la cultura higiénica de poblaciones rurales de Catamarca.

    Directory of Open Access Journals (Sweden)

    Monferrán, M. C.

    2003-01-01

    Full Text Available Los estudios realizados sobre prevalencia de parasitosis intestinales humanas en comunidades urbanas y rurales en la provincia de Catamarca, revela altos índices. Las causas son múltiples, entre las que se encuentran factores ecológicos y sociales. Las condiciones climáticas imperantes en una zona geográfica resultaran favorables o no a la presentación de algunas parasitosis como por ejemplo las geohelmintiasis.Se atribuye igual importancia a la educación, vivienda, alimentación, recursos económicos, falta de higiene, contaminación ambiental, etc.. Se realizan estudios de prevalencia de parasitosis intestinales en pobladores de dos regiones climáticamente diferentes de nuestra provincia como son los Dptos. La Paz y Paclín detectándose en algunas comunidades índices altos de hasta el 81 %.También se ha notado la influencia climática regional sobre la distribución de las parasitosis intestinales .En La Paz, existe un predominio de las protozoosis y en Paclín las geohelmintiasis son frecuentes y diversas. Las parasitosis detectadas estarían relacionadas en un alto grado a la denominada cultura higiénica, pues las prácticas de la higiene individual y familiar, la deposición de sus excretas, la convivencia con animales domésticos, el manejo de sus rebaños, son costumbres regionales que se han transmitido por generaciones e influyen notablemente en la difusión y la conservación de estos altos índices de parasitosis intestinales en detrimento de la salud de los habitantes.

  4. The influence of surgery on the development of distant tumour recurrence

    NARCIS (Netherlands)

    M. ten Kate (Miranda)

    2007-01-01

    textabstractTumorrecidief na een in opzet curatieve resectie voor gastro-intestinale tumoren is een groot probleem. Er is zowel een klinische overtuiging als bewijs middels in vivo dierproefonderzoek dat er een relatie bestaat tussen chirurgie en het ontstaan van locoregionaal tumorrecidief. In

  5. Parasitosis intestinales y factores de riesgo en niños: Ambulatorio urbano tipo II Dr. Agustín Zubillaga, Barquisimeto-Lara

    OpenAIRE

    Amaro C, Mariana I; Salcedo G, Darling J; Uris G, Marianny K; Valero B, Karen N; Vergara A, Mariany T; Cárdenas, Elsys; Vidal, Angel C; Sánchez Ch, Julia A

    2011-01-01

    Introducción: La posible asociación de las parasitosis intestinales con la pobreza y el saneamiento ambiental insuficiente, hacen necesario estudiar la prevalencia de este hecho en un barrio pobre de la ciudad de Barquisimeto, Venezuela. Objetivo: Determinar la frecuencia de parasitosis intestinales y factores de riesgo en niños de 1 a 12 años, de una zona pobre de Barquisimeto, Venezuela, área de influencia del Ambulatorio Urbano Tipo II “Dr. Agustín Zubillaga”. Método: Se realizó un estudio...

  6. Exercise and the gastro-intestinal tract

    African Journals Online (AJOL)

    on perfonnance and me value of cardiovascular training in improving performance in aerobic sports is well recognised. The role of me gastro-intestinal tracr, bom as a limiting and sustaining facror in aerobic exercises, is less well appreciared. Gastro-intestinal symptoms. The spectrum of gastro-intestinal effecrs of exercise ...

  7. Disminución de enfermedades infecciosas intestinales relacionada al acceso a servicios de agua y desagüe en el Perú, 2002-2009

    Directory of Open Access Journals (Sweden)

    Fernando Arenas-Significación

    2011-12-01

    Full Text Available Introducción: En el Perú, las enfermedades infecciosas intestinales ocupan el tercer lugar en causas de morbilidad registradas en consulta externa. Por otro lado, el acceso a agua y desagüe existió en 74,7% y 62,8%, respectivamente. Objetivos: Determinar la correlación del acceso de agua potable y desagüe con las consultas por enfermedades infecciosas intestinales. Diseño: Estudio ecológico de series de tiempo. Institución: Facultad de Medicina de San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Perú. Material: Registros del Ministerio de Salud y del Instituto Nacional de Estadística e Informática, Lima, Perú. Métodos: A partir de los registros del Ministerio de Salud (MINSA de las causas de morbilidad en consulta externa y datos del Instituto Nacional de Estadística e Informática (INEI, se realizó un estudio ecológico de serie de tiempo, del periodo 2002 al 2009. Se analizó los resultados con el coeficiente rho de Spearman. Principales medidas de resultados: Coeficientes de correlación. Resultados: Se obtuvo un rho = -0,810 y p = 0,015 para la relación entre acceso a agua potable y enfermedades infecciosas intestinales. Se obtuvo un rho = -0,714 y p = 0,047 para la relación entre el acceso a desagüe y enfermedades infecciosas intestinales. Interpretación: Se encontró correlación entre el porcentaje de acceso de agua potable y desagüe y el porcentaje de consultas externas por enfermedades infecciosas intestinales, en el periodo del 2002 al 2009, en el Perú.

  8. Tratamiento de la parasitosis intestinales frecuentes en Colombia

    Directory of Open Access Journals (Sweden)

    David Botero

    1981-12-01

    Full Text Available En la úitima década se han obtenido importantes avances en el tratamiento de las parasitosis intestinales (1. 2. La droga ideal, efectiva en dosis única contra todos o la mayoría de los parásitos del intestino, de bajo costo y sin toxicidad, todavía no se ha logrado. El enorme número de personas parasitadas, la mayoría de bajos recursos económicos y eluso de tratamientos en masa como medida de salud pública, hacen necesaria la obtención de nuevos medicamentos apropiados para este fin (3. Mencionaremos inicialmente las parasitósis y las drogas recomendadas y nos referiremos posteriormente a las drogas con más detalle.

  9. El sentido de las enfermedades por parásitos intestinales en poblaciones americanas, identificando dilemas bioéticos

    Directory of Open Access Journals (Sweden)

    María del Pilar Díaz Murillo

    2013-01-01

    Full Text Available Objetivo: Identificar sentidos que pueblos del continente americano le asignan a las parasitosis intestinales y plantear posibles conflictos o dilemas en las tomas de decisiones en diferentes actividades de salud producto del encuentro de valores distintos, campo de acción de la bioética. Metodología: Revisión bibliográfica de artículos sobre parasitosis intestinales que cumplieran los criterios de inclusión establecidos y suministraran aportes para la comprensión hermenéutica de las parasitosis intestinales y permitieran identificar dilemas bioéticos para actividades en salud resultantes del contacto entre las visiones émica y ética (de la biomedicina. Resultados: La construcción social de las parasitosis intestinales influye en su percepción de causalidad, nocividad y como problema de salud, lo cual afecta las acciones que la gente emprenda ante ellas. Se advierte que tales construcciones sociales pueden no coincidir con la perspectiva biomédica. Se observó que en algunas poblaciones la construcción social del cuerpo se relaciona con la percepción de efectos benéficos de los parásitos. La gente reconoce factores de riesgo pero esto no necesariamente conduce a comportamientos preventivos. Algunos estudios reconocen que la educación ha sido de tipo informativo, sin participación comunitaria, lo cual impide que la gente se identifique con ella y se sienta motivada a transformar su realidad. Se identificaron diversos dilemas bioéticos producto del contacto entre visiones de las poblaciones, y la biomedicina. Conclusiones: La aproximación émica permite entender la lógica de la población sobre las parasitosis intestinales e identificar disyuntivas bioéticas. Aunque la gente reconozca los riesgos de infección, la falta de comprensión de la perspectiva émica de los parasitismos por parte del personal de salud y las deficientes condiciones de vida permiten que no se produzcan transformaciones que incidan en la disminuci

  10. Prevalencia de microsporidios y otros parásitos intestinales en pacientes con infección por VIH, Bogotá, 2001.

    Directory of Open Access Journals (Sweden)

    Astrid Carolina Flórez

    2003-09-01

    Full Text Available Los parásitos intestinales oportunistas son protozoos que causan diarrea en pacientes infectados con el virus de inmunodeficiencia humana (VIH. Para determinar la prevalencia de microsporidios y otros parásitos oportunistas intestinales en pacientes infectados con el VIH con síntomas gastrointestinales y sistémicos, se estudiaron 115 pacientes que durante el 2001 consultaron al Hospital Santa Clara (33,0%, Clínica San Pedro-ISS (20,0%, Hospital Simón Bolívar (14,8%, San José (13,9%, Central de la Policía (6,1%, Compensar (5,2%, Liga de Lucha contra el Sida (2,6%, Hospital San Ignacio (2,6% y Hospital Militar (1,7%. La edad promedio fue de 36 años con un rango de 18 a 71 años; 14 eran mujeres y 101 hombres. La metodología empleada fue la recolección por paciente de dos muestras de materia fecal seriadas para montaje directo, concentración, coloración de Zielh Neelsen modificada para diagnóstico de coccidios intestinales y coloraciones de cromotropo modificada, Gramcromotropo y calcoflúor para diagnóstico de microsporidios. La prevalencia de oportunistas fue de 10,4 % para Cryptosporidium sp. En cuanto a microsporidios, se encontró que de 29% de positividad con cromotropo modificada como tamizaje, tan sólo 3,5% de las muestras se confirmaron como positivas con técnicas de calcoflúor y Gram-cromotropo. La prevalencia general de parásitos intestinales fue de 59,1%, de los cuales los principales patógenos fueron Blastocystis hominis con 25,2% y Entamoeba histolytica con 13%. En otros estudios con pacientes inmunosuprimidos por el VIH en Colombia, se han encontrado prevalencias de Cryptosporidium sp. menores que la hallada en esta investigación.

  11. Modifications de la coagulation sanguine dans la fièvre jaune

    Directory of Open Access Journals (Sweden)

    J. Vellard

    1929-01-01

    Full Text Available L'étude des modifications de la coagulation sanguine à l'aide de la technique BRAZIL-VELLARD, réalisée chez 25 malades atteints de formes diverses, mortelles, graves, et bénignes, entre le lléme et le XIIIéme jour de maladie, et chez 12 convalescents, a permis d'arriver aux conclusions suivantes: 1º. Les variations du pouvoir coagulant du serum sont très irrégulières et peu différentes des celles observées chez de sujets normaux. 2º. La coagulabilité du plasma, dès le IIème jour de la maladie, présente une diminution marquée, constante chez tous les malades, atteignant son chiffre le plus bas entre le VIIème et le IXème jour et revenant progressivement á la normale pendant la convalescence. 3º. Cette diminution de la coagulabilité est due principalement á l'apparition de grandes quantités d'antithrombines dans la circulation; la diminution du fibrinogène observée dans quelques cas, est toujours peu accusée. 4º. La diminution de la coagulabilité du plasma, qui n'a jusqu'ici été observée avec cette intensité que dans la fièvre jaune, peut être d'un certain secours pour le diagnostic précoce de cette affection; elle n'a jamais été vérifiée chez des malades atteints d'autres affections fébriles. 5º. Au point de vue du pronostic, la diminution précoce et très accentuée de la coagulabilité est un symptôme grave, indiquant une lésion profonde de la cellule hépatique. 6º. Dans la fièvre jaune expérimentale du Macacus rhesus, les altérations de la coagulation sanguine sont de même nature, mais paraissent plus tardives et moins accusées que chez l'homme.

  12. Detection of gastro-oesophageal reflux disease

    International Nuclear Information System (INIS)

    Christiansen, T.; Ravnsbaek, J.; Toettrup, A.; Funch-Jensen, P.; Thommesen, P.; Aarhus Kommunehospital

    1986-01-01

    In a prospective study a barium examination combined with food stimulation was compared with the acid reflux test in 30 consecutive patients with symptoms of gastro-oesophageal reflux. Both methods were further compared with endoscopy and histology. Gastro-oesophageal reflux could be demonstrated by the radiologic examination in 22 patients and by the acid reflux test in 23 patients. By combining the two methods gastro-oesophageal reflux could be demonstrated in 27 patients. Comparing the two methods with symptoms, endoscopy, and histology they seemed to be of equal value. Accordingly, a food-stimulated barium examination is recommended as the first method for demonstrating gastro-oesophageal reflux because it is simple and well-tolerated by the patient. (orig.)

  13. Gastro-intestinale chirurgie en gastro-enterologie. IX. Obstipatie: oorzaken en diagnostiek

    NARCIS (Netherlands)

    Smout, A. J.; Brummer, R. J.

    2000-01-01

    Constipation and disordered defaecation are symptoms, not disease entities. Usually these symptoms are not caused by organic abnormalities, but by disordered motility of the colon and pelvic floor. Both decreased colonic motility (inertia coli) and increased frequency and amplitude of haustrating

  14. Prevalencia de parasitosis intestinales en unidades educativas de Ciudad Bolívar, Venezuela

    Directory of Open Access Journals (Sweden)

    José Antonio Nastasi Miranda

    2015-07-01

    Full Text Available Introducción: Las parasitosis intestinales a nivel mundial son un problema de salud pública que afecta a los países en las zonas tropicales. Un grupo muy vulnerable a padecer este tipo de infección son los niños. El objetivo de la presente investigación fue determinar la prevalencia general de parásitos intestinales en las Unidades Educativas de Ciudad Bolívar, entre los años 2009 - 2013. Materiales y Métodos: Fueron obtenidos los trabajos de grado sobre el tema del Departamento de Parasitología y Microbiología y así se recolectaron datos sobre edad, sexo, tipo de parasito, especies y asociaciones parasitarias y poder calcular así dicha prevalencia general. Resultados: Se encontró una prevalencia general de 63,1% sin predilección por la edad o sexo. Los tipos de parásitos más prevalentes fueron los protozoarios con 83,5%. Las especies más prevalentes fueron Blastocystis spp con 39,7%, Entamoeba coli con 15,3%, y Giardia intestinalis con 13,4%. Las asociaciones parasitarias más frecuentes Blastocystis spp con Endolimax nana (21,1% y Blastocystis spp con Entamoeba coli. (7,4%. Discusión: Los resultados de este estudio guardan relación con estudios realizados a nivel nacional como internacional, con respecto a las prevalencias de parasitosis, el predominio de protozoarios sobre helmintos en los últimos años, y la indistinción de la infección parasitaria con respecto al género. Conclusiones: La prevalencia aquí estudiada a manera general es alta, se recomienda seguir haciendo este tipo de estudios en escuelas para denotar el impacto de estas infecciones en niños y la consecuencia que esto conlleva.  Cómo citar este artículo: Nastasi JA. Prevalencia de parasitosis intestinales en unidades educativas de Ciudad Bolívar, Venezuela. Rev Cuid. 2015; 6(2:1077-84. http://dx.doi.org/10.15649/cuidarte.v6i2.181

  15. Pediatric GERD (Gastro-Esophageal Reflux Disease)

    Science.gov (United States)

    ... Marketplace Find an ENT Doctor Near You Pediatric GERD (Gastro-Esophageal Reflux Disease) Pediatric GERD (Gastro-Esophageal ... What symptoms are displayed by a child with GERD? While GER and EER in children often cause ...

  16. Case report

    African Journals Online (AJOL)

    abp

    Sténose pylorique, ulcère gastro-duodénal. Anastomoses intestinales, grêle court, court-circuit jéjuno-iléal. Entéropathie diabétique. Maladie cœliaque. Maladie de Hirschsprung. Autres. Gestes invasifs. Colonoscopie. Médicaments. AINS, corticoïdes, ciclosporine, neuroleptiques. BPCO, asthme et Cardiopathies. Toxiques.

  17. Vomiting and gastro-oesophageal reflux.

    Science.gov (United States)

    Paton, J Y; Nanayakkhara, C S; Simpson, H

    1988-01-01

    During radionuclide scans in 82 infants and children gastro-oesophageal reflux extending to the upper oesophageal/laryngeal level was detected in 636 one minute frames. Only 61 (9.6%) of these frames were associated with vomiting, defined as the appearance of milk at the mouth. Thus the absence of vomiting does not preclude appreciable gastro-oesophageal reflux. PMID:3415303

  18. Complexité phonétique et disfluence dans le vieillissement normal et dans la maladie d’Alzheimer

    Directory of Open Access Journals (Sweden)

    Lee Hyeran

    2014-07-01

    Full Text Available Les études récentes ont montré que les facteurs linguistiques ont un impact sur les disfluences. L’objectif de cette étude est d’examiner la relation entre les disfluences et la complexité phonétique dans le vieillissement cognitif normal et dans le vieillissement pathologique de type Alzheimer. 40 patients atteints de la maladie d’Alzheimer et 38 sujets âgés sains appariés en âge, sexe et niveau socioculturel ont participé à cette étude. Les disfluences dans le discours spontané de ces deux groupes de sujets ont été analysées afin d’identifier les mots qui font l’objet de difficultés d’évocation. La complexité phonétique de ces occurrences problématiques et des occurrences non problématiques a été calculée à l’aide de l’Indice de complexité phonétique de Jakielski (2000. Les résultats montrent que les patients atteints de la maladie d’Alzheimer ont tendance à utiliser des mots de complexité phonétique plus faible que les personnes âgées saines et que les disfluences n’apparaissent pas de façon aléatoire, les occurrences problématiques (i.e. précédés d’une disfluence présentent un score de complexité phonétique plus élevé que pour les occurrences non problématiques. Cette étude montre que l’étude du langage dans la démence neurodégénérative, telle que la maladie d’Alzheimer, peut être utile pour affiner la connaissance sur la complexité linguistique et que l’Indice de complexité phonétique peut avoir un apport clinique en orthophonie pour une évaluation précise de la difficulté linguistique en prenant en compte le contexte phonétique de cette difficulté afin d’orienter les patients vers une remédiation adaptée. L’approfondissement et le développement d’un outil de calcul automatique de la complexité phonétique sont en cours afin d’ouvrir des perspectives de recherches sur un large éventail d’études en phonétique (e.g. d

  19. The gastro-oesophageal common cavity revisited

    NARCIS (Netherlands)

    Aanen, M. C.; Bredenoord, A. J.; Samsom, M.; Smout, A. J. P. M.

    2006-01-01

    The manometric common cavity phenomenon has been used as indicator of gastro-oesophageal reflux of liquid or gaseous substances. Using combined pH and impedance recording as reference standard the value of a common cavity as indicator of gastro-oesophageal reflux was tested. Ten healthy male

  20. Achalasia following gastro-oesophageal reflux.

    Science.gov (United States)

    Smart, H L; Mayberry, J F; Atkinson, M

    1986-01-01

    Five patients initially presenting with symptomatic gastro-oesophageal reflux, proven by radiology or pH monitoring, subsequently developed achalasia, confirmed by radiology and manometry, after an interval of 2-10 years. During this period dysphagia, present as a mild and intermittent symptom accompanying the initial reflux in 3 of the 5, became severe and resulted in oesophageal stasis of food in all. Three of the 5 had a demonstrable hiatal hernia. In none was reflux a troublesome symptom after Rider-Moeller dilatation or cardiomyotomy undertaken for the achalasia. Gastro-oesophageal reflux does not protect against the subsequent development of achalasia. It is suggested that the autonomic damage eventually leading to achalasia may in its initial phases cause gastro-oesophageal reflux. Images Figure 1. A Figure 1. B Figure 2. PMID:3950898

  1. Prevalencia de helmintos intestinales en gatos domésticos del departamento del Quindío, Colombia

    Directory of Open Access Journals (Sweden)

    Diana Marcela Echeverry

    2012-05-01

    Full Text Available Introducción. Las enfermedades producidas por helmintos están ampliamente distribuidas en elmundo y muchas de ellas se consideran zoonosis. Los animales de compañía cumplen un papeltrascendental en la transmisión a los humanos. Objetivo. Determinar la prevalencia de helmintos intestinales en gatos del departamento del Quindío. Materiales y métodos. Se estudiaron 121 gatos domésticos del departamento del Quindío, delos cuales se registraron los datos de sexo, edad y condición corporal. Se recolectaron heces y seprocesaron mediante las técnicas de Ritchie modificada y de Kato-Katz. Resultados. De los 121 gatos, 42,14 % (IC95%: 33,35-50,94 y 45,45 % (IC95%: 36,58-54,32 resultaronparasitados con alguna especie de helminto adulto según la presencia de huevos en sus heces,mediante las técnicas de Ritchie y de Kato-Katz, respectivamente. Toxocara cati fue el parásito másprevalente (Ritchie: 37,2 %; Kato-Katz: 43 %, seguido por Ancylostoma spp. (Ritchie: 7,43 %; Kato-Katz: 5,78 % y Aelurostrongylus abstrusus (Ritchie: 0,82 %.Sesenta y cinco (53,71 % gatos eran hembras y 56 (46,28 % eran machos; la prevalencia de infecciónfue similar en ambos sexos. Los felinos mayores de 4 años de edad presentaron mayor prevalenciade parásitos (81,8 %, seguidos por los de 1 a 4 años (48,8 % y, por último, por los menores de unaño (28,6 %. Se encontró una buena condición corporal en 77,68 % y este grupo presentó menorfrecuencia de helmintos intestinales. Conclusión. La prevalencia de helmintos intestinales en gatos domésticos del departamento delQuindío fue de 43,8 %, lo que hace necesario establecer programas de vigilancia y prevención en lapoblación humana y felina.   doi: http://dx.doi.org/10.7705/biomedica.v32i3.439

  2. Gastro-Esophageal Reflux in Children

    Directory of Open Access Journals (Sweden)

    Anna Rybak

    2017-08-01

    Full Text Available Gastro-esophageal reflux (GER is common in infants and children and has a varied clinical presentation: from infants with innocent regurgitation to infants and children with severe esophageal and extra-esophageal complications that define pathological gastro-esophageal reflux disease (GERD. Although the pathophysiology is similar to that of adults, symptoms of GERD in infants and children are often distinct from classic ones such as heartburn. The passage of gastric contents into the esophagus is a normal phenomenon occurring many times a day both in adults and children, but, in infants, several factors contribute to exacerbate this phenomenon, including a liquid milk-based diet, recumbent position and both structural and functional immaturity of the gastro-esophageal junction. This article focuses on the presentation, diagnosis and treatment of GERD that occurs in infants and children, based on available and current guidelines.

  3. Gastro-Esophageal Reflux in Children.

    Science.gov (United States)

    Rybak, Anna; Pesce, Marcella; Thapar, Nikhil; Borrelli, Osvaldo

    2017-08-01

    Gastro-esophageal reflux (GER) is common in infants and children and has a varied clinical presentation: from infants with innocent regurgitation to infants and children with severe esophageal and extra-esophageal complications that define pathological gastro-esophageal reflux disease (GERD). Although the pathophysiology is similar to that of adults, symptoms of GERD in infants and children are often distinct from classic ones such as heartburn. The passage of gastric contents into the esophagus is a normal phenomenon occurring many times a day both in adults and children, but, in infants, several factors contribute to exacerbate this phenomenon, including a liquid milk-based diet, recumbent position and both structural and functional immaturity of the gastro-esophageal junction. This article focuses on the presentation, diagnosis and treatment of GERD that occurs in infants and children, based on available and current guidelines.

  4. Gastro-oesophageal reflux and cough.

    Science.gov (United States)

    Abdulqawi, Rayid; Houghton, Lesley A; Smith, Jaclyn A

    2013-05-01

    Gastro-oesophageal reflux, either singly or in association with postnasal drip and/or asthma is considered to be a cause of chronic cough. The amount and nature of gastro-oesophageal reflux however is often normal with acid suppression having very little, if any therapeutic effect in these patients. This review examines the challenges posed when exploring the reflux-cough link, and discusses the merits and limitations of the proposed mechanisms of reflux leading to cough.

  5. Dynamic characteristic of gastro-oesophageal reflux in ambulatory patients with gastro-oesophageal reflux disease and normal control subjects

    NARCIS (Netherlands)

    Weusten, B. L.; Akkermans, L. M.; vanBerge-Henegouwen, G. P.; Smout, A. J.

    1995-01-01

    BACKGROUND: The aim of the study was to investigate the dynamic characteristics of pathologic gastro-oesophageal reflux. METHODS: Five-channel ambulatory 24-h oesophageal pH monitoring was performed in 19 gastro-oesophageal reflux disease patients (age, 21-74 years) and in 19 healthy volunteers

  6. Out-patient radiology in gastro-esophageal reflux

    International Nuclear Information System (INIS)

    Alessi, G.; Risi, D.; Accordino, M.E.; Meli, C.; Iascone, C.

    1987-01-01

    A retrospective analysis is reported of 131 symptomatic patients for gastro-esophageal reflux, comparing the radiological diagnosis to endoscopic, manometric and pH-metric results. A low incidence of x-ray examination is found. The role of radiology in gastro-esophageal reflux is considered and discussed

  7. Infection par le VIH chez les patientes atteintes de cancer du sein en ...

    African Journals Online (AJOL)

    L'objectif était de déterminer la prévalence de l'infection à VIH chez les patientes atteintes de cancer du sein et de comparer les caractéristiques anatomocliques et thérapeutiques de ces cancers du sein par rapports aux patientes non infectées par le VIH. Il s'agissait d'une étude rétrospective et analytique comparant les ...

  8. Radiologic quantitation of gastro-oesophageal reflux

    International Nuclear Information System (INIS)

    Christiansen, T.; Funch-Jensen, P.; Jacobsen, N.O.; Thommesen, P.; Kommunehospitalet, Aarhus; Kommunehospitalet, Aarhus

    1987-01-01

    In a prospective study, 26 patients with symptoms of reflux oesophagitis underwent a barium examination for gastro-oesophageal reflux after food stimulation, and endoscopy with biopsy from different levels of the oesophagus. Radiologic grading of the gastro-oesophageal reflux depending on the height of the reflux into the oesophagus was performed, and this was correlated to the microscopic appearance at different levels in the oesophagus. Complete agreement between the radiologic grading and the histology was found in 69 per cent of the cases, and when gastro-oesophageal reflux was demonstrated the agreement was 75 per cent. Accordingly, the results showed a good accordance between the two variants, indicating that the height of the reflux during the food stimulated test may be truly indicative of the reflux height under non-test conditions. (orig.)

  9. Appréciation de l’alimentation en zinc du maïs par la détermination du rapport Fe/Zn dans les parties aériennes du végétal

    OpenAIRE

    Lubet, E.; Soyer, Jean-Pierre; Juste, Catherine

    1983-01-01

    On a mesuré de 1972 à 1981 le rapport Fe/Zn dans les parties aériennes de maïs atteints ou non de carence en zinc. Les échantillons ont été prélevés, à deux stades de végétation, soit dans des dispositifs expérimentaux de plein champ, soit dans des cultures où se manifestait la carence. Le rapport Fe/Zn apparaît comme beaucoup plus discriminant que la seule détermination de la teneur en zinc pour la prévision de la carence zincique chez les plantes qui se développent en sols non calcaire...

  10. Evaluation of new gastro-intestinal prokinetic (ENGIP-I) study.

    Science.gov (United States)

    Walwaikar, Pradeep P; Kulkarni, Sujay S; Bargaje, Rahul S

    2005-10-01

    The ENGIP-I study was conducted to investigate the efficacy, and safety of itopride in patients of gastro-oesophageal reflux disease. There were significant reductions in heartburn frequency, heartburn severity, gastro-oesophageal regurgitation frequency at day 3 only. ENGIP-I study concluded that itopride was well tolerated by patients and appears to be the drug of choice in patients with gastro-oesophageal reflux disease.

  11. Food-stimulated gastro-oesophageal reflux demonstrated by barium examination

    Energy Technology Data Exchange (ETDEWEB)

    Christiansen, T.; Thommesen, P.

    A prospective investigation on gastro-oesophageal reflux in 97 consecutive patients has been carried out by means of a barium examination employing the conventional method and after food stimulation. Gastro-oesophageal reflux was observed in 38 patients with and 15 patients without oesophageal symptoms. Gastro-oesophageal reflux was induced by two mechanisms, an active component after food stimulation and a passive component after the conventional method including respiratory manoeuvres and leg raising. In 32 patients, only the active component could be demonstrated and in 6 patients only the passive component. In the remaining 15 patients both active and passive components occurred. The clinical significance of the active and passive components in gastro-oesophageal reflux needs further investigation.

  12. Food-stimulated gastro-oesophageal reflux demonstrated by barium examination

    International Nuclear Information System (INIS)

    Christiansen, T.; Thommesen, P.

    1986-01-01

    A prospective investigation on gastro-oesophageal reflux in 97 consecutive patients has been carried out by means of a barium examination employing the conventional method and after food stimulation. Gastro-oesophageal reflux was observed in 38 patients with and 15 patients without oesophageal symptoms. Gastro-oesophageal reflux was induced by two mechanisms, an active component after food stimulation and a passive component after the conventional method including respiratory manoeuvres and leg raising. In 32 patients, only the active component could be demonstrated and in 6 patients only the passive component. In the remaining 15 patients both active and passive components occurred. The clinical significance of the active and passive components in gastro-oesophageal reflux needs further investigation. (orig.)

  13. Macrophages/Microglie et formes progressives dans la sclérose en plaques Analyse histologique et moléculaire

    OpenAIRE

    Chanal , Marie

    2010-01-01

    La sclérose en plaques (SEP) est une pathologie inflammatoire chronique du système nerveux central (SNC) impliquant des interactions neuro-immunologiques de nature et d’intensité variées. Chez les patients atteints d’une forme progressive de SEP, la perte axonale diffuse est actuellement considérée comme l’élément majeur du handicap neurologique irréversible. L’implication de l’inflammation diffuse dans le développement de cette perte axonale est fortement suspectée. Néanmoins la responsabili...

  14. Motor disorders of the oesophagus in gastro-oesophageal reflux.

    OpenAIRE

    Mahony, M J; Migliavacca, M; Spitz, L; Milla, P J

    1988-01-01

    Mechanisms of gastro-oesophageal reflux were studied by oesophageal manometry and pH monitoring in 33 children: nine controls, 15 with gastro-oesophageal reflux alone, and nine with reflux oesophagitis. A total of 122 episodes of reflux were analysed in detail: 82 (67%) were synchronous with swallowing and 40 (33%) asynchronous. Infants with trivial symptoms had gastro-oesophageal reflux synchronous with swallowing, whereas those with serious symptoms had slower acid clearance and asynchronou...

  15. Motor disorders of the oesophagus in gastro-oesophageal reflux.

    Science.gov (United States)

    Mahony, M J; Migliavacca, M; Spitz, L; Milla, P J

    1988-01-01

    Mechanisms of gastro-oesophageal reflux were studied by oesophageal manometry and pH monitoring in 33 children: nine controls, 15 with gastro-oesophageal reflux alone, and nine with reflux oesophagitis. A total of 122 episodes of reflux were analysed in detail: 82 (67%) were synchronous with swallowing and 40 (33%) asynchronous. Infants with trivial symptoms had gastro-oesophageal reflux synchronous with swallowing, whereas those with serious symptoms had slower acid clearance and asynchronous reflux. There were significant differences in lower oesophageal sphincter pressure and amplitude of oesophageal contractions between controls and patients with both gastro-oesophageal reflux and reflux oesophagitis. In reflux oesophagitis there was a decrease in lower oesophageal sphincter pressure and the contractions had a bizarre waveform suggesting a neuropathic process. PMID:3202640

  16. Gastro-intestinale chirurgie en gastro-enterologie. VII. Motiliteitsstoornissen proximaal in de tractus digestivus

    NARCIS (Netherlands)

    Boeckxstaens, G. E.; Busch, O. R.; Akkermans, L. M.; Cuesta, M. A.

    2000-01-01

    Dysphagia and chest pain are the two commonest symptoms of abnormalities of oesophageal motility. Dysphagia is to be distinguished into high or oropharyngeal and low or oesophageal dysphagia. Oropharyngeal dysphagia pertains to dysfunction of the pars cricopharyngea of the M. constrictor pharyngis

  17. Influence of Cisapride on food-stimulated gastro-oesophageal reflux: A radiological study

    International Nuclear Information System (INIS)

    Gelineck, J.; Aksglade, K.; Funch-Jensen, P.; Thommesen, P.

    1990-01-01

    The influence of Cisapride on food-stimulated gastro-oesophageal reflux meachanisms was studied in a double-blind cross-over investigation in 24 consecutive patients selected by endoscopy, 12 with microscopical evidence of gastro-oesophageal reflux and 12 with additional macroscopic oesoghagitis. 63% had food-stimulated gastro-oesophageal reflux, and Cisapride significantly reduced the tendency to gastro-oesophageal reflux and mucosal contact time between gastric content and the oesophageal mucosa in 73% of these patients. It is concluded that Cisapride could be valuable in the treatment of gastro-oesophageal reflux. (orig.) [de

  18. Radio-isotopes in gastro-enterology

    International Nuclear Information System (INIS)

    Pettengell, K.E.; Houlder, A.

    1988-01-01

    Many recent advances in nuclear imaging have applications in gastro-enterology, and these have shown an increasing shift of emphasis away from the simple demonstration of anatomy towards methods suitable for the investigation of gastro-intestinal (GI) function and pathophysiology. Scintigraphic techniques are non-invasive, well tolerated by ill patients and perhaps most importantly permit quantitation of abnormal physiology. It is therefore not surprising that nuclear imaging is gaining an increasingly important place in routine patient management. This article discuss its value in the fields of GI bleeding, inflammatory bowel disease, tumour localisation and oesophageal motility

  19. « Quelque chose de rouge » : l’esthétique des tableaux vivants dans Salammbô

    OpenAIRE

    Jullien, Dominique

    2016-01-01

    L’écriture de Flaubert dans Salammbô est gouvernée par un principe analogue au tableau vivant, qui tire le roman vers les arts visuels et les arts du spectacle. Le tableau vivant, pratique culturelle qui atteint sa plus grande popularité au cours du Second Empire, traverse à la fois le théâtre, la peinture, la photographie et la sculpture, arts avec lesquels l’écriture de Flaubert entretient une relation d’imitation ou de rivalité. La question du tableau vivant permet de renouveler la réflexi...

  20. Factors associated with gastro-duodenal disease in patients ...

    African Journals Online (AJOL)

    Background: There is a high prevalence of gastro-duodenal disease in sub Saharan Africa. Peptic ulcer disease in dyspeptic patients, 24.5%, was comparable to prevalence of gastro-duodenal disease among symptomatic individuals in developed countries (12 – 25%). Limited data exists regarding its associated risk ...

  1. Heartburn, gastro-oesophageal reflux disease and non-erosive ...

    African Journals Online (AJOL)

    Heartburn, gastro-oesophageal reflux disease and non-erosive reflux disease. Haley Smith. Abstract. Reflux is a normal process that occurs in healthy infants, children and adults. Most episodes are short-lived and do not cause bothersome symptoms of complications. Gastro-oesophageal reflux disease (GORD) develops ...

  2. Relationship between sleep and acid gastro-oesophageal reflux in neonates.

    Science.gov (United States)

    Ammari, Mohamed; Djeddi, Djamal; Léké, André; Delanaud, Stéphane; Stéphan-Blanchard, Erwan; Bach, Véronique; Telliez, Frédéric

    2012-02-01

    The aim of the present study was to investigate the impact of gastro-oesophageal acid reflux on sleep in neonates and, reciprocally, the influence of wakefulness (W) and sleep stages on the characteristics of the reflux (including the retrograde bolus migration of oesophageal acid contents). The pH and multichannel intraluminal impedance were measured during nocturnal polysomnography in 25 infants hospitalised for suspicion of gastro-oesophageal reflux. Two groups were constituted according to whether or not the infants displayed gastro-oesophageal reflux (i.e. a reflux group and a control group). There were no differences between the reflux and control groups in terms of sleep duration, sleep structure and sleep state change frequency. Vigilance states significantly influenced the gastro-oesophageal reflux pattern: the occurrence of gastro-oesophageal reflux episodes was greater during W (59 ± 32%) and active sleep (AS; 35 ± 30%) than during quiet sleep (QS; 6 ± 11%), whereas the mean duration of gastro-oesophageal reflux episodes was higher in QS than in W and AS. The percentage of retrograde bolus migrations of distal oesophageal acid content was significantly higher in AS (62 ± 26%) than in W (42 ± 26%) and QS (4.5 ± 9%). In neonates, gastro-oesophageal reflux occurred more frequently during W, whereas the physiological changes associated with sleep state increase the physiopathological impact of the gastro-oesophageal reflux. The duration of oesophagus-acid contact was greater during sleep; AS facilitated the retrograde migration of oesophageal acid content, and QS was characterised by the risk of prolonged acid mucosal contact. © 2011 European Sleep Research Society.

  3. Sarcoidose et spondylarthrite ankylosante

    African Journals Online (AJOL)

    raoul

    14 mars 2011 ... Selon Kremer et al [3], cette atteinte peut avoir trois origines différentes : une manifestation rhumatologique originale de la sarcoïdose; une atteinte infectieuse notamment tuberculeuse; ou une sacro-iliite inflammatoire dans le cadre d´une association à une authentique spondylarthrite ankylosante.

  4. Radiologic diagnosis of gastro-oesophageal reflux

    Energy Technology Data Exchange (ETDEWEB)

    Fransson, S.G.; Soekjer, H.; Johansson, K.E.; Tibbling, L.

    In 149 patients, a standardized radiologic method for the detection of gastro-oesophageal reflux was applied and compared with the results obtained at endoscopy and by a manometric reflux test. Radiologic reflux was recorded in 53 patients, of whom 25 had reflux without abdominal compression and 51 with compression. At least one of the other two types of examination disclosed pathologic conditions in all but 2 of 53 patients. Oesophagitis was significantly more severe among the patients with reflux observed at radiography. The presence of hiatal incompetence with reflux only to the hiatal hernia but not to the oesophagus was not a strong indicator of gastro-oesophageal reflux disease. Hiatal hernia was present in a significantly larger number of the patients with reflux at radiography than in those without reflux. Increased width of the hiatus gave stronger evidence for reflux disease than in patients with a normal hiatus. Thus, the width of the hiatus also had a bearing on the diagnosis of gastro-oesophageal reflux disease.

  5. Incidence de quatre vers parasites gastro-intestinaux dans un groupe de cricétomes, Cricetomys gambianus (Rongeur : Cricetidae, capturés à Lukaya (République Démocratique du Congo

    Directory of Open Access Journals (Sweden)

    Bobe, L.

    1997-01-01

    Full Text Available Incidence de quatre vers parasites gastro-intestinaux dans un groupe de cricétomes, Cricetomys gambianus (Rongeur : Cricetidae, capturés à Lukaya (République Démocratique du Congo. Three soil tillage practices - summer ploughing, autumn ploughing and chisel - have been evaluated through their effect on soil physical characteristics and on water content during three months after wheat seeding. A comparison was made with no-tillage. This experiment has been conducted on a shallow calcareous clay soil during the season 1995-96. Primary field preparation allows a porous layer up to 20 cm depth which reduces bulk density and penetration resistance. All the profiles generated by the tillage implements were uniformed by the rain effect. The water content and distribution in the profile was significantly affected by the tillage implements. No-tillage allows the best distribution of water in the profile which is the most suitable to seed germination and plant stand. The increasing porosity due to the autumn tillage action reduced the amount of water stored in the soil in comparison with the no-tillage case.

  6. Gastro-esophageal reflux disease and exacerbations in chronic obstructive pulmonary disease.

    Science.gov (United States)

    Ingebrigtsen, Truls S; Marott, Jacob L; Vestbo, Jørgen; Nordestgaard, Børge G; Hallas, Jesper; Lange, Peter

    2015-01-01

    We tested the hypothesis that gastro-esophageal reflux disease is a risk factor for exacerbations in individuals with chronic obstructive pulmonary disease (COPD). Among 9622 participants in the Copenhagen City Heart Study, we identified 1259 individuals with COPD and information on gastro-esophageal reflux disease and the regular use of acid inhibitory treatment. These individuals were followed for 5 years with regard to medically treated COPD exacerbations, which we defined as a short course treatment with oral corticosteroids alone or in combination with antibiotics. We applied a multivariable Cox regression analysis with adjustment for well-established risk factors associated with COPD exacerbations or gastro-esophageal reflux disease, including COPD severity, and symptoms. Individuals with COPD and gastro-esophageal reflux disease had more chronic bronchitis (31 vs 21%, P = 0.004), more breathlessness (39 vs 22%, P gastro-esophageal reflux disease. Among individuals with COPD and gastro-esophageal reflux disease, those who did not use acid inhibitory treatment regularly had an increased risk of COPD exacerbations during follow-up, hazards ratio (HR): HR = 2.7 (1.3-5.4, P = 0.006). Individuals with gastro-esophageal reflux disease, using acid inhibitory treatment regularly did not have an increased risk of exacerbations, HR = 1.2 (0.6-2.7, P = 0.63). Gastro-esophageal reflux disease was associated with an increased risk of medically treated exacerbations of COPD, but only in those individuals who did not use acid inhibitory treatment regularly. © 2014 Asian Pacific Society of Respirology.

  7. LA RÉCENTE DINAMIQUE GEOECONOMIQUE DE LA CHAINE DE PRODUCTION DE SOJA AU BRÉSIL ET DANS LE MONDE

    Directory of Open Access Journals (Sweden)

    Roberto César Cunha

    2015-07-01

    Full Text Available L’agro-industrie de soja consolidé, au Brésil, à partir des années 1980, se constitue comme une des principales chaînes productives de la structure agricole brésilienne, offrant des grains, son de blé e d’huiles pour l’approvisionnement du marché interne et externe. Dans la récolte 2013/2014, la production a atteint plus de 87 millions de tonnes cultivées en trente millions hectares, qui représentent juste 8,9% dans la domaine cultivées au Bresil. Les exportations de soja em grains couvrent 42 millions de tonnes dans l’année agricole 2012/2013, l’équivalent a U$ 22,8 milliards. Les segments de grains, huile e son de blé ont gagné U$ S 31 milliards, qui signifie 12,8 % de toutes les ventes externes du Brésil et 31 % des exportations de l’agro-industrie brésiliens. Ce texte a pour objectif d’identifier les facteurs responsables de la recente dinamique de cette chaîne productive dans le territoire bresilien et son insertion au marché mondial.

  8. Apport de l’IRM dans la prise en charge des compressions médullaires lentes non traumatiques

    Science.gov (United States)

    Badji, Nfally; Deme, Hamidou; Akpo, Geraud; Ndong, Boucar; Toure, Mouhamadou Hamine; Diop, Sokhna Ba; Niang, El Hadji

    2016-01-01

    Les compressions médullaires lentes sont dues au développement dans le canal médullaire d’une lésion expansive. C’est une pathologie très fréquente dont le diagnostic est essentiellement clinique. L’imagerie par résonnance magnétique occupe une place incontournable dans le diagnostic de localisation et la recherche étiologique. En Europe l’étiologie tumorale est prépondérante. Le but de cette étude était de décrire les aspects IRM des compressions médullaires lentes et de déterminer le profil étiologique. Il s’agit d’une étude rétrospective portant sur 97 observations colligées au service de radiologie du CHUN de Fann sur une période de 30 mois (du 08/03/10 au 29/09/12). On été inclus dans l’étude, tous les patients adressés pour un tableau de compression médullaire lente survenu dans un contexte non traumatique. L’âge moyen des patients était de 42,6 ans avec des extrêmes compris entre 04 mois et 85 ans. Nous avons étudié la topographie des lésions (étage rachidien, compartiments canalaires) leur rehaussement et les critères d’orientation étiologique. Le protocole d’examen permettait la réalisation de séquence pondérées T1 sans avec injection de gado, T2, STIR et T2 DRIVE centrées sur les niveaux lésionnels ou les zones suspectes. L’IRM a permis de préciser le siège exact et l’étendue des lésions. L’atteinte du rachis dorsal représentait 42% des cas, suivi du rachis cervical avec 32% des cas. Les atteintes lombo-sacrées et pluri-étagées représentaient respectivement 18% et 08% des cas. Les lésions extradurales représentaient 87% des cas, suivi des lésions intradurales extramédullaires avec 08% des cas et des lésions intramédullaires dans 05% des cas. La particularité du profil étiologique de notre étude est la prédominance des épidurites infectieuses et la fréquence relative des épidurites métastatiques comparée aux séries occidentales. L’IRM vertébro-médullaire occupe

  9. Parásitos intestinales, desnutrición y condiciones de vida de niños en Urabá (Colombia: soledad y olvido

    Directory of Open Access Journals (Sweden)

    Jaime Carmona-Fonseca

    2013-12-01

    Full Text Available AntecedentesLas parasitosis intestinales y el hambre y la desnutrición son manifestación de las desigualdades prevalecientes en salud, determinadas por inequidad social, económica y política. Estos problemas de salud pública tienen elevada frecuencia mundial y poco se hace por resolverlos, a pesar de existir los conocimientos y herramientas científico-tecnológicos para hacerlo.ObjetivoMedir las prevalencias de desnutrición y parásitos intestinales patógenos en niños del Urabá Antioqueño, en Colombia, y analizarlas según las condiciones de vida imperantes.MetodologíaEl estudio se hizo en Turbo (Urabá, en menores de 15 años, con diseño descriptivo prospectivo (encuesta de prevalencia. Los niños se captaron en sus casas o escuelas. Se hicieron exámenes coprológico, hemograma, ferritina, retinol, proteína C reactiva.ResultadosSe evaluaron 1600 niños y hallamos: desnutrición crónica en 25%; hemoglobina menor de 11 g/dL en 45%; ferritina y retinol bajos en 20% y 26%, respectivamente; parásitos intestinales patógenos en 87%.ConclusionesLos hallazgos, analizados en función de información disponible, revelan peor situación sanitaria y social de los niños y familias de Urabá, comparada con el panorama general de Antioquia. Desnutrición, anemia y deficiencias de hierro y vitamina A están presentes en una proporción muy alta. Parásitos, hambre y desnutrición coexisten en los menores de 15 años de Urabá. Las condiciones de vida vigente en Urabá generan y mantienen las condiciones descritas, al tiempo que impiden mejorarlas y resolver los problemas.

  10. The relationship between helicobacter pylori infection and gastro-esophageal reflux disease

    OpenAIRE

    Batool M Mahdi

    2011-01-01

    Background : Gastro-esophageal reflux disease is a common condition, affecting 25%-40% of the population. Increasing attention has been paid to the relationship between Helicobacter pylori infection and reflux esophagitis. Aim: The aim of this study was to investigate the association between CagA+ H. pylori and endoscopically proven gastro-esophageal reflux disease. Patients and Methods: The study group included 60 hospital patients with gastro-esophageal reflux disease between 2007 and 2009 ...

  11. Encuesta de parásitos intestinales en 615 escolares del Rímac

    Directory of Open Access Journals (Sweden)

    Luis Gonzales-Mugaburu

    1956-12-01

    Full Text Available El examen microscópico de una sola muestra de heces de cada uno de 615 escolares del Rímac, ha mostrado: 1. El elevado porcentaje de protozoarios intestinales encontrados, sugiere una alta contaminación fecal. 2. La alta frecuencia de H. nana 166 (27.0% constituye un problema al que hay que prestar atención. 3. El hallazgo de Strongyloides stercoralis y Ancylostoma o Necator sólo en sujetos que habían estado algún tiempo en la Selva del Perú, sugiere una vez más, que dichos parásitos no son transmitidos en esta parte de la Costa. 4. La presencia de tres casos de Isospora belli nos indica que esta coccidia es más frecuente de lo que se suponía.

  12. Gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Bredenoord, Albert J.; Pandolfino, John E.; Smout, André J. P. M.

    2013-01-01

    Gastro-oesophageal reflux disease is one of the most common disorders of the gastrointestinal tract. Over past decades, considerable shifts in thinking about the disease have taken place. At a time when radiology was the only diagnostic test available, reflux disease was regarded as synonymous with

  13. A proposition for the diagnosis and treatment of gastro-oesophageal reflux disease in children: A report from a working group on gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Y. Vandenplas (Yvan); A. Ashkenazi (A.); D. Belli (D.); N. Boige (N.); J. Bouquet (Jan); S. Cadranel (S.); J.P. Cezard (J.); S. Cucchiara (S.); C. Dupont (C.); K. Geboes (K.); F. Gottrand; H.S.A. Heymans (Hugo); C. Jasinski (C.); C.M.F. Kneepkens (Frank); S. Koletzko (Sybille); P. Milla (Peter); J.F. Mougenot (J.); D. Nusslé (D.); J. Navarro (J.); S.J. Newell (S.); E. Olafsdottir (E.); S. Peeters (S.); A. Ravelli (A.); I. Polanco (I.); B. Sandhu; J.J. Tolboom (Jules)

    1993-01-01

    textabstractIn this paper, a Working Group on Gastro-Oesophageal Reflux discusses recommendations for the first line diagnostic and therapeutic approach of gastro-oesophageal reflux disease in infants and children. All members of the Working Group agreed that infants with uncomplicated

  14. Prevalencia de parásitos intestinales en las áreas de salud de Acosta y Coronado

    OpenAIRE

    Nuria, Bolaños; Guevara, Aixa; Free, Enrique

    1997-01-01

    Se estudió la prevalencia de parásitos intestinales en las muestras de heces de los habitantes de todos los sectores de las Áreas de Salud de Acosta y Coronado que asistieron a las consultas programadas y de morbilidad de los Equipos Básicos de Atención Integral de Salud (EBAIS), durante el periodo de enero a junio de 1997. En el Area de Salud de Acosta se analizaron 2 684 muestras de heces de 17 486 habitantes encontrándose un 73.4% de positividad por parásitos, mientras que el Area de Salud...

  15. The relationship between helicobacter pylori infection and gastro-esophageal reflux disease.

    Science.gov (United States)

    Mahdi, Batool M

    2011-03-01

    Gastro-esophageal reflux disease is a common condition, affecting 25%-40% of the population. Increasing attention has been paid to the relationship between Helicobacter pylori infection and reflux esophagitis. The aim of this study was to investigate the association between CagA+ H. pylori and endoscopically proven gastro-esophageal reflux disease. The study group included 60 hospital patients with gastro-esophageal reflux disease between 2007 and 2009 as compared with 30 healthy patients from a control group that was age and sex matched. Helicobacter pylori CagA+ was identified by an immunological test (Immunochromatography test) (ACON, USA). Helicobacter pyloriCagA+ was present in 42/60 (70%) of the patients with gastro-esophageal reflux disease and in 11/30 (36.6%) patients in the control group (p=0.002). The Odds ratio = 0.8004 with 95% Confidence Interval = from 0.3188 to 2.0094. The relative risk=1.35 that indicates an association between Helicobacter pylori and disease. The presence of Helicobacter pylori is significantly increased in patients with gastro-esophageal reflux disease as compared with the control group.

  16. The effects of sleeve gastectomy on gastro-esophageal reflux and gastro-esophageal motility.

    Science.gov (United States)

    Hayat, Jamal O; Wan, Andrew

    2014-05-01

    Sleeve gastrectomy is an increasingly performed bariatric procedure associated with low morbidity and good short to medium term effects on weight loss and comorbid conditions. Studies assessing the prevalence of post-operative gastro-esophageal reflux disease (GERD), show sleeve gastrectomy may provoke de novo GERD symptoms or worsening of pre-existing GERD. Pathophysiological mechanisms of GERD after sleeve gastrectomy include a hypotensive lower esophageal sphincter, increased gastro-esophageal pressure gradient and intra-thoracic migration of the remnant stomach. A reduction in the compliance of the gastric remnant may provoke an increase in transient lower esophageal sphincter relaxations. Time-resolved MRI suggests relative gastric stasis in the proximal remnant and increased emptying from the antrum. A lack of standardisation of technique, along with heterogeneity of studies assessing GERD may explain the wide variability in reported results. Simultaneous and careful repair of an associated hiatus hernia may result in a reduction in the prevalence of post-operative GERD.

  17. La régulation sociale par la violence : le rôle de la criminalité organisée dans l'Italie méridionale

    OpenAIRE

    Catanzaro, Raimondo

    2006-01-01

    Les activités illicites en Italie semblent avoir atteint, dans la dernière décennie, un niveau "critique". L'Etat italien n'a manifestement plus le monopole de l'usage de la violence sur son propre territoire. Toutefois, le développement de la criminalité dite organisée, qui rentre directement en concurrence avec l'Etat, au titre notamment d'entreprise de protection garante des biens et de la sécurité physique, n'est "possible" que si ce dernier est incapable de tenir et d'assurer sa situatio...

  18. Gastro-esophageal reflux disease and exacerbations in chronic obstructive pulmonary disease

    DEFF Research Database (Denmark)

    Ingebrigtsen, Truls S; Marott, Jacob L; Vestbo, Jørgen

    2015-01-01

    BACKGROUND AND OBJECTIVE: We tested the hypothesis that gastro-esophageal reflux disease is a risk factor for exacerbations in individuals with chronic obstructive pulmonary disease (COPD). METHODS: Among 9622 participants in the Copenhagen City Heart Study, we identified 1259 individuals with COPD...... applied a multivariable Cox regression analysis with adjustment for well-established risk factors associated with COPD exacerbations or gastro-esophageal reflux disease, including COPD severity, and symptoms. RESULTS: Individuals with COPD and gastro-esophageal reflux disease had more chronic bronchitis...... and information on gastro-esophageal reflux disease and the regular use of acid inhibitory treatment. These individuals were followed for 5 years with regard to medically treated COPD exacerbations, which we defined as a short course treatment with oral corticosteroids alone or in combination with antibiotics. We...

  19. Parasitosis intestinales en Argentina: Principales agentes causales encontrados en la población y/o en el ambiente

    OpenAIRE

    Juarez, Maria Mercedes; Rajal, Verónica Beatriz

    2015-01-01

    Las parasitosis intestinales se encuentran ampliamente distribuidas en el mundo, con mayor prevalencia en los países en desarrollo. Principalmente afectan a los niños en los que además provocan disminución del desarrollo físico y mental; situación que puede potenciarse enormemente cuando se suma a un estado nutricional deficiente. La Organización Mundial de la Salud las considera una de las principales causas de morbilidad, estrechamente ligada a la pobreza y relacionada con inadecuada higien...

  20. Factores causales en las complicaciones de estomas intestinales en cirugía de emergencia. Hospital Luis Vernaza, 2013.

    OpenAIRE

    Morán Mancero, María Cristina

    2014-01-01

    El estoma intestinal es una apertura del intestino en la superficie del abdomen. Las estadísticas según diversos autores indica que hay aproximadamente unas 32.000 personas ostomizadas, de las cuales el 75% presentan una colostomía y el 10% una ileostomía. Objetivo:Determinar los factores causales en las complicaciones tempranas y tardías de los estomas intestinales en la cirugía de emergencia.Metodología:Estudio de tipo Retrospectivo, Observacional, Transversal, de nivel Descriptivo y diseño...

  1. Distribución espacial de las parasitosis intestinales en la ciudad de La Plata, Argentina

    Directory of Open Access Journals (Sweden)

    María I Gamboa

    2014-10-01

    Full Text Available El análisis de las parasitosis a diferentes escalas (regional, local se facilita por el Geographic Information System (GIS, que permite identificar áreas con distinto grado de vulnerabilidad. El objetivo del trabajo fue analizar la distribución espacial de las parasitosis intestinales en el partido de La Plata, estableciendo su relación con las condiciones socio-ambientales para identificar áreas con diferente riesgo epidemiológico. Se completó una encuesta epidemiológica y se tomaron muestras seriadas de materia fecal, analizadas por la técnica de Ritchie. Se calcularon niveles de precariedad y vulnerabilidad (Iv, y se compararon con los resultados parasitológicos. Se analizaron parasitológica y ambientalmente 653 personas, de las cuales 585 (89.6% eran niños y 68 (10.4% adultos. El análisis indicó que los más vulnerables (Iv = 3-4 estaban en el sector con menor acceso a servicios de infraestructura urbana. El índice se encontró fuertemente asociado a la prevalencia total de parasitosis intestinales y a las 4 especies patógenas asociadas a la contaminación fecal del ambiente: Trichuris trichiura, Ascaris lumbricoides, Hymenolepis nana y Giardia lamblia (p < 0.01. Enterobius vermicularis, parásito no vinculado a la condición sanitaria de sus hospedadores, no se asoció al Iv. Hubo asociación estadística entre precariedad y parasitosis y se halló que a mayor Iv mayor frecuencia de parasitosis (p < 0.01. El uso de GIS permitió zonificar las variables socioambientales en un gradiente creciente de condiciones desfavorables y su relación con la presencia de especies patógenas. La continuidad de estos estudios en diferentes regiones de Argentina contribuye a la determinación de áreas en riesgo sanitario.

  2. Les kystes hydatiques du foie rompus dans les voies biliaires: à propos de 120 cas

    Science.gov (United States)

    Moujahid, Mountassir; Tajdine, Mohamed Tarik

    2011-01-01

    Etude rétrospective rapportant une série de kystes hydatiques rompus dans les voies biliaires colligés dans le service de chirurgie de l'hôpital militaire Avicenne à Marrakech. Entre 1990 à 2008, sur 536 kystes hydatiques du foie opérés dans le service, 120 étaient compliqués de rupture dans les voies biliaires soit 22,38%. Il y avait 82hommes et 38 femmes. L’âge moyen était de 35 ans avec des extrêmes allant de 10 à 60 ans. La clinique était dominée par la crise d'angiocholite ou une douleur du flanc droit. L'ictère était isolé dans huit cas. La fistule biliokystique était latente dans plus de 50% des cas. Le traitement a consisté en une résection du dôme saillant dans103cas (85,84%), une périkystectomie chez 11 malades (9,16%) et une lobectomie gauche dans six cas (5%). Le traitement de la fistule bilio kystique a consisté en une suture chez 36malades et un drainage bipolaire dans 25 cas, La déconnexion kysto-biliaire ou cholédocotomie trans hépatico kystique selon Perdomo était pratiquée dans 49cas et une anastomose bilio-digestive cholédoco-duodénale dans 10 cas. La durée moyenne d'hospitalisation était de 20jours. Nous déplorons deux décès par choc septique et un troisième par encéphalopathie secondaire à une cirrhose biliaire. La morbidité était représentée par huit abcès sous phrénique, douze fistules biliaires prolongées et deux occlusions intestinales. Les kystes hydatiques rompus dans les voies biliaires représentent la complication la plus grave de cette pathologie bénigne. Le traitement repose sur des méthodes radicales qui sont d'une efficacité reconnue, mais de réalisation dangereuse et les méthodes conservatrices, en particulier la déconnexion kysto-biliaire qui est une méthode simple et qui donne de bons résultats à court et à long terme. PMID:22384289

  3. Étude du profil cytokinique de patients atteints d’hydatidose : une possible application en matière d’immunosurveillance

    Directory of Open Access Journals (Sweden)

    Mezioug D.

    2009-03-01

    Full Text Available L’hydatidose est une zoonose endémique en Algérie et dans les pays du Maghreb. L’objectif de notre travail a porté sur l’exploration des cytokines exprimées dans le parcours des réponses immunitaires au cours de l’infection par Echinococcus granulosus. Cette étude a été réalisée en vue de situer l’implication du rapport Th1/Th2 dans l’évolution de la pathologie en fonction de la localisation anatomique du kyste, le stade et l’évolution clinique. Un dosage de l’interféron-γ (IFN-γ, de l’interleukine-12 (Il-12, de l’interleukine-16 (Il-16, de l’interleukine-18 (Il-18, de l’interleukine-4 (Il-4, de l’interleukine-5 (Il-5, de l’interleukine-10 (Il-10 et de l’interleukine-13 (Il-13 dans les sérums de patients algériens (n = 177 porteurs de kystes hydatiques au niveau hépatique, pulmonaire, hépatique et pulmonaire associés, splénique, rénale, osseux, cardiaque et multiples a été entrepris. L’analyse du profil des cytokines a été également réalisée chez les patients présentant des formes à complication (fissuration du kyste, rupture, calcification du kyste et les patients en phase de récidive et selon le stade clinique (pré- et post-opératoire. L’identification et l’évaluation des activités des cytokines considérées ont été réalisées par un dosage immuno-enzymatique (ELISA sandwich selon les méthodes préconisées par immunotech (France. Des teneurs significatives en IFN-γ, Il-12, Il-16, Il-18, Il-4, Il-5, Il-10 et Il-13 ont été détectées dans les sérums des patients en comparaison aux sujets “contrôles” (p < 0,001, suggérant la coexistence des deux voies Th1 et Th2 dans le mécanisme de défense mis en jeu par l’homme au cours de l’évolution de la parasitose. La comparaison des niveaux de production de ces médiateurs en fonction de la localisation anatomique des kystes montre que les teneurs sériques en IFN-γ, Il-12, Il-16 et Il-18, mesurées chez

  4. Radiologic quantitation of gastro-oesophageal reflux. Correlation between height of food stimulated gastro-oesophageal reflux and level of histologic changes in reflux oesophagitis

    Energy Technology Data Exchange (ETDEWEB)

    Christiansen, T.; Funch-Jensen, P.; Jacobsen, N.O.; Thommesen, P.

    In a prospective study, 26 patients with symptoms of reflux oesophagitis underwent a barium examination for gastro-oesophageal reflux after food stimulation, and endoscopy with biopsy from different levels of the oesophagus. Radiologic grading of the gastro-oesophageal reflux depending on the height of the reflux into the oesophagus was performed, and this was correlated to the microscopic appearance at different levels in the oesophagus. Complete agreement between the radiologic grading and the histology was found in 69 per cent of the cases, and when gastro-oesophageal reflux was demonstrated the agreement was 75 per cent. Accordingly, the results showed a good accordance between the two variants, indicating that the height of the reflux during the food stimulated test may be truly indicative of the reflux height under non-test conditions.

  5. Osteomyelite atypique ou centrale de la base du crane d'origine ...

    African Journals Online (AJOL)

    Introduction : L'ostéomyélitede la base du crâne esttypiquement secondaire à une otite externe nécrosante chez des patients âgés, diabétiques. Elle atteint l'os temporal et est habituellement due au pseudomonasaeruginosa. Dans sa forme atypique, l'ostéomyélite atteint les os sphénoïdal ou occipital sans otite externe ...

  6. Guías para el tratamiento de las parasitos intestinales frecuentes en Colombia

    Directory of Open Access Journals (Sweden)

    David Botero R.

    1983-12-01

    Full Text Available Si bien es cierto que no existe droga ideal en ninguna de las ramas de la medicina es necesario destacar que en los últimos años se han obtenido importantes avances en el tratamiento de las parasitosis intestinales (1,2. Es así como hoy se cuenta con antiparasitarios de dosis única, altos grados de efectividad y muy buena tolerancia. Para no citar sino un ejemplo, recordemos cómo los tricocéfalos, hasta hace poco tiempo de difícil tratamiento. hoy pueden ser controlados eficazmente con solo una dosis de medicamento. Tan importantes avances facilitan indudablemente los tratamientos antihelmínticos comunitarios como medida de salud pública. y se convierten en herramienta valiosísima en cualquier plan encaminado a mejorar efectivamente la salud de la comunidad (3.

  7. Prevalence of Helicobacter pylori in patients with gastro-oesophageal reflux disease: systematic review

    Science.gov (United States)

    Raghunath, Anan; Hungin, A Pali S; Wooff, David; Childs, Susan

    2003-01-01

    Objectives To ascertain the prevalence of Helicobacter pylori in patients with gastro-oesophageal reflux disease and its association with the disease. Design Systematic review of studies reporting the prevalence of H pylori in patients with and without gastro-oesophageal reflux disease. Data sources Four electronic databases, searched to November 2001, experts, pharmaceutical companies, and journals. Main outcome measure Odds ratio for prevalence of H pylori in patients with gastro-oesophageal reflux disease. Results 20 studies were included. The pooled estimate of the odds ratio for prevalence of H pylori was 0.60 (95% confidence interval 0.47 to 0.78), indicating a lower prevalence in patients with gastro-oesophageal reflux disease. Substantial heterogeneity was observed between studies. Location seemed to be an important factor, with a much lower prevalence of H pylori in patients with gastro-oesophageal reflux disease in studies from the Far East, despite a higher overall prevalence of infection than western Europe and North America. Year of study was not a source of heterogeneity. Conclusion The prevalence of H pylori infection was significantly lower in patients with than without gastro-oesophageal reflux, with geographical location being a strong contributor to the heterogeneity between studies. Patients from the Far East with reflux disease had a lower prevalence of H pylori infection than patients from western Europe and North America, despite a higher prevalence in the general population. What is already known on this topicThe relation between H pylori infection and gastro-oesophageal reflux disease is controversialStudies on the prevalence of H pylori in patients with gastro-oesophageal reflux disease have given conflicting resultsRecent guidelines recommend eradication of H pylori in patients requiring long term proton pump inhibitors, essentially for reflux diseaseWhat this study addsDespite heterogeneity between studies, the prevalence of H pylori was

  8. Atrial Fibrillation and Gastro-Oesophageal Reflux Disease - Controversies and Challenges.

    Science.gov (United States)

    Floria, Mariana; Barboi, Oana; Rezus, Ciprian; Ambarus, Valentin; Cijevschi-Prelipcean, Cristina; Balan, Gheorghe; Drug, Vasile Liviu

    2015-01-01

    Atrial fibrillation and gastro-oesophageal reflux are common manifestations in daily practice. The atria and the oesophagus are closely located and have similar nerve innervations. Over the last years, it has been observed that atrial fibrillation development and reflux disease could be related. Atrial fibrillation occurrence could be due to vagal nerve overstimulation. This, in association with vagal nerve-mediated parasympathetic stimulation, has also been observed in patients with gastro-oesophageal reflux. These mechanisms, in addition to inflammation, seem to be implicated in the pathophysiology of both diseases. Despite these associations supported by clinical and experimental studies, this relationship is still considered controversial. This review summarizes critical data regarding the association of gastro-oesophageal reflux and atrial fibrillation as well as their clinical implications.

  9. [Gastro-oesophageal reflux in infants].

    Science.gov (United States)

    de Jong, Trudy; Kamphuis, Mascha; Kivit-Schwengle, Lilly

    2014-01-01

    A more prominent role for the youth healthcare physician: Youth Healthcare physicians reflect on the Dutch Paediatric Association (NVK) guideline entitled 'Gastro-oesophageal reflux (disease) in children aged 0-18 years'. This guideline states that medicinal treatment is given to these children too often. Dutch Youth Healthcare physicians see a large number of children with gastro-oesophageal reflux, with or without additional symptoms. The most common symptoms (crying and diminished weight gain) might be present even in the absence of reflux. Parents should be given advice and support when they are worried about reflux, crying or low weight gain. A lower weight gain curve on the growth chart is normal in breastfed children, and crying might be due to factors such as lack of routine or stimulus reduction. Overfeeding might also be the cause. Parents should be supported and followed up, with or without treatment, as necessary. Youth Healthcare professionals could perform this task.

  10. Les effets des antibiotiques administrés en bas âge sur la fonction ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    -organismes. La recherche a permis de constater que ces micro-organismes, qui composent la flore intestinale, jouent un rôle important dans le développement et la fonction normale de nos systèmes immunitaire et nerveux. Ce projet ...

  11. Gastro-oesophageal reflux in children--what's the worry?

    Science.gov (United States)

    Allen, Katie; Ho, Shaun S C

    2012-05-01

    Gastro-oesophageal reflux is common and benign in children, especially during infancy. Distinguishing between gastrooesophageal reflux, gastro-oesophageal reflux disease and other illnesses presenting as chronic vomiting can be difficult. The general practitioner has a key role to play in identifying if a child requires referral for further investigation. This article outlines the main differential diagnoses to be considered in children presenting with chronic vomiting and/ or regurgitation. We also discuss key management decisions regarding gastro-oesophageal reflux disease in children and when to refer to a specialist for further investigation. Chronic vomiting and regurgitation frequently occurs in infancy and is most commonly due to simple, benign gastrooesophageal reflux, which is usually self limiting without requirement for further investigation. In contrast, gastrooesophageal reflux disease requires considered management and may be a presenting symptom of food allergy requiring more intensive therapy than simple acid suppression. Regular review by the general practitioner to ascertain warning signs will ensure that other serious illnesses are not overlooked and that appropriate investigation and specialist referral are made.

  12. Case report

    African Journals Online (AJOL)

    abp

    5 déc. 2017 ... Résumé. Nous rapportons ici le cas d'un patient âgé de 60 ans présentant une insuffisance cardiaque globale dans le cadre d'une atteinte cardiaque de la maladie de Fabry (MF). Ce cas clinique offre l'opportunité de parcourir la littérature sur l'atteinte cardiaque liée à cette affection ainsi que la.

  13. Clinical and pH-metric characteristics of gastro-oesophageal reflux secondary to cows' milk protein allergy.

    Science.gov (United States)

    Cavataio, F; Iacono, G; Montalto, G; Soresi, M; Tumminello, M; Carroccio, A

    1996-01-01

    AIMS: The primary aim was to assess whether there were differences in symptoms, laboratory data, and oesophageal pH-metry between infants with primary gastro-oesophageal reflux and those with reflux secondary to cows' milk protein allergy (CMPA). PATIENTS AND METHODS: 96 infants (mean(SD) age 7.8(2.0) months) with either primary gastro-oesophageal reflux, reflux with CMPA, CMPA only, or none of these (controls) were studied. Symptoms, immunochemical data, and oesophageal pH were compared between the four groups and the effect of a cows' milk protein-free diet on the severity of symptoms was also assessed. RESULTS: 14 out of 47(30%) infants with gastro-oesophageal reflux had CMPA. These infants had similar symptoms to those with primary gastro-oesophageal reflux but higher concentrations of total IgE and circulating eosinophils (p gastro-oesophageal reflux secondary to CMPA and in 24 of 25 infants with CMPA only. No infants with primary gastro-oesophageal reflux and none of the controls had this pattern. A cows' milk protein-free diet was associated with a significant improvement in symptoms only in infants with gastro-oesophageal reflux with CMPA. CONCLUSION: A characteristic oesophageal pH pattern is useful in distinguishing infants with gastro-oesophageal reflux associated with CMPA. PMID:8813871

  14. Ascite fébrile chez la femme, ne pas méconnaitre une tumeur de ...

    African Journals Online (AJOL)

    La découverte de ces métastases ovariennes était survenue à distance des foyers primitifs. L'atteinte des ovaires était bilatérale dans le premier cas et unilatérale droite dans le second cas. Le diagnostic est apporté par la tomodensitométrie abdominopelvienne dans les deux cas. La fibroscopie oesogastroduodénale avait ...

  15. Sleeve gastrectomy and gastro-oesophageal reflux disease: a complex relationship.

    Science.gov (United States)

    Mahawar, Kamal K; Jennings, Neil; Balupuri, Shlok; Small, Peter K

    2013-07-01

    Sleeve gastrectomy is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and postoperative gastro-oesophageal reflux disease. Though gastric bypass remains the gold standard bariatric operation, it is not suitable for all patients. Sleeve gastrectomy is sometimes the only viable option. Patients with inflammatory bowel disease, liver cirrhosis, significant intra-abdominal adhesions involving small bowel and those reluctant to undergo gastric bypass could fall in this category. It is widely recognised that some patients report worsening of their gastro-oesophageal reflux disease after sleeve gastrectomy. Still, others develop de novo reflux. This review examines if it is possible to identify these patients prior to surgery and thus prevent postoperative gastro-oesophageal reflux disease after sleeve gastrectomy.

  16. Scintigraphy for diagnosis of special problems in gastro-enterology

    International Nuclear Information System (INIS)

    Kempken, K.

    1987-01-01

    Nuclear medical studies have been used for many years in gastro-enterology to search for intrahepatic masses (static scintigram) and to clarify icterus and acute cholecystitis (hepatobiliary function scintigraphy). However, the range of indications for scintigraphic procedures is much broader still, and special questions in gastro-enterology, therefore, may often be answered, too. The methods discussed in the following all are non-invasive and may be applied not only in larger hospitals but also in private practices for nuclear medicine. (orig.) [de

  17. [Influence of chest physiotherapy on gastro-œsophageal reflux in children].

    Science.gov (United States)

    Reychler, G; Jacques, L; Arnold, D; Scheers, I; Smets, F; Sokal, E; Stephenne, X

    2015-05-01

    Chest physiotherapy is regularly prescribed for children, particularly in cystic fibrosis. Gastro-oesophageal reflux is common in this disease and is associated with certain chest physiotherapy manoeuvres. To evaluate the influence of two chest physiotherapy techniques on gastro-oesophageal reflux in children. Twenty-nine children were investigated by routine pHmetry. During the examination, they performed two chest physiotherapy manoeuvres in a seated position for 10 minutes each with a 5 minutes rest between them. The two manoeuvres used were a slow expiration technique (ELPr) and positive expiratory pressure (PEP). It was a prospective study and the order of manoeuvres was randomised. The pH traces were analysed blindly when all the studies had been completed. In the sample, 21% of children had gastro-oesophageal reflux during the physiotherapy session. No relationship was found between reflux during physiotherapy and pathological reflux (P=0.411) nor the physiotherapy technique used (P=0.219). The use of these two chest physiotherapy techniques in children in a seated position can produce gastro-oesophageal reflux. Copyright © 2015 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  18. Gastro-intestinal phytobezoars in Zimbabwean Africans.

    Science.gov (United States)

    Stein, C M; Gelfand, M

    1985-01-01

    The clinical features of 10 African patients with gastro-intestinal phytobezoars are described. These were similar to those described with persimmon bezoars and we postulate that the fruit of locally found trees, also of the genus Diospyros, are responsible.

  19. Pattern of food intolerance in patients with gastro-esophageal reflux symptoms.

    Science.gov (United States)

    Caselli, Michele; Lo Cascio, Natalina; Rabitti, Stefano; Eusebi, Leonardo H; Zeni, Elena; Soavi, Cecilia; Cassol, Francesca; Zuliani, Giovanni; Zagari, Rocco M

    2017-12-01

    Many food items have been involved in gastro-esophageal reflux disease pathogenesis and dietary modification has been proposed as first-line treatment. Test-based exclusion diets have shown to significantly reduce reflux symptoms. We aimed to assess the patterns of food intolerance in a series of patients with typical gastro-esophageal reflux symptoms (GERS). We retrospectively evaluated all patients with typical reflux symptoms, attending the Centre Study Association on Food Intolerance and Nutrition of Ferrara from January 2010 to October 2015, who resulted positive to at least one food item at the Leucocytotoxic Test. The presence and severity of typical GERS (heartburn and/or acid regurgitation) were assessed using the Gastro-esophageal Reflux Disease Impact Scale (GIS) questionnaire. Only individuals with a GIS Score of at least 5 points were included. Almost all patients (91.1%) were intolerant to at least 5 food items. The most frequent food intolerance (more than 33% of patients) were found for milk (55.4%), lettuce (46.4%), coffee (43.7%), brewer's yeast (42.9%), pork (42.9%), tuna (37.5%), rice (35.7%), sole (34.8%), asparagus (34.8%) and eggs (33.9%). Nine different clusters of food intolerance were detected. Patients with typical gastro-esophageal reflux symptoms seem to have intolerance to multiple food items, some of which (lettuce, brewer's yeast, tuna, rice, sole and asparagus) have not yet been associated to gastro-esophageal reflux disease.

  20. Incidence of gastro-oesophageal reflux in geriatric clinical patients - a radiological study

    Energy Technology Data Exchange (ETDEWEB)

    Brackins-Romero, J.; Bruening, B.; Beyer, H.K.

    1984-05-01

    Gastro-oesophageal reflux is obviously caused by an insufficiency of the dilatable lower end of the oesophagus. The physiological pressure acting on it corresponds to 15-30 mm Hg so that the gastric juice is prevented from entering the oesophagus. Reflux is associated with a reduction of that pressure. Many causes may be responsible, although hiatal hernia, where confirmed, will only play a secondary part. In half of the 74 examined elderly patients, gastro-oesophageal reflux was confirmed by radiology. About half of these suffered also from hiatal hernia which was a sliding hernia in 75 per cent of the cases. In about 25 per cent of the patients suffering from gastro-oesophageal reflux, signs of oesophagitis were discovered by radiology. There was no correlation between overweight and the incidence of reflux, but hiatus hernia and a positive Broca test were distinctly related to one another. In patients with gastro-oesophageal reflux, vomiting as a key symptom was more frequently confirmed than in patients without reflux.

  1. Corrosion of magnesium and some magnesium alloys in gas cooled reactors; Corrosion du magnesium et de certains de ses alliages dans les piles refroidies par gaz

    Energy Technology Data Exchange (ETDEWEB)

    Caillat, R; Darras, R [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    The results of corrosion tests on magnesium and some magnesium alloys (Mg-Zr and Mg-Zr-Zn) in moist air (like G1 reactor) and in CO{sub 2}: (like G2, G3, EDF1 reactors) are reported. The maximum temperature for exposure of magnesium to moist air without any risk of corrosion is 350 deg. C. Indeed, the oxidation rate follows a linear law above 350 deg. C although it reaches a constant level and keeps on very low under 350 deg. C. However, as far as corrosion is concerned this temperature limit can be raised up to 500 deg. C if moist air is very slightly charged with fluorinated compounds. Under pressure of CO{sub 2}, these three materials oxidate much more slowly even if 500 deg. C is reached. The higher is the temperature, the higher is the constant level of the weight increase and the quicker is reached this one. However, Mg-Zr alloy behaves quite better than pure magnesium and especially than Mg-Zr-Zn alloy. (author)Fren. [French] On expose essentiellement les resultats d'etudes sur la corrosion du magnesium et de certains de ses alliages (Mg-Zr et Mg-Zr-Zn) dans l'air humide (cas de la pile G1) et dans le gaz carbonique (cas des piles G2, G3, EDF1, etc...). La temperature limite d'exposition du magnesium dans l'air humide sans risque de corrosion se situe a 350 deg. C; en effet l'oxydation a un caractere lineaire au-dessus de cette temperature, alors qu'elle atteint un palier et reste tres limitee au-dessous de 350 deg. C. Du point de vue de la corrosion, cette temperature limite d'emploi peut cependant etre elevee jusqu'a 500 deg. C si l'on introduit dans l'air humide de tres faibles teneurs de composes fluores. Dans le gaz carbonique sous pression, l'oxydation est beaucoup plus faible, meme jusqu'a 50g. C pour les trois materiaux: l'augmentation de poids atteint un palier d'autant plus eleve et ceci d'autant plus rapidement que la temperature est elle-meme plus elevee. Cependant, l'alliage Mg-Zr se comporte nettement mieux que le magnesium pur et surtout que l

  2. Corrosion of magnesium and some magnesium alloys in gas cooled reactors; Corrosion du magnesium et de certains de ses alliages dans les piles refroidies par gaz

    Energy Technology Data Exchange (ETDEWEB)

    Caillat, R.; Darras, R. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    The results of corrosion tests on magnesium and some magnesium alloys (Mg-Zr and Mg-Zr-Zn) in moist air (like G1 reactor) and in CO{sub 2}: (like G2, G3, EDF1 reactors) are reported. The maximum temperature for exposure of magnesium to moist air without any risk of corrosion is 350 deg. C. Indeed, the oxidation rate follows a linear law above 350 deg. C although it reaches a constant level and keeps on very low under 350 deg. C. However, as far as corrosion is concerned this temperature limit can be raised up to 500 deg. C if moist air is very slightly charged with fluorinated compounds. Under pressure of CO{sub 2}, these three materials oxidate much more slowly even if 500 deg. C is reached. The higher is the temperature, the higher is the constant level of the weight increase and the quicker is reached this one. However, Mg-Zr alloy behaves quite better than pure magnesium and especially than Mg-Zr-Zn alloy. (author)Fren. [French] On expose essentiellement les resultats d'etudes sur la corrosion du magnesium et de certains de ses alliages (Mg-Zr et Mg-Zr-Zn) dans l'air humide (cas de la pile G1) et dans le gaz carbonique (cas des piles G2, G3, EDF1, etc...). La temperature limite d'exposition du magnesium dans l'air humide sans risque de corrosion se situe a 350 deg. C; en effet l'oxydation a un caractere lineaire au-dessus de cette temperature, alors qu'elle atteint un palier et reste tres limitee au-dessous de 350 deg. C. Du point de vue de la corrosion, cette temperature limite d'emploi peut cependant etre elevee jusqu'a 500 deg. C si l'on introduit dans l'air humide de tres faibles teneurs de composes fluores. Dans le gaz carbonique sous pression, l'oxydation est beaucoup plus faible, meme jusqu'a 50g. C pour les trois materiaux: l'augmentation de poids atteint un palier d'autant plus eleve et ceci d'autant plus rapidement que la temperature est elle-meme plus elevee. Cependant, l

  3. The management of gastro-oesophageal reflux disease.

    Science.gov (United States)

    Keung, Charlotte; Hebbard, Geoffrey

    2016-02-01

    If there are no features of serious disease, suspected gastro-oesophageal reflux disease can be initially managed with a trial of a proton pump inhibitor for 4-8 weeks. This should be taken 30-60 minutes before food for optimal effect. Once symptoms are controlled, attempt to withdraw acid suppression therapy. If symptoms recur, use the minimum dose that controls symptoms. Patients who have severe erosive oesophagitis, scleroderma oesophagus or Barrett's oesophagus require long-term treatment with a proton pump inhibitor. Lifestyle modification strategies can help gastro-oesophageal reflux disease. Weight loss has the strongest evidence for efficacy. Further investigation and a specialist referral are required if there is no response to proton pump inhibitor therapy. Atypical symptoms or signs of serious disease also need investigation.

  4. Gastrodiscoides hominis infection in a Nigerian- case report | Dada ...

    African Journals Online (AJOL)

    Il s'agit d'un rapport d'un cas d'un enfant Nigerian âgé de sept ans qui s'est présenté atteints des traits de la sous alimentation et de l'anénue également atteint des gastrodiscoides hominis et ascaris lumbricoides. A la suite de la clairance des vers on a remarqué une enorme amélioration dans le statut de la santé de cet ...

  5. Pathophysiology of gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Smout, A. J. P. M.

    2003-01-01

    Gastro-oesophageal reflux disease (GERD), defined as symptoms or mucosal damage caused by reflux of gastric contents into the esophageal body, is a multifactorial disorder. Malfunctioning of the anti-reflux barrier at the esophagogastric junction, consisting of the right diaphragmatic crus and the

  6. Parasitosis intestinales en Argentina: principales agentes causales encontrados en la población y en el ambiente

    Directory of Open Access Journals (Sweden)

    María M Juárez

    Full Text Available Las parasitosis intestinales se encuentran ampliamente distribuidas en el mundo, con mayor prevalencia en los países en desarrollo. Principalmente afectan a los niños, en los que además provocan disminución del desarrollo físico y mental, situación que puede potenciarse enormemente cuando se suma a un estado nutricional deficiente. La Organización Mundial de la Salud las considera una de las principales causas de morbilidad, estrechamente ligada a la pobreza y relacionada con inadecuada higiene personal, incorrecta manipulación de los alimentos crudos, falta de servicios sanitarios, falta de provisión de agua potable y contaminación fecal del ambiente. Algunas enfermedades parasitarias se vinculan con condiciones de transmisión que existen universalmente, por lo que son cosmopolitas, mientras que otras tienen distribución geográfica variable. En los últimos años, debido a la globalización, el movimiento de personas de zonas endémicas a regiones no endémicas ha permitido la diseminación de ciertas parasitosis. Y aunque también influyen en la frecuencia de algunas de estas enfermedades las costumbres de los pueblos, las condiciones ambientales son un factor determinante para la supervivencia de los parásitos. En nuestro país, debido a la diversidad de suelos y condiciones climáticas que existen, es posible hallar variedad de agentes causales de estas parasitosis. El objetivo de este trabajo fue realizar una revisión bibliográfica de los agentes parasitarios causantes de enfermedades entéricas encontrados en la República Argentina, tanto en materia fecal de personas como en el ambiente, ya que la contaminación parasitaria de este último constituye un indicador directo del riesgo de infección por parásitos intestinales.

  7. Gastro-Intestinal Parasites of Warthogs (Phacochoerus Africanus ...

    African Journals Online (AJOL)

    Gastro-Intestinal Parasites of Warthogs (Phacochoerus Africanus) from the Nazinga Game Ranch of Burkina Faso. ... the prevalence of gastrointestinal parasites in warthogs from the Nazinga Game Ranch of ... AJOL African Journals Online.

  8. Parásitos intestinales en inmigrantes de la República Popular China residentes en Ciudad Bolívar, Venezuela

    OpenAIRE

    BLANCO, YTALIA; GUERRERO, LINDARLING; HERRERA, LUISANA; AMA YA, IVAN; DEVERA, RODOLFO

    2007-01-01

    El objetivo de este estudio fue determinar la prevalencia de parásitos intestinales en inmigrantes chinos que trabajan en comercios y restaurantes de Ciudad Bolívar, Venezuela. Entre agosto y septiembre de 2005 se evaluaron 76 muestras fecales, mediante la técnica de examen directo, los métodos de concentración de Kato, Formol-Éter y coloración de Kinyoun. Este grupo fue pareado de acuerdo a la edad y el sexo con 76 residentes autóctonos de Ciudad Bolívar formando así un grupo control. La pre...

  9. Anaesthesia in patients undergoing esophago-gastro-duodenoscopy for suspected bleeding

    DEFF Research Database (Denmark)

    Helsø, Ida; Risom, Martin; Vestergaard, Therese Risom

    2017-01-01

    INTRODUCTION: Upper gastrointestinal bleeding (UGIB) is a common emergency. Currently, there are no agreed guidelines on the level of anaesthetic support required in patients undergoing acute esophago-gastro-duodendoscopy (EGD). METHODS: An online questionnaire comprising 19 questions was distrib......INTRODUCTION: Upper gastrointestinal bleeding (UGIB) is a common emergency. Currently, there are no agreed guidelines on the level of anaesthetic support required in patients undergoing acute esophago-gastro-duodendoscopy (EGD). METHODS: An online questionnaire comprising 19 questions...

  10. Gastro-oesophageal reflux and belching revisited

    NARCIS (Netherlands)

    Bredenoord, Albert Jan

    2006-01-01

    In this thesis recent studies into the pathophysiology of gastro-oesophageal reflux disease and belching are described. The thesis is divided into four parts. Part I describes studies in which the technique of impedance monitoring is validated. With impedance monitoring reflux of liquid and gas can

  11. Gastro-protective strategies in primary care in Italy: the "Gas.Pro." survey.

    Science.gov (United States)

    Bianco, Maria A; Rotondano, Gianluca; Buri, Luigi; Tessari, Francesco; Cipolletta, Livio

    2010-05-01

    Risk of gastrointestinal injury is relevant among users of anti-inflammatory or cardio-protective drugs. Adequate gastro-protection is warranted in high-risk patients. To assess the perceptions and practices of Italian primary care physicians regarding gastro-protective strategies. Nationwide cross-sectional observational study. A 14-question survey questionnaire was administered to 112 primary care physicians throughout Italy. Data collection covered consecutive outpatient candidates for the prescription of a potentially GI harmful medication, observed in the physicians' office over a 3-week period. Cohort included 3943 cases (2489 naïve and 1463 chronic NSAID/ASA users). Mean age and prevalence of cardiovascular comorbidity were significantly higher in the latter subgroup. Non-selective NSAIDs and low-dose aspirin were the most commonly prescribed drugs. Combined NSAIDS/ASA plus steroids/anticoagulant/antiplatelets were recorded in 161 cases. Helicobacter pylori status was known in only 38% of naïve and 33.2% of chronic users, being negative in 85.3% and 89.5%, respectively. When positive, H. pylori was eradicated by almost all physicians (97.9%), but in case of unknown H. pylori status, the presence of infection was investigated in only 8.6% and 14.9% of patients in the two subgroups. Gastro-protection was endorsed in 80.7% of patients, mostly PPIs (91%). In patients aged over 70, pantoprazole and lansoprazole were the preferred gastro-protective agents. There is a significant over-use of gastro-protection in the primary care setting in Italy and the role H. pylori is largely overlooked. Educational efforts should be directed to a more targeted gastro-protection only for at-risk patients as well as improved adherence to recommendations for testing and treating H. pylori infection. Copyright 2009 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  12. Incidence of gastro-oesophageal reflux in geriatric clinical patients - a radiological study

    International Nuclear Information System (INIS)

    Brackins-Romero, J.; Bruening, B.; Beyer, H.K.

    1984-01-01

    Gastro-oesophageal reflux is obviously caused by an insufficiency of the dilatable lower end of the oesophagus. The physiological pressure acting on it corresponds to 15-30 mm Hg so that the gastric juice is prevented from entering the oesophagus. Reflux is associated with a reduction of that pressure. Many causes may be responsible, although hiatal hernia, where confirmed, will only play a secondary part. In half of the 74 examined elderly patients, gastro-oesophageal reflux was confirmed by radiology. About half of these suffered also from hiatal hernia which was a sliding hernia in 75 per cent of the cases. In about 25 per cent of the patients suffering from gastro-oesophageal reflux, signs of oesophagitis were discovered by radiology. There was no correlation between overweight and the incidence of reflux, but hiatus hernia and a positive Broca test were distinctly related to one another. In patients with gastro-oesophageal reflux, vomiting as a key symptom was more frequently confirmed than in patients without reflux. (orig./WU) [de

  13. Hepatitis B virus in Nigerians with Lichen planus | Daramola | West ...

    African Journals Online (AJOL)

    La fréquence des cas de HBV chez les Nigerians atteints du lichen planus ne sont pas encore documentés dans la littérature en depit de la fréquence élevée de HBV dans la région et des rapports d'un rapport éventue entre le lichen planus et HBV dans ce centre et dans d'autre régions. L'objet de cette étude était de ...

  14. FERTILIDAD Y EMBARAZO EN PACIENTES CON ENFERMEDADES INFLAMATORIAS INTESTINALES

    Directory of Open Access Journals (Sweden)

    ANDRÉS YARUR U., DR.

    2015-09-01

    Full Text Available Las Enfermedades Inflamatorias Intestinales (EII son entidades crónicas del tracto digestivo, que afectan frecuentemente a pacientes en edad reproductiva. Debido a las características de estas enfermedades y su tratamiento, existen múltiples desafíos. En este artículo, revisamos la evidencia más reciente con respecto a fertilidad y embarazo en pacientes con EII. En general, existe evidencia de que pacientes con EII tienen una mayor tasa de complicaciones durante el embarazo con respecto a pacientes sin EII. Sin embargo, esta diferencia está directamente asociada al grado de actividad de la enfermedad. La mayor parte de los fármacos hoy usados en el tratamiento de EII son considerados seguros durante el embarazo y se recomienda continuarlos, sobre todo considerando que el mayor riesgo de complicaciones está asociado a una enfermedad activa. Sin embargo es importante considerar las opciones caso a caso. Las dos grandes excepciones son metotrexato y talidomida que están completamente contraindicadas. La recomendación más importante es educar a toda paciente con EII en edad reproductiva, explicando que el embarazo debe llevarse a cabo cuando la enfermedad esté controlada y que la probabilidad de complicaciones está relacionada con el grado de actividad y severidad de la EII. Los médicos tratantes deben educar a las pacientes, enfatizando el seguimiento de los controles y tratamiento.

  15. Identificación de parásitos intestinales en agua de pozos profundos de cuatro municipios. Estado Aragua, Venezuela. 2011-2012

    OpenAIRE

    Gallego Jaramillo, Liliana María; Heredia Martínez, Henny Luz; Salazar Hernández, Juancarlos José; Hernández Muñoz, Tulia María; Naranjo García, María Margarita; Suárez Hurtado, Benny Leonardo

    2014-01-01

    Introducción: el agua subterránea es un recurso natural que se encuentra entre grietas y espacios debajo del suelo, acumulándose en capas de tierra, arena y rocas compuestas por materiales permeables que permiten su movilización, siendo explotada mediante el bombeo en pozos; ésta se contamina con microorganismos patógenos por filtración subterránea de aguas servidas y otros tipos de contaminantes. Objetivos: identificar parásitos intestinales en agua de consumo humano proveniente de pozos pro...

  16. Parasitosis intestinales en poblaciones Mbyá-Guaraní de la Provincia de Misiones, Argentina: aspectos epidemiológicos y nutricionales

    Directory of Open Access Journals (Sweden)

    Navone Graciela Teresa

    2006-01-01

    Full Text Available Se describieron las enteroparasitosis más frecuentes en dos comunidades Mbyá-Guaraní de Misiones, Argentina: Kaaguy Poty e Yvy Pytá. Las parasitosis intestinales se asociaron con el estado nutricional de los individuos infectados y los factores ambientales y culturales que caracterizan a las poblaciones estudiadas. Los resultados se compararon con los obtenidos en una población aborigen vecina, Takuapí, y la población urbana más cercana: Aristóbulo del Valle. Se utilizaron las técnicas de Ritchie, Willis y Kato Katz para las muestras fecales. Se analizaron los parámetros antropométricos y se procesaron muestras de tierra. De un total 296 individuos en las cuarto poblaciones, 100 (87,7%, 63 (88,7%, 49 (96,1% y 50 (82% estuvieron parasitados en Kaaguy Poty, Yvy Pytá, Takuapí, y Aristóbulo del Valle respectivamente. El 84% de los individuos parasitados estuvieron poliparasitados. El 43% de los individuos medidos presentaron desnutrición y el 87% de ellos estaban parasitados. Hubo asociación entre el uso de letrinas y Giardia lamblia (p < 0,01; defecación a cielo abierto, ausencia de calzado y ancilostomídeos (p < 0,01; el tipo de vivienda y los helmintos en general (p < 0,01. En el suelo se hallaron formas parasitarias, sugiriendo la relación entre la contaminación del entorno ambiental y la elevada prevalencia de parasitosis intestinales en las poblaciones estudiadas.

  17. Parasitosis intestinales en poblaciones Mbyá-Guaraní de la Provincia de Misiones, Argentina: aspectos epidemiológicos y nutricionales

    Directory of Open Access Journals (Sweden)

    Graciela Teresa Navone

    Full Text Available Se describieron las enteroparasitosis más frecuentes en dos comunidades Mbyá-Guaraní de Misiones, Argentina: Kaaguy Poty e Yvy Pytá. Las parasitosis intestinales se asociaron con el estado nutricional de los individuos infectados y los factores ambientales y culturales que caracterizan a las poblaciones estudiadas. Los resultados se compararon con los obtenidos en una población aborigen vecina, Takuapí, y la población urbana más cercana: Aristóbulo del Valle. Se utilizaron las técnicas de Ritchie, Willis y Kato Katz para las muestras fecales. Se analizaron los parámetros antropométricos y se procesaron muestras de tierra. De un total 296 individuos en las cuarto poblaciones, 100 (87,7%, 63 (88,7%, 49 (96,1% y 50 (82% estuvieron parasitados en Kaaguy Poty, Yvy Pytá, Takuapí, y Aristóbulo del Valle respectivamente. El 84% de los individuos parasitados estuvieron poliparasitados. El 43% de los individuos medidos presentaron desnutrición y el 87% de ellos estaban parasitados. Hubo asociación entre el uso de letrinas y Giardia lamblia (p < 0,01; defecación a cielo abierto, ausencia de calzado y ancilostomídeos (p < 0,01; el tipo de vivienda y los helmintos en general (p < 0,01. En el suelo se hallaron formas parasitarias, sugiriendo la relación entre la contaminación del entorno ambiental y la elevada prevalencia de parasitosis intestinales en las poblaciones estudiadas.

  18. Cardiac mucosa at the gastro-oesophageal junction: indicator of gastro-oesophageal reflux disease? Data from a prospective central European multicentre study on histological and endoscopic diagnosis of oesophagitis (histoGERD trial).

    Science.gov (United States)

    Langner, Cord; Schneider, Nora I; Plieschnegger, Wolfgang; Schmack, Bertram; Bordel, Hartmut; Höfler, Bernd; Eherer, Andreas J; Wolf, Eva-Maria; Rehak, Peter; Vieth, Michael

    2014-07-01

    The origin and significance of cardiac mucosa at the gastro-oesophageal junction are controversial. In the prospective Central European multicentre histoGERD trial, we aimed to assess the prevalence of cardiac mucosa, characterized by the presence of glands composed of mucous cells without parietal cells, and to relate its presence to features related to gastro-oesophageal reflux disease (GORD). One thousand and seventy-one individuals (576 females and 495 males; median age 53 years) were available for analysis. Overall, in biopsy specimens systematically taken from above and below the gastro-oesophageal junction, cardiac mucosa was observed in 713 (66.6%) individuals. Its presence was associated with patients' symptoms and/or complaints (P = 0.0025), histological changes of the squamous epithelium (P gastro-oesophageal junction. Its association with reflux symptoms, histological changes indicating GORD and the endoscopic diagnosis of oesophagitis suggests that injury and repair related to GORD contribute to its development and/or expansion. © 2014 John Wiley & Sons Ltd.

  19. Radioisotope monitoring of gastro-esophageal reflux in patients with achalasia cardiae after surgical treatment

    International Nuclear Information System (INIS)

    Tran Dinh Ha; Szilvasi, J.

    1994-01-01

    Results of a radioisotope method of the gastro-esophageal reflux are presented in patients with achalasia cardiae after different types of surgical treatment. Both Belsey-Mark and modified Nissen techniques are effective in preventing spontaneous gastroesophageal reflux, however 2 patients after Nissen fundoplication demonstrated gastro-esophageal reflux provoked by abdominal compression. This simple, noninvasive and physiologic method is an appropriate diagnostic tool for evaluating the efficiency of different anti reflux surgical techniques and is recommended for follow-up studies of patients after gastro-esophageal surgical intervention. (N.T.). 8 refs., 1 fig

  20. L’espace social des étudiants marocains dans la mobilité internationale. Spatialisation des réseaux et recomposition territoriale

    Directory of Open Access Journals (Sweden)

    Sabrina Marchandise

    2014-02-01

    Full Text Available La communication centre le propos sur l’étude des migrations étudiantes internationales, particulièrement marocaines. Ce thème se situe dans un contexte d’internationalisation de l’enseignement supérieur, au cœur des enjeux actuels qui ont trait à la mobilité des savoirs et des compétences et plus généralement dans les enjeux sociaux des réseaux. L’objectif général de la recherche réside dans la compréhension de la façon dont les étudiants marocains se représentent, conçoivent et produisent leurs rapports à l’espace, territorialisant de nombreuses aires. Comment alors penser les nouvelles formes de territorialité des étudiants marocains ? Les traductions spatiales des différents facteurs intervenant dans la dynamique sociale étudiante peuvent fournir des clés de lecture et d’interprétation des changements en cours (usages et technologies. Le projet consiste donc à saisir comment est structuré l’espace social des étudiants à travers les différents réseaux. Cet objectif pourra être atteint grâce à la spatialisation des réseaux étudiants marocains. Un croisement des méthodes et une articulation des échelles s’avèrent nécessaires pour une approche par les trajectoires et les pratiques des étudiants.

  1. Assessment of gastro-esophageal dysfunction in children

    International Nuclear Information System (INIS)

    Heyman, S.

    1997-01-01

    Scintigraphic methods to assess esophageal transit, gastro-esophageal reflux and gastric emptying are widely used in pediatric patients. This review describes the methodology and considers the clinical application of these techniques as well as the utility of alternative diagnostic studies

  2. Assessment of gastro-esophageal dysfunction in children

    Energy Technology Data Exchange (ETDEWEB)

    Heyman, S. [The Children`s Hospital, Philadelphia (United States). Div. of Nuclear Medicine

    1997-12-01

    Scintigraphic methods to assess esophageal transit, gastro-esophageal reflux and gastric emptying are widely used in pediatric patients. This review describes the methodology and considers the clinical application of these techniques as well as the utility of alternative diagnostic studies.

  3. INTERNET5 : Favoriser l'autonomisation des femmes au moyen d ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    8 déc. 2017 ... Photo : Visual News Associates / World Bank. Dans de bonnes conditions, les technologies numériques peuvent favoriser l'atteinte des cibles prévues dans les objectifs de développement durable (ODD) d'ici 2030 en stimulant la croissance économique, et en permettant d'améliorer la gouvernance et ...

  4. Detection of gastro-oesophageal reflux disease. The clinical value of a barium examination after food stimulation

    Energy Technology Data Exchange (ETDEWEB)

    Christiansen, T.; Ravnsbaek, J.; Toettrup, A.; Funch-Jensen, P.; Thommesen, P.

    In a prospective study a barium examination combined with food stimulation was compared with the acid reflux test in 30 consecutive patients with symptoms of gastro-oesophageal reflux. Both methods were further compared with endoscopy and histology. Gastro-oesophageal reflux could be demonstrated by the radiologic examination in 22 patients and by the acid reflux test in 23 patients. By combining the two methods gastro-oesophageal reflux could be demonstrated in 27 patients. Comparing the two methods with symptoms, endoscopy, and histology they seemed to be of equal value. Accordingly, a food-stimulated barium examination is recommended as the first method for demonstrating gastro-oesophageal reflux because it is simple and well-tolerated by the patient.

  5. Intestinal parasitic infections, cysticercosis and hydatic diseases Parasitosis intestinales, cisticercosis e hidatidosis

    Directory of Open Access Journals (Sweden)

    David Botero

    1990-03-01

    Full Text Available

    This paper offers an up to date review of the intestinal parasitic infections, cysticercosis and hydatic disease found In Colombia. Their main epidemiological, clinical, preventive and therapeutic features are presented, to provide the reader with a current view of their public health Importance, prevalence and impact on morbidity and mortality.

    Se presenta una revisión actualizada sobre las parasitosis intestinales, la cisticercosis y la hidatidosis en Colombia, con una breve descripción de la prevalencia, las características epidemiológicas, los efectos sobre la salud y algunos aspectos de control y tratamiento. Con esta revisión se busca tener información resumida sobre las parasitosis que se encuentran en Colombia y su mayor o menor Importancia en salud pública. TambIén se pretende ofrecer una Idea del nivel de gravedad de estas entidades como causas de morbilidad y mortalidad en este país. 

  6. Gaviscon and domperidon responsive apnea episodes associated with gastro-esophageal reflux disease in twins.

    Science.gov (United States)

    Bilgin, Huseyin; Eren, Abdulkadir; Kara, Semra

    2015-01-01

    The possible pathophysiology of the relationship between gastro-esophageal reflux disease and apnea of prematurity has been widely investigated. Various physiological protective reflex responses provide a plausible biological link between gastro-esophageal reflux and apnea of prematurity. It is uncertain whether or not there is a causal relationship between the two diseases. PATIENT'S FINDINGS: Twins were admitted to the neonatal intensive care unit due to feeding problems. Physical examination was normal except for reticulated, blueviolet skin changes. Short apneic attacks occurred on the first day in twin 1 and on the second day in twin 2, and these were initially treated by stimulation and increased ambient O2 concentration. Then, we conducted methylxanthine and continuous positive airway pressure treatment. Laboratory and radiological analysis were normal. As gastro-esophageal reflux disease was thought to be the causes of the treatment-refractory apnea, therapy with gaviscon and domperidon was begun for both cases. Apneic attacks did not recur after gaviscon and domperidon therapy. Pharmacological therapy for gastro-esophageal reflux disease has not definitively been shown to be effective in improving symptoms and hence, should be reserved especially for infants with treatment refractory apnea episodes suspected as being gastro-esophageal reflux in premature infants.

  7. Gastro-oesophageal reflux disease in 20 dogs (2012 to 2014).

    Science.gov (United States)

    Muenster, M; Hoerauf, A; Vieth, M

    2017-05-01

    To describe the clinical features of canine gastro-oesophageal reflux disease. A search of our medical records produced 20 dogs with clinical signs attributable to oesophageal disease, hyper-regeneratory oesophagopathy and no other oesophageal disorders. The clinical, endoscopic and histological findings of the dogs were analysed. The 3-year incidence of gastro-oesophageal reflux disease was 0·9% of our referral dog population. Main clinical signs were regurgitation, discomfort or pain (each, 20/20 dogs) and ptyalism (18/20 dogs). Oesophagoscopy showed no (5/20 dogs) or minimal (13/20 dogs) mucosal lesions. In oesophageal mucosal biopsy specimens, there were hyperplastic changes of the basal cell layer (13/20 dogs), stromal papillae (14/20 dogs) and entire epithelium (9/20 dogs). Eleven dogs received omeprazole or pantoprazole and regurgitation and ptyalism improved in eight and pain diminished in six of these dogs within three to six weeks. Our findings suggest that canine gastro-oesophageal reflux disease is a more common clinical problem than hitherto suspected. © 2017 British Small Animal Veterinary Association.

  8. characterisation of gastro- enteritis-associated adenoviruses in ...

    African Journals Online (AJOL)

    Objective. To analyse adenovirus (Ad) numbers and types associated with paediatric gastro-enteritis in South Africa. Setting. Gauteng, 1994-1996. Metfwds. A total of 234 paediatric diarrhoeal stool samples were screened for Ad using commercial enzyme-linked. iInmunosorbent assays (EUSAs). Adenoviral isolates were.

  9. Prevalence of common gastro-intestinal nematode infections in ...

    African Journals Online (AJOL)

    ACSS

    (GIN) infection and identified the common GIN parasites in commercial goat production in. Central Uganda. .... Table 1. Prevalence of gastro-intestinal nematode parasites in goats in Central Uganda .... ILCA, Addis Ababa, Ethiopia. pp. 40-76.

  10. Miniaturised optical fiber pH sensor for gastro-esophageal applications

    Science.gov (United States)

    Baldini, F.; Chiavaioli, F.; Cosi, F.; Giannetti, A.; Tombelli, S.; Trono, C.

    2013-05-01

    Monitoring pH for long periods, usually 24 h, in the stomach and in the esophagus may be essential in the diagnosis of gastro-esophageal diseases. The clinical range of interest is quite extended, between 1 to 8 pH units. Methyl red, after its covalent immobilization on controlled pore glass (CPG), is characterized by a working range which fits well with the clinical one. A novel probe, suitable for gastro-esophageal applications, was designed in order to optimize the performances of the colored CPG. This leads to a very simple probe configuration characterized by a very fast response.

  11. of gastro-intestinal discomfort (ID 2946, 2951, 2974), decreasing potentially pathogenic gastro-intestinal microorganisms (ID 2946, 2951, 2974), improved lactose digestion (ID 2946, 2951, 2974), and reduction in numbers of circulating CD34+ cells (ID 2947, 2952, 2975) (further assessment) pursuant

    DEFF Research Database (Denmark)

    Tetens, Inge

    of Lactobacillus acidophilus BCCM/LMG P-18806, Lactobacillus delbrueckii BCCM/LMG P-18805 and Streptococcus thermophilus BCCM/LMG P-18807 and reduction of gastro-intestinal discomfort, decreasing potentially pathogenic gastro-intestinal microorganisms, improved lactose digestion, and reduction in numbers......, might be a beneficial physiological effect for the general population. The claimed effect, improved lactose digestion, is a beneficial physiological effect for individuals with lactose maldigestion. No human intervention studies were provided from which conclusions could be drawn for the scientific...... and reduction of gastro-intestinal discomfort, decreasing potentially pathogenic gastro-intestinal microorganisms, and improved lactose digestion....

  12. SAGES Guidelines: Prevention and management of gastro ...

    African Journals Online (AJOL)

    SAGES Guidelines: Prevention and management of gastro-oesophageal varices and variceal haemorrhage in cirrhosis. J F Botha. Abstract. No Abstract South African Gastroenterology Review Vol. 6 (1) 2008: pp. 23-25. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  13. Gastro-Oesophageal Reflux in Noncystic Fibrosis Bronchiectasis

    Directory of Open Access Journals (Sweden)

    Annemarie L. Lee

    2011-01-01

    Full Text Available The clinical presentation of noncystic fibrosis bronchiectasis may be complicated by concomitant conditions, including gastro-oesophageal reflux (GOR. Increased acidic GOR is principally caused by gastro-oesophageal junction incompetence and may arise from lower oesophageal sphincter hypotension, including transient relaxations, hiatus hernia, and oesophageal dysmotility. Specific pathophysiological features which are characteristic of respiratory diseases including coughing may further increase the risk of GOR in bronchiectasis. Reflux may impact on lung disease severity by two mechanisms, reflex bronchoconstriction and pulmonary microaspiration. Symptomatic and clinically silent reflux has been detected in bronchiectasis, with the prevalence of 26 to 75%. The cause and effect relationship has not been established, but preliminary reports suggest that GOR may influence the severity of bronchiectasis. Further studies examining the implications of GOR in this condition, including its effect across the disease spectrum using a combination of diagnostic tools, will clarify the clinical significance of this comorbidity.

  14. Effect of coffee on gastro-oesophageal reflux in patients with reflux disease and healthy controls

    NARCIS (Netherlands)

    Boekema, P. J.; Samsom, M.; Smout, A. J.

    1999-01-01

    BACKGROUND: Many patients with gastro-oesophageal reflux disease (GORD) report that coffee aggravates their symptoms and doctors tend to discourage its use in GORD. OBJECTIVE: To assess the effect of coffee ingestion on gastro-oesophageal acid reflux. DESIGN: A randomized, controlled, crossover

  15. Low morbidity after palliation of obstructing gastro-oesophageal adenocarcinoma to restore swallowing function

    DEFF Research Database (Denmark)

    Kofoed, Steen Christian; Lundsgaard, Martin; Ellemann, Ann-Camilla

    2012-01-01

    This study describes the procedure-related complications and survival after deployment of self-expanding metal stents (SEMS) or use of argon plasma coagulation (APC) in patients with obstructing gastro-oesophageal junction (GEJ) adenocarcinoma.......This study describes the procedure-related complications and survival after deployment of self-expanding metal stents (SEMS) or use of argon plasma coagulation (APC) in patients with obstructing gastro-oesophageal junction (GEJ) adenocarcinoma....

  16. if, when and how to treat gastro-oesophageal reflux

    African Journals Online (AJOL)

    persistent occult gastro-oesophageal reflux; (iiz) persistence ... deterioration of bronchopulmonary disease. From this the reader ... problem by means of simple barium studies, to management ... Gastroesophageal reflux in the preterm infant.

  17. Factors Affecting the Prevalence of Gastro-oesophageal Reflux in Childhood Corrosive Oesophageal Strictures

    Directory of Open Access Journals (Sweden)

    Serdar H. İskit

    2014-06-01

    Full Text Available Background: Gastro-oesophageal reflux may accompany the corrosive oesophageal damage caused by the ingestion of corrosive substances and affect its treatment. The factors that affect the development of reflux in these cases and their effects on treatment still remain unclear. Aims: Our aim is to investigate the prevalence of gastro-oesophageal reflux in children with corrosive oesophageal strictures, the risk factors affecting this prevalence and the effects of gastro-oesophageal reflux on treatment. Study Design: Case-control study. Methods: We enrolled 52 patients with oesophageal stricture due to corrosive substance ingestion who were referred to our clinic between 2003 and 2010. Groups, which were determined according to the presence of gastro-oesophageal reflux (GER, were compared with each other in terms of clinical findings, results of examination methods, characteristics of the stricture and success of the treatment. Results: The total number of patients in our study was 52; 30 of them were male and 22 of them were female. The mean age of our study population was 4.2±2.88 years. Thirty-three patients had gastro-oesophageal reflux (63.5%. Patients who had strictures caused by the ingestion of alkali substances were 1.6-times more likely to have reflux. There were no differences between patients with or without reflux in terms of number and localisation of strictures. Mean distance of stricture was longer in patients with reflux (3.7±1.8 cm than in patients without (2.2±1.0 cm (p0.05. Conclusion: Corrosive oesophageal stricture was usually accompanied by gastro-oesophageal reflux and the length of stricture is an important risk factor. Negative effects of reflux over dilatation treatment have not yet been demonstrated in the short-term. Nevertheless, this frequent rate of reflux may eventually increase the risk of oesophagitis and Barrett’s oesophagus; therefore, we suggest that these effects should be prospectively evaluated in a

  18. Upper aerodigestive tract disorders and gastro-oesophageal reflux disease.

    Science.gov (United States)

    Ciorba, Andrea; Bianchini, Chiara; Zuolo, Michele; Feo, Carlo Vittorio

    2015-02-16

    A wide variety of symptoms and diseases of the upper aerodigestive tract are associated to gastro-oesophageal reflux disease (GORD). These disorders comprise a large variety of conditions such as asthma, chronic otitis media and sinusitis, chronic cough, and laryngeal disorders including paroxysmal laryngospasm. Laryngo-pharyngeal reflux disease is an extraoesophageal variant of GORD that can affect the larynx and pharynx. Despite numerous research efforts, the diagnosis of laryngopharyngeal reflux often remains elusive, unproven and controversial, and its treatment is then still empiric. Aim of this paper is to review the current literature on upper aerodigestive tract disorders in relation to pathologic gastro-oesophageal reflux, focusing in particular on the pathophysiology base and results of the surgical treatment of GORD.

  19. Laparoscopic surgery for gastro-esophageal acid reflux disease

    NARCIS (Netherlands)

    Schijven, Marlies P.; Gisbertz, Suzanne S.; van Berge Henegouwen, Mark I.

    2014-01-01

    Gastro-esophageal reflux disease is a troublesome disease for many patients, severely affecting their quality of life. Choice of treatment depends on a combination of patient characteristics and preferences, esophageal motility and damage of reflux, symptom severity and symptom correlation to acid

  20. Análisis estadístico multivariante de las principales enfermedades gastroéntericas en el cantón Guayaquil

    OpenAIRE

    Romero Saltos, Cristina Marisela; Ramirez Figueroa, John Alex

    2009-01-01

    La presente investigación desarrolla el Análisis Multivariado de las principales enfermedades gastroéntericas que afectan a la ciudad de Guayaquil. Consideramos que las principales enfermedades gastroéntericas son: Fiebre Tifoidea, Salmonelosis y Enfermedades Diarreicas Agudas. En el primer capítulo se enfoca la problemática de las enfermedades gastroéntericas en el Ecuador y en la ciudad de Guayaquil, de la misma manera se presenta la descripción de las principales enfermedades gastroént...

  1. Does the Use of Pacifier Affect Gastro-Esophageal Reflux in Preterm Infants?

    Science.gov (United States)

    Corvaglia, Luigi; Martini, Silvia; Corrado, Maria Francesca; Mariani, Elisa; Legnani, Elena; Bosi, Isabella; Faldella, Giacomo; Aceti, Arianna

    2016-05-01

    This crossover study showed that non-nutritive sucking, provided with a pacifier in 30 preterm infants, had no effect on acid and nonacid gastro-esophageal reflux evaluated by esophageal pH-impedance, and thus may be reasonably used in preterm neonates with symptoms of gastro-esophageal reflux. ClinicalTrials.gov: NCT02023216. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Psidium guajava Linn confers gastro protective effects on rats.

    Science.gov (United States)

    Livingston Raja, N R; Sundar, K

    2012-02-01

    The best alternatives to synthetic medicines, available, for the treatment of gastric ulcer disorders, are the natural products found in plants. They are known to exhibit a variety of activities. The present study is aimed at the screening of Psidium (P.) guajava Linn for its gastro protective effect. The methanol extracts of the leaves of P. guajava were tested in three different ulcer models viz. aspirin (ASP), pyloric ligation (PL) and ethanol (EtoH) induced ulcer models in rats. The treatment of P. guajava at varying doses (100 mg/kg and 200 mg/kg) significantly (p guajava may be responsible for the anti-ulcer property exhibited. The results further suggest that P. guajava possess gastro protective as well as ulcer healing properties which might also be due to its anti-secretory properties.

  3. The Role of Esophageal PH-metri Test on Gastro-Esophageal Reflux Disease Diagnosis

    OpenAIRE

    Setyawati, Katharina; Abdullah, Murdani; Syam, Ari Fahrial; Fauzi, Achmad; Makmun, Dadang; Simadibrata, Marcellus; Manan, Chudahman; Rani, Abdul Aziz

    2008-01-01

    Gastro-esophageal reflux disease is a pathological condition of esophagus which is caused by gastric content reflux into esophagus. There is an increased prevalence of gastro-esophageal reflux disease. The roles of esophageal pH-metry in clinical application include looking for abnormal acid exposure on esophagus with no abnormality found in endoscopy; evaluating patients following the anti-reflux surgery who are being suspected for abnormal esophageal reflux; evaluating patients with normal ...

  4. Oxidation of steel heated in CO{sub 2} medium under pressure; Oxydation d'un acier ordinaire chauffe dans le gaz carbonique sous pression

    Energy Technology Data Exchange (ETDEWEB)

    Darras, R; Leclercq, D; Bunard, C [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    Behaviour of low-alloyed steels heated in CO{sub 2} medium under pressure is reported. Tests are carried out in the range of erature reached in the CO{sub 2} cooled reactors (vessel, thermal shield, pipes). The observed weight increases are small, even after more than a thousand hours of heating at 350 deg. C, but oxidation curve looks like progressing linearly. Furthermore, the oxide formed under a pressure of 15 kg/cm{sup 2} is undoubtedly more compact and adherent than the one formed under a pressure of 1 kg/cm{sup 2}. Finally, for practical use, CO{sub 2} steel pipes surface has to be sand blast and pickled. A following phosphatizing protects it from atmospheric corrosion during assembling, but these treatments have no influence on the behaviour of these steels heated in CO{sub 2}. (author)Fren. [French] On etudie le comportement d'aciers au carbone faiblement allies, chauffes dans le gaz carbonique sous pression, aux temperatures atteintes dans les reacteurs refroidis par ce gaz (caisson, bouclier thermique, canalisations). Les augmentations de poids observees sont faibles, meme apres plus de 1000 heures de chauffage a 350 deg. C, mais l'oxydation semble se poursuivre lineairement. De plus, l'oxyde forme dans le gaz carbonique sous pression de 15 kg/cm{sup 2} est nettement plus compact et adherent que celui forme sous pression atmospherique de gaz carbonique. Enfin, dans la pratique, les surfaces d'acier du circuit de gaz carbonique sont necessairement sablees ou decapees; une phosphatation ulterieure le protege de la corrosion atmospherique pendant le montage. Ces traitements sont sans influence sur le comportement de ces aciers dans le gaz carbonique a chaud. (auteur)

  5. Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: a meta-analysis.

    Science.gov (United States)

    Eusebi, Leonardo H; Ratnakumaran, Raguprakash; Yuan, Yuhong; Solaymani-Dodaran, Masoud; Bazzoli, Franco; Ford, Alexander C

    2018-03-01

    Gastro-oesophageal reflux symptoms are common in the community, but there has been no definitive systematic review and meta-analysis of data from all studies to estimate their global prevalence, or potential risk factors for them. Medline, Embase and Embase Classic were searched (until September 2016) to identify population-based studies that reported the prevalence of gastro-oesophageal reflux symptoms in adults (≥15 years); gastro-oesophageal reflux was defined using symptom-based criteria or questionnaires. The prevalence was extracted for all studies, and according to the criteria used to define it. Pooled prevalence, according to study location and certain other characteristics, OR and 95% CIs were calculated. Of the 14 132 citations evaluated, 102 reported the prevalence of gastro-oesophageal reflux symptoms in 108 separate study populations, containing 460 984 subjects. Prevalence varied according to country (from 2.5% in China to 51.2% in Greece) and criteria used to define gastro-oesophageal reflux symptoms. When only studies using a weekly frequency of heart burn or regurgitation to define presence were considered, pooled prevalence was 13.3% (95% CI 12.0% to 14.6%). Prevalence was higher in subjects ≥50 years (OR 1.32; 95% CI 1.12 to 1.54), smokers (OR 1.26; 95% CI 1.04 to 1.52), non-steroidal anti-inflammatory drug (NSAID)/aspirin users (OR 1.44; 95% CI 1.10 to 1.88) and obese individuals (OR 1.73; 95% CI 1.46 to 2.06). The prevalence of gastro-oesophageal reflux symptoms varied strikingly among countries, even when similar definitions were used to define their presence. Prevalence was significantly higher in subjects ≥50 years, smokers, NSAID users and obese individuals, although these associations were modest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  6. The diagnosis of gastro-esophageal reflux disease cannot be made with barium esophagograms.

    Science.gov (United States)

    Saleh, C M G; Smout, A J P M; Bredenoord, A J

    2015-02-01

    For over 50 years, barium studies have been used to diagnose gastro-esophageal reflux disease (GERD), but the value of this test is controversial. Our study aimed to determine if barium esophagograms can be used to diagnose GERD. Barium esophagograms and pH-impedance measurement were performed in 20 subjects with reflux symptoms. pH-impedance measurements were used as gold standard for the diagnosis of GERD. Gastro-esophageal reflux measured with the barium study was defined as a positive outcome. 50% of patients presented gastro-esophageal reflux on the barium esophagogram. No significant differences were observed in acid exposure time between subjects with (median: 7.4%; interquartile range, IQR: 8.4%) or without reflux at barium esophagography (median: 5.95%; IQR: 13.05%; p > 0.05). Nor did we find differences in median proximal extent of reflux measured with impedance monitoring between patients with a positive (median: 6.7%; IQR: 1.95%) and negative barium study (median: 7.1%; IQR: 0.68%; p > 0.05). Patients with reflux on barium esophagogram did not have a positive symptom association probability more often than those who did not have reflux at barium esophagography. Lastly, there were no differences in numbers of acid, weakly acidic or total reflux episodes between those with positive or negative barium esophagogram (p > 0.05). No correlations were found between the maximum proximal extent of gastro-esophageal reflux during esophagography and pH-impedance parameters. Presence or absence of gastro-esophageal reflux during barium esophagography does not correlate with incidence or extent of reflux observed during 24-h pH-impedance monitoring and is not of value for the diagnosis of GERD. © 2014 John Wiley & Sons Ltd.

  7. Gastro esophageal reflux: an over investigated entity in neonates and infants.

    Science.gov (United States)

    Khan, Zahid Anwar; Ahmad, Sarfraz; Sheikh, Muhammad Younus

    2010-12-01

    To determine the outcome of clinically suspected gastro esophageal reflux in neonates and infants. To find a protocol for evaluation of these patients in order to reduce unnecessary radiation to neonates and infants. Fifty three neonates and infants of up to 1 year of age with clinical suspicion of gastro esophageal reflux (GER) were referred for Upper gastro intestinal barium studies. This retrospective descriptive case study was carried out over a period of one year starting from October, 2006 to September, 2007. Positive cases were followed for another one year to see the final outcome. The neonate and infants of upto one year of age, referred from Neonatal intensive care unit (NICU), Paediatric ward and Out Patient Department (OPD) were included in this study. Out of 53 cases 32 were positive for G.E.R and no reflux could be identified in rest of the patients. Out of these positive cases only 4 had massive or severe G.E.R. These patients were prescribed conservative and medical treatment and were advised to follow up in the O.P.D where on subsequent follow ups the medical treatment was stopped as there were no further complaints .These patients showed normal weight gain on subsequent O.P.D visits. Other positive cases only had mild to moderate G.E.R and they were managed conservatively. These patients showed normal weight gain on subsequent O.P.D visits with complete resolution of symptoms. Regurgitation or gastro esophageal reflux is a common finding in the first 3 months of life (especially in preterm infants) and usually resolves by 6-12 months of age and should not be over investigated.

  8. Notas clínicas: un caso de mole Hidatiforme

    Directory of Open Access Journals (Sweden)

    Jaime Isaza S.

    1933-01-01

    Full Text Available N. N., de 28 años de edad; natural de Pereira; lleva 10 años de matrimonio, en el curso del cual ha habido 9 embarazos, con distinta suerte: 6 niños a término y 3 abortos de más o menos dos meses: de los 6 hijos dos han muerto de afecciones gastro-intestinales. La fecha de la última regla fue el 28 de junio del presente año. Desde julio la enferma empezó a sentir decadencia general caracterizada por inapetencia, astenia, enflaquecimiento y cierto grado de anemia con náuseas y vómitos matinales.

  9. Les effets des antibiotiques administrés en bas âge sur la fonction ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... jouent un rôle important dans le développement et la fonction normale de nos systèmes immunitaire et nerveux. Ce projet permettra d'obtenir d'importantes indications sur la façon dont les antibiotiques peuvent perturber la flore intestinale et affecter la fonction cérébrale chez les jeunes enfants. La chimie du cerveau et ...

  10. Relación entre geohelmintiasis intestinales y variables químicas, hematológicas e IgE, en una comunidad yukpa del estado Zulia, Venezuela

    OpenAIRE

    Rivero de Rodríguez, Zulbey; Churio, Osmaly; Bracho Mora, Angela; Calchi La Corte, Marinella; Acurero, Ellen; Villalobos, Rafael

    2012-01-01

    Para relacionar helmintiasis intestinales y parámetros hematológicos, bioquímicos y serológicos, se estudiaron 37 individuos yukpas del municipio Perijá, estado Zulia, durante el año 2009. Las muestras de heces se evaluaron mediante el concentrado con formol-éter, Kato-Katz y cultivo de Harada-Mori. Los parámetros hematológicos, las proteínas totales, albúminas, globulinas y relación A/G, fueron determinados por autoanalizadores hematológicos y bioquímicos. La IgE fue determinada por ELISA. 7...

  11. Radionuclide studies in upper gastro-intestinal ulceration - are they reliable

    International Nuclear Information System (INIS)

    Carstens, A.J.; Iturralde, M.; Fourie, P.A.; Pilloy, W.; Van Wyk, A.

    1985-01-01

    Endoscopy is at present the diagnostic technique of choice in the evaluation and detection of upper gastro-intestinal tract ulceration. Because of the physical discomfort, suffered by patients during endoscopic examination, the search for better and less invasive methods of examination (especially in the unco-operative and seriously ill patient) continues. According to reports from the Orient, sucralfate (Ulsanic; Continental Ethicals) has prominent ulceravid properties. These properties are being used in conjunction with a tagging agent, in this case technetium-99m, as a diagnostic method for the detection and localization of upper gastro-intestinal ulceration. In this pilot study on 6 patients the positive findings of others regarding the specificity and promise of this method could not be confirmed

  12. Preliminary data from {gamma}-cardiography during the abatement of an asthmatic attack (1961); Premieres donnees de la {gamma}-cardiographie au decours de l'etat de mal asthmatique (1961)

    Energy Technology Data Exchange (ETDEWEB)

    Georges, R; Vernejoul, P de; Raynaud, C; Blanchon, P; Kellershohn, C; Turiaf, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1961-07-01

    The authors used gamma cardiology during the abatement of 16 cases of asthma with a view to detecting heart attacks not otherwise visible with routine methods of examination: clinical, radiological and electro-cardio-graphical. In gamma cardiology, a radioactive indicator is used and its path followed in the cavities of the heart. The method makes it possible to study the circulation in the right heart, the pulmonary crossing, and the left heart, as well as evaluation of the heart-flow. As a result of their investigations the authors, after having discussed the significance of the data obtained with the method, suggest that it is possible by the use of gamma cardiography during the abatement of an asthma attack: 1- To confirm attacks of the right heart which have already been detected by ordinary methods. 2- To confirm the presence of modifications in the recorded curves which suggest, in the case of the left heart, possible attack; such on attack is also indicated, in a small number of cases, by electrocardiography curves. Some considerations are put forward by the authors concerning the physiopathology of attacks on the left heart. (authors) [French] Les auteurs ont fait appel a la gammacardiographie au decours de 16 cas d'etat de mal asthmatique, dans le but d'objectiver des atteintes cardiaques incapables d'etre revelees par les moyens d'exploration de routine: cliniques, radiologiques et electrocardiographiques. La gammacardiographie est un procede qui enregistre a l'aide d'un indicateur radioactif, le trajet de celui-ci dans les cavites cardiaques. Elle permet l'etude de la circulation dans le coeur droit, de la traversee pulmonaire, et le coeur gauche, de meme que le calcul du debit cardiaque. Au terme de leurs investigations, les auteurs apres avoir discute la signification des donnees fournies par la methode admettent que la gammacardiographie objective au secours de l'etat de mal asthmatique: 1- La confirmation de l'atteinte du coeur droit deja etablie

  13. La pharmacothérapie du délirium chez les patients atteints de cancer avancé : une étude descriptive

    OpenAIRE

    Rousseau, Mayssa

    2010-01-01

    Les objectifs de la recherche étaient de décrire prospectivement les comportements de prescriptions des médecins spécialistes en soins palliatifs suivant un delirium diagnostiqué chez les patients atteints de cancer avancé et d'évaluer la conformité de ces médecins aux recommandations pharmacologiques pour le traitement du delirium. Les antipsychotiques, les benzodiazepines, les corticostéroïdes et les opioïdes sont les classes thérapeutiques qui ont été retenues et analysées. L'effectif réel...

  14. PARAMETRES BIOC' MIQUES ET PROFIL NI*R]TIONNEL CHEZ UNE POPULATION ATTEINTES DE CANCER COLORECTAL DANS LA REGION DE TLEMCEN

    OpenAIRE

    SMADI, Ahlem

    2014-01-01

    Le cancer colorectal est de loin le type de cancer le plus facile à prévenir grâce à un régime alimentaire adéquat. Des recherches montrent qu'il existe un lien entre l'alimentation et le risque de cancer colorectal. Le régime nutritionnel, la taille et le tabagisme sont fortement associés à l'incidence du cancer du colon. Bien qu'un caractère héréditaire ait pu être décrit dans certains cas, les principaux facteurs de risque en ce qui concerne le cancer colorectal relèvent tout d...

  15. Parasitosis intestinales y factores socio-sanitarios en niños del área rural del distrito de Los Baños del Inca, Cajamarca-Perú

    OpenAIRE

    Rodríguez-Ulloa, Claudia; Rivera-Jacinto, Marco; Saucedo-Duran, Edith; Rojas-Huamán, Yessica; Valdivia-Meléndez, Nayeli; Cabanillas-Vásquez, Quely; Blanco-Burga, Hebert

    2011-01-01

    Sr. Editor: La parasitosis intestinal, de alta incidencia en los niños, es un importante problema de salud pública en Cajamarca, y agrupadas dentro de las enfermedades infecciosas intestinales constituyen una de las diez primeras causas de morbilidad y de mortalidad en este grupo poblacional (1). La alta ruralidad de la región cajamarquina es favorable, desde el punto de vista epidemiológico, socioeconómico y ecológico, para que los niños adquieran infecciones parasitarias con mayor frecuenci...

  16. Les compétences infirmières forensiques en milieu carcéral face aux patients atteints de troubles mentaux: une revue de littérature étoffée

    OpenAIRE

    Davet, Eloïse; Friedli, Karen; Machuret, Bastien; Reyff, Marie de

    2015-01-01

    Le but de cette revue de littérature étoffée est de mettre en évidence les compétences des infirmières forensiques travaillant, en milieu carcéral, avec des patients atteints de troubles mentaux.

  17. [AETIOLOGY AND PATHOGENESIS GASTRO-DUODENALES ULCERATIVE LESIONS IN ELDERLY].

    Science.gov (United States)

    Chernekhovskaya, N E; Povalayev, A V; Layshenko, G A

    2015-01-01

    In review today conceptions of view to aetiology and pathogenesis gastro-duodenales ulcerative lesions in elderly. Atherosclerosis, ischemic disease of the heart and hypertension are reasons of acute ulcers and erosions in elderly. The breaking of microcirculation are very importance.

  18. Gastro-umbilical fistula as a rare complication of benign gastric ulcer perforation: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ju Young; Jang, Kyung Mi; Yoon, Hoi Soo; Kim, Min Jeong; Lee, Kwan Seop; Lee, Yul; Bae, Sang Hoon [College of Medicine, Hallym University, Anyang (Korea, Republic of)

    2007-11-15

    As fistula occurring between the stomach and other abdominal internal organs or to the surface of the body is usually encountered as a complication of stomach cancer or colon cancer, peptic ulcer disease, or other variable causes. The most common type of gastric fistula is a gastro-colic fistula that is mainly found as a complication of a gastric carcinoma or of a carcinoma of the transverse colon invading each other. Sometimes, a benign gastric ulcer perforation also can cause a gastro-colic fistula. However, as far as we know, a fistula occurring between the stomach and the umbilicus has not been reported. Here we present a case report of a gastro-umbilical fistula in a young woman that manifested as a umbilical discharge.

  19. Gastro-umbilical fistula as a rare complication of benign gastric ulcer perforation: a case report

    International Nuclear Information System (INIS)

    Lee, Ju Young; Jang, Kyung Mi; Yoon, Hoi Soo; Kim, Min Jeong; Lee, Kwan Seop; Lee, Yul; Bae, Sang Hoon

    2007-01-01

    As fistula occurring between the stomach and other abdominal internal organs or to the surface of the body is usually encountered as a complication of stomach cancer or colon cancer, peptic ulcer disease, or other variable causes. The most common type of gastric fistula is a gastro-colic fistula that is mainly found as a complication of a gastric carcinoma or of a carcinoma of the transverse colon invading each other. Sometimes, a benign gastric ulcer perforation also can cause a gastro-colic fistula. However, as far as we know, a fistula occurring between the stomach and the umbilicus has not been reported. Here we present a case report of a gastro-umbilical fistula in a young woman that manifested as a umbilical discharge

  20. LA RESISTANCE AUX ANTIBIOTIQUES DES SALMONELLA DANS LES EAUX DE RIVIERES DE SETIF

    Directory of Open Access Journals (Sweden)

    H CHERIF

    2001-12-01

    Full Text Available La détection des Salmonella à partir des eaux des Oueds Bousselam et Bouaroua de Sétif et l'évaluation de leur antibiorésistance sont tentées. La méthode de numération suivie est celle du NPP utilisant l'eau peptonée tamponnée à 36°C/16 à 24 h pour le pré-enrichissement et le milieu Rappaport à 43°C/48 h pour l'enrichissement sélectif. L'isolement est effectué sur les milieux Brillant Green Agar (BGA et Hektoen additionné de novobiocine. Les eaux des deux oueds sont très chargées en Salmonella dans leur partie urbaine. Ce nombre chute significativement dans la partie en aval de l'Oued Bousselam pour s'annuler à l'entrée du Barrage de Aïn Zada. Parmi les 20 sérotypes détectés, S. Hadar, Paratyphi B, Infantis et Liverpool sont largement prédominants. Cinq semblent spécifiques à la région de Sétif: S. Adabraka, Aequatoria, Kedougou, Liverpool et Obogu. L'antibiogramme de 95 souches de Salmonella vis-à-vis de 16 antibiotiques réalisé par la méthode de diffusion sur disques a révélé que 90 % des souches sont résistants à un ou plusieurs antibiotiques. La résistance à un seul antibiotique (tétracycline, sulfamides est la plus élevée (56,84%. Elle concerne S. Hadar, Paratyphi B, Liverpool, Infantis et Ohio. La multirésistance à 2 ou plusieurs antibiotiques atteint 33,68%. Les souches, dans leur totalité, sont sensibles à la fosfomycine.

  1. Cephalic pancreaticoduodenectomy with preservation of a right coronary artery bypass graft using the right gastro-epiploic artery: a case report.

    Science.gov (United States)

    Homsy, K; Paquay, J-L; Farghadani, H

    2018-02-20

    Pancreatic cancer is a rare disease with a high mortality rate, for which complete surgical resection, when possible, is the preferred therapeutic. Pancreaticoduodenectomy represents the surgical technique of choice. Abdominal surgeons can be faced with the challenge of patients with a history of coronary artery bypass graft in which the right gastro-epiploic artery is used. We report the case of a patient with an adenocarcinoma of the pancreatic head, stage IIA, having previously undergone a triple coronary artery bypass, one of which being a right gastro-epiploic graft. Our challenge was underlined by the necessity of a complete oncological resection through a cephalic pancreaticoduodenectomy while preserving the necessary cardiac perfusion via the right gastro-epiploic artery. We have been able to preserve a right gastro-epiploic artery as a coronary bypass during a cephalic pancreaticoduodenectomy for a cephalic pancreatic adenocarcinoma. We have successfully been able to preserve and re-implant the right gastro-epiploic artery to the origin of the gastroduodenal artery while insuring R0 resection of the tumor. A coronary artery bypass using the right gastro-epiploic artery should therefore not be considered as an obstacle to a Whipple's procedure if total oncological resection is obtainable.

  2. Problématiques des hydrocarbures aromatiques polycycliques dans les corps gras

    Directory of Open Access Journals (Sweden)

    Lacoste Florence

    2003-07-01

    Full Text Available La présence des hydrocarbures aromatiques polycycliques (HAP dans les huiles végétales peut provenir de différentes sources, mais généralement les huiles contaminées sont issues de matières premières nécessitant d’être séchées telles que les pépins de raisin, le coprah ou les grignons d’olive. Actuellement, il n’y a pas de réglementation européenne limitant la teneur en HAP dans les produits alimentaires mais un Code de Bonnes Pratiques a été établi par FEDIOL 1. La détermination de la totalité des HAP présents dans les corps gras est rendue délicate par le faible niveau de chaque PAH à quantifier et la complexité des étapes d’extraction et de purification. La seule méthode faisant l’objet d’une norme (NF EN ISO 15302 concerne la détermination de la teneur en benzo[a]pyrène. Un projet de méthode fourni par l’ITERG est en cours d’évaluation dans le cadre des travaux du Sous-Comité ISO\\\\TC34\\\\SC11 des « Corps gras d’origines animale et végétale ». Cette méthode permet la quantification de 12 HAP dans les corps gras, avec une limite de quantification de 0,2 μg\\\\kg pour tous les composés analysés, à l’exception des fluoranthène et benzo[g,h,i]pérylène où celle-ci est de 0,3 μg\\\\kg, ainsi que de l’indéno[1,2,3-cd]pyrène pour lequel la limite de quantification atteint 1 μg\\\\kg. Depuis quatre ans, les travaux de l’ITERG sur les HAP ont été centrés sur l’optimisation et la normalisation d’une procédure d’analyse (ISO\\\\CD 15753, sur l’estimation du niveau de contamination des huiles végétales produites en France et sur l’effet du raffinage sur le niveau en HAP. Chaque étape de ce travail est développée ici.

  3. [Proton pump inhibitors in gastro-oesophageal reflux disease: what is the further step?].

    Science.gov (United States)

    Simon, Mireille; Zerbib, Frank

    2013-01-01

    Optimisation of proton pump inhibitors use may improve reflux symptoms in 20-25% of the patients. Pathological gastro-oesophageal reflux should be documented in a patient with refractory reflux symptoms using upper endoscopy and/or pH testing. While on proton pump inhibitors twice daily, persistent symptoms are not related to gastro-oesophageal refluxdisease(GERD) in 50% of the patients. The new anti-reflux compounds have yet a limited efficacy and side effects that currently limit their development. Copyright © 2012. Published by Elsevier Masson SAS.

  4. Promouvoir le développement durable dans le commerce mondial et les négociations multilatérales

    Directory of Open Access Journals (Sweden)

    Christophe Bellmann

    2011-05-01

    Full Text Available Les exportations et les importations mondiales reprennent rapidement du volume après le fort déclin accusé par le commerce de marchandises en 2008-2009, comme l’indiquent les performances du commerce mondial des premier et deuxième trimestres de 2010. En dépit de cette reprise impressionnante, les préoccupations des pays de l’OCDE relatives à l’emploi, à la compétitivité et à la politique chinoise des taux de change ont engendré un climat politique défavorable à la poursuite de la libéralisation dans le cadre du Cycle de Doha. Il est intéressant de noter que les pays en développement qui hésitaient à s’engager dans un nouveau cycle de négociations en 2001 se situent maintenant à l’avant-garde de ceux qui souhaitent parvenir rapidement à une conclusion des pourparlers, bien que le consensus sur l’ambitieux « paquet du développement » envisagé initialement à Doha reste hors d’atteinte. Par ailleurs, le commerce a fait l’objet d’une attention et d’un examen sans précédents dans le cadre des débats sur les changements climatiques. Dans le contexte créé par la crise de la coopération multilatérale, la communauté internationale a un urgent besoin de générer de nouveaux types d’arrangements et de trouver des réponses innovantes aux impératifs du développement et de la transition mondiale vers une économie à faible intensité de carbone.

  5. Gastro-oesophageal reflux in young babies: who should be treated?

    Science.gov (United States)

    Puntis, John W

    2015-10-01

    Recent guidelines focus on a non-interventionist approach to management of gastro-oesophageal reflux in infancy and emphasise the importance of explanation, reassurance and simple measures such as attention to feeding. Relying on clinical history alone leads to over diagnosis of disease, and widely used medications are often ineffective for symptom relief and carry significant risk of harm. The association between vomiting in infancy and other problems such as crying and poor feeding should not be interpreted as implying causality. When there are strong pointers to underlying gastro-oesophageal reflux disease, invasive investigations are required in order to formulate appropriate intervention. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Frequency, types and complications of barrett's esophagus in patients with symptoms of gastro-esophageal reflux

    International Nuclear Information System (INIS)

    Ansari, A.L.; Sadiq, S.

    2004-01-01

    Objective: This study was carried out to evaluate the frequency, types and complications of Barrett's esophagus in symptomatic gastro-esophageal reflux patients. Subjects: A total of 100 patients of gastro-esophageal reflux were studied to evaluate the frequency, types and complications of Barrett's esophagus. Endoscopic biopsies were taken and examined with H and E and various special stains like PAS, Alcian blue/PAS, high iron diamine/ Alcian blue and Giemsa stains. Results: Of 100 cases studied, 32 were found to have Barrett's esophagus on microscopy. The remaining 68 cases showed low and high grade changes of gastro-esophageal reflux. Conclusion: In comparison with studies from western countries, Barrett's esophagus was found to be relatively more common in our population. However, the frequency of complications like ulcer, stricture, dysplasia and adenocarcinoma was lesser. (author)

  7. Adiestramiento en el diagnóstico de las parasitosis intestinales en la red de laboratorios de Cuba

    Directory of Open Access Journals (Sweden)

    Núñez Fidel Angel

    2001-01-01

    Full Text Available En 1997, se desarrolló un proyecto nacional de adiestramiento integral para el diagnóstico de las parasitosis intestinales, el que incluyó 4 cursos; uno com carácter nacional, y otros 3 en las provincias centrales, orientales y occidentales. Al comparar los errores diagnósticos, vimos que Cryptosporidium parvum, Cyclospora cayetanensis y los leucocitos mostraron un porcentaje significativamente menor de fallas después del curso que al comienzo (p 0,05. Por otra parte, al comparar las medias de las puntuaciones antes y después de los cursos, se encontró un aumento significativo en el curso de las provincias centrales (p<0,05, en las occidentales (p < 0,01, y en la totalidad (p < 0,01, lo que demonstró la efectividad a corto plazo de esta intervención. Sin embargo, pensamos que estas actividades de educación continuada deberian seguirse junto com programas nacionales para el control de la calidad.

  8. Adiestramiento en el diagnóstico de las parasitosis intestinales en la red de laboratorios de Cuba

    Directory of Open Access Journals (Sweden)

    Fidel Angel Núñez

    Full Text Available En 1997, se desarrolló un proyecto nacional de adiestramiento integral para el diagnóstico de las parasitosis intestinales, el que incluyó 4 cursos; uno com carácter nacional, y otros 3 en las provincias centrales, orientales y occidentales. Al comparar los errores diagnósticos, vimos que Cryptosporidium parvum, Cyclospora cayetanensis y los leucocitos mostraron un porcentaje significativamente menor de fallas después del curso que al comienzo (p 0,05. Por otra parte, al comparar las medias de las puntuaciones antes y después de los cursos, se encontró un aumento significativo en el curso de las provincias centrales (p<0,05, en las occidentales (p < 0,01, y en la totalidad (p < 0,01, lo que demonstró la efectividad a corto plazo de esta intervención. Sin embargo, pensamos que estas actividades de educación continuada deberian seguirse junto com programas nacionales para el control de la calidad.

  9. Pneumopatias e doença de refluxo gastroesofágico Lung diseases and gastro-oesophageal reflux disease

    Directory of Open Access Journals (Sweden)

    João Cláudio Barroso Pereira

    2009-10-01

    Full Text Available A doença do refluxo gastro esofágico decorre do refluxo patológico do estômago para o esófago. Quando esse refluxo ocorre fora do esófago denomina-se doença de refluxo extraesofágico. O autor propõe uma revisão sobre as doenças pulmonares associadas ao refluxo. É avaliado, previamente, de forma resumida o conceito de cada doença e, em seguida, de modo sistemático, são discutidos a prevalência do refluxo sobre as pneumopatias, os mecanismo que explicam essas interações e o impacto do tratamento do refluxo gastroesofagiano sobre as doenças pulmonares. O autor conclui que é inegável a existência de uma conexão entre doença de refluxo gastro esofágico e várias doenças pulmonares, sendo mister estudos complementares para corroborar essa associação.Gastro-oesophageal Reflux Disease is a consequence of pathological reflux from stomach to oesophagus. Whenever the refluxed contents extended beyond the oesophagus itself, is called Extraoesophageal Reflux Disease. The author proposes a review about pulmonary disorders and gastroesophageal reflux. Previously, it is evaluated in an abridged way, the concepts of each diseases and after that, in a systematic form, it is discussed the prevalence of gastro-oesophageal reflux in lung diseases, all the mechanisms studies and the impact of gastro-oesophageal treatment on lung disorders. The author concludes that is undeniable the link between Gastro-oesophageal reflux and lung diseases and further reaserch is mandatory in order to corroborate this association.

  10. Efficacy of pectin solution for preventing gastro-esophageal reflux events in patients with percutaneous endoscopic gastrostomy.

    Science.gov (United States)

    Adachi, Kyoichi; Furuta, Kenji; Aimi, Masahito; Fukazawa, Kousuke; Shimura, Shino; Ohara, Shunji; Nakata, Shuji; Inoue, Yukiko; Ryuko, Kanji; Ishine, Junichi; Katoh, Kyoko; Hirata, Toshiaki; Ohhata, Shuzo; Katoh, Setsushi; Moriyama, Mika; Sumikawa, Masuko; Sanpei, Mari; Kinoshita, Yoshikazu

    2012-05-01

    The aim of this study was to determine the efficacy of pectin solution, which increases the viscosity of liquid nutrient, for prevention of gastro-esophageal reflux in comparison with half-solid nutrient. The subjects were 10 elderly patients undergoing percutaneous endoscopic gastrostomy feeding. Twenty-four-hour esophageal multichannel intraluminal impedance and pH testing was performed during intake of half-solid nutrient and a combination of pectin solution and liquid nutrient. During 4 h after delivery, there was no significant difference in the total number of gastro-esophageal reflux events between the feeding of the half-solid nutrient and the combination of pectin solution and liquid nutrient (5.7 ± 1.2 vs 5.3 ± 1.0/4 h). Acidic reflux after delivery of the half-solid nutrient was significantly more frequent than that after delivery of the combination of pectin solution and liquid nutrient (80.7% vs 60.4%, p = 0.018). The incidence of gastro-esophageal reflux reaching the upper portion of the esophagus tended to be higher during delivery of the half-solid nutrient than during delivery of the combination of pectin solution and liquid nutrient (47.4% vs 34.0%, p = 0.153). In conclusion, the usage of pectin solution combined with liquid nutrient is effective for preventing acidic gastro-esophageal reflux and gastro-esophageal reflux reaching the upper portion of the esophagus.

  11. Anaesthesia in patients undergoing esophago-gastro-duodenoscopy for suspected bleeding

    DEFF Research Database (Denmark)

    Helsø, Ida; Risom, Martin; Vestergaard, Therese Risom

    2017-01-01

    INTRODUCTION: Upper gastrointestinal bleeding (UGIB) is a common emergency. Currently, there are no agreed guidelines on the level of anaesthetic support required in patients undergoing acute esophago-gastro-duodendoscopy (EGD). METHODS: An online questionnaire comprising 19 questions...

  12. Scintigraphic demonstration of bile reflux after gastro-intestinal surgery

    Energy Technology Data Exchange (ETDEWEB)

    Gratz, K.F.; Creutzig, H.; Lieth, U. von der; Hundeshagen, H.

    1983-04-01

    Bile reflux may occur after a variety of reconstructive procedures in the gastro-intestinal tract and biliary system. The present paper deals with reflux into the duodenum, jejunum, stomach, oesophagus and into blind loops. The demonstration of reflux by sup(99m)Tc labelled IDA acid derivatives, and a possible quantitative approach, are discussed. The advantages of isotope methods are: 1. Direct demonstration of bile reflux without any intervention in the physiological process and with little trouble to the patient. 2. The ability to use the method for various reconstructive procedures and 3. the additional information obtained which may help in the differential diagnosis of blind loops, biliary obstruction, cholecystitis or liver metastases if there has been a gastrectomy for a malignant tumour. In combination with a second administration of a radio-isotope tracer, one may be able to demonstrate abnormalities in the motility of the stomach or gut, or pyloric stenosis or gastro-oesophageal reflux.

  13. Effect of viscosity on appetite and gastro-intestinal hormones

    DEFF Research Database (Denmark)

    Zijlstra, Nicolien; Mars, Monica; de Wijk, René A

    2009-01-01

    In previous studies we showed that higher viscosity resulted in lower ad libitum intake and that eating rate is an important factor. In this study we aimed to explore the effect of viscosity on the gastro-intestinal hormones ghrelin, CCK-8 and GLP-1. Thirty-two subjects (22+/-2 y, BMI 21.9+/-2.2 kg....../m(2)) participated in this cross-over study. Subjects received a fixed amount of a chocolate flavored milk-based liquid or semi-solid product similar in energy density and macronutrient composition. Before intake and 15, 30, 60 and 90 min thereafter, appetite was rated and blood was drawn to determine...... than the liquid. There was a significant product effect for fullness (p 0.03), desire to eat (p 0.04), appetite something sweet (p 0.002) and prospective consumption (p 0.0009). We observed no clear effect of viscosity on gastro-intestinal hormones. Only for desacyl ghrelin there was a significant...

  14. Two cases of esophageal eosinophilia: eosinophilic esophagitis or gastro-esophageal reflux disease?

    Directory of Open Access Journals (Sweden)

    Ozlem Yilmaz

    2014-06-01

    Full Text Available Eosinophilic esophagitis (EoE and gastro-esophageal reflux disease are among the major causes of isolated esophageal eosinophilia. Isolated esophageal eosinophilia meeting criteria for EoE may respond to proton pump inhibitor (PPI treatment. This entity is termed proton pumps inhibitor responsive esophageal eosinophilia (PPI-REE. Gastro-esophageal reflux is thought to comprise a subgroup of patients with PPI-REE. According to the latest guidelines, PPI responsiveness distinguishes people with PPI-REE from patients having EoE (non-responders. In this report, two unusual cases with findings belonging to both EoE and PPI-REE are discussed with known and unknown facts.

  15. Facteurs predictifs d'atteinte ganglionnaire centrale dans les ...

    African Journals Online (AJOL)

    Les cancers papillaires et vésiculaires de la thyroïde sont les cancers endocriniens les plus fréquents. L'envahissement ganglionnaire semble peu influencer la survie globale, mais majore les risques de récidive locorégionale et de métastases à distance. Cet envahissement est une complication fréquente des cancers ...

  16. Esophageal Dysmotility, Gastro-esophageal Reflux Disease, and Lung Transplantation: What Is the Evidence?

    Science.gov (United States)

    Wood, Richard K

    2015-12-01

    Lung transplantation is an effective and life-prolonging therapy for patients with advanced lung disease (ALD). However, long-term patient survival following lung transplantation is primarily limited by development of an inflammatory and fibrotic process involving the lung allograft known as bronchiolitis obliterans syndrome (BOS). Although the precise cause of BOS remains uncertain and is likely multifactorial, chronic aspiration of gastro-duodenal contents is one possible contributing factor. Multiple small, cross-sectional studies performed over the past two decades have reported a high prevalence of gastro-esophageal reflux disease (GERD) and esophageal dysmotility in the ALD population and several investigations suggest the prevalence may increase following lung transplantation. More recent studies evaluating the direct effect of gastro-duodenal contents on airways have demonstrated a possible biologic link between GERD and BOS. Despite the recent advances in our understanding of BOS, further investigations are needed to establish GERD as a causative factor in its development. This review will discuss the existing literature that has identified an association of GERD with ALD and post-transplant populations, with a focus on recent advances in the field.

  17. Oxidation of steel heated in CO{sub 2} medium under pressure; Oxydation d'un acier ordinaire chauffe dans le gaz carbonique sous pression

    Energy Technology Data Exchange (ETDEWEB)

    Darras, R.; Leclercq, D.; Bunard, C. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    Behaviour of low-alloyed steels heated in CO{sub 2} medium under pressure is reported. Tests are carried out in the range of erature reached in the CO{sub 2} cooled reactors (vessel, thermal shield, pipes). The observed weight increases are small, even after more than a thousand hours of heating at 350 deg. C, but oxidation curve looks like progressing linearly. Furthermore, the oxide formed under a pressure of 15 kg/cm{sup 2} is undoubtedly more compact and adherent than the one formed under a pressure of 1 kg/cm{sup 2}. Finally, for practical use, CO{sub 2} steel pipes surface has to be sand blast and pickled. A following phosphatizing protects it from atmospheric corrosion during assembling, but these treatments have no influence on the behaviour of these steels heated in CO{sub 2}. (author)Fren. [French] On etudie le comportement d'aciers au carbone faiblement allies, chauffes dans le gaz carbonique sous pression, aux temperatures atteintes dans les reacteurs refroidis par ce gaz (caisson, bouclier thermique, canalisations). Les augmentations de poids observees sont faibles, meme apres plus de 1000 heures de chauffage a 350 deg. C, mais l'oxydation semble se poursuivre lineairement. De plus, l'oxyde forme dans le gaz carbonique sous pression de 15 kg/cm{sup 2} est nettement plus compact et adherent que celui forme sous pression atmospherique de gaz carbonique. Enfin, dans la pratique, les surfaces d'acier du circuit de gaz carbonique sont necessairement sablees ou decapees; une phosphatation ulterieure le protege de la corrosion atmospherique pendant le montage. Ces traitements sont sans influence sur le comportement de ces aciers dans le gaz carbonique a chaud. (auteur)

  18. Exercise and the gastro-intestinal tract | Wright | South African ...

    African Journals Online (AJOL)

    Approximately 50% of athletes will develop gastrointestinal symptoms at some stage in their careers. These range in severity from heartburn to gastro-intestinal bleeding. Fortunately symptoms are usually mild and inconvenient, but in certain individuals they can be incapacitating. It is important to exclude the more common ...

  19. Fed and fasted state gastro-intestinal in vitro lipolysis

    DEFF Research Database (Denmark)

    Christophersen, Philip Carsten B; Christiansen, Martin Lau; Holm, Rene

    2014-01-01

    The present study aims at evaluating the ability of a gastro-intestinal in vitro lipolysis model to predict the performance of two lipid formulations and a conventional tablet containing a poorly soluble drug, cinnarizine, in dogs, both in the fasted and fed state. A self-nano-emulsifying drug de...

  20. The study of the digestive absorption of water in patients suffering from cirrhosis of the liver, by using two hydrogen tracers; etude de l'absorption digestive de l'eau chez les malades atteints de cirrhose du foie a l'aide de deux indicateurs de l'hydrogene

    Energy Technology Data Exchange (ETDEWEB)

    Laine-Boszormenyi, M. [Institut National d' Hygiene (France); Fallot, P.; Masson, J.; Calvet, P. [Commissariat a l' energie atomique et aux energies alternatives - CEA, Service de, CEA Saclay (France)

    1960-07-01

    We have studied the rate of appearance of ingested water in the peripheral blood of four patients suffering from cirrhosis of the liver with ascites. For this purpose, oral administration of deuterium oxide and intravenous administration of tritiated water were made simultaneously. This double experiment enables the phenomenon of diffusion of the tracer outside the vascular regions to be observed and calculation to be made of the amounts absorbed by the digestive tract and transferred to the peripheral circulation. The rate of absorption observed under the above conditions proves to be distinctly less (1.2 percent per minute of the ingested dose) than that observed by Scholer and Code in normal subjects (9 percent per minute of the ingested dose). Hypotheses are advanced which could account for the facts observed and which offer a satisfactory explanation of Gilbert's opsiuria. Reprint of a paper published in International Journal of Applied Radiation and Isotopes, vol. 7, p. 233-243, 1960 [French] Nous avons etudie chez quatre malades atteints de cirrhose du foie avec ascite, la vitesse d'apparition dans le sang peripherique de l'eau ingeree. A cet effet, nous avons administre simultanement a nos malades de l'oxyde de deuterium par voie orale et de l'eau tritiee par voie intraveineuse. Cette double epreuve permet de faire la part du phenomene de diffusion de 11 indicateur hors des territoires vasculaires et de calculer les quantites absorbees par le tube digestif et transferees dans la circulation peripherique. La vitesse d'absorption appreciee dans les conditions precedentes (1,2 pour cent par minute de la dose ingeree) s'avere notablement inferieure a celle observee par SCHOLER et CODE chez les sujets normaux (9 pour cent par minute de la dose ingeree). Nous avons evoque des hypotheses susceptibles de rendre compte des faits observes qui apportent une explication satisfaisante a l'opsiurie de Gilbert. Reproduction d'un article publie dans International Journal

  1. Improved anticoagulant effect of fucosylated chondroitin sulfate orally administered as gastro-resistant tablets.

    Science.gov (United States)

    Fonseca, Roberto J C; Sucupira, Isabela D; Oliveira, Stephan Nicollas M C G; Santos, Gustavo R C; Mourão, Paulo A S

    2017-04-03

    Fucosylated chondroitin sulfate (FucCS) is a potent anticoagulant polysaccharide extracted from sea cucumber. Its anticoagulant activity is attributed to the presence of unique branches of sulfated fucose. Although this glycosaminoglycan exerts an antithrombotic effect following oral administration, high doses are necessary to achieve the maximum effect. The diminished activity of FucCS following oral administration is likely due to its degradation in the gastrointestinal tract and its limited ability to cross the intestinal cell membranes. The latter aspect is particularly difficult to overcome. However, gastro-resistant tablet formulation may help limit the degradation of FucCS in the gastrointestinal tract. In the present work, we found that the oral administration of FucCS as gastro-resistant tablets produces a more potent and prolonged anticoagulant effect compared with its administration as an aqueous solution, with no significant changes in the bleeding tendency or arterial blood pressure. Experiments using animal models of arterial thrombosis initiated by endothelial injury demonstrated that FucCS delivered as gastro-protective tablets produced a potent antithrombotic effect, whereas its aqueous solution was ineffective. However, there was no significant difference between the effects of FucCS delivered as gastro-resistant tablets or as aqueous solution in a venous thrombosis model, likely due to the high dose of thromboplastin used. New oral anticoagulants tested in these experimental models for comparison showed significantly increased bleeding tendencies. Our study provides a framework for developing effective oral anticoagulants based on sulfated polysaccharides from marine organisms. The present results suggest that FucCS is a promising oral anticoagulant.

  2. Gastro-oesophageal Reflux Disease: An Update

    Directory of Open Access Journals (Sweden)

    T Murphy

    2015-09-01

    Full Text Available Gastro-oesophageal reflux disease (GERD is a disorder in which reflux of stomach contents causes troublesome symptoms and/or complications and which affects health-related quality of life. It is one of the commonest disorders and appears to be increasing in incidence. The mechanisms leading to reflux are complex and multifactorial. The lower oesophageal sphincter (LES is an important part of the gastro-oesophageal barrier. Transient LES relaxations (TLESRs lead to reflux as these vagally mediated motor patterns cause relaxation of the LES and also result in oesophageal shortening and inhibition of the crural diaphragm. Heartburn and regurgitation are the characteristic symptoms of GERD. A clinical diagnosis of GERD can be made with typical symptoms. Oesophagitis is seen in a minority of patients with GERD. Lifestyle modification is widely advocated for patients with GERD. For short-term relief of symptoms of mild GERD, antacids/alginates are frequently used but they do not heal oesophagitis. Both histamine 2 receptor antagonists (H2RA and proton pump inhibitors (PPI have been shown to heal and prevent relapse of oesophagitis, although PPIs have been shown to be superior. The PPIs are the recommended first-line therapy for erosive oesophagitis and initial management of non-erosive reflux disease. Maintenance PPI therapy should be given to patients with oesophagitis, those who have recurrence of symptoms after discontinuation of medication and for those with complications of GERD.

  3. Untitled

    African Journals Online (AJOL)

    La forme de résistance de Giardia sp. a été isolée et identifiée dans les eaux usées et les eaux de. Surface du réseau hydrographique du Mfoundi Les kystes de Giardia ont été identifiés apres centrifugation et coloration avec la solution de Lugol ioduréLa densité des kystes de Giardia atteint 891 kystes /L dans l'éffluent du ...

  4. Preparation and investigation of novel gastro-floating tablets with 3D extrusion-based printing.

    Science.gov (United States)

    Li, Qijun; Guan, Xiaoying; Cui, Mengsuo; Zhu, Zhihong; Chen, Kai; Wen, Haoyang; Jia, Danyang; Hou, Jian; Xu, Wenting; Yang, Xinggang; Pan, Weisan

    2018-01-15

    Three dimensional (3D) extrusion-based printing is a paste-based rapid prototyping process, which is capable of building complex 3D structures. The aim of this study was to explore the feasibility of 3D extrusion-based printing as a pharmaceutical manufacture technique for the fabrication of gastro-floating tablets. Novel low-density lattice internal structure gastro-floating tablets of dipyridamole were developed to prolong the gastric residence time in order to improve drug release rate and consequently, improve bioavailability and therapeutic efficacy. Excipients commonly employed in the pharmaceutical study could be efficiently applied in the room temperature 3D extrusion-based printing process. The tablets were designed with three kinds of infill percentage and prepared by hydroxypropyl methylcellulose (HPMC K4M) and hydroxypropyl methylcellulose (HPMC E15) as hydrophilic matrices and microcrystalline cellulose (MCC PH101) as extrusion molding agent. In vitro evaluation of the 3D printed gastro-floating tablets was performed by determining mechanical properties, content uniformity, and weight variation. Furthermore, re-floating ability, floating duration time, and drug release behavior were also evaluated. Dissolution profiles revealed the relationship between infill percentage and drug release behavior. The results of this study revealed the potential of 3D extrusion-based printing to fabricate gastro-floating tablets with more than 8h floating process with traditional pharmaceutical excipients and lattice internal structure design. Copyright © 2017. Published by Elsevier B.V.

  5. Survival after adjuvant chemoradiotherapy or surgery alone in resectable adenocarcinoma at the gastro-esophageal junction

    DEFF Research Database (Denmark)

    Kofoed, Steen Christian; Muhic, A; Jensen, Lene Bæksgaard

    2012-01-01

    Longterm survival after curative resection for adenocarcinoma at the gastro-esophageal junction (GEJ) range between 18% and 50%. In the pivotal Intergroup-0116 Phase III trial by Macdonald et all, adjuvant chemoradiotherapy improved both disease-free and overall survival in curatively resected pa...... patients with mainly gastric adenocarcinoma. We compared survival data for curatively resected patients with adeno-carcinoma solely at the gastro-esophageal junction (GEJ), treated with surgery alone or surgery and adjuvant chemoradio-therapy....

  6. The role of hiatus hernia in gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    van Herwaarden, MA; Samsom, M; Smout, AJPM

    This article gives an overview of the role of sliding hiatus hernia in gastro-oesophageal reflux disease (GORD). The crural diaphragm acts as an external sphincter of the antireflux barrier. Contractions of the crural diaphragm increase lower-oesophageal-sphincter (LOS) pressure during each

  7. L'accélérateur du CERN bat un premier record

    CERN Multimedia

    2010-01-01

    Des protons lancés les uns contre les autres à une vitesse très proche de celle de la lumière sont entrés en collision avec une énergie de 2,36 TeV, la plus haute jamais atteinte dans un laboratoire. (2 pages)

  8. Ampalaya (Momordica Charantia Leaf Extract Against Gastro-Intestinal Parasites of Native Chicken

    Directory of Open Access Journals (Sweden)

    Glynda F. Pariñas

    2017-05-01

    Full Text Available The general objective of the study is to determine the effectiveness of ampalaya leaf extract against gastrointestinal parasites of native chicken. Specifically, it aimed to:(1to evaluate the anthelmintic property of ampalaya leaf extract in the treatment of gastro-intestinal parasites of native chicken;(2 find out the most effective variety of ampalaya leaves as purgatives for native chicken; and(3 to compare the efficacy of ampalaya leaf extract with commercial purgative in the treatment of gastro-intestinal parasites. A total of fifteen (15 experimental native chickens were used in each study which was distributed into five (5 treatments. For study 1 and 2, Commercial purgative (Piperazine dihydrocloride and commercial purgative (mebendasole, niclosamide and levamisole were used respectively as positive control. Based on the result of the study, ampalaya leaf extract shows comparable effect to positive control (Piperazine dihydrochloride in treating and controlling gastro-intestinal parasites of native chicken. However, commercial purgative with triple ingredient (mebendasole, niclosamide and levamisole shows more effective than the ampalaya extract. The researcher concludes that efficacy of ampalaya leaf extract as purgative is comparable to the effect of commercial purgative with single active ingreadient (Piperazine dihydrochloride, commercial purgative with triple active ingredients ( mebendasole, niclosamide and levamisole excelled over the ampalaya extract because of its multi-ingredients.

  9. A novel optical probe for pH sensing in gastro-esophageal apparatus

    Science.gov (United States)

    Baldini, F.; Ghini, G.; Giannetti, A.; Senesi, F.; Trono, C.

    2011-03-01

    Monitoring gastric pH for long periods, usually 24 h, may be essential in analyzing the physiological pattern of acidity, in obtaining information on changes in activity during peptic ulcer disease, and in assessing the effect of antisecretory drugs. Gastro-esophageal reflux, which causes a pH decrease in the esophagus content from pH 7 even down to pH 2, can determine esophagitis with possible strictures and Barrett's esophagus. One of the difficulties of the optical measurement of pH in the gastro-esophageal apparatus lies in the required extended working range from 1 to 8 pH units. The present paper deals with a novel optical pH sensor, using methyl red as optical pH indicator. Contrary to all acidbase indicators characterized by working ranges limited to 2-3 pH units, methyl red, after its covalent immobilization on controlled pore glass (CPG), is characterized by a wide working range which fits with the clinical requirements. The novel probe design here described is suitable for gastro-esophageal applications and allows the optimization of the performances of the CPG with the immobilised indicator. This leads to a very simple configuration characterized by a very fast response time.

  10. Factors associated with gastro-duodenal disease in patients undergoing upper GI endoscopy at the Korle-Bu Teaching Hospital, Accra, Ghana.

    Science.gov (United States)

    Archampong, Timothy N A; Asmah, Richard H; Wiredu, Edwin K; Gyasi, Richard K; Nkrumah, Kofi N

    2016-06-01

    There is a high prevalence of gastro-duodenal disease in sub-Saharan Africa. Peptic ulcer disease in dyspeptic patients, 24.5%, was comparable to prevalence of gastro-duodenal disease among symptomatic individuals in developed countries (12 - 25%). Limited data exists regarding its associated risk factors despite accumulating evidence indicating that gastroduodenal disease is common in Ghana. This study investigates risk factors associated with gastro-duodenal disease at the Korle-Bu Teaching Hospital, Accra, Ghana. This study utilized a cross-sectional design to consecutively recruit patients referred with upper gastro-intestinal symptoms for endoscopy. The study questionnaire was administered to study participants. Helicobacter pylori infection was confirmed by rapid-urease examination at endoscopy. Of 242 patients sampled; 64 had duodenal ulcer, 66 gastric ulcer, 27gastric cancer and 64 non-ulcer dyspepsia. Nineteen (19) had duodenal and gastric ulcer while 2 had gastric ulcer and cancer. A third (32.6%) of patients had history of NSAID-use. H. pyloriwas associated with gastric ulcer (p=0.033) and duodenal ulcer (p=0.001). There was an increased prevalence of duodenal ulcer in H. pylori-infected patients taking NSAIDs, P=0.003. H. pylori was a major risk factor for peptic ulcer disease. However, NSAID-related gastro-duodenal injury has been shown to be common in H. pylori infected patients. It highlights the need for awareness of the adverse gastro-intestinal effects in a H. pylori endemic area.

  11. The role of hiatus hernia in gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    van Herwaarden, Margot A.; Samsom, Melvin; Smout, André J. P. M.

    2004-01-01

    This article gives an overview of the role of sliding hiatus hernia in gastro-oesophageal reflux disease (GORD). The crural diaphragm acts as an external sphincter of the anti-reflux barrier. Contractions of the crural diaphragm increase lower-oesophageal-sphincter (LOS) pressure during each

  12. Study on gastro intestinal parasite of cattle at Horoguduru Animal ...

    African Journals Online (AJOL)

    Cross sectional study was conducted to determine the prevalence of gastro intestinal parasite and protozoan emeria, to determine the common risk factor and to identify the commonly existing ... Carpological examination was done at Wollega University Shambu campus animal science and, food and nutrition department.

  13. Histologic definition of gastro-esophageal reflux disease.

    Science.gov (United States)

    Chandrasoma, Parakrama T

    2013-07-01

    To review recent data supporting the development of new histology-based definitions of gastro-esophageal reflux disease (GERD). Three precisely definable columnar epithelial types--cardiac, oxyntocardiac and intestinal--may be interposed between esophageal squamous epithelium and gastric oxyntic (acid secreting) mucosa. This enables definition of a new histologic concept: the squamo-oxyntic gap. The squamo-oxyntic gap is zero or very small in autopsies performed on patients without evidence of GERD. The gap progressively increases in length with the severity of GERD, indicating that the squamo-oxyntic gap is a marker for chronic GERD. The distal part of the gap lines gastric-type rugal folds and, therefore, is distal to the present endoscopic definition of the gastro-esophageal junction. I contend that this distal gap segment (which has esophageal submucosal glands) is actually the dilated distal esophagus; this is the pathologic correlate of destruction of the abdominal segment of the lower esophageal sphincter. The dilated distal esophagus is mistaken for 'gastric cardia' by present endoscopic definitions. I believe that these data support the adoption of novel histologic definitions of GERD as follows: the presence of any squamo-oxyntic gap defines GERD; the length of the gap is a measure of severity of chronic GERD; and the presence of intestinal metaplasia in the gap defines Barrett esophagus and cancer risk.

  14. Modifications de l'hémogramme au cours des maladies virales à expression digestive et/ou respiratoire chez le chien

    OpenAIRE

    Lavernhe, Elise

    2002-01-01

    Après un rappel bibliographique concernant les modifications de l'hémogramme au cours des trachéo-bronchites virales, de la maladie de Carré, de la pavovirose et des autres gastro-entérites virales, nous avons choisi d'étudier les hémogrammes de chiens atteints par ces maladies, présentés à la consultation de l'ENVT au cours de trois années scolaires successives. Les hémogrammes des chiens présentant une trachéo-bronchite virale sont peu modifiés. Les anomalies rencontrées sont de nombreuses ...

  15. Review article: The measurement of non-acid gastro-oesophageal reflux

    NARCIS (Netherlands)

    Smout, A. J. P. M.

    2007-01-01

    BACKGROUND: Oesophageal pH monitoring has been used for three decades to study gastro-oesophageal reflux, but it does not allow detection of non-acid reflux episodes. AIM: To discuss the techniques by which non-acid reflux can be measured and to evaluate the clinical relevance of such measurements.

  16. Parasitosis intestinales en poblaciones Mbya-Guaraní de la provincia de Misiones

    Directory of Open Access Journals (Sweden)

    Zonta, María Lorena

    2005-01-01

    Full Text Available El objetivo del trabajo consiste en describir las enteroparasitosis más frecuentes en dos comunidades Mbyá Guaraní de Misiones, Argentina: Kaaguy Poty (KP e Yvy Pytá (YP y su asociación con el estado nutricional y los factores ambientales y culturales que caracterizan a éstas poblaciones. Los resultados se compararon con los obtenidos en una población aborigen vecina, Takuapí (TA y la población urbana más cercana: Aristóbulo del Valle (AV. Se utilizaron las técnicas de Ritchie, Willis y Kato Katz para las muestras fecales. Se relevaron variables antropométricas (peso y estatura. Se analizaron también muestras de tierra. De un total 296 individuos en las cuarto poblaciones, 88.5%(KP, 88.7%(YP, 96.1% (TA y 82%(AV estuvieron parasitados. De ellos, el 74.3% presentaron poliparasitosis. El 80.6 % de los individuos estaban desnutridos y más del 90% de ellos parasitados. Los datos se procesaron mediante pruebas de chi cuadrado. Los resultados mostraron asociación entre el uso de letrinas y Giardia lamblia (p<0.01; defecación a cielo abierto, ausencia de calzado y Ancilostomídeos (p<0.01 y entre el tipo de vivienda y la presencia de helmintos (p<0.01. En el suelo se hallaron formas parasitarias, sugiriendo la relación entre la contaminación del entorno ambiental y la elevada prevalencia de parasitosis intestinales en las poblaciones estudiadas.

  17. Respiratory manifestations of gastro-oesophageal reflux in children.

    Science.gov (United States)

    de Benedictis, Fernando Maria; Bush, Andrew

    2018-03-01

    Gastro-oesophageal reflux disease (GORD) is a complex problem in children. Suspected respiratory manifestations of GORD, such as asthma, chronic cough and laryngitis, are commonly encountered in the paediatric practice, but continue to be entities with more questions than answers. The accuracy of diagnostic tests (ie, pH or pH-impedance monitoring, laryngoscopy, endoscopy) for patients with suspected extraoesophageal manifestations of GORD is suboptimal and therefore whether there is a causal relationship between these conditions remains largely undetermined. An empiric trial of proton pump inhibitors can help individual children with undiagnosed respiratory symptoms and suspicion of GORD, but the response to therapy is unpredictable, and in any case what may be being observed is spontaneous improvement. Furthermore, the safety of these agents has been called into question. Poor response to antireflux therapy is an important trigger to search for non-gastro-oesophageal reflux causes for patients' symptoms. Evidence for the assessment of children with suspected extraoesophageal manifestations of GORD is scanty and longitudinal studies with long-term follow-up are urgently required. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  18. 5-FAIT PERRET-PANQUE

    African Journals Online (AJOL)

    Administrateur

    La loi 84-11 du 9 Juin 1984 (JORA n°24 du 12.06.1984) portant code de .... ans) et dans la limite de trois; (iii) il n'est exigé aucune condition d'âge pour le travailleur atteint ..... les secteurs de l'économie (Perret et Chakour, 2007). Les femmes.

  19. Impact of gastro-oesophageal reflux on microRNA expression, location and function.

    Science.gov (United States)

    Smith, Cameron M; Michael, Michael Z; Watson, David I; Tan, Grace; Astill, David St J; Hummel, Richard; Hussey, Damian J

    2013-01-08

    Ulceration of the oesophageal squamous mucosa (ulcerative oesophagitis) is a pathological manifestation of gastro-oesophageal reflux disease, and is a major risk factor for the development of Barrett's oesophagus. Barrett's oesophagus is characterised by replacement of reflux-damaged oesophageal squamous epithelium with a columnar intestinal-like epithelium. We previously reported discovery of microRNAs that are differentially expressed between oesophageal squamous mucosa and Barrett's oesophagus mucosa. Now, to better understand early steps in the initiation of Barrett's oesophagus, we assessed the expression, location and function of these microRNAs in oesophageal squamous mucosa from individuals with ulcerative oesophagitis. Quantitative real-time PCR was used to compare miR-21, 143, 145, 194, 203, 205 and 215 expression levels in oesophageal mucosa from individuals without pathological gastro-oesophageal reflux to individuals with ulcerative oesophagitis. Correlations between microRNA expression and messenger RNA differentiation markers BMP-4, CK8 and CK14 were analyzed. The cellular localisation of microRNAs within the oesophageal mucosa was determined using in-situ hybridisation. microRNA involvement in proliferation and apoptosis was assessed following transfection of a human squamous oesophageal mucosal cell line (Het-1A). miR-143, miR-145 and miR-205 levels were significantly higher in gastro-oesophageal reflux compared with controls. Elevated miR-143 expression correlated with BMP-4 and CK8 expression, and elevated miR-205 expression correlated negatively with CK14 expression. Endogenous miR-143, miR-145 and miR-205 expression was localised to the basal layer of the oesophageal epithelium. Transfection of miR-143, 145 and 205 mimics into Het-1A cells resulted in increased apoptosis and decreased proliferation. Elevated miR-143, miR-145 and miR-205 expression was observed in oesophageal squamous mucosa of individuals with ulcerative oesophagitis. These mi

  20. Exhaled breath concentrations of acetic acid vapour in gastro-esophageal reflux disease

    Czech Academy of Sciences Publication Activity Database

    Dryahina, Kseniya; Pospíšilová, Veronika; Sovová, Kristýna; Shestivska, Violetta; Kubišta, Jiří; Spesyvyi, Anatolii; Pehal, F.; Turzíková, J.; Votruba, J.; Španěl, Patrik

    2014-01-01

    Roč. 8, č. 3 (2014), 037109 ISSN 1752-7155 Institutional support: RVO:61388955 Keywords : SIFT-MS * gastro-esophageal reflux * acetic acid Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 4.631, year: 2014

  1. A framework for 2-stage global sensitivity analysis of GastroPlus™ compartmental models.

    Science.gov (United States)

    Scherholz, Megerle L; Forder, James; Androulakis, Ioannis P

    2018-04-01

    Parameter sensitivity and uncertainty analysis for physiologically based pharmacokinetic (PBPK) models are becoming an important consideration for regulatory submissions, requiring further evaluation to establish the need for global sensitivity analysis. To demonstrate the benefits of an extensive analysis, global sensitivity was implemented for the GastroPlus™ model, a well-known commercially available platform, using four example drugs: acetaminophen, risperidone, atenolol, and furosemide. The capabilities of GastroPlus were expanded by developing an integrated framework to automate the GastroPlus graphical user interface with AutoIt and for execution of the sensitivity analysis in MATLAB ® . Global sensitivity analysis was performed in two stages using the Morris method to screen over 50 parameters for significant factors followed by quantitative assessment of variability using Sobol's sensitivity analysis. The 2-staged approach significantly reduced computational cost for the larger model without sacrificing interpretation of model behavior, showing that the sensitivity results were well aligned with the biopharmaceutical classification system. Both methods detected nonlinearities and parameter interactions that would have otherwise been missed by local approaches. Future work includes further exploration of how the input domain influences the calculated global sensitivity measures as well as extending the framework to consider a whole-body PBPK model.

  2. Thioredoxin interacting protein and its association with clinical outcome in gastro-oesophageal adenocarcinoma

    Directory of Open Access Journals (Sweden)

    Caroline M. Woolston

    2013-01-01

    Full Text Available The overall prognosis for operable gastro-oesophageal adenocarcinoma remains poor and therefore neoadjuvant chemotherapy has become the standard of care, in addition to radical surgery. Certain anticancer agents (e.g. anthracyclines and cisplatin generate damaging reactive oxygen species as by-products of their mechanism of action. Drug effectiveness can therefore depend upon the presence of cellular redox buffering systems that are often deregulated in cancer. The expression of the redox protein, thioredoxin interacting protein, was assessed in gastro-oesophageal adenocarcinomas. Thioredoxin interacting protein expression was assessed using conventional immunohistochemistry on a tissue microarray of 140 adenocarcinoma patients treated by primary surgery alone and 88 operable cases treated with neoadjuvant chemotherapy. In the primary surgery cases, high thioredoxin interacting protein expression associated with a lack of lymph node involvement (p=0.005, no perineural invasion (p=0.030 and well/moderate tumour differentiation (p=0.033. In the neoadjuvant tumours, high thioredoxin interacting protein expression was an independent marker for improved disease specific survival (p=0.002 especially in cases with anthracycline-based regimes (p=0.008. This study highlights the potential of thioredoxin interacting protein as a biomarker for response in neoadjuvant treated gastro-oesophageal adenocarcinoma and may represent a useful therapeutic target due to its association with tumour progression.

  3. Measurements of spectral indices in homogeneous multiplying media; Mesures d'indices de spectre dans les milieux multiplicateurs homogenes

    Energy Technology Data Exchange (ETDEWEB)

    Bruna, J G; Brunet, J P; Clouet D' Orval, Ch; Verriere, Ph; Kremser, J; Moret-Bailly, J; Tellier, H [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-07-01

    Methods for computation of spectra in light water are developed at Saclay and it is interesting to carry out at the same time experimental studies of simple media such as solutions of fissionable salts which allow quite direct comparisons with computed values. The spectral indices measurements were made with two small fission chambers, one containing deposited plutonium, the other deposited uranium 235. Their response, when neutron spectrum is modified, allows to study the epithermal part of the flux. The media studied with these chambers are fissionable solutions (of plutonium or 90 per cent enriched uranium) which were made critical in bare cylindrical geometry in the Alecto reactor. If the ratio of the chambers is normalized to unity in a Maxwell spectrum, then the noted variation of the ratio of the counts Pu chamber/ U{sup 235} chamber reaches 1,4 in the range of the studied concentrations. (authors) [French] Des calculs de spectres dans l'eau legere sont mis au point a Saclay et il est interessant de mener parallelement des etudes experimentale sur des milieux simples tels que des solutions de sels fissiles, qui permettent des comparaisons tres directes avec les valeurs calculees. On a choisi d'effectuer des mesures d' 'indices de spectres' a l'aide de de deux petites chambres a fission contenant des depots, l'une de plutonium, l'autre d'uranium 235. Leur reponse lorsque le spectre des neutrons est modifie permet d'etudier la partie epithermique du flux. Les milieux etudies a l'aide de ces chambres sont des solutions fissiles (plutonium ou uranium enrichi a 90 pour cent) rendus critiques, en geometrie cylindrique nue, dans le reacteur Alecto. Si le rapport des chambres est normalise a un dans un spectre de Maxwell, la variation constatee du rapport des comptages chambre Pu/ chambre U{sup 235} atteint, dans les gammes de concentrations etudiees, 1,4. (auteurs)

  4. Factors Affecting the Prevalence of Gastro-oesophageal Reflux in Childhood Corrosive Oesophageal Strictures.

    Science.gov (United States)

    Iskit, Serdar H; Ozçelik, Zerrin; Alkan, Murat; Türker, Selcan; Zorludemir, Unal

    2014-06-01

    Gastro-oesophageal reflux may accompany the corrosive oesophageal damage caused by the ingestion of corrosive substances and affect its treatment. The factors that affect the development of reflux in these cases and their effects on treatment still remain unclear. Our aim is to investigate the prevalence of gastro-oesophageal reflux in children with corrosive oesophageal strictures, the risk factors affecting this prevalence and the effects of gastro-oesophageal reflux on treatment. Case-control study. We enrolled 52 patients with oesophageal stricture due to corrosive substance ingestion who were referred to our clinic between 2003 and 2010. Groups, which were determined according to the presence of gastro-oesophageal reflux (GER), were compared with each other in terms of clinical findings, results of examination methods, characteristics of the stricture and success of the treatment. The total number of patients in our study was 52; 30 of them were male and 22 of them were female. The mean age of our study population was 4.2±2.88 years. Thirty-three patients had gastrooesophageal reflux (63.5%). Patients who had strictures caused by the ingestion of alkali substances were 1.6-times more likely to have reflux. There were no differences between patients with or without reflux in terms of number and localisation of strictures. Mean distance of stricture was longer in patients with reflux (3.7±1.8 cm) than in patients without (2.2±1.0 cm) (preflux. Patients with long stricture were 1.9-times more likely to have reflux. Dilatation treatment was successful in 69.6% of patients with reflux and in 78.9% of patients without. The mean treatment period was 8.41±6.1 months in patients with reflux and 8.21±8.4 months in the other group. There was no significant difference between groups in terms of frequency of dilatation and dilator diameters (p>0.05). Corrosive oesophageal stricture was usually accompanied by gastro-oesophageal reflux and the length of stricture is an

  5. Review article: oesophageal complications and consequences of persistent gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Pisegna, J.; Holtmann, G.; Howden, C. W.; Katelaris, P. H.; Sharma, P.; Spechler, S.; Triadafilopoulos, G.; Tytgat, G.

    2004-01-01

    The major oesophageal complications associated with persistent gastro-oesophageal reflux disease (GERD) include erosive oesophagitis, ulceration, strictures and gastrointestinal (GI) bleeding. Although the causes of these complications are uncertain, studies indicate that erosive oesophagitis may

  6. LA DIVERSITÉ DÉPLOYÉE AU SEIN DE L’UNIVERSITÉ D’ENTREPRISE : L’APPLICATION CONCRÈTE D’UNE VALEUR ADOPTÉE PAR LA DIRECTION GÉNÉRALE

    Directory of Open Access Journals (Sweden)

    Virginia Drummond-Guitel

    2009-09-01

    Full Text Available La diversité devenue une valeur incontournable adoptée par les grands groupes, encore faut-t-il trouver les moyens concrets pour l’intégrer dans les pratiques des ressources humaines et dans les mentalités des personnes. Le présent papier a pour but de montrer comment les valeurs de la diversité adoptées par la direction générale ont été déclinées et appliquées dans un processus de sélection de candidats pour une formation continue au sein d’une grande organisation internationale. A travers l’application d’une méthode qualitative de recherche, 10 (dix dirigeants ayant conçu la formation et 42 (quarante-deux managers ayant suivi le programme confirment l’atteinte du but stratégique de cette formation, autrement dit, l’atteinte d’une vision partagée (SENGE, 1991, à travers la consolidation d’un fort sentiment d’appartenance à la culture organisationnelle (SCHEIN, 1995. Les managers ont été sélectionnés selon leurs différentes professions, cultures nationales et différents secteurs d’activités, confirmant ainsi une promotion de la diversité au sein de l’organisation.

  7. Prevalence of gastro-intestinal helminths of faeces from in-door ...

    African Journals Online (AJOL)

    This study was designed to determine the prevalence of gastro-intestinal helminths in dogs and dog faeces collected from streets in Makurdi, Nigeria. This cross-sectional study was conducted from July-September 2013. A total of 400 faecal samples viz 300 from household dogs and 100 from streets were collected and ...

  8. The dose-response relation in human volunteers for gastro-intestinal pathogens

    NARCIS (Netherlands)

    Teunis PFM; Heijden OG van der; Giessen JWB van der; Havelaar AH; MGB

    1996-01-01

    Published data on infection of human hosts with various protozoa, bacteria, and viruses causing gastro-enteritis are used to establish a quantitative relationship between ingested dose and the risk of infection. For all data sets analysed, this relationship is determined by fitting either an

  9. Combined multichannel intraluminal impedance and pH monitoring is helpful in managing children with suspected gastro-oesophageal reflux disease.

    Science.gov (United States)

    Rossi, Paolo; Isoldi, Sara; Mallardo, Saverio; Papoff, Paola; Rossetti, Danilo; Dilillo, Anna; Oliva, Salvatore

    2018-04-05

    Gastro-oesophageal reflux is very common in the paediatric age group. There is no single and reliable test to distinguish between physiologic and pathological gastro-oesophageal reflux, and this lack of clear distinction between disease and normal can have a negative impact on the management of children. To evaluate the usefulness of 24-h oesophageal pH-impedance study in infants and children with suspected gastro-oesophageal reflux disease. Patients were classified by age groups (A-C) and reflux-related symptoms (typical and atypical). All underwent pH-impedance study. If the latter suggested an abnormal reflux, patients received therapy in accordance with NASPGHAN/ESPGHAN recommendations, while those with normal study had an additional diagnostic work-up. The efficacy of therapy was evaluated with a specific standardized questionnaire for different ages. The study was abnormal in 203/428 patients (47%) while normal in 225/428 (53%). Of those with abnormal study, 109 exhibited typical symptoms (54%), and 94 atypical (46%). The great majority of the patients with abnormal study were responsive to medical anti-reflux therapy. We confirm the utility of prolonged oesophageal pH-impedance study in detecting gastro-oesophageal reflux disease in children and in guiding therapy. Performing oesophageal pH-impedance monitoring in children with suspected gastro-oesophageal reflux disease is helpful to establish the diagnosis and avoid unnecessary therapy. Copyright © 2018 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  10. Non disponible / Not available

    OpenAIRE

    Claire , Michel

    2015-01-01

    Non disponible / Not available; Introduction : Les capacités de reconnaissance des expressions faciales s’altèrent avec l’âge et dans certaines pathologies telles que la maladie d’Alzheimer mais aussi, entre autres, dans d’autres démences, maladies neurologiques ou psychiatriques. Les soignants peuvent-ils être assimilés à la population générale en ce qui concerne la reconnaissance des expressions faciales ? Les patients atteints de maladie d’Alzheimer sont-ils capables d’exprimer des émotion...

  11. Non-alcoholic fatty liver disease is associated with high prevalence of gastro-oesophageal reflux symptoms.

    Science.gov (United States)

    Miele, Luca; Cammarota, Giovanni; Vero, Vittoria; Racco, Simona; Cefalo, Consuelo; Marrone, Giuseppe; Pompili, Maurizio; Rapaccini, Gianlodovico; Bianco, Alessandro; Landolfi, Raffaele; Gasbarrini, Antonio; Grieco, Antonio

    2012-12-01

    Gastro-oesophageal reflux symptoms are usually reported by patients with obesity and metabolic syndrome. Aim of this study was to assess the prevalence and clinical characteristics of gastro-oesophageal reflux symptoms in subjects with non-alcoholic fatty liver disease. Cross-sectional, case-control study of 185 consecutive patients with non-alcoholic fatty liver disease and an age- and sex-matched control group of 112 healthy volunteers. Participants were interviewed with the aid of a previously validated questionnaire to assess lifestyle and reflux symptoms in the 3 months preceding enrolment. Odds ratios were determined before and after adjustment for body mass index, increased waist circumference, physical activity, metabolic syndrome and proton pump inhibitors and/or antiacid medication. The prevalence of heartburn and/or regurgitation and of at least one of gastro-oesophageal reflux symptoms was significantly higher in the non-alcoholic fatty liver disease group. Non-alcoholic fatty liver disease subjects were associated to higher prevalence of heartburn (adjusted odds ratios: 2.17, 95% confidence intervals: 1.16-4.04), regurgitation (adjusted odds ratios: 2.61, 95% confidence intervals: 1.24-5.48) and belching (adjusted odds ratios: 2.01, 95% confidence intervals: 1.12-3.59) and had higher prevalence of at least one GER symptom (adjusted odds ratios: 3.34, 95% confidence intervals: 1.76-6.36). Non-alcoholic fatty liver disease is associated with a higher prevalence of gastro-oesophageal reflux symptoms. Copyright © 2012 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  12. Minimal differences in prevalence and spectrum of organic disease at upper gastrointestinal endoscopy between selected secondary care patients with symptoms of gastro-oesophageal reflux or dyspepsia.

    Science.gov (United States)

    Irvine, Andrew J; Pinto-Sanchez, Maria Ines; Bercik, Premysl; Moayyedi, Paul; Ford, Alexander C

    2017-04-01

    Gastro-oesophageal reflux and dyspepsia are felt to be separate upper gastrointestinal (GI) conditions. We aimed to measure the degree of overlap between them, and assess whether endoscopic findings differed. Demographic, symptom, upper GI endoscopy and histology data were collected from consecutive adults in secondary care. Patients were categorised according to whether they reported gastro-oesophageal reflux alone, dyspepsia alone or both, and patient demographics and endoscopic findings were compared. Of 1167 patients, 97 (8.3%) had gastro-oesophageal reflux alone, 571 (48.9%) dyspepsia alone, and 499 (42.8%) overlap. Patients with overlap symptoms were more likely to smoke, compared with those with gastro-oesophageal reflux alone, or dyspepsia alone (p = .009), but there were no other differences. Patients with gastro-oesophageal reflux alone or overlap had a higher prevalence of erosive oesophagitis (18.6% and 15.4% respectively, p Gastro-oesophageal reflux and dyspepsia symptoms commonly overlap. There were minimal differences in demographics or spectrum of underlying organic disease between various symptom groups, suggesting that restrictive classifications according to predominant symptom may not be clinically useful.

  13. Scintigraphic scoring system for grading severity of gastro-esophageal reflux on 99mTc sulfur colloid gastro-esophageal reflux scintigraphy: A prospective study of 39 cases with pre and post treatment assessment.

    Science.gov (United States)

    Puranik, Ameya D; Nair, Gopinathan; Aggarwal, Rajiv; Bandyopadhyay, Abhijit; Shinto, Ajit; Zade, Anand

    2013-04-01

    The study aimed at developing a scoring system for scintigraphic grading of gastro-esophageal reflux (GER), on gastro-esophageal reflux scintigraphy (GERS) and comparison of clinical and scintigraphic scores, pre- and post-treatment. A total of 39 cases with clinically symptomatic GER underwent 99mTc sulfur colloid GERS; scores were assigned based on the clinical and scintigraphic parameters. Post domperidone GERS was performed after completion of treatment. Follow up GERS was performed and clinical and scintigraphic parameters were compared with baseline parameters. Paired t-test on pre and post domperidone treatment clinical scores showed that the decline in post-treatment scores was highly significant, with P value reflux and also for following children post-treatment.

  14. Traitement des séquelles de brûlures de la main dans les pays à ressources limitées ; notre expérience en république démocratique du Congo

    Science.gov (United States)

    Kibadi, K.; Moutet, F.

    2015-01-01

    Summary Les séquelles de brûlures de la main sont encore fréquentes dans les pays à ressources limitées. Trente-deux patients, représentant 38 mains, ont été admis et traités, entre le 1er décembre 2010 et le 1er mai 2014 aux Cliniques Universitaires de Kinshasa en République Démocratique du Congo (RDC). nous avons observé 22 patients (69 %) dans le groupe de jeunes (patients âgés de moins de 18 ans), et 10 patients (31 %) chez les adultes (18 à 59 ans). Aucun patient dans le groupe de seniors (60 ans et plus) n’a été observé. Dans le groupe de jeunes, la tranche d’âge de 1 à 5 ans a été la plus atteinte avec 13 malades (40 %). l’accident à la maison était le plus fréquent (72 %). le mécanisme de la brûlure était le plus souvent thermique par flammes (51 %) ou par liquide chaud (34 %). les rétractions et brides sont les lésions le plus observées (84 %). la rétraction dorsale globale « main en griffe» est observée chez 40 % de patients traités, associée à des cicatrices hypertrophiques et chéloïdiennes dans 84 % de cas. Chez les 32 mains traitées chirurgicalement, des excision-greffes ont été réalisées dans 43,7 %, des lambeaux locaux dans 43,7 % et des lambeaux à distance dans 12,5 % de cas. A la sortie de l’hôpital, 84 % de « bons » résultats ont été observés. le suivi a été de 18 mois. le traitement des séquelles de brûlures de la main est possible dans ces pays, exemple de la rDC. Mais les défis à surmonter dans ces pays sont nombreux : la faible accessibilité aux techniques actuelles de la chirurgie plastique, la prise en charge initiale inadéquate des brûlures, la pauvreté. PMID:26668560

  15. NSAID-induced gastro-duodenal bleeding: risk of development and patient management

    Directory of Open Access Journals (Sweden)

    A P Rebrov

    2008-01-01

    Full Text Available A.P. Rebrov, E.l. Koshkina, A.A. Antonyan, R.V. Lyakisheva NSAID-induced gastro-duodenal bleeding: risk of development and patient management. Retrospective analysis of gastro-duodenal bleeding (GDB report forms was performed. Pts admitted to the department of internal diseases of Saratov regional clinical hospital from 1999 to 2004 were included. 354 cases of GDB were recorded ( 282 from 1999 to 2001 and 72 from 2002 to 2004. Cause ofbleeding, influence of NSAID administration on appearance and relapse ofbleeding, source ofbleeding and pt management were assessed. NSAJD administration was considered trigger factor of GDB in 24% in 1999-2001 and in 18% in 2002-2004. The results of the study show some tendency to decrease of NSAID- induced gastropathy frequency among causes of GDB. The main risk factors ofbleeding during NSAID treatment were age of more than 30 years, ulcer history, the first month of NSAID administration. GDB frequency did not depend on regularity of treatment and NSAID dosage.

  16. facteurs predictifs d'atteinte ganglionnaire centrale dans les cancers

    African Journals Online (AJOL)

    9 mai 2013 ... laire, l'envahissement ganglionnaire latéral, la bilatéralité et l'envahissement ganglionnaire central. un évidemment gan- glionnaire central prophylactique doit donc être particulièrement considéré chez ces patients. Mots clés : carcinome thyroïdien, évidement ganglionnaire, métastase ganglionnaire.

  17. 1758-IJBCS-Article-Hoekou Yao

    African Journals Online (AJOL)

    hp

    albicans, une levure isolée du prélèvement vaginal chez une malade atteinte de candidose au Laboratoire de Microbiologie du Centre. Hospitalier Universitaire Sylvanus Olympio. (Togo). Extraction. L'extraction a été réalisée dans le. Laboratoire de chimie de l'Ecole Supérieure des Techniques Biologiques et Alimentaires.

  18. Résultats de recherche | Page 27 | CRDI - Centre de recherches ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Évaluation d'une intervention intégrée visant à convaincre les patients qu'on pense atteints de tuberculose de cesser de fumer (Pakistan). Dans les pays à faible revenu et les pays à revenu intermédiaire où le tabagisme est répandu, la tuberculose constitue un problème majeur. Projet.

  19. Quatre éléments clés pour favoriser la santé et le bien-être pour tous ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    14 sept. 2017 ... Les intervenants impliqués dans la définition des ODD comme les institutions de recherche sur les politiques contribuent grandement à l'atteinte des ODD liés à la santé. Ils sont en mesure de mener des recherches rigoureuses en tenant compte des connaissances contextuelles et de faire participer les ...

  20. Impact of gastro-oesophageal reflux on microRNA expression, location and function

    Directory of Open Access Journals (Sweden)

    Smith Cameron M

    2013-01-01

    Full Text Available Abstract Background Ulceration of the oesophageal squamous mucosa (ulcerative oesophagitis is a pathological manifestation of gastro-oesophageal reflux disease, and is a major risk factor for the development of Barrett’s oesophagus. Barrett’s oesophagus is characterised by replacement of reflux-damaged oesophageal squamous epithelium with a columnar intestinal-like epithelium. We previously reported discovery of microRNAs that are differentially expressed between oesophageal squamous mucosa and Barrett’s oesophagus mucosa. Now, to better understand early steps in the initiation of Barrett’s oesophagus, we assessed the expression, location and function of these microRNAs in oesophageal squamous mucosa from individuals with ulcerative oesophagitis. Methods Quantitative real-time PCR was used to compare miR-21, 143, 145, 194, 203, 205 and 215 expression levels in oesophageal mucosa from individuals without pathological gastro-oesophageal reflux to individuals with ulcerative oesophagitis. Correlations between microRNA expression and messenger RNA differentiation markers BMP-4, CK8 and CK14 were analyzed. The cellular localisation of microRNAs within the oesophageal mucosa was determined using in-situ hybridisation. microRNA involvement in proliferation and apoptosis was assessed following transfection of a human squamous oesophageal mucosal cell line (Het-1A. Results miR-143, miR-145 and miR-205 levels were significantly higher in gastro-oesophageal reflux compared with controls. Elevated miR-143 expression correlated with BMP-4 and CK8 expression, and elevated miR-205 expression correlated negatively with CK14 expression. Endogenous miR-143, miR-145 and miR-205 expression was localised to the basal layer of the oesophageal epithelium. Transfection of miR-143, 145 and 205 mimics into Het-1A cells resulted in increased apoptosis and decreased proliferation. Conclusions Elevated miR-143, miR-145 and miR-205 expression was observed in

  1. Comparaison de la souche 7784 hypovirulente de Mycoplasma agalactiae à la souche type virulente PG2 par la technique d'hybridation soustractive suppressive

    OpenAIRE

    Bonnefin, Nathalie

    2003-01-01

    Mycoplasma agalactiae est l'agent principal responsable de l'agalactie contagieuse des ovins et caprins, un syndrome largement répandu dans le monde et regroupant des atteintes mammaires, articulaires et oculaires. Afin de rechercher les bases moléculaires du pouvoir pathogène de M. agalactiae, la technique d'hybridation soustractive suppressive, qui permet l'identification de séquences présentes dans un génome mais absentes d'un autre, a été utilisée. Deux souches de M. agalactiae ont été co...

  2. Gastro-oesophageal reflux monitoring: review and consensus report on detection and definitions of acid, non-acid, and gas reflux

    Science.gov (United States)

    Sifrim, D; Castell, D; Dent, J; Kahrilas, P J

    2004-01-01

    To date, most concepts on the frequency of gastro-oesophageal reflux episodes and the efficiency of the antireflux barrier have been based on inferences derived from measurement of oesophageal pH. The development of intraluminal impedance monitoring has highlighted the fact that pH monitoring does not detect all gastro-oesophageal reflux events when little or no acid is present in the refluxate, even if special pH tracing analysis criteria are used. In November 2002, a workshop took place at which 11 specialists in the field of gastro-oesophageal reflux disease discussed and criticised all currently available techniques for measurement of reflux. Here, a summary of their conclusions and recommendations of how to achieve the best results from the various techniques now available for reflux measurement is presented. PMID:15194656

  3. Idiopathic megaoesophagus and intermittent gastro-oesophageal intussusception in a cat.

    Science.gov (United States)

    van Geffen, C; Saunders, J H; Vandevelde, B; Van Ham, L; Hoybergs, Y; Daminet, S

    2006-08-01

    An eight-month-old domestic shorthair cat was presented with chronic vomiting for three months, with an acute increase in frequency during the past two days. A diagnosis of megaoesophagus was made by chest radiography. Diagnostic work-up for megaoesophagus was performed. A gastro-oesophageal intussusception was identified during endoscopy. Medical and nutritional therapy was instituted with a good response to the treatment.

  4. Control de la calidad del diagnóstico coproparasitológico de geohelmintos intestinales en la provincia Las Tunas

    Directory of Open Access Journals (Sweden)

    Rebeca Margarita Laird Pérez

    2015-11-01

    Full Text Available Con el objetivo de evaluar la calidad del diagnóstico coproparasitológico de los geohelmintos intestinales, se realizó un control de la calidad externo activo en la provincia de Las Tunas, de abril a junio de 2012. Se evaluaron las habilidades de 22 profesionales de la Atención Primaria de Salud, para realizar el procedimiento de Kato Katz, la identificación parasitaria e informe de resultados y se les midió el nivel de conocimientos sobre aspectos de interés del diagnóstico de estos gusanos. Se realizaron evaluaciones cualitativas de cada parámetro y se estableció un esquema general de calificación. Las principales deficiencias se presentaron en el informe de resultados, específicamente en la identificación de las especies antropozoonóticas (72,7% evaluados de regular, mientras que la mayoría tuvo resultados favorables en la realización de Kato Katz (54,5% excelente y 27,2% bien y en el nivel de conocimientos (13,6% excelente y 54,5% bien.

  5. Tests sérologiques dans la maladie cœliaque

    Science.gov (United States)

    Rashid, Mohsin; Lee, Jennie

    2016-01-01

    Résumé Objectif Répondre aux questions souvent posées par les généralistes et aux difficultés auxquelles ils font face lorsqu’ils prescrivent des tests sérologiques pour la maladie cœliaque et fournir des conseils pratiques pour aider à interpréter les résultats des tests. Sources de l’information Une recherche a été effectuée dans MEDLINE pour les lignes directrices sur le diagnostic et la prise en charge de la maladie cœliaque publiées en anglais entre 2000 et 2015 par des organisations professionnelles de gastro-entérologie. Message principal Pour dépister la maladie cœliaque, le dosage de l’anticorps immunoglobuline A (IgA) anti-transglutaminase tissulaire est le test de choix. Il faut mesurer le taux sérique d’IgA totale afin d’écarter un déficit sélectif en IgA et d’éviter les faux négatifs. Les patients dont le test sérologique est positif doivent être recommandés à un gastro-entérologue pour subir des biopsies de l’intestin grêle par endoscopie afin de confirmer le diagnostic. Le typage des antigènes des leucocytes humains DQ2 et DQ8 peut aider à écarter le diagnostic. Un régime sans gluten ne doit pas être entrepris avant que le diagnostic de maladie cœliaque soit confirmé. Conclusion Les tests sérologiques sont très utiles pour confirmer les soupçons d’une maladie cœliaque. Le diagnostic précoce est essentiel pour prévenir les complications liées à la maladie cœliaque.

  6. Preoperative endoscopy may reduce the need for revisional surgery for gastro-oesophageal reflux disease following laparoscopic sleeve gastrectomy.

    Science.gov (United States)

    Madhok, B M; Carr, W R J; McCormack, C; Boyle, M; Jennings, N; Schroeder, N; Balupuri, S; Small, P K

    2016-08-01

    Laparoscopic sleeve gastrectomy is a safe and effective bariatric operation, but postoperative reflux symptoms can sometimes necessitate revisional surgery. Roux-en-Y gastric bypass is the preferred operation in morbidly obese patients with gastro-oesophageal reflux disease. In 2011, we introduced preoperative endoscopy to assess for hiatus hernia or evidence of oesophagitis in conjunction with an assessment of gastro-oesophageal reflux symptoms for all patients undergoing bariatric surgery with a view to avoid sleeve gastrectomy for these patients. A prospectively maintained database was used to identify patients who underwent sleeve gastrectomy before and after we changed the unit policy. The need for revisional surgery in patients with troublesome gastro-oesophageal reflux disease was examined. Prior to 2011, 130 patients underwent sleeve gastrectomy, and 11 (8.5%) of them required conversion to Roux-en-Y gastric bypass for symptomatic reflux disease. Following the policy change, 284 patients underwent sleeve gastrectomy, and to date, only five (1.8%) have required revisional surgery (p = 0.001). Baseline demographics were comparable between the groups, and average follow-up period was 47 and 33 months, respectively, for each group. Preoperative endoscopy and a detailed clinical history regarding gastro-oesophageal reflux symptoms may improve patient selection for sleeve gastrectomy. Avoiding sleeve gastrectomy in patients with reflux disease and/or hiatus hernia may reduce the incidence of revisional surgery. © 2016 World Obesity.

  7. Gastro-retentive drug delivery systems and their in vivo success: A recent update

    Directory of Open Access Journals (Sweden)

    Uttam Kumar Mandal

    2016-10-01

    Full Text Available Gastro-retentive drug delivery system (GRDDS has gained immense popularity in the field of oral drug delivery recently. It is a widely employed approach to retain the dosage form in the stomach for an extended period of time and release the drug slowly that can address many challenges associated with conventional oral delivery, including poor bioavailability. Different innovative approaches like magnetic field assisted gastro-retention, plug type swelling system, muco-adhesion technique, floating system with or without effervescence are being applied to fabricate GRDDS. Apart from in vitro characterization, successful GRDDS development demands well designed in vivo study to establish enhanced gastro-retention and prolonged drug release. Gama scintigraphy and MRI are popular techniques to evaluate in vivo gastric residence time. However, checking of their overall in-vivo efficacy still remains a major challenge for this kind of dosage form, especially in small animals like mice or rat. Reported in vivo studies with beagle dogs, rabbits, and human subjects are only a handful in spite of a large number of encouraging in vitro results. In spite of the many advantages, high subject variations in gastrointestinal physiological condition, effect of food, and variable rate of gastric emptying time are the challenges that limit the number of available GRDDS in the market. This review article highlights the in vivo works of GRDDS carried out in the recent past, including their limitations and challenges that need to be overcome in the near future.

  8. Experimental study of the thermal fission of uranium 235 in the region of symmetrical masses; Contribution a l'etude experimentale de la fission thermique de l'uranium 235 dans la region des masses symetriques

    Energy Technology Data Exchange (ETDEWEB)

    Ribrag, M [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1967-03-15

    Energy correlation experiments with fission fragments are strongly perturbed, in the symmetric region, by the detection of spurious events caused by the apparatus. We show that the measurement of an additional parameter, namely the difference in time-of-flight between the fragments, enables us to eliminate these difficulties. In this work we show also an original method of calibration of the time-of-flight set-up. For thermal fission of {sup 235}U, values of mass yields in the symmetric region are found to agree quantitatively with radiochemical values. Moreover, the average total kinetic energy distribution as a function of the pre-neutron emission masses of the fragments has been calculated. This curve presents in the symmetric region a large dip, the value of which takes on the value 21.2 {+-} 0.8 MeV. This value is smaller than previously published results. (author) [French] Les mesures correlees des energies cinetiques des fragments de fission sont fortement perturbees, dans la region symetrique, par la detection d'evenements aberrants d'origine instrumentale. Nous montrons que la mesure d'un parametre supplementaire, a savoir, la difference des temps de vol des deux fragments, nous permet d'eliminer ces difficultes. Dans ce travail, nous indiquons egalement une methode originale de calibration du dispositif de mesure des temps de vol. Dans le cas de la fission thermique de {sup 235}U, nous avons trouve, dans la region symetrique, une courbe de rendement des masses, en accord quantitatif avec les donnees radiochimiques. De plus, nous avons calcule la distribution de l'energie cinetique totale moyenne en fonction de la masse des fragments, avant emission neutronique. Cette courbe presente, dans la region symetrique, un creux important, dont la valeur atteint 21,2 {+-} 0,8 MeV. Cette valeur est inferieure aux resultats precedemment publies. (auteur)

  9. Gold-198 and rose bengal marked with iodine-131 in the diagnostic of hepatic vesicular affections; L'or{sup 198} et le rose bengale marque a l'iode{sup 131} dans le diagnostic des affections hepatovesiculaires

    Energy Technology Data Exchange (ETDEWEB)

    Manambelona Razafimalaza, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1961-06-15

    Colloidal gold-198 makes it possible to obtain clear images of hepatic parenchyma; the examination can be repeated from different angles thus demonstrating the presence of pathologically inert regions, whether they be hydatic cysts, abscesses or neoplasia. The study of the disappearance curve for the colloid, together with a measurement of the blood volume, makes it possible also to calculate the hepatic flow. Using Rose Bengal marked with iodine-131, it is possible to obtain images of the liver and of the bile ducts, and to follow the elimination of the dye in the intestines. The simultaneous recording of the disappearance curves for the blood and of the appearance of the dye in the intestines constitutes an useful working test which is particularly sensible for evaluating the permeability of the bile ducts and, to a certain degree, the site of an obstruction. (author) [French] L'or colloidal-198 permet d'obtenir avec nettete des images du parenchyme hepatique; l'examen peut etre repete sous plusieurs incidences mettant ainsi en evidence les zones muettes pathologiques, qu'il s'agisse de kystes hydatiques, d'abces ou de neoplasies. L'etude de la courbe d'epuration du colloide completee par une mesure du volume sanguin offre en outre la possibilite de calculer le debit hepatique. A l'aide du rose bengale marque a l'iode-131, il est possible d'obtenir des images du foie et de la vesicule biliaire, et de suivre l'elimination intestinale du colorant. L'enregistrement simultane des courbes d'epuration sanguine et d'apparition intestinale constitue une epreuve fonctionnelle particulierement sensible pour apprecier la permeabilite des voies biliaires et dans une certaine mesure le site d'une obstruction. (auteur)

  10. Case report

    African Journals Online (AJOL)

    abp

    31 oct. 2017 ... (1-3%) à triple composante graisseuse, musculaire lisse et vasculaire en proportions variables. Classiquement ce type de tumeur s'inscrit dans le cadre de la Sclérose Tubéreuse de. Bourneville (STB), L'atteinte rénale est alors multiple et bilatérale. Mais, l'angiomyolipome rénal peut être sporadique, isolé ...

  11. Case report

    African Journals Online (AJOL)

    raoul

    23 nov. 2011 ... Celles du cancer colorectal sont exceptionnelles et surviennent généralement dans le cadre de l'atteinte disséminée. Bien que leur incidence exacte est encore inconnue,. Berge a rapporté une incidence globale de 7,1% tout cancer confondu pour 7165 autopsies et l'incidence de métastase splénique de ...

  12. 2150-IJBCS-Article-BAGRE Issa

    African Journals Online (AJOL)

    hp

    La tuberculose, malgré l'existence d'un traitement efficace, demeure l'une des infections mortelles dans les pays en développement. D'après certaines études, la sensibilité de certains patients aux maladies infectieuses varie en fonction de leur phénotype d'Haptoglobine. Qu'en est-il des malades atteints de la tuberculose ...

  13. Predictive value of routine esophageal high-resolution manometry for gastro-esophageal reflux disease

    NARCIS (Netherlands)

    van Hoeij, F. B.; Smout, A. J.; Bredenoord, A. J.

    2015-01-01

    Using conventional manometry, gastro-esophageal reflux disease (GERD) was associated with a reduced lower esophageal sphincter (LES) pressure and impaired peristalsis. However, with a large overlap between GERD patients and controls, these findings are of limited clinical relevance. It is uncertain

  14. Gastro-tracheal fistula - unusual and life threatening complication after esophagectomy for cancer: a case report

    Directory of Open Access Journals (Sweden)

    Droissart Raphaël

    2009-11-01

    Full Text Available Abstract Background A gastro-tracheal fistula following esophagectomy for cancer is a rare but potentially lethal complication. We report the successful surgical closure after failed endoscopic treatment, of a gastro-tracheal fistula following esophago-gastrectomy for cancer after induction chemo-radiotherapy. Case presentation A 58 year-old male patient presented with a distal third uT3N1 carcinoma of the esophagus. After induction chemo-radiotherapy, he underwent an esophago-gastrectomy with radical lymphadenectomy and reconstruction by gastric pull-up. Immediate postoperative outcome was uneventful. On the 15th postoperative day however, our patient was readmitted in the Intensive Care Unit with severe bilateral basal pneumonia. Three days later a gastro-tracheal fistula was diagnosed upon gastroscopy and bronchoscopy. His good general condition allowed for an endoscopic primary approach which consisted in the insertion of a covered stent in the trachea along with clipping and glueing of the gastric fistular orifice. Two attempts proved unsuccessful. Conclusion After several weeks of conservative measures, surgical re-intervention through a right thoracotomy with transection of the fistula and closure by primary interrupted sutures of both fistular orifices along with intercostal muscle flap interposition led to excellent patient outcome. Oral feeding was started and our patient was discharged.

  15. Postprandial gastro-oesophageal reflux demonstrated by radiology

    Energy Technology Data Exchange (ETDEWEB)

    Pedersen, P.R.; Mohr Madsen, K.; Naeser, A.; Thommesen, P. (Aarhus Univ. (Denmark). Dept. of Diagnostic Radiology)

    1991-05-01

    An investigation to detect food-stimulated gastro-oesophageal (GE) reflux was carried out in 54 consecutive fasting patients, 35 of whom experienced reflux while 19 did not. All patients then received a standard meal (566 kcal), and the investigation was repeated 1 h afterward. Of the 35 with GE reflux in the fasting state, 33 also had GE reflux in the postprandial state, and 17 of the 19 patients with no GE reflux while fasting also had none in the postprandial state. It is concluded that the radiological method can identify most patients in whom food-stimulated GE reflux could be of clinical significance. (orig.).

  16. La pratique de l’hypnose, de la visualisation ou de l’autohypnose par des personnes atteintes d'un cancer : une transformation de soi ? The Practice of the Hypnosis, the Visualization or the Autohypnosis by Persons Affected with Cancer: a Transformation of the Self?

    Directory of Open Access Journals (Sweden)

    Clémentine Raineau

    2011-05-01

    Full Text Available Les recours à certaines « médecines douces » comme l’hypnose et la relaxation permettent-ils une reconfiguration des soins du cancer dans les itinéraires thérapeutiques ? À partir d’un travail de terrain ethnographique réalisé en Auvergne avec des personnes atteintes par cette maladie et avec leurs thérapeutes, nous montrons que ces techniques de soins permettent aux patients d’acquérir des compétences pratiques (autohypnose, visualisation et relaxation pratiquées sans guide en solitaire et d’être actifs dans la prise en charge de leur cancer, afin de faire face à certains effets de la maladie et des traitements. L’acquisition de ces techniques d’autonomisation permet la reconfiguration de l’itinéraire thérapeutique du malade en regard du Plan Personnalisé de Soin (PPS qui lui est proposé dans une unité d’oncologie française.L’apprentissage de la visualisation, qui se réalise à travers la découverte lors des séances d’une “matrice de l’imagination” ancrée dans le corps et son exploration (à travers la génération et la manipulation d’images, œuvre de plus à un travail de métamorphose qui tend à transformer les modalités de l’“être-au-monde”.Do hypnosis and relaxation practices allow for a reconfiguration of cancer care within therapeutic itineraries? From our fieldwork in Auvergne (France with persons affected by this disease and with their therapists, we have shown that these care techniques allow the patients to acquire practical skills (autohypnosis, self-visualization and self-relaxation and to be active in the care of their cancer, to face certain side effects of the disease and the treatments. The acquisition of these techniques of empowerment allows for the reconfiguration of the patient’s care paths vis-à-vis the “Plan Personnalisé de Soins” (Personalized Care Program proposed by a French oncology unit. The visualization training, which comes to fruition

  17. Comparison of barium swallow and ultrasound in diagnosis of gastro-oesophageal reflux in children.

    Science.gov (United States)

    Naik, D R; Bolia, A; Moore, D J

    1985-01-01

    Fifty one infants and older children with suspected gastro-oesophageal reflux entered a study comparing the diagnostic accuracy of a standard barium swallow examination with that of ultrasound scanning. All children were examined by both techniques. In 40 cases there was unequivocal agreement between the examinations. Of the remaining patients, four had definite reflux by ultrasonic criteria but showed no evidence of reflux on barium swallow examination, four had positive findings on ultrasound but showed only minimal reflux on barium swallow, and one showed minimal reflux on ultrasound but had a negative barium meal result. In two children the ultrasound study was inconclusive. Ultrasound has an important role in the diagnosis and follow up of patients under the age of 5 years with gastro-oesophageal reflux. Images FIG 1 FIG 2 PMID:3924317

  18. [Digitalization, archival storage and use of image documentation in the GastroBase-II system].

    Science.gov (United States)

    Kocna, P

    1997-05-14

    "GastroBase-II" is a module of the clinical information system "KIS-ComSyD"; The main part is represented by structured data-text with an expert system including on-line image digitalization in gastroenterology (incl. endoscopic, X-ray and endosonography pictures). The hardware and software of the GastroBase are described as well as six-years experiences with application of digitalized image data. An integration of a picture into text, reports, slides for a lecture or an electronic atlas is documented with examples. Briefly are reported out experiences with graphic editors (PhotoStyler), text editor (WordPerfect) and slide preparation for lecturing with the presentation software PowerPoint. The multimedia applications on the CD-ROM illustrate a modern trend using digitalized image documentation for pregradual and postgradual education.

  19. Absence of correlation between serum CRP levels and mitochondrial D-loop DNA mutations in gastro-oesophageal adenocarcinoma

    Directory of Open Access Journals (Sweden)

    Benjamin H. L. Tan

    2014-01-01

    Full Text Available Introduction: Both inflammation and mitochondrial DNA (mtDNA mutation are thought to play a role in the many human cancers. The aim of this study was to evaluate the relationship between inflammation and accumulation of mitochondrial DNA (mtDNA mutations in the D-loop region in carcinogenesis of gastro-oesophageal adenocarcinomas. Materials and Methods: Blood samples of 20 patients with gastro-oesophageal adenocarcinoma were taken for measurement of serum C-reactive protein (CRP concentration. Direct sequencing of mtDNA in the D-loop region was done in the 20 adenocarcinoma samples and their corresponding surrounding non-cancerous tissue. Sequences were compared with existing mtDNA databases to identify mutations. Results: mtDNA mutations in the D-loop region occur commonly with almost identical frequency in both non-cancerous tissue (3.0 ΁ 1.6 and adenocarcinoma (3.1 ΁ 1.9 (P = 0.916, paired t-test. CRP levels are not predictive of the number of D-loop mutations in both adenocarcinoma (β: -0.131; 95% CI: -2.354-1.364; P = 0.583 and non-cancerous tissue samples (β: 0.130; 95% CI: -1.125-1.933; P = 0.586. Five new mutations were identified that were not recorded previously in mtDNA databases. Conclusion: D-loop mtDNA mutations are common in both gastro-oesophageal adenocarcinoma and surrounding non-cancerous tissue. However, the accumulation of such mutations appears to occur independent of systemic inflammation. The frequency of D-loop mutations is likely not useful as a marker for carcinogenesis in gastro-oesophageal adenocarcinoma.

  20. Transient lower oesophageal sphincter relaxations--a pharmacological target for gastro-oesophageal reflux disease?

    NARCIS (Netherlands)

    Hirsch, D. P.; Tytgat, G. N. J.; Boeckxstaens, G. E. E.

    2002-01-01

    The oesophago-gastric junction functions as an anti-reflux barrier preventing increased exposure of the oesophageal mucosa to gastric contents. Failure of this anti-reflux barrier results in gastro-oesophageal reflux disease, and may lead to complications such as oesophagitis, Barrett's oesophagus

  1. Phase II study of biweekly cetuximab in combination with irinotecan as second-line treatment in patients with platinum-resistant gastro-oesophageal cancer

    DEFF Research Database (Denmark)

    Schønnemann, K R; Yilmaz, Mette Karen; Bjerregaard, J K

    2012-01-01

    The purpose of this phase II trial was to evaluate the efficacy and safety of cetuximab and irinotecan as second-line treatment in patients with gastro-oesophageal adenocarcinoma.......The purpose of this phase II trial was to evaluate the efficacy and safety of cetuximab and irinotecan as second-line treatment in patients with gastro-oesophageal adenocarcinoma....

  2. RBE of some Sodium, Water and Bioelectric Parameters of Gastro-Intestinal Absorption; L'EBR pour le Transport du Sodium et de l'Eau et pour Certains Parametre Bioelectriques dans l'Absorption Gastro-Intestinale; Obeh v otnoshenii nekotorykh natrievykh, vodnykh i bioehlektricheskikh parametrov vsasyvaniya v zheludochno-kishechnom trakte; La EBR Para el Transporte del Sodio y del Agua y Para Ciertos Parametros Bioelectricos en la Absorcion Gastrointestinal

    Energy Technology Data Exchange (ETDEWEB)

    Vaughan, B. E.; Davis, A. K.; Cummins, J. T.; Alpen, E. L. [US Naval Radiological Defense Laboratory, San Francisco, CA (United States)

    1964-05-15

    V-crete respectivement. Les auteurs ont evalue, dans chaque cas, la dose profonde absorbee par les animaux dont le corps entier avait ete expose de deux cotes. Chez le rat, sept jours apres l'exposition, l'activite bioelectrique se trouve sensiblement reduite dans l'estomac, mais non pas au niveau inferieur de l'appareil gastro-intestinal. On peut donner a l'EBR une valeur de 2 a 3 pour la reduction tardive de l'activite bioelectrique de l'estomac; cet effet peut etre mis en evidence pour des doses de neutrons de 160 rad (premiere collision). Chez le chien, trois jours apres l'exposition, les taux de transport unidirectionnel plasma-paroi du vaisseau diminuent pour le sodium et pour lreau. Cette diminution se produit apres exposition a une dose de 1200 rad de rayons X (dose dans l'air) et apres exposition aux neutrons, soit a une dose de 300 rad, soit a une dose de 600 rad (premiere collision). Toutefois, pour 600 rad de rayons X (dans l'air), ces taux de transport n'accusent pas de diminution, et ont au contraire tendance a augmenter. On peut par deduction donner a l'EBR une valeur comprise entre 2 et 6 pour la reduction tardive des transports plasma-paroi du vaisseau. Contrairement a celui de l'estomac de la grenouille, le mecanisme electrogenique de l'estomac du rat presente, d'apres les etudes faites par les auteurs, une specificite pour l'ion sodium. Les potentiels mesures in vitro sont en bon accord avec ceux qui sont mesures in vivo, et ils ne sont affectes que par l'empoisonnement metabolique ou le remplacement du sodium. Contrairement a la determination des parametres bioelectriques, celle des courants est une mesure plus specifique; toutefois, si les conditions biologiques sont nettement differentes, son utilite est limitee. Les courants unidirectionnels plasma-paroi du vaisseau varient d'une maniere reguliere en fonction de l'irradiation, la permeabilite etant reduite pour les doses d'irradiation elevees. (author) [Spanish] Los autores han descrito anteriormente los metodos

  3. Development and gamma scintigraphy evaluation of gastro retentive calcium ion-based oral formulation: an innovative approach for the management of gastro-esophageal reflux disease (GERD).

    Science.gov (United States)

    Sharma, Braj Gaurav; Khanna, Kushagra; Kumar, Neeraj; Nishad, Dhruv K; Basu, Mitra; Bhatnagar, Aseem

    2017-11-01

    Calcium chloride is an essential calcium channel agonist which plays an important role in the contraction of muscles by triggering calcium channel. First time hypothesized about its role in the treatment of GER (gastro-esophageal reflux) and vomiting disorder due to its local action. There are two objectives covered in this study as first, the development and optimization of floating formulation of calcium chloride and another objective was to evaluate optimized formulation through gamma scintigraphy in human subjects. Gastro retentive formulation of calcium chloride was prepared by direct compression method. Thirteen tablet formulations were designed with the help of sodium chloride, HPMC-K4M, and carbopol-934 along with effervescing agent sodium bicarbonate and citric acid. Formulation (F8) fitted best for Korsmeyer-Peppas equation with an R 2 value of 0.993. The optimized formulation was radiolabelled with 99m Tc-99 m pertechnetate for its evaluation by gamma scintigraphy. Gastric retention (6 h) was evaluated by gamma scintigraphy in healthy human subjects and efficacy of present formulation confirmed in GER positive human subjects. Gamma scintigraphy results indicated its usefulness in order to manage GERD. Stability studies of the developed formulation were carried out as per ICH guidelines for region IV and found out to be stable for 24 months.

  4. De novo MEIS2 mutation causes syndromic developmental delay with persistent gastro-esophageal reflux.

    Science.gov (United States)

    Fujita, Atsushi; Isidor, Bertrand; Piloquet, Hugues; Corre, Pierre; Okamoto, Nobuhiko; Nakashima, Mitsuko; Tsurusaki, Yoshinori; Saitsu, Hirotomo; Miyake, Noriko; Matsumoto, Naomichi

    2016-09-01

    MEIS2 aberrations are considered to be the cause of intellectual disability, cleft palate and cardiac septal defect, as MEIS2 copy number variation is often observed with these phenotypes. To our knowledge, only one nucleotide-level change-specifically, an in-frame MEIS2 deletion-has so far been reported. Here, we report a female patient with a de novo nonsense mutation (c.611C>G, p.Ser204*) in MEIS2. She showed severe intellectual disability, moderate motor/verbal developmental delay, cleft palate, cardiac septal defect, hypermetropia, severe feeding difficulties with gastro-esophageal reflux and constipation. By reviewing this patient and previous patients with MEIS2 point mutations, we found that feeding difficulty with gastro-esophageal reflux appears to be one of the core clinical features of MEIS2 haploinsufficiency, in addition to intellectual disability, cleft palate and cardiac septal defect.

  5. Publications | Page 25 | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Renforcer le leadership en matière de politiques parmi les travailleurs de la santé qui œuvrent auprès de patients atteints du VIH/sida. Les travailleurs de la santé doivent posséder ... Coup d'oeil sur la santé mentale des hommes et des femmes dans le milieu de travail au Chili. Des chercheurs chiliens et canadiens ont uni ...

  6. Maladie de Biermer : étude de quatre cas au Centre Hospitalier ...

    African Journals Online (AJOL)

    Les troubles neurologiques constituaient un tableau de sclérose combinée de la moelle (SCM) dans tous les trois cas, avec un déficit moteur observé chez deux patients, une atteinte des nerfs crâniens chez un patient, et des troubles de la mémoire chez deux patients. Tous les patients avaient reçu une supplémentation en ...

  7. kyste hydatique du masséter

    African Journals Online (AJOL)

    parasite. Le parasite emprunte ensuite le système porte pour se disséminer dans le corps humain, ce qui explique la rareté de l'atteinte extrahépatopulmonaire (1, 2,5). Engin et Sözuêr avancent la théorie d'une voie lympha- tique pour expliquer les localisations atypiques et soli- taires au niveau des parties molles (in6).

  8. Prevalence and Spectrum of Gastro Esophageal Reflux Disease in Bronchial Asthma.

    Science.gov (United States)

    Rameschandra, Sahoo; Acharya, Vishak; Kunal; Vishwanath, Tantry; Ramkrishna, Anand; Acharya, Preetam

    2015-10-01

    There exists a complex interplay between asthma and gastroesophageal reflux disease. Both these diseases are known to aggravate each other and amelioration of one is necessary for the control of the other. There is a paucity of studies in Indian population on this subject. To evaluate the clinical features and the endoscopic findings of the upper gastrointestinal tract in patients with bronchial asthma. Study was conducted at KMC group of hospitals, Mangalore in the Department of chest medicine in association with Department of gastroenterology. Subjects included 50 cases of bronchial asthma and controls were 58 non asthmatic patients with allergic rhinitis and chronic urticaria. All patients were queried about presence or absence of symptoms of upper gastro intestinal tract disorders by gastro oesophageal reflux disease (GERD) questionnaire and all the included patients underwent upper gastro intestinal endoscopy. The study showed that symptoms of gastroesophageal reflux were significantly more in asthmatics (52%) as compared to the controls (28%). The common presenting features of gastroesophageal reflux in asthmatics were heartburn (40%) retrosternal pain (24%), nocturnal cough (18%), dyspepsia (16%) and regurgitation (14%) and the above symptoms were significantly more common in asthmatics as compared to controls. Gastroesophageal reflux disease was found to be significantly more common in the asthmatics (58%) as compared to the control group where it was present in 32.75% of the subjects. Clinical or endoscopic evidence of any upper gastrointestinal disorder was found in 68% of the asthmatics as compared to 37.93% of the controls. This difference was found to be statistically significant. The study showed that gastroesophageal reflux disease was significantly more in asthmatics as compared to the controls. Upper gastrointestinal symptoms were more common in asthmatics as against controls. Clinical or endoscopic evidence of upper gastrointestinal disorder and

  9. Gastro-duodenal perforations: conventional plain film, US and CT findings in 166 consecutive patients

    International Nuclear Information System (INIS)

    Grassi, Roberto; Romano, Stefania; Pinto, Antonio; Romano, Luigia

    2004-01-01

    Introduction: Gastro-duodenal perforations may be suspected in patients with history of ulceration, who present with acute pain and abdominal wall rigidity, but radiological findings in these cases may be unable to confirm a clinical diagnosis. The aim of our study was to report our experience in the diagnosis of gastro-duodenal perforation by conventional radiography, US and CT examinations. Material and methods: We retrospectively reviewed medical records of 166 consecutive patients who presented in the last 2 years to our institutions with symptoms of acute abdomen and submitted to surgery at the Emergency Unit of the ''A.Cardarelli'' Hospital of Naples with a surgical finding of perforated gastro-duodenal ulcer. The evidence of free intraperitoneal air on abdominal plain film was considered as a direct or suggestive finding of perforation. Evidence of intraperitoneal free fluid and/or reduced intestinal peristalsis at sonographic examination were considered indirect signs of gastro-duodenal perforation. Evidence of free peritoneal gas at CT was considered as a direct evidence of gastro-duodenal perforation. Results: Twenty patients underwent immediate surgery with no preoperative imaging evaluation, in 10 of them the site of perforation was found in a juxta-pyloric region and in the others at level of duodenum. In 146 patients submitted to serial radiological investigations before surgery, the site of perforation was in 56 (38.3%) duodenal, in 52 (35.6%) juxta-pyloric, in 28 (19.1%) gastric and in 10 (6.8%) pyloric. The cause of perforation was in all cases gastric or duodenal ulceration, in seven cases involving pancreatic parenchyma. In 110 (75.4%) patients with direct findings of perforation, in 94 cases (85.5%) the correct diagnosis was established on abdominal plain film, in two (1.8%) with radiographic and sonographic examinations and in 14 (12.7%) on CT findings. In 36 (24,6%) patients with no direct findings of perforation, only 24 (16,4%) of them

  10. Gastro-duodenal perforations: conventional plain film, US and CT findings in 166 consecutive patients

    Energy Technology Data Exchange (ETDEWEB)

    Grassi, Roberto; Romano, Stefania E-mail: stefromano@libero.it; Pinto, Antonio; Romano, Luigia

    2004-04-01

    Introduction: Gastro-duodenal perforations may be suspected in patients with history of ulceration, who present with acute pain and abdominal wall rigidity, but radiological findings in these cases may be unable to confirm a clinical diagnosis. The aim of our study was to report our experience in the diagnosis of gastro-duodenal perforation by conventional radiography, US and CT examinations. Material and methods: We retrospectively reviewed medical records of 166 consecutive patients who presented in the last 2 years to our institutions with symptoms of acute abdomen and submitted to surgery at the Emergency Unit of the ''A.Cardarelli'' Hospital of Naples with a surgical finding of perforated gastro-duodenal ulcer. The evidence of free intraperitoneal air on abdominal plain film was considered as a direct or suggestive finding of perforation. Evidence of intraperitoneal free fluid and/or reduced intestinal peristalsis at sonographic examination were considered indirect signs of gastro-duodenal perforation. Evidence of free peritoneal gas at CT was considered as a direct evidence of gastro-duodenal perforation. Results: Twenty patients underwent immediate surgery with no preoperative imaging evaluation, in 10 of them the site of perforation was found in a juxta-pyloric region and in the others at level of duodenum. In 146 patients submitted to serial radiological investigations before surgery, the site of perforation was in 56 (38.3%) duodenal, in 52 (35.6%) juxta-pyloric, in 28 (19.1%) gastric and in 10 (6.8%) pyloric. The cause of perforation was in all cases gastric or duodenal ulceration, in seven cases involving pancreatic parenchyma. In 110 (75.4%) patients with direct findings of perforation, in 94 cases (85.5%) the correct diagnosis was established on abdominal plain film, in two (1.8%) with radiographic and sonographic examinations and in 14 (12.7%) on CT findings. In 36 (24,6%) patients with no direct findings of perforation, only 24

  11. A strategy for early-risk predictions of clinical drug-drug interactions involving the GastroPlusTM DDI module for time-dependent CYP inhibitors.

    Science.gov (United States)

    Sohlenius-Sternbeck, Anna-Karin; Meyerson, Gabrielle; Hagbjörk, Ann-Louise; Juric, Sanja; Terelius, Ylva

    2018-04-01

    1. A set of reference compounds for time-dependent inhibition (TDI) of cytochrome P450 with available literature data for k inact and K I was used to predict clinical implications using the GastroPlus TM software. Comparisons were made to in vivo literature interaction data. 2. The predicted AUC ratios (AUC +inhibitor /AUC control ) could be compared with the observed ratios from literature for all compounds with detailed information about in vivo administration, pharmacokinetics and in vivo interactions (N = 21). For this dataset, the difference between predicted and observed AUC ratios for interactions with midazolam was within twofold for all compounds except one (telaprevir, for which non-CYP-mediated metabolism likely plays a role after multiple dosing). 3. The sensitivity, specificity and accuracy of the GastroPlus TM predictions using a binary classification as no-to-weak interaction versus moderate-to-strong interaction for all compounds with available in vivo interaction data, were 80%, 82% and 81%, respectively (N = 31). 4. As a result of our evaluations of the DDI module in GastroPlus TM , we have implemented an early TDI risk assessment decision tree for our drug discovery projects involving in vitro screening and early GastroPlus TM predictions. Shifted IC 50 values are determined and k inact /K I estimated (by using a regression line established with in house-shifted IC 50 values and literature k inact /K I ratios), followed by GastroPlus TM predictions.

  12. PREFERENSI PEMBIAYAAN USAHA MIKRO DAN KECIL : PERSPEKTIF GENDER DAN ENTREPRENEURABILITY

    Directory of Open Access Journals (Sweden)

    Khaira Amalia Fachrudin

    2013-06-01

    Full Text Available Preferensi pembiayaan dalam perusahaan besar lebih didasarkan pada karakteristik perusahaan tersebut.  Namun dalam usaha mikro dan kecil hal ini mungkin berbeda dan bergantung pada karakteristik pemiliknya seperti gender dan entrepreneurability.   Perbedaan gender mungkin juga membedakan entrepreneurability dan dukungan yang diterima.  Penelitian ini akan menguji apakah terdapat perbedaan preferensi pembiayaan berdasarkan gender, entrepreneurability berdasarkan gender dan berdasarkan preferensi pembiayaan, serta perbedaan dukungan berdasarkan gender.  Sampel dari usaha mikro dan kecil yang bergerak dalam bidang kuliner  diuji dengan uji beda Independent Sample t Test dan kemudian dengan Crosstabulation untuk lebih memperinci hasilnya.  Hasil uji menunjukkan bahwa tidak terdapat perbedaan yang signifikan preferensi pembiayaan berdasarkan gender dan berdasarkan  entrepreneurability, namun entrepreneurability berbeda signifikan berdasarkan gender dan juga ditemukan bahwa dukungan moral, tenaga, dan modal yang diterima pemilik usaha pria dan wanita tidak berbeda signifikan (p value lebih kecil dari 0.05.   Hasil ini menunjukkan bahwa terdapat kesetaraan gender dalam pembiayaan usaha dan entrepreneurability lebih tinggi pada pria.  Pria pemilik usaha juga mendapatkan dukungan tenaga kerja yang lebih banyak daripada wanita.  Dukungan tenaga ini adalah salah satu bentuk  financial bootstrapping karena dapat mengurangi pembiayaan usaha

  13. The diagnosis of gastro-esophageal reflux disease cannot be made with barium esophagograms

    NARCIS (Netherlands)

    Saleh, C. M. G.; Smout, A. J. P. M.; Bredenoord, A. J.

    2015-01-01

    For over 50 years, barium studies have been used to diagnose gastro-esophageal reflux disease (GERD), but the value of this test is controversial. Our study aimed to determine if barium esophagograms can be used to diagnose GERD. Barium esophagograms and pH-impedance measurement were performed in 20

  14. A study of blood and gastro-intestinal parasites in Edo state | Mordi ...

    African Journals Online (AJOL)

    A four-year study to determine the prevalence of both blood and gastro-intestinal parasites of man was done in all the eighteen local government areas of Edo State, Nigeria. The study, which commenced in January of 2000, ended in December of 2004. Of the 136,360 samples examined, 1000 that is 0.7% had parasites.

  15. Impact of gastro-esophageal reflux on mucin mRNA expression in the esophageal mucosa.

    Science.gov (United States)

    van Roon, Aafke H C; Mayne, George C; Wijnhoven, Bas P L; Watson, David I; Leong, Mary P; Neijman, Gabriëlle E; Michael, Michael Z; McKay, Andrew R; Astill, David; Hussey, Damian J

    2008-08-01

    Changes in the expression of mucin genes in the esophageal mucosa associated with uncomplicated gastro-esophageal reflux disease have not been evaluated even though such changes could be associated with reflux-induced mucosal damage. We therefore sought to identify reflux-induced changes in mucin gene expression using a cell line and biopsies from the esophageal mucosa in patients with and without reflux. MUC-1, MUC-3, MUC-4, and MUC-5AC gene expressions were investigated in the HET-1A cell line following exposure to acid (pH 4) and/or bile (120 muM of a bile salt milieu), and in esophageal mucosal biopsies from controls, subjects with non-erosive gastro-esophageal reflux, and subjects with reflux associated with ulcerative esophagitis (erosive). The mucosal biopsies were also evaluated for IL-6 mRNA expression (inflammatory marker) and CK-14 mRNA expression (mucosal basal cell layer marker). Gene expression was determined using real-time reverse transcriptase-polymerase chain reaction analysis. In the cell line studies, there were differences in mRNA levels for all of the evaluated mucins following treatment with either acid or the acid and bile combination. In the studies which evaluated tissue specimens, IL-6 and CK-14 mRNA levels increased according to degree of reflux pathology. The expression of MUC-1 and MUC-4 in mucosa from patients with erosive reflux was lower than in subjects without reflux and in patients with non-erosive reflux, whereas the expression of MUC-3 and MUC-5AC was increased (although these differences did not reach significance at p reflux groups. The correlation between IL-6 and MUC-3 was significant within the control and erosive reflux groups, and the correlation between MUC-1 and MUC-5AC was significant within the erosive reflux group. The results of this study suggest that the profile of mucin expression in the esophageal mucosa is influenced by the pH and composition of the gastro-esophageal reflux. Further work should explore the

  16. Gastro-oesophageal intussusception in a young German Shepherd Dog

    International Nuclear Information System (INIS)

    Werthern, C.J. von; Montavon, P.M.; Fluckiger, M.A.

    1996-01-01

    A gastro-oesophageal intussusception in a female, six-week-old German shepherd dog was treated surgically with success. The dog was presented with acute dyspnoea and signs of shock. After laparotomy, the herniated organs were reduced from the lumen of the oesophagus into the abdomen and an imbrication of the oesophageal hiatus, an appositional fundoplication and a left-sided incisional fundopexy were performed. The dog made an uneventful recovery. Eighteen months after surgery the dog is still alive, with no clinical signs despite the persistent presence of megaoesophagus

  17. CF findings of bowel infarction in 56 surgical patients, 5 of whom with reversible ischemia; Aspetti alla tomografia computerizzata dell'infarto intestinale. 56 pazienti sottoposti a interventi chirurgico di cui 5 con ischemia mesenterica reversibile.

    Energy Technology Data Exchange (ETDEWEB)

    Salzano, A.; De Rosa, A.; Carbone, M.; Ginolfi, F.; Rossi, E.; Amodio, F. [Naples Univ. Federico 2. (Italy). Ist. di Scienze Radiologiche; Muto, M.; Tuccillo, M. [Azienda Sanitaria di Rilievo Nazionale A. Cardarelli, Naples (Italy). Servizio di Neuroradiologia

    1999-04-01

    Bowel infarction is a rare and typical condition of the elderly; despite improvements in diagnostic imaging and vascular surgery, bowel infarction remains a major cause of acute abdomen, with mortality rates ranging 70-80%. Diagnosis on often late because clinical signs, laboratory data and radiologic findings are a specific. The authors investigated radiographic and particular CT patterns of intestinal infraction in 56 patients submitted to surgery within 12 hours of admission. We also report the CT findings of 5 of these patients who had reversible mesenteric ischemia. CT is more sensitive than radiography and does not exhibit the limitations of angiography (i.e., invasiveness, radiation exposure and complex organization). Therefore CT can presently be considered the method of choice in patients with suspected bowel infarction. [Italian] L'infarto intestinale rappresenta una malattia rara e tipica del soggeto anziano; nonostante il notevole perfezionamento delle tecniche di diagnostica per immagini e il progresso della chirurgia vascolare, rimane ancora oggi una delle piu' temibili condizioni di addome acuto, con mortalita' superiore al 70-80%. Il riconoscimento diagnostico e' tardivo per l'aspecificita' dei dati di laboratorio, dei segni clinici e degli esami radiologici. La TC presenta maggiore afficacia diagnostica rispetto all'esame radiografico diretto e non ha limiti che caratterizzano l'angiografia, quali l'invasivita', radioesposizione e complessita' organizzativa: attualmente la metodica TC puo' essere indicata come indagine di scelta in pazienti con sospetto infarto intestinale.

  18. Fluoroscopic-guided primary single-step percutaneous gastrostomy. Initial results using the Freka {sup registered} GastroTube; Primaere einzeitige durchleuchtungsgesteuerte perkutane Gastrostomie (PG). Erste Ergebnisse mit dem Freka {sup registered} GastroTube

    Energy Technology Data Exchange (ETDEWEB)

    Hahne, J.D.; Schoennagel, B.P.; Arndt, C.; Bannas, P.; Koops, A.; Adam, G.; Habermann, C.R. [Universitaetsklinikum Hamburg-Eppendorf (Germany). Zentrum fuer Radiologie; Herrmann, J. [Universitaetsklinikum Hamburg-Eppendorf (Germany). Zentrum fuer Radiologie; Universitaetsklinikum Hamburg-Eppendorf (Germany). Abt. Paediatrische Radiologie

    2011-07-15

    Purpose: To determine the practicability and outcome of fluoroscopic-guided primary one-step treatment of percutaneous gastrostomy (PG) with the system Freka {sup registered} Gastro Tube (Fresenius Kabi, Germany). Materials and Methods: In 39 patients (mean age 62.7 {+-} 12.0 years), primary PG was performed based on clinical indication from August 2009 to April 2010. The intervention was performed by an experienced radiologist under aseptic conditions by direct puncture with Freka {sup registered} Gastro Tube under fluoroscopic guidance. The clinical data and outcome as well as any complications originated from the electronic archive of the University Medical Center Hamburg-Eppendorf. Results: The intervention was technically successful in all 39 patients. Within the mean follow-up time of 155.3 {+-} 73.6 days, 29 patients (74.4 %) did not experience complications. 10 patients (25.6 %) had to be revised. Complications manifested after a mean of 135.6 {+-} 61.2 days and mainly corresponded to accidental dislocation (50 %). One patient had to be surgically revised under suspicion of a malpositioned tube and suspected intestinal perforation. Clinically relevant wound infections were not detected. The total costs per patient were 553.17 Euro for our single-step treatment (OPS 5 - 431.x) vs. 963.69 Euro (OPS 5 - 431.x and OPS 8 - 123.0) for the recommended two-step treatment. Conclusion: Fluoroscopic-guided primary single-step treatment with Freka {sup registered} Gastro Tube system is feasible and not associated with an increased complication rate when compared to published literature applying a two-step treatment approach. Material costs as well as human and time resources could be significantly reduced using the single-step treatment. (orig.)

  19. DIVERSITAS DAN KERAPATAN MANGROVE, GASTROPODA DAN BIVALVIA DI ESTUARI PERANCAK, BALI

    OpenAIRE

    Susiana; Ali, Syamsu Alam; Rukminasari, Nita

    2011-01-01

    Penelitian ini bertujuan membandingkan diversitas dan kerapatan mangrove dengan kepadatan gastropoda dan bivalvia di mangrove alami dan rehabilitasi. Pengukuran ekosistem mangrove menggunakan transek kuadrat 10 m x 10 m. Kelimpahan dan kepadatan gastropoda dan bialvia menggunakan transek kuadrat berukuran 1 m x 1 m. Analisis nMDS, cluster untuk melihat hubungan karekteristik mangrove alami dan rehabilitasi dianalisis secara deskriptif dan analisis regresi untuk mendetermi...

  20. Simulation de la répartition de température dans un bloc en acier ...

    African Journals Online (AJOL)

    The cooling of highly heated metal during manufacturing process exhibits a ... diagnosis in order to optimise cooling systems and also to predict thermophysical behaviour of the studied ...... atteint une phase critique avant de se transformer.

  1. Scintimetric objectification of the pathological gastro-oesophageal reflux

    International Nuclear Information System (INIS)

    Strobl, R.

    1981-01-01

    In this investigation, the author initially made animal experiments to find out: - if and how the gastro-oesophageal reflux in a cardiac insufficiency caused by cardiomyotomy could be proven quantitatively by scintiscanning as often as wanted and how the course of the arising oesophagitis correlated with the findings of the scintiscanning. For the clinical examinations, he referred to patients complaining the reflux difficulties or patients who had had a Balanced Operation because of a reflux disease. The main concern was to clarify the special characteristics and the reliability of reflux scintiscanning and to compare them to conventional methods of radiological and endoscopic reflux diagnostics. (orig./MG) [de

  2. Nouvelles et activités | Page 4 | CRDI - Centre de recherches pour le ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Recherche pour un monde climato-intelligent. Lors d'une série de conférences présentées dans le cadre de déjeuners parlementaires, le Centre de recherches pour le développement international (CRDI) présentera les résultats atteints grâce au financement d'adaptation et de développement. Bulletin du CRDI — février ...

  3. Dynamique du peuplement des Oiseaux d'une riziculture et ses ...

    African Journals Online (AJOL)

    Au total, 218 espèces appartenant à 51 familles et 17 ordres ont été identifiées. La présente étude révèle 49 espèces nouvellement observées dans la zone humide de Grand-Bassam. Le peuplement d'Oiseaux rencontré renferme un grand nombre d'individus dont le pic annuel est atteint en juillet. Ce peuplement est ...

  4. Les masques trompeurs de la bipolarité: étude de 100 cas | Nabih ...

    African Journals Online (AJOL)

    C'est une étude descriptive transversale portant sur 100 patients atteints de TB, inclus selon les critères du DSM V, qui ont été vus en consultation ou bien hospitalisés dans le service de psychiatrie de l'hôpital Militaire Avicenne de Marrakech, durant une période de deux ans. L'âge moyen des patients était de 29,5 ans ...

  5. Radiologic diagnosis of gastro-oesophageal reflux. Comparison of barium and low-density contrast medium

    Energy Technology Data Exchange (ETDEWEB)

    Fransson, S.G.; Soekjer, H.; Johansson, K.E.; Tibbling, L.

    It has been proposed that the high density of ordinary barium suspension may complicate the radiologic diagnosis of gastro-oesophageal reflux. For this reason P-contrast was developed (Ferring AB); a contrast medium with the same density as water (1 g/cm/sup 3/). A comparison of P-contrast and barium (Mixobar Ventrikel 400 mg/ml) was performed in 82 patients. All patients were examined with both contrast media and the findings were compared with those at reflux test at manometry, endoscopy and 24-hour pH monitoring. Another 40 patients and 15 symptom-free controls were examined with two different amounts of barium, 100 ml and 200 ml, to study if the radiologic diagnosis of reflux varied with the volume of contrast medium administered. P-contrast was found to have no advantages over barium for the diagnosis of gastro-oesophageal reflux. The outcome of the radiologic examination was not influenced by the different volumes of barium used.

  6. Integration of targeted agents in the neo-adjuvant treatment of gastro-esophageal cancers.

    Science.gov (United States)

    Power, D G; Ilson, D H

    2009-11-01

    Pre- and peri-operative strategies are becoming standard for the management of localized gastro-esophageal cancer. For localized gastric/gastro-esophageal junction (GEJ) cancer there are conflicting data that a peri-operative approach with cisplatin-based chemotherapy improves survival, with the benefits seen in esophageal cancer likely less than a 5-10% incremental improvement. Further trends toward improvement in local control and survival, when combined chemotherapy and radiation therapy are given pre-operatively, are suggested by recent phase III trials. In fit patients, a significant survival benefit with pre-operative chemoradiation is seen in those patients who achieve a pathologic complete response. In esophageal/GEJ cancer, definitive chemoradiation is now considered in medically inoperable patients. In squamous cell carcinoma of the esophagus, surgery after primary chemoradiation is not clearly associated with an improved overall survival, however, local control may be better. In localized gastric/GEJ cancer, the integration of bevacizumab with pre-operative chemotherapy is being explored in large randomized studies, and with chemoradiotherapy in pilot trials. The addition of anti-epidermal growth factor receptor and anti-human epidermal growth factor receptor-2 antibody treatment to pre-operative chemoradiation continues to be explored. Early results show the integration of targeted therapy is feasible. Metabolic imaging can predict early response to pre-operative chemotherapy and biomarkers may further predict response to pre-operative chemo-targeted therapy. A multimodality approach to localized gastro-esophageal cancer has resulted in better outcomes. For T3 or node-positive disease, surgery alone is no longer considered appropriate and neo-adjuvant therapy is recommended. The future of neo-adjuvant strategies in this disease will involve the individualization of therapy with the integration of molecular signatures, targeted therapy, metabolic imaging

  7. Systematic review: relationships between sleep and gastro-oesophageal reflux.

    Science.gov (United States)

    Dent, J; Holloway, R H; Eastwood, P R

    2013-10-01

    Gastro-oesophageal reflux disease (GERD) adversely impacts on sleep, but the mechanism remains unclear. To review the literature concerning gastro-oesophageal reflux during the sleep period, with particular reference to the sleep/awake state at reflux onset. Studies identified by systematic literature searches were assessed. Overall patterns of reflux during the sleep period show consistently that oesophageal acid clearance is slower, and reflux frequency and oesophageal acid exposure are higher in patients with GERD than in healthy individuals. Of the 17 mechanistic studies identified by the searches, 15 reported that a minority of reflux episodes occurred during stable sleep, but the prevailing sleep state at the onset of reflux in these studies remains unclear owing to insufficient temporal resolution of recording or analysis methods. Two studies, in healthy individuals and patients with GERD, analysed sleep and pH with adequate resolution for temporal alignment of sleep state and the onset of reflux: all 232 sleep period reflux episodes evaluated occurred during arousals from sleep lasting less than 15 s or during longer duration awakenings. Six mechanistic studies found that transient lower oesophageal sphincter relaxations were the most common mechanism of sleep period reflux. Contrary to the prevailing view, subjective impairment of sleep in GERD is unlikely to be due to the occurrence of reflux during stable sleep, but could result from slow clearance of acid reflux that occurs during arousals or awakenings from sleep. Definitive studies are needed on the sleep/awake state at reflux onset across the full GERD spectrum. © 2013 John Wiley & Sons Ltd.

  8. Endoscopic evaluation of upper and lower gastro-intestinal bleeding

    Directory of Open Access Journals (Sweden)

    Emeka Ray-Offor

    2015-01-01

    Full Text Available Introduction: A myriad of pathologies lead to gastro-intestinal bleeding (GIB. The common clinical presentations are hematemesis, melena, and hematochezia. Endoscopy aids localization and treatment of these lesions. Aims: The aim was to study the differential diagnosis of GIB emphasizing the role of endoscopy in diagnosis and treatment of GIB. Patients and Methods: A prospective study of patients with GIB referred to the Endoscopy unit of two health facilities in Port Harcourt Nigeria from February 2012 to August 2014. The variables studied included: Demographics, clinical presentation, risk score, endoscopic findings, therapeutic procedure, and outcome. Data were collated and analyzed using SPSS version 20 software. Results: A total of 159 upper and lower gastro-intestinal (GI endoscopies were performed during the study period with 59 cases of GI bleeding. There were 50 males and 9 females with an age range of 13-86 years (mean age 52.4 ΁ 20.6 years. The primary presentations were hematochezia, hematemesis, and melena in 44 (75%, 9 (15%, and 6 (10% cases, respectively. Hemorrhoids were the leading cause of lower GIB seen in 15 cases (41%. The majority of pathologies in upper GIB were seen in the stomach (39%: Gastritis and benign gastric ulcer. Injection sclerotherapy was successfully performed in the hemorrhoids and a case of gastric varices. The mortality recorded was 0%. Conclusion: Endoscopy is vital in the diagnosis and treatment of GIB. Gastritis and Haemorrhoid are the most common causes of upper and lower GI bleeding respectively, in our environment

  9. Profil Sensori dan Nilai Gizi Beberapa Jenis Ikan Patin dan Hibrid Nasutus

    Directory of Open Access Journals (Sweden)

    Theresia Dwi Suryaningrum

    2010-11-01

    Full Text Available Penelitian mengenai profil sensori dan nilai gizi filet patin Siam (Pangasius hypopthalmus, Jambal (Pangasius djambal Bleeker, Pasupati, Nasutus serta hasil silangan Siam dan Nasutus (hibrid Nasutus telah dilakukan. Analisis sensori dilakukan dengan uji pembeda menyeluruh, uji pembeda atribut, uji kesukaan, dan uji rangking. Pengamatan lainnya dilakukan terhadap edible portion dan nilai gizi (proksimat dan profil asam amino. Hasil penelitian menunjukkan bahwa filet patin hibrid Nasutus lebih memiliki kesamaan warna dengan filet patin Nasutus daripada filet patin Siam. W arna daging filet patin hibrid Nasutus berbeda nyata dengan induknya yaitu patin Nasutus dan patin Siam. Panelis lebih menyukai warna filet patin hibrid Nasutus dibandingkan dengan patin Pasupati. Patin hibrid Nasutus mempunyai tekstur yang berbeda nyata dengan Nasutus dan Jambal yang kompak dan padat, tetapi mempunyai kesamaan dengan patin Siam dan Pasupati yang agak kompak dan agak padat. Berdasarkan intensitas warna, hasil uji pembeda atribut dan uji kesukaan, maka secara berturut-turut panelis menyukai filet patin Jambal, Nasutus, hibrid Nasutus, Pasupati, dan Siam. Hibrid Nasutus mempunyai edible portionpaling tinggi (49% dibandingkan dengan patin lainnya tetapi mempunyai kadar air, kadar lemak, dan kadar protein yang lebih rendah dan berbeda nyata dengan induknya (patin Siam dan Nasutus. Patin Siam mengandung asam amino esensial paling tinggi di antara berbagai jenis patin yang diteliti. Profil asam amino patin hibrid Nasutus, Jambal, Pasupati, dan Nasutus hampir sama, kecuali pada patin Siam yang mengandung glisin, leusin, isoleusin, histidin, serin, treonin, dan prolin yang lebih tinggi dibandingkan dengan patin lainnya

  10. Les accidents du travail dans le transport urbain en commun de la ville province de Kinshasa, République Démocratique du Congo: une étude transversale descriptive

    Science.gov (United States)

    Wangata, Jemima; Elenge, Myriam; De Brouwer, Christophe

    2014-01-01

    Introduction Le transport en commun urbain constitue un secteur où les travailleurs sont très exposés aux accidents du travail. Cette étude visait une description épidémiologique des accidents du travail dans le secteur informel du transport en commun à Kinshasa en vue d'apporter les pistes d'amélioration de la sécurité des travailleurs dans cette activité. Méthodes Un questionnaire sur les accidents du travail, administré en Décembre 2012 a permis d'explorer les tendances significatives entre les accidents et leurs circonstances, leurs facteurs associés, leurs conséquences au sein d'une population des travailleurs (n = 472) du transport en commun à Kinshasa. Résultats Durant les 12 derniers précédant l’étude 76.5% des travailleurs ont connu au moins un accident du travail, 54,8% ont connu un arrêt d'au moins 1jour. Les accidents liés à la circulation routière étaient plus important suivis des chutes. Les facteurs ayant montré des différences significatives étaient le travail sous l'influence de l'alcool et le port des équipements de protection individuelle. Les plaies (46,3%) et les contusions (39,4%) étaient les lésions les plus courantes. Les membres supérieurs (51,3%) et inférieurs (30,7%) étaient les plus atteints. 76,6% des travailleurs ont assumé seuls leur prise en charge médicale. Conclusion L'incidence des accidents du travail dans ce secteur est très élevée. La mise en place d'une politique de prévention et gestion de différents facteurs associés ainsi qu'un système de déclaration d'accidents est nécessaire dans ce secteur. Les patrons ainsi que les politiques devraient veiller à une prise en charge médicale correcte pour des travailleurs accidentés. PMID:25667703

  11. Induced viscosity fibre system for the treatment or prevention of gastro-oesophageal reflux (gor)

    NARCIS (Netherlands)

    Belle, F.N.; Harthoorn, L.F.; Venema, P.; Choi, W.M.C.

    2014-01-01

    The invention pertains to the use of pectin and alginate in the manufacture of a liquid nutritional composition in the treatment or prevention of gastro-oesophageal reflux in a patient, said composition comprising pectin and alginate, said composition exhibiting a maximum gel strength at a pH in the

  12. Le poids des émotions

    OpenAIRE

    Bihan, Blanche Le; Mallon, Isabelle

    2017-01-01

    Depuis une quinzaine d’années, les « aidants » des personnes ayant besoin de soins au long cours sont l’objet d’une visibilité nouvelle dans le débat public. S’appuyant sur les résultats d’une enquête qualitative approfondie menée auprès d’aidants familiaux de proches atteints de la maladie d’Alzheimer, cet article s’intéresse à l’expérience des aidants investis au quotidien dans la vie de leur proche – conjoint ou parent – en perte d’autonomie. Après avoir déconstruit la notion d’intensité d...

  13. Pengembangan Sistem Otomatisasi AC dan Lampu Menggunakan Fuzzy dan Raspberry Pi

    Directory of Open Access Journals (Sweden)

    Rudy Ariyanto

    2017-11-01

    Full Text Available Otomatisasi AC dan lampu dilakukan untuk menghemat energi yang digunakan pada kehidupan sehari-hari. Dalam pengembangan otomatisasi AC dan lampu perlu menerapkan sebuah perangkat yang memiliki fungsi maksimal dengan harga yang minimal. Raspberry Pi merupakan perangkat atau modul dengan harga rendah yang mampu melakukan komunikasi wireless tanpa bantuan modul lain. Dalam pengembangan otomatisasi AC dan lampu juga diperlukan sebuah metode yang mampu melakukan kontrol terhadap nyala AC dan lampu. Penerapan metode fuzzy dapat dilakukan untuk menghimpun informasi keadaan ruang yang didapat dari sensor untuk menentukan nyala AC dan lampu secara otomatis. Oleh sebab itu pada penelitian ini mengusulkan pengembangan otomatisasi AC dan lampu menggunakan Raspberry Pi dan Fuzzy. Otomatisasi AC dan lampu menggunakan Raspberry Pi yang menerapkan metode Fuzzy dapat menghemat energi hingga 59,87% dalam hal lama waktu nyala AC dan 57,47% untuk lumenasi lampu

  14. Intestinal parasitoses and environmental factors in a rural population of Argentina, 2002-2003 Parasitosis intestinales y factores ambientales en una población rural de Argentina, 2002-2003

    Directory of Open Access Journals (Sweden)

    Juan A. Basualdo

    2007-08-01

    Full Text Available We evaluate the prevalence of intestinal parasites in 504 people and the degree of association between environmental variables and parasites found in population, soil and water in a rural area of Argentina during 2002-2003. A structured survey was used to evaluate the environmental variables and fecal-human, soil and water samples were analyzed. The prevalence of parasites was 45.4%. Most prevalent protozoa were Blastocystis hominis (27.2% and Giardia lamblia (6.9%, while the most prevalent helminth was Ascaris lumbricoides (3.8%. The analyzed environmental variables showing association (p Hemos evaluado la prevalencia de parásitos intestinales en 504 personas y el grado de asociación entre las variables ambientales y los parásitos intestinales hallados en la población, el suelo y el agua de una zona rural de Argentina durante 2002-2003. Se utilizó una encuesta estructurada para relevar las variables ambientales y se examinaron muestras fecales humanas, de agua y de suelo. La prevalencia parasitaria fue de 45,4%. Los protozoos prevalentes fueron Blastocystis hominis (27,2% y Giardia lamblia (6,9%, mientras que el helminto mas prevalente fue Ascaris lumbricoides (3,8%. Las variables ambientales analizadas que mostraron asociación (p < 0,05 con la presencia de parásitos en la población fueron: casa de cartón-chapa o de madera con piso de tierra, bomba de agua domiciliaria o comunitaria, canilla fuera de la casa o pública y pozo ciego o letrina. Elementos parasitarios fueron hallados en el 82,3% de las muestras de suelo y en el 84,2% de las muestras de agua. En ambas muestras fueron hallados parásitos que también se encontraron en las personas. En este trabajo hemos hallado deficientes condiciones sanitarias asociadas con la presencia de parásitos en las personas y hemos evidenciado que el suelo y el agua contaminada fueron la fuente de esos parasitos.

  15. Adaptation, eau et résilience dans l'Himalaya | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Comment ce projet appuiera-t-il l'adaptation? Les changements socioéconomiques, combinés aux répercussions des changements climatiques, pourraient porter gravement atteinte aux moyens de subsistance de toute la population de la région. Pour aider les populations du Pakistan, de l'Inde, du Bangladesh et du Népal ...

  16. Hormone replacement therapy is associated with gastro-oesophageal reflux disease: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Close Helen

    2012-05-01

    Full Text Available Abstract Background Oestrogen and progestogen have the potential to influence gastro-intestinal motility; both are key components of hormone replacement therapy (HRT. Results of observational studies in women taking HRT rely on self-reporting of gastro-oesophageal symptoms and the aetiology of gastro-oesophageal reflux disease (GORD remains unclear. This study investigated the association between HRT and GORD in menopausal women using validated general practice records. Methods 51,182 menopausal women were identified using the UK General Practice Research Database between 1995–2004. Of these, 8,831 were matched with and without hormone use. Odds ratios (ORs were calculated for GORD and proton-pump inhibitor (PPI use in hormone and non-hormone users, adjusting for age, co-morbidities, and co-pharmacy. Results In unadjusted analysis, all forms of hormone use (oestrogen-only, tibolone, combined HRT and progestogen were statistically significantly associated with GORD. In adjusted models, this association remained statistically significant for oestrogen-only treatment (OR 1.49; 1.18–1.89. Unadjusted analysis showed a statistically significant association between PPI use and oestrogen-only and combined HRT treatment. When adjusted for covariates, oestrogen-only treatment was significant (OR 1.34; 95% CI 1.03–1.74. Findings from the adjusted model demonstrated the greater use of PPI by progestogen users (OR 1.50; 1.01–2.22. Conclusions This first large cohort study of the association between GORD and HRT found a statistically significant association between oestrogen-only hormone and GORD and PPI use. This should be further investigated using prospective follow-up to validate the strength of association and describe its clinical significance.

  17. PERSEPSI DAN TRANSFORMASI VISI DAN MISI PADA CIVITAS AKADEMIKA STAIN PEKALONGAN

    Directory of Open Access Journals (Sweden)

    Imam Khanafi

    2013-05-01

    Full Text Available Penelitian ini mengukur tingkat persepsi visi dan misi civitas akademika STAIN Pekalongan, dan mengukur juga tingkat implementasi sebagai transformasi visi misi tersebut serta menemukan hubungan antara persepsi dengan implementasinya. Kajian ini memiliki signifikan yang strategis dalam konteks manajemen dan pengembangan Pendidikan di STAIN Pekalongan dan lembaga pendidikan lainnya. Hal ini karena posisi visi dan misi sebagai kerangka acuan (frame of reference yang mengarahkan dan menjelaskan kepada keseluruh unsur civitas akademika dalam setiap program kerjanya.

  18. Synthesis of the arginine labelled by {sup 15}N on the amidine group; Synthese de l'arginine marquee par {sup 15}N dans le groupe amidine

    Energy Technology Data Exchange (ETDEWEB)

    Pichat, L; Clement, J [Commissariat a l' Energie Atomique, Saclay(France). Centre d' Etudes Nucleaires

    1955-07-01

    For some biologic studies, it was necessarily to have (+) arginine marked by nitrogen 15 in the amidine group. This report describes the synthesis of the labelled arginine. The first step is the synthesis of the methyl-isourated hydro-chlorate, the intermediate reactive, from the ClNH{sub 4} isotope. The arginine is obtained from the ornithine which we previously blocked the amino group as cupric complex. The mean yield in arginine reaches 30%, based on the ammonium chloride uses. (M.B.) [French] Pour certaines etudes biologiques, il etait indispensable de disposer de (+) arginine marquee par l'azote 15 dans le groupement amidine. Ce rapport decrit la synthese de l'ariginine marquee. La premiere etape est la synthese du chlorhydrate de methylisouree, intermediaire reactif, a partir du ClNH{sub 4} isotopique. L'obtention de l'arginine est obtenue a partir de l'ornithine dont on a prealablement bloque le groupe amino sous forme de complexe cuivrique. Le rendement global moyen en arginine atteint 30 %, base sur le chlorure d'ammonium utilise. (M.B.)

  19. Evaluasi Sifat Morpologi dan Teknologi Pengolahan pada Gabah dan Beras

    OpenAIRE

    Santosa, Susilo

    2017-01-01

    Penelitian evaluasi dan beras terhadap mutu dan jumlah hasil ditekankan pada lr36 , lr38 dan Cisadane. Penelitian dilakukan di laboratorium Balai Penelitian Tanaman Pangan Karawang. Hasil studi menunjukkan diantara ketiga varitas, Cisadane mempunyai ukuran dimensi butiran yang lebih besar daripada Ir36 dan Ir38. Di antara ketiga varitas, persen kulit sekam yang tertinggi didapat 23,57 % pada lr38 diikuti 22,32% pada Ir36 dan 19,5% pada Cisadane. Persen beras pecah kulit tertinggi diperoleh pa...

  20. Evaluasi Sifat Morpologi Dan Teknologi Pengolahan Pada Gabah Dan Beras

    OpenAIRE

    Santosa, Susilo

    1982-01-01

    Penelitian evaluasi dan beras terhadap mutu dan jumlah hasil ditekankan pada lr36 , lr38 dan Cisadane. Penelitian dilakukan di laboratorium Balai Penelitian Tanaman Pangan Karawang. Hasil studi menunjukkan diantara ketiga varitas, Cisadane mempunyai ukuran dimensi butiran yang lebih besar daripada Ir36 dan Ir38. Di antara ketiga varitas, persen kulit sekam yang tertinggi didapat 23,57 % pada lr38 diikuti 22,32% pada Ir36 dan 19,5% pada Cisadane. Persen beras pecah kulit tertinggi diperoleh pa...

  1. Development of a new esomeprazole delayed release gastro-resistant pellet formulation with improved storage stability.

    Science.gov (United States)

    Barmpalexis, Panagiotis; Grypioti, Agni

    2018-06-01

    This study describes the development of a new esomeprazole (ESO) delayed release gastro-resistant formulation with improved storage stability. A three-step (drug-, sub(seal)- and enteric-) coating process was employed with the aid of a fluid bed coater. Several formulation factors (namely, size and quantity of starting non-pareil sugar spheres, binder quantity during drug-layering, sub(seal)-coating polymer type, and quantity and enteric coating quantity) were evaluated and the whole process was modeled with the aid of feed-forward back-propagation artificial neural networks (ANNs). Results showed that the selection of small-sized starting spheres (45/60 mesh size) leads to pellet agglomeration, while as sub(seal)-coating weight gain increases a reduction in ESO dissolution rate is observed. The enteric-coating applied (Eudragit L30D-55) showed good gastro-resistant performance in both 0.1 N HCl and pH 4.5 media, while immediate release profiles with more than 85% of ESO being released in less than 30 min were obtained. The effect of cellulose-based sub(seal)-coating polymers, (namely, hydroxypropyl cellulose and hydroxypropylmethyl cellulose) on formulation's storage stability at 40 ± 2 °C/75 ± 5%RH indicated that only hydroxypropylmethyl cellulose was able to stabilize ESO delayed-release formulations in terms of assay, dissolution, impurities, and gastro-resistance performance. Finally, scanning electron microscopy (SEM) analysis revealed smooth and homogeneous external surface/coating layers in all three levels (drug-, sub(seal)-, and enteric- coating), while x-ray diffraction showed no polymorphic transformations.

  2. Pulmonary function impairment after trachea-esophageal fistula: a minor role for gastro-esophageal reflux disease

    NARCIS (Netherlands)

    Peetsold, M.G.; Heij, H.A.; Nagelkerke, A.F.; Deurloo, J.A.; Gemke, R.J.B.J.

    2011-01-01

    Background: Long-term impairment of pulmonary function in trachea-esophageal fistula (TEF) patients is, at least in part, commonly ascribed to gastro-esophageal reflux disease (GERD). The objective of this study was to examine the independent effects of the underlying condition and GERD on

  3. Pulmonary Function Impairment After Trachea-Esophageal Fistula: A Minor Role for Gastro-Esophageal Reflux Disease

    NARCIS (Netherlands)

    Peetsold, M. G.; Heij, H. A.; Nagelkerke, A. F.; Deurloo, J. A.; Gemke, R. J. B. J.

    2011-01-01

    Background: Long-term impairment of pulmonary function in trachea-esophageal fistula (TEF) patients is, at least in part, commonly ascribed to gastro-esophageal reflux disease (GERD). The objective of this study was to examine the independent effects of the underlying condition and GERD on

  4. Classification of esophageal motor findings in gastro-esophageal reflux disease: Conclusions from an international consensus group.

    Science.gov (United States)

    Gyawali, C P; Roman, S; Bredenoord, A J; Fox, M; Keller, J; Pandolfino, J E; Sifrim, D; Tatum, R; Yadlapati, R; Savarino, E

    2017-12-01

    High-resolution manometry (HRM) has resulted in new revelations regarding the pathophysiology of gastro-esophageal reflux disease (GERD). The impact of new HRM motor paradigms on reflux burden needs further definition, leading to a modern approach to motor testing in GERD. Focused literature searches were conducted, evaluating pathophysiology of GERD with emphasis on HRM. The results were discussed with an international group of experts to develop a consensus on the role of HRM in GERD. A proposed classification system for esophageal motor abnormalities associated with GERD was generated. Physiologic gastro-esophageal reflux is inherent in all humans, resulting from transient lower esophageal sphincter (LES) relaxations that allow venting of gastric air in the form of a belch. In pathological gastro-esophageal reflux, transient LES relaxations are accompanied by reflux of gastric contents. Structural disruption of the esophagogastric junction (EGJ) barrier, and incomplete clearance of the refluxate can contribute to abnormally high esophageal reflux burden that defines GERD. Esophageal HRM localizes the LES for pH and pH-impedance probe placement, and assesses esophageal body peristaltic performance prior to invasive antireflux therapies and antireflux surgery. Furthermore, HRM can assess EGJ and esophageal body mechanisms contributing to reflux, and exclude conditions that mimic GERD. Structural and motor EGJ and esophageal processes contribute to the pathophysiology of GERD. A classification scheme is proposed incorporating EGJ and esophageal motor findings, and contraction reserve on provocative tests during HRM. © 2017 John Wiley & Sons Ltd.

  5. Dental complications of gastro-oesophageal reflux disease: guidance for physicians.

    Science.gov (United States)

    Lee, Robert J; Aminian, Amin; Brunton, Paul

    2017-06-01

    There is potential for gastro-oesophageal reflux disease (GORD) to be under-diagnosed by physicians. A quick, focused examination, requiring no special equipment, of a patients' dentition can assist in making a more accurate diagnosis where GORD is suspected. Guidance is provided for physicians as to what intra-oral signs are suggestive of intrinsic dental erosion, which is a clinical feature of GORD and its associated conditions. Use of this information will, it is suggested, improve outcomes for patients where GORD is suspected. © 2016 Royal Australasian College of Physicians.

  6. Complications of gastro-oesophageal reflux disease.

    Science.gov (United States)

    Parasa, S; Sharma, P

    2013-06-01

    Gastro-oesophageal reflux disease (GORD) is on the rise with more than 20% of the western population reporting symptoms and is the most common gastrointestinal disorder in the United States. This increase in GORD is not exactly clear but has been attributed to the increasing prevalence of obesity, changing diet, and perhaps the decreasing prevalence of H. pylori infection. Complications of GORD could be either benign or malignant. Benign complications include erosive oesophagitis, bleeding and peptic strictures. Premalignant and malignant lesions include Barrett's metaplasia, and oesophageal cancer. Management of both the benign and malignant complications can be challenging. With the use of proton-pump inhibitors, peptic strictures (i.e., strictures related to reflux) have significantly declined. Several aspects of Barrett's management remain controversial including the stage in the disease process which needs to be intervened, type of the intervention and surveillance of these lesions to prevent development of high grade dysplasia and oesophageal adenocarcinoma. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Effectiveness of Nissen fundoplication versus anterior and posterior partial fundoplications for treatment of gastro-esophageal reflux disease: a systematic review protocol.

    Science.gov (United States)

    Marshall-Webb, Matthew; Peters, Micah D J; Bright, Tim; Watson, David I

    2018-05-01

    The objective of this review is to determine the relative effectiveness of Nissen fundoplication compared to anterior and posterior partial fundoplication in controlling the symptoms of gastro-esophageal reflux disease and reducing their side effect profile in adults.The specific questions posed by this review are: what is the effectiveness of Nissen fundoplication in comparison to anterior partial fundoplication (90 degree, 120 degree and 180 degree) and posterior 270 degree fundoplication in terms of symptom control of gastro-esophageal reflux disease, and what are the side effects of these surgical interventions?

  8. PENGELOLAAN PENELITIAN DAN PENGEMBANGAN KESEHATAN DI THAILAND, MYANMAR, DAN INDIA

    Directory of Open Access Journals (Sweden)

    Anorital, SKM Anorital, SKM

    2012-09-01

    Full Text Available Dalam bulan Januari 1991 yang lalu, Sdr. Anorital, SKM (Ka. Subbag. Pengumpulan dan PengolahanData Badan Litbangkes dan H. Syafwani Mirin, SKM (Ka. Bag. Keuangan Badan Litbangkes memperoleh fellowship dari WHO untuk melakukan studi perbandingan ke institusi-institusi penelitian kesehatan di Thailand,Myanmar, dan India.Berikut di bawah ini tulisan bersangkutan yang menggambarkan secara garis besar pengelolaan penelitian dan pengembangan kesehatan pada masing-masing negara obyek studi. Semoga informasi yang terkandung pada tulisan ini dapat bermanfaat bagi pengembangan Badan Penelitian dan Pengembangan Kesehatan.

  9. Les synovites villonodulaires du genou: à propos de 20 cas

    Science.gov (United States)

    Margad, Omar; Boukhris, Jalal; Azriouil, Ouahb; Daoudi, Mohamed; Mortaji, Aziz; Koulali, Khalid

    2017-01-01

    La synovite villonodulaire pigmentée (SVNP) est une prolifération bénigne rare de la synoviale des articulations, des bourses séreuses et des gaines tendineuses, d'étiopathogénie inconnue. Notre travail porte sur 20 cas de SVN du genou colligés à l'hôpital militaire Avicenne de Marrakech sur une période de 9 ans allant de janvier 2000 au décembre 2009 Il vise à identifier les spécificités de cette lésion, et à étudier ses principaux aspects anatomocliniques et pronostiques. L'incidence annuelle était de 2,2 cas par an. Ils étaient 15 hommes et 5 femmes, d'âge moyen de 32,5 ans, atteints du coté droit dans 55%des cas sous un mode mono articulaire chez 18 patients et bi articulaire chez un seul. La douleur et la tuméfaction étaient présentes dans 80% des cas, une masse palpable dans un cas, un syndrome méniscal a été retenu dans un cas, une mono arthrite septique dans 3 circonstances de même qu'un kyste poplité dans 2 autres. L'atteinte était diffuse dans 14 cas (70%), localisée dans 6 cas. L'imagerie par résonnance magnétique(IRM) pratiquée chez 5 patients était évocatrice chez 3, l'arthroscopie diagnostique a été utilisée chez 2 malades. La confirmation s'est faite à chaque fois à l'examen anatomopathlogique. Le traitement a consisté en une synovectomie subtotale dans 15 cas et en l'exérèse de la tumeur dans les autres formes localisées, 2 cas présentant une destruction ostéocartilagineuse ont nécessité une arthroplastie. L'évolution a été marquée par la survenue de 2 récidives sous la forme diffuse avec un recul de 3, 7 ans. On a noté une raideur avec atrophie quadricipitale chez 3 patients et une arthrolyse a été réalisée. Un cas de SVN confirmé par l'histologie s'est révélé être 5 mois après la synovectomie totale un Synovialosarcome monophasique envahissant l'os d'où l'indication de l'amputation. PMID:29255556

  10. Functionele gastro-intestinale ziektebeelden op de kinderleeftijd. II. Obstipatie en solitaire encopresis; fysiologie en pathofysiologie

    NARCIS (Netherlands)

    van Ginkel, R.; Büller, H. A.; Heymans, H. S.; Taminiau, J. A.; Boeckxstaens, G. E.; Benninga, M. A.

    2003-01-01

    The childhood prevalences of constipation and encopresis are 0.3-8% and 1-3% respectively. Following a recent stricter definition and classification, constipation and solitary encopresis are now recognised to be two separate entities. Constipation is characterised by infrequent defecation, often in

  11. Functionele gastro-intestinale ziektebeelden op de kinderleeftijd. III. Obstipatie en solitaire encopresis; diagnostiek en therapie

    NARCIS (Netherlands)

    van Ginkel, R.; Büller, H. A.; Heymans, H. S.; Taminiau, J. A.; Boeckxstaens, G. E.; Benninga, M. A.

    2003-01-01

    A detailed medical history in combination with a thorough physical examination, including rectal examination, form the cornerstone in the diagnostic work-up for children with functional defecation disorders. Additional investigations are often not informative and have only minor diagnostic or

  12. Continuous versus bolus intragastric tube feeding for preterm and low birth weight infants with gastro-oesophageal reflux disease.

    Science.gov (United States)

    Richards, Robyn; Foster, Jann P; Psaila, Kim

    2014-07-17

    Gastro-oesophageal reflux disease is a particularly common condition in preterm and low birth weight infants. These infants are also more likely to have excessive regurgitation, as they do not have a fully developed antireflux mechanism. Preterm and low birth weight infants who are unable to suck oral feeds are required to be fed via an intragastric tube for varying lengths of time. Intragastric tube feeding can be delivered by the intermittent bolus or continuous feeding method. Use of continuous or intermittent bolus intragastric feeding may have a positive or negative effect on the incidence or severity of gastro-oesophageal reflux disease. To determine whether continuous or intermittent bolus intragastric tube feeding reduces the number of episodes and the duration of gastro-oesophageal reflux disease (GORD) in preterm and low birth weight infants.We intended to perform subgroup analyses for gestational age; birth weight; age in days from birth at full enteral feeding via intragastric tube (breast vs bottle); frequency of intermittent bolus feed; and type of medication for treatment of GORD (only if medication prescribed and given similarly to both intervention groups). We used the standard search strategy of the Cochrane Neonatal Group as described in The Cochrane Library (www.thecochranelibrary.com) to search for randomised controlled trials (RCTs) in the Cochrane Central Register of Controlled Trials (CENTRAL) (2013, Issue 9), MEDLINE (1966 to September 2013), EMBASE (1980 to September 2013) and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (1982 to September 2013). We also searched previous reviews, including cross-references, abstracts and conference and symposia proceedings of the Perinatal Society of Australia and New Zealand and the Pediatric Academic Societies (American Pediatric Society/Society for Pediatric Research and European Society for Paediatric Research) from 1990 to 2012. Published and unpublished RCTs and quasi

  13. Kinerja Dan Efisiensi Bank Pemerintah (Bumn) Dan Busn Yang Go Publik Di Indonesia

    OpenAIRE

    Haryanto, Sugeng

    2012-01-01

    Penelitian ini menganalisis kinerja dan tingkat efisiensi bank-bank BUMN dan BUSN yang go Publik di Bursa Efek Indonesia. Sample penelitian ini mengambil tiga bank BUMN Bank BNI 46, Bank Mandiri dan Bank BRI) dan tiga bank BUSN (Bank BCA, Bank Niaga dan Bank Panin) dengan periode analisis tahun 2005-2011. Varibael yang digunakan meliputi ROA, ROE, LAR. LDR, NPL dan BOPO. Tujuan dari penelitian ini adalah melihat dan menganalisis perbedaan kinerja antara Bank BUMN dan BUSN yang go public di...

  14. KINERJA DAN EFISIENSI BANK PEMERINTAH (BUMN DAN BUSN YANG GO PUBLIK DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Sugeng Haryanto

    2012-06-01

    Full Text Available Penelitian ini menganalisis kinerja dan tingkat efisiensi bank-bank BUMN dan BUSN yang go Publik di Bursa Efek Indonesia.  Sample penelitian ini mengambil  tiga bank BUMN Bank BNI 46, Bank Mandiri dan Bank BRI  dan tiga bank BUSN (Bank BCA, Bank Niaga dan Bank Panin dengan periode analisis tahun 2005-2011. Varibael yang digunakan meliputi ROA, ROE, LAR. LDR, NPL dan BOPO. Tujuan dari penelitian ini adalah melihat dan menganalisis perbedaan kinerja antara Bank BUMN dan BUSN yang go public di Bursa Efek Indonesia tahun 2005-2011.  Pendekatan pengukuran kinerja yang digunakan adalah Return on Asset (ROA, Return on Equity (ROE dan Loan to Deposit Ratio (LDR, Loan to Asset Ratio (LAR,  dan efisiensi bank. Hasil dari penelitian menunjukkan bahwa 1 Bank-bank nasional, baik itu bank BUMN maupun BUSN menunjukkan kinerja yang semakin baik, 2 tidak terdapat perbedaan yang signifikan antara kinerja bank BUMN dan BUSN untuk variabel ROA, ROE, LAR, LDR, dan BOPO sedangkan variabel NPL yang merupakan indikator risiko kredit menunjukkan adanya perbedaan yang signifikan antara Bank BUMN dan BUSN

  15. Pathophysiology of gastro-esophageal reflux disease: a role for mucosa integrity?

    Science.gov (United States)

    Farré, R

    2013-10-01

    Gastro-esophageal reflux disease (GERD) is very prevalent and has a high burden on health security system costs. Nevertheless, pathophysiology is complex and not well-understood. Several mechanisms have been proposed: decreased salivation, impaired esophageal clearance, decreased lower esophageal sphincter pressure resting tone, presence of hiatal hernia, increased number of transient lower esophageal sphincter relaxations (TLESRs), increased acid, and pepsin secretion, pyloric incompetence provoking duodeno-gastro-esophageal reflux of bile acids and trypsin. Independent of the relevance of each mechanism, the ultimate phenomenon is that mucosal epithelium is exposed for a longer time to agents as acid and pepsin or is in contact to luminal agents not commonly present in gastric refluxate as trypsin or bile acids. This leads to a visible damage of the epithelium (erosive esophagitis -EE) or impairing mucosal integrity without any sign of macroscopic alteration as occurs in non-erosive reflux disease (NERD). Luminal factors are not the only responsible for such impairment; more recent data indicate that endogenous factors may also play a role. This review will update the most recent findings on the putative pathophysiological mechanisms and specially will focus on the role of esophageal mucosal integrity in GERD. Methodologies used for the evaluation of mucosal integrity, its relevance in EE and NERD, its involvement in symptoms perception and the effect of luminal and endogenous factors will be discussed. © 2013 John Wiley & Sons Ltd.

  16. Gastro-oesophageal reflux. Part 1: smoking and alcohol reduction.

    Science.gov (United States)

    Al Talalwah, Narmeen; Woodward, Sue

    Gastro-oesophageal reflux disease (GORD) is defined as an abnormal reflux of the stomach contents into the oesophagus, which provokes symptoms and impairs the quality of life. GORD has a high prevalence and incurs costs to the healthcare system. This is the first paper in a series of three exploring the conservative, medical and surgical treatment of GORD. This first paper presents a review of the effect of smoking and alcohol on reflux symptoms and the impact of smoking and alcohol reduction on symptoms of GORD. A search for English language studies on adults was conducted using three databases, MEDLINE, Embase and the Cochrane Central Register of Controlled Trials (CENTRAL). Eleven relevant studies were included in the review. The effect of alcohol on the stimulation of reflux has been debated over the years in different studies. Some studies state that alcohol consumption induces reflux and moderate amounts exacerbate nocturnal gastro-oesophageal heartburn reflux. However, other studies have found no association between alcohol consumption and reflux. Most reflux occurs during smoking because nicotine causes the lower oesophageal sphincter to relax, which increases the risk of reflux. Similarly, the number of cigarettes smoked is associated with the risk of reflux. Nurses need to be aware of the effect of smoking and alcohol on reflux to provide evidence-based advice to empower patients to change their lifestyle, which results in increased therapeutic compliance and a better clinical status. There is no evidence that reducing alcohol consumption decreases symptoms and only limited evidence on the effectiveness of smoking cessation. Further research into the effectiveness of these lifestyle modifications is therefore required.

  17. Croatie: le tourisme avant et après la guerre

    Directory of Open Access Journals (Sweden)

    Snezana PROKIC

    1998-09-01

    Full Text Available Les conflits armés ont profondément modifié l'espace touristique croate. Par rapport à l'espace touristique de référence (avant 1991, l'article montre les changements dans les lieux, leur capacité d'accueil, la nature et l'ampleur de la fréquentation touristique, et identifie les logiques d'atteintes (spatiales et matérielles qui en modifient la structure.

  18. Traumatisme insolite de la région temporale | Lmekki | Journal ...

    African Journals Online (AJOL)

    Un homme âgé de 37ans était victime d'une agression par coup de couteau. Le patient se présente aux urgences le couteau fiché dans la région temporale sans symptomatologie clinique particulière et avec un score de Glasgow à 15. Le bilan lésionnel n'a pas objectivé d'atteinte vasculaire. Le retrait du couteau a été ...

  19. Résultats de recherche | Page 56 | CRDI - Centre de recherches ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Établir le profil de la traduction dépendante de l'eIF2a dans la plasticité synaptique et la mémoire. Ce projet produira des données probantes pour aider à orienter les stratégies de traitement chez les patients atteints de déficits de la mémoire et à réduire les symptômes associés à la maladie d'Alzheimer. Projet.

  20. PENGELOLAAN ZAKAT OLEH NEGARA DAN SWASTA Studi Efektifitas dan Efisiensi Pengelolaan Zakat Oleh BAZ Dan LAZ Kota Madiun

    Directory of Open Access Journals (Sweden)

    Atik Abidah

    2010-12-01

    Full Text Available Abstraks: Keberadaan lembaga zakat di Indonesia yang diakui oleh perundang-undangan ada dua, yaitu Badan Amil Zakat (BAZ dan Lembaga Amil Zakat (LAZ. BAZ adalah lembaga zakat yang dikelola oleh pemerintah, sedangkan LAZ adalah lembaga yang dikelola oleh masyarakat. Artikel ini merupakan merupakan hasil penelitian lapangan dengan menggunakan pendekatan kualitatif. Data digali langsung dari BAZ Kota Madiun dan LAZ dalam hal ini ada 2 lembaga, yaitu Lembaga Manajemen Infaq (LMI dan Baitul Maal Hidayatullah (BMH. Hasil penelitian BAZ lebih efektif dibanding LAZ, karena BAZ di bawah naungan Pemerintah Kota Madiun dan didukung dengan kebijakan dalam menjalankan progam kerjanya. Sedangkan pada LAZ (LMI dan BMH karena sifatnya mandiri, maka segala sesuatunya akan efektif jika mereka bekerja keras, dan itulah yang selama ini dilakukan oleh LMI dan BMH, sehingga sampai saat ini mereka masih eksis.

  1. L'atteinte nerveuse au cours du syndrome de gougerot - sjögren, a ...

    African Journals Online (AJOL)

    -Sjögren se voient dans 8,5 à 70 % des cas. Les données de la littérature concernant le système nerveux périphérique sont nombreuses et assez concordantes. En revanche les données concernant les manifestations centrales sont ...

  2. Validation of the GerdQ questionnaire for the diagnosis of gastro-oesophageal reflux disease.

    Science.gov (United States)

    Jonasson, C; Wernersson, B; Hoff, D A L; Hatlebakk, J G

    2013-03-01

    The diagnosis of gastro-oesophageal reflux disease (GERD) remains a challenge as both invasive methods and symptom-based strategies have limitations. The symptom-based management of GERD in primary care may be further optimised with the use of a questionnaire. To assess the diagnostic validity of the GerdQ questionnaire in patients with symptoms suggestive of GERD. Patients with symptoms suggestive of GERD without alarm features, underwent upper endoscopy, and if normal, pH-metry. Patients were followed for 4 weeks and GerdQ was completed blinded to the investigator at both visits. Reflux oesophagitis or pathological acid exposure was used as diagnostic references for GERD. The diagnostic accuracy for GERD on symptom response to proton pump inhibitor (PPI) was assessed. Among the 169 patients, a GerdQ cutoff ≥9 gave the best balance with regard to sensitivity, 66% (95% CI: 58-74), and specificity, 64% (95% CI: 41-83), for GERD. The high prevalence of reflux oesophagitis (81%) resulted in a high proportion of true positives, but at the same time a high proportion of false-negatives. Consequently, GerdQ had a high positive predictive value, 92% (95% CI: 86-97), but a low negative predictive value, 22% (95% CI: 13-34), for GERD. Symptom resolution on PPI therapy had high sensitivity, 76% (95% CI: 66-84), but low specificity, 33% (95% CI: 17-53), for GERD. GerdQ is a useful complementary tool for the diagnosis of gastro-oesophageal reflux disease in primary care. The implementation of GerdQ could reduce the need for upper endoscopy and improve resource utilisation. Symptom resolution on proton pump inhibitor did not predict gastro-oesophageal reflux disease. © 2013 Blackwell Publishing Ltd.

  3. Keragaman dan Peran Biologi Arthrophoda pada Sawah Irigasi dan Tegalan

    OpenAIRE

    Suwarno, Suwarno

    2016-01-01

    Penelitian ini bertujuan untuk mengetahui keragaman arthropoda dan peran biologinya pada tanah sawah irigasi dan tegalan. Penelitian ini dilaksanakan di daerah persawahan di daerah Sragen pada bulan Maret – Mei 2016. Metode Penelitian dengan menggunakan pitfall trap atau perangkap jebakan yang diletakkan area persawahan dan tegalan. Teknik pengumpulan data dengan menggunakan purposive sampling. Sampel arthropoda yang diperoleh diidentifikasi dan dianalisis di Laboratorium pendidikan Biologi. ...

  4. Pengaruh Perebusan, Penggaraman Dan Penjemuran Pada Udang Dan Cumi Terhadap Pembentukan 7 Ketokolesterol

    Directory of Open Access Journals (Sweden)

    Rudi Riyanto

    2007-12-01

    Full Text Available Penelitian pengaruh perebusan, penggaraman dan penjemuran pada udang dan cumi terhadap pembentukan 7‑ketokolesterol telah dilakukan. Dalam penelitian ini, udang dan cumi masing ­masing dibagi dalam dua kelompok. Pada kelompok pertama diberikan perlakuan perebusan dalam air, dan pada kelompok kedua diberikan perlakuan perebusan dalam air garam (3% air garam untuk udang dan 20% air garam untuk cumi. Setelah perebusan, dilakukan pengeringan di bawah matahari (udang dikupas dahulu sebelum dijemur. Pengambilan sampel dilakukan saat kondisi segar, setelah direbus dan setelah dijemur. Pengamatan dilakukan terhadap kandungan 7‑ketokolesterol, kolesterol, nilai TBA, dan kadar air. Hasil penelitian menunjukkan bahwa perebusan, penggaraman dan penjemuran berpengaruh terhadap pembentukan 7‑ketokolesterol sampai konsentrasi 20,82 ppm pada udang dan 15,05 ppm pada cumi sebagai konsentrasi tertinggi produk hasil oksidasi kolesterol yang terbentuk. Penelitian ini dapat dijadikan bukti bahwa pemanasan (perebusan dan penjemuran, serta penggaraman berpengaruh dalam proses oksidasi kolesterol pada udang dan cumi.

  5. Graphite suspension in carbon dioxide; Suspension de graphite dans le gaz carbonique

    Energy Technology Data Exchange (ETDEWEB)

    Roche, R [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Moussez, C; Rouvillois, X; Brevet, R [Societe Nationale d' Etude et de Construction de Moteurs d' Aviation (SNECMA), 75 - Paris (France)

    1965-07-01

    compresseur, une pompe 'phase lourde', un rechauffeur, un refroidisseur a eau, un tube en U, une section d'essais transparente et un separateur. Le fluide circule tres aisement dans un large domaine de variation de la masse volumique (30 a 170 kg/m{sup 3}) et de la vitesse (2 a 24 m/s). La mise en circulation et la stabilite de l'ecoulement sont assurees sans difficulte, meme avec la pompe 'phase lourde' seule. On n'observe aucune tendance a l'agglomeration ni aucun depot de graphite sur les parois. Un essai d'endurance (250 heures) a permis de suivre l'evolution des particules. La surface specifique de la poudre voisine de 20 m{sup 2}/g au depart (dimension des particules de l'ordre du micron ) atteint une valeur asymptotique de 300 m{sup 2}/g (dimension des particules inferieure a 0,3 micron). On a aussi examine l'effet de l'humidite sur la stabilite de l'ecoulement, la distribution du debit entre des canaux paralleles, les pertes de pression dans un tube rectiligne ainsi que le rapport de recompression dans un divergent. (auteur)

  6. ETIKA BISNIS AL-GHAZALI DAN ADAM SMITH DALAM PERSPEKTIF ILMU BISNIS DAN EKONOMI

    Directory of Open Access Journals (Sweden)

    AM. M. Hafidz MS.

    2013-05-01

    Full Text Available Penelitian ini adalah untuk mengeksplorasi: (1 pembangunan etika bisnis yang telah dirumuskan oleh al-Ghazali dan Adam Smith, (2 persamaan dan perbedaan antara dua etika bisnis pria, dan (3 relevansi bisnis mereka etika bisnis modern dunia dan ekonomi. Bisnis etika dibangun oleh al-Ghazali dan Smith di dataran praksis tidak jauh berbeda. Etika bisnis konstruksi dibangun oleh al-Ghazali didasarkan pada prinsip-prinsip seperti orientasi itikad baik tentang dunia dan akhirat, kejujuran, kepentingan pribadi dan social keseimbangan, dan perilaku / perbuatan yang tepat. Di sisi lain, etika bisnis konstruksi dibangun oleh Smith, berdasarkan keadilan, altruisme, keadilan dan liberal (kebebasan ekonomi. Baik etika bisnis yang diperkenalkan oleh kedua sangat relevan untuk menjadi digunakan sebagai bahan pokok acuan dalam etika bisnis modern.

  7. Distal Esophageal Duplication Cyst with Gastro-Esophageal Reflux Disease: A Rare Association and a Management Challenge.

    Science.gov (United States)

    Jan, Iftikhar Ahmad; Al Nuaimi, Asma; Al Hamoudi, Basma; Al Naqbi, Khalid; Bilal, Mohammad

    2016-02-01

    Esophageal duplication cysts are rare congenital abnormalities of the foregut and may be associated with other conditions. Association of esophageal duplication with Gastro-Esophageal Reflux Disease (GERD) has not been reported in children. We are reporting a case of a 16 months baby who had antenatal diagnosis of diaphragmatic hernia. Postnatal CTchest, however, suggested a distal esophageal duplication cyst and a contrast esophagogram showed grade-IV GER. A thoracoscopy in another hospital excluded esophageal duplication at that time. Later, he presented with hematemesis in our department and was re-evaluated. Repeat CTconfirmed a persistent 2.5 x 1.3 cm cyst in distal esophagus. Upper GI endoscopy suggested grade-II esophagitis with a wide patent gastro-esophageal junction. The child was treated with left thoracotomy, excision of the duplication cyst and thoracic fundoplication. He had an uneventful post-operative recovery and is doing well at 6 months follow-up.

  8. LA DIVERSITÃ DÃPLOYÃE AU SEIN DE LâUNIVERSITÃ DâENTREPRISE : LâAPPLICATION CONCRÃTE DâUNE VALEUR ADOPTÃE PAR LA DIRECTION GÃNÃRALE

    Directory of Open Access Journals (Sweden)

    Virginia Drummond-Guitel

    2009-09-01

    Full Text Available La diversité devenue une valeur incontournable adoptée par les grands groupes, encore faut-t-il trouver les moyens concrets pour lâintégrer dans les pratiques des ressources humaines et dans les mentalités des personnes. Le présent papier a pour but de montrer comment les valeurs de la diversité adoptées par la direction générale ont été déclinées et appliquées dans un processus de sélection de candidats pour une formation continue au sein dâune grande organisation internationale. A travers lâapplication dâune méthode qualitative de recherche, 10 (dix dirigeants ayant conçu la formation et 42 (quarante-deux managers ayant suivi le programme confirment lâatteinte du but stratégique de cette formation, autrement dit, lâatteinte dâune vision partagée (SENGE, 1991, à travers la consolidation dâun fort sentiment dâappartenance à la culture organisationnelle (SCHEIN, 1995. Les managers ont été sélectionnés selon leurs différentes professions, cultures nationales et différents secteurs dâactivités, confirmant ainsi une promotion de la diversité au sein de lâorganisation.

  9. Gastro Hepatic Protective Effects of Sildenafil in γ-Irradiated Rats

    International Nuclear Information System (INIS)

    Tawfik, S.S.; Salama, S.F.

    2013-01-01

    Sildenafil is a potent specific inhibitor of phosphodiesterase-5 (PDE-5), which ultimately increases intracellular cyclic guanosine monophosphate (cGMP) . Sildenafil commercially named Viagra; was studied for its gastro hepatic protective activity through acute exposure of rats to γ-rays. The experimental groups of rats were: Sildenafil [1 mg/ kg, intra venous (i.v.), in 0.2 ml saline] / day for 5 days and then exposed to 6 Gy γ-rays after 1 h of the last injection (sildenafil+ γ-rays group). Controls received saline as a vehicle/ for 5 day; sildenafil group received drug alone for 5 days, and γ-rays group received saline (without drug) for 5 days and exposed to 6 Gy γ-rays after 1 h of the last injection. All groups were decapitated on the 6th day. Gamma rays increased the level of malondialdehyde (MDA) and the activity of myeloperoxidase (MPO) but, lowered the levels of nitric oxide (NO) and reduced glutathione (GSH) as well as lowering the activities of superoxide dismutase (SOD) and catalase (CAT) in both stomach and hepatic tissues. Sildenafil administrated before γ-rays significantly reduced the level of MDA and the activity of MPO while elevating levels of NO and GSH plus activities of SOD and CAT in both stomach and hepatic tissues compared to control and sildenafil groups. Conclusion: The data reveals that sildenafil pre-treatment has a protective effect against γ-rays-induced gastro hepatic dysfunction and supports the possible use of sildenafil as a protective agent in γ-irradiated rats

  10. Analisis Kebijakan dan Efektivitas Organisasi

    Directory of Open Access Journals (Sweden)

    Amir Syarifudin Kiwang

    2015-05-01

    Full Text Available Penerapan Peraturan Gubernur Nusa Tenggara Timur Nomor 8 Tahun 2011 tentang Organisasi dan Tata Kerja Unit Pelaksana Teknis Pendidikan dan Pelatihan Koperasi dan Usaha Mikro Kecil dan Menengah pada Dinas Koperasi dan Usaha Mikro Kecil dan Menengah Provinsi Nusa Tenggara Timur adalah dalam rangka untuk meningkatkan efektivitas kerja organisasi pada UPT Diklat Koperasi dan UMKM. Penelitian ini berusaha untuk melihat dampak kebijakan organisasi terhadap efektivitas organisasi dengan menggunakan enam elemen variabel dari kebijakan dan praktik manajemen. Keenam elemen tersebut adalah penetapan tujuan strategis, pencarian dan pemanfaatan sumber daya, lingkungan prestasi, proses komunikasi, kepemimpinan dan pengambilan keputusan, serta adaptasi dan inovasi organisasi. Penelitian kualitatif ini menggunakan pendekatan studi kasus. Teknik analisis data yang digunakan adalah analisis data model Miles dan Huberman, yang terdiri atas reduksi data, display/penyajian data, dan kesimpulan/verifikasi. Hasil penelitian menunjukkan bahwa efektivitas organisasi pada UPT Diklat koperasi dan UMKM belum berjalan secara baik, hal ini dapat dilihat dari beberapa hal antara lain, belum adanya tenaga spesialisasi pengelola diklat dan tenaga khusus (sarjana di bidang perkoperasian dan kondisi lingkungan kerja (lingkungan prestasi pada UPT Diklat koperasi dan UMKM yang belum efektif. Penempatan pegawai juga belum tepat, mutasi ke UPT Diklat Koperasi dan UMKM tidak memperhatikan latar belakang pendidikan dan spesialisasi/keahlian pegawai sehingga membutuhkan waktu dalam proses penyesuaian serta menurunkan jumlah pelaksanaan diklat dikarenakan keterbatasan alokasi dana.

  11. Perancangan dan Analisis Redistribution Routing Protocol OSPF dan EIGRP

    Directory of Open Access Journals (Sweden)

    DWI ARYANTA

    2016-02-01

    Full Text Available Abstrak OSPF (Open Shortest Path First dan EIGRP (Enhanced Interior Gateway Routing Protocol adalah dua routing protokol yang banyak digunakan dalam jaringan komputer. Perbedaan karakteristik antar routing protokol menimbulkan masalah dalam pengiriman paket data. Teknik redistribution adalah solusi untuk melakukan komunikasi antar routing protokol. Dengan menggunakan software Cisco Packet Tracer 5.3 pada penelitian ini dibuat simulasi OSPF dan EIGRP yang dihubungkan oleh teknik redistribution, kemudian dibandingkan kualitasnya dengan single routing protokol EIGRP dan OSPF. Parameter pengujian dalam penelitian ini adalah nilai time delay dan trace route. Nilai trace route berdasarkan perhitungan langsung cost dan metric dibandingkan dengan hasil simulasi. Hasilnya dapat dilakukan proses redistribution OSPF dan EIGRP. Nilai delay redistribution lebih baik 1% dibanding OSPF dan 2-3% di bawah EIGRP tergantung kepadatan traffic. Dalam perhitungan trace route redistribution dilakukan 2 perhitungan, yaitu cost untuk area OSPF dan metric pada area EIGRP. Pengambilan jalur utama dan alternatif pengiriman paket berdasarkan nilai cost dan metric yang terkecil, hal ini terbukti berdasarkan perhitungan dan simulasi. Kata kunci: OSPF, EIGRP, Redistribution, Delay, Cost, Metric. Abstract OSPF (Open Shortest Path First and EIGRP (Enhanced Interior Gateway Routing Protocol are two routing protocols are widely used in computer networks. Differences between the characteristics of routing protocols pose a problem in the delivery of data packets. Redistribution technique is the solution for communication between routing protocols. By using the software Cisco Packet Tracer 5.3 in this study were made simulating OSPF and EIGRP redistribution linked by technique, then compared its quality with a single EIGRP and OSPF routing protocols. Testing parameters in this study is the value of the time delay and trace route. Value trace route based on direct calculation of cost

  12. 205 ORIGINAL ARTICLE

    African Journals Online (AJOL)

    boaz

    IMMUNOCHROMATOGRAPHIC TEST FOR ROUTINE SCREENING OF HUMAN NOROVIRUS ... contribution des norovirus à des cas sporadiques de gastro – entérite pédiatrique dans les hôpitaux ..... Harris JP, Lopman BA, O'Brien SJ.

  13. DAMPAK NEGATIF PERKEMBANGAN TEKNOLOGI INFORMATIKA DAN KOMUNIKASI DAN CARA ANTISIFASINYA

    Directory of Open Access Journals (Sweden)

    I Gede Ratnaya

    2011-03-01

    Full Text Available Sampai saat ini perkembangan ilmu pengetahuan telah menghantarkan masyarakat menuju babak baru yaitu babak yang memanfaatkan peralatan-peralatan yang merupakan hasil dari teknologi. Penggunaan tenaga manusia yang semakin hari semakin kecil volumenya sering kali menyebabkan orang kehilangan pekerjaannya karena tugasnya telah tergantikan oleh peralatan atau mesin. Sebagai sarana penyampaian informasi dan komunikasi, komputer bisa dipakai sebagai sarana berinternetan. Lewat internet orang bisa mencari bermacam-macam informasi dan berkomunikasi. Peran yang dapat diberikan oleh aplikasi teknologi informasi ini adalah mendapatkan informasi untuk kehidupan pribadi seperti informasi tentang kesehatan, hobi, rekreasi, dan rohani. Selain memberikan keuntungan, ternyata peralatan teknologi informasi dan komunikasi juga memberikan dampak negatif bagi penggunanya. Dampak negatif tersebut muncul sebagai akibat dari penggunaan yang salah atau tidak bertanggung jawab dari yang menggunakan. Beberapa dampak negatif tersebut adalah 1. Anak lebih banyak menghabiskan waktu menonton TV ketimbang melakukan hal lainnya (seperti belajar dan olah raga, 2. Anak kehilangan kemampuan berbaur dengan masyarakat dan cenderung nyaman dengan kehidupan online, 3 Adanya pelanggaran hak cipta, 4.  Kejahatan di internet, 5. Penyebaran virus komputer, dan 6. Pornografi, perjudian, penipuan, tayangan kekerasan. Adapun cara mengatasi dampak-dampak negatif tersebut adalah : 1. Gunakan teknologi untuk menjalin hubungan dengan orang yang sudah dikenal, 2. Cari komunitas positif  yang sering melakukan pertemuan didunia nyata, 3. Perlunya penegakkan hukum yang berlaku dengan dibentuknya polisi internet, 4. Menghindari pemakaian telepon seluler yang berfitur canggih oleh anak-anak dibawah umur dan lebih mengawasi penggunaan telepon seluler, 5. Perbanyak membaca buku-buku yang bersifat edukatif dan bersifat keimanan serta aplikasi komputer yang bersifat mendidik, dan 6. Perlunya pengaturan

  14. Associations between respiratory symptoms, lung function and gastro-oesophageal reflux symptoms in a population-based birth cohort

    Directory of Open Access Journals (Sweden)

    Herbison G Peter

    2006-12-01

    Full Text Available Abstract Background Several studies have reported an association between asthma and gastro-oesophageal reflux, but it is unclear which condition develops first. The role of obesity in mediating this association is also unclear. We explored the associations between respiratory symptoms, lung function, and gastro-oesophageal reflux symptoms in a birth cohort of approximately 1000 individuals. Methods Information on respiratory symptoms, asthma, atopy, lung function and airway responsiveness was obtained at multiple assessments from childhood to adulthood in an unselected birth cohort of 1037 individuals followed to age 26. Symptoms of gastro-oesophageal reflux and irritable bowel syndrome were recorded at age 26. Results Heartburn and acid regurgitation symptoms that were at least "moderately bothersome" at age 26 were significantly associated with asthma (odds ratio = 3.2; 95% confidence interval = 1.6–6.4, wheeze (OR = 3.5; 95% CI = 1.7–7.2, and nocturnal cough (OR = 4.3; 95% CI = 2.1–8.7 independently of body mass index. In women reflux symptoms were also associated with airflow obstruction and a bronchodilator response to salbutamol. Persistent wheezing since childhood, persistence of asthma since teenage years, and airway hyperresponsiveness since age 11 were associated with a significantly increased risk of heartburn and acid regurgitation at age 26. There was no association between irritable bowel syndrome and respiratory symptoms. Conclusion Reflux symptoms are associated with respiratory symptoms in young adults independently of body mass index. The mechanism of these associations remains unclear.

  15. Review article : intra-oesophageal impedance monitoring for the assessment of bolus transit and gastro-oesophageal reflux

    NARCIS (Netherlands)

    Conchillo, J. M.; Smout, A. J.

    2009-01-01

    Background Intra-oesophageal impedance monitoring can be used to assess the clearance of a swallowed bolus (oesophageal transit) and to detect gastro-oesophageal reflux independent of its acidity. Aim To discuss the clinical application of the impedance technique for the assessment of bolus transit

  16. Classification of esophageal motor findings in gastro-esophageal reflux disease: Conclusions from an international consensus group

    NARCIS (Netherlands)

    Gyawali, C. P.; Roman, S.; Bredenoord, A. J.; Fox, M.; Keller, J.; Pandolfino, J. E.; Sifrim, D.; Tatum, R.; Yadlapati, R.; Savarino, E.; Azpiroz, Fernando; Babaei, Arash; Bhatia, Shobna; Boeckxstaens, Guy; Bor, Serhat; Carlson, Dustin; Castell, Donald; Cicala, Michele; Clarke, John; de Bortoli, Nicola; Drug, Vasile; Frazzoni, Marzio; Holloway, Richard; Kahrilas, Peter; Kandulski, Arne; Katz, Phil; Katzka, David; Mittal, Ravinder; Mion, Francois; Novais, Luis; Patel, Amit; Penagini, Roberto; Ribolsi, Mentore; Richter, Joel; Salvador, Renato; Savarino, Vincenzo; Serra, Jordi; Schnoll-Sussman, Felice; Smout, Andre; Soffer, Edy; Sweis, Rami; Tack, Jan; Tolone, Salvatore; Tutuian, Radu; Vaezi, Michael; Vela, Marcelo; Woodland, Philip; Wu, Justin; Xiao, Yinglian; Zerbib, Frank

    2017-01-01

    BackgroundHigh-resolution manometry (HRM) has resulted in new revelations regarding the pathophysiology of gastro-esophageal reflux disease (GERD). The impact of new HRM motor paradigms on reflux burden needs further definition, leading to a modern approach to motor testing in GERD. MethodsFocused

  17. Kemampuan Penalaran Dan Komunikasi Matematis : Apa, Mengapa, Dan Bagaimana Ditingkatkan Pada Mahasiswa

    Directory of Open Access Journals (Sweden)

    Cita Dwi Rosita

    2014-01-01

    Full Text Available Matematika diberikan kepada semua siswa tanpa terkecuali agar terlatih berpikir secara logis, analitis, sistematis, dan kreatif. Dengan kompetensi-kompetensi tersebut diharapkan siswa dapat memiliki kemampuan menerima, mengelola, dan memanfaatkan pengetahuan yang diperolehnya untuk bertahan hidup dalam keadaan yang selalu berubah dan kompetitif. Latihan berpikir, merumuskan dan memecahkan masalah serta mengambil kesimpulan akan membantu siswa untuk mengembangkan pemikirannya atau intelegensinya. Dengan demikian, semakin banyak siswa berlatih memecahkan masalah matematis maka akan semakin mengerti dan berkembang cara berpikirnya. Kemahiran siswa dalam memecahkan masalah matematis, dipengaruhi oleh kemampuannya dalam memahami matematika. Kemampuan bernalar berperan penting dalam memahami matematika. Bernalar secara matematis merupakan suatu kebiasaan berpikir, dan layaknya suatu kebiasaan, maka penalaran semestinya menjadi bagian yang konsisten dalam setiap pengalaman-pengalaman matematis siswa. Dari pengalaman-pengalaman awal siswa belajar materi matematika, penting bagi guru untuk membantu siswa memahami bahwa penegasan-penegasan harus selalu mempunyai alasan. Komunikasi matematis berperan penting pada proses pemecahan masalah. Melalui komunikasi ide bisa menjadi objek yang dihasilkan dari sebuah refleksi, penghalusan, diskusi, dan pengembangan. Proses komunikasi juga membantu dalam proses pembangunan makna dan pempublikasian ide. Ketika para siswa ditantang untuk berpikir dan bernalar tentang matematika dan mengomunikasikan hasil pikiran mereka secara lisan atau dalam bentuk tulisan, sebenarnya mereka sedang belajar menjelaskan dan meyakinkan. Mendengarkan penjelasan lain, berarti sedang memberi kesempatan kepada siswa untuk mengembangkan pemahaman mereka.

  18. Effets de la photopériode et de la température nocturne lors de la croissance des transplants de laitue iceberg et romaine (Lactuca Sativa L.) en serre sur l'incidence de la montaison au champ

    OpenAIRE

    Bélanger, Jérôme

    2008-01-01

    La laitue étant une plante dite ±annuelle de jours longs¿, la floraison est normalement induite durant l'été. Grâce aux nouvelles variétés de laitue plus résistantes à la montaison, ce problème est moins important aujourd'hui que dans le passé. Toutefois, durant l'été très chaud de 2005, on a observé de nombreux champs de laitues dont les coeurs étaient très longs, avant même que la plante ait atteint un poids souhaitable pour le marché. Dans cette étude, nous avons 1) quantifié les effets de...

  19. Chronologie de la vie et des œuvres de Constance Fenimore Woolson Chronology of Constance Fenimore Woolson’s Life and Work

    Directory of Open Access Journals (Sweden)

    Jeannine Hayat

    2007-01-01

    Full Text Available Français1840Constance Fenimore Woolson est née à Claremont, New Hampshire (5 mars. Elle était le sixième enfant de Charles Jarvis et de Hannah Cooper Pomeroy Woolson. Elle était, par sa mère, une petite-nièce de James Fenimore Cooper.Automne 1840Les Woolson déménagent à Cleveland, Ohio, après le décès de trois de leurs filles, atteintes de la scarlatine. Enfant et jeune fille, Constance voyage en Ohio, dans le Wisconsin et en Nouvelle Angleterre.Eté 1855Elle découvre l’île de Mackinac dans l...

  20. Novel therapeutics for gastro-esophageal reflux symptoms.

    Science.gov (United States)

    Zerbib, Frank; Simon, Mireille

    2012-09-01

    Approximately 20-30% of patients with gastro-esophageal reflux symptoms report inadequate symptom relief while on proton-pump inhibitor therapy. The mechanisms involved are failure of the antireflux barrier (transient lower esophageal sphincter relaxations), high proximal extent of the refluxate, esophageal hypersensitivity and impaired mucosal integrity. Persisting acid or nonacid reflux can be demonstrated in 40-50% of cases, suggesting that there is room for antireflux therapy in these patients. New antireflux compounds have been shown to decrease the occurrence of transient lower esophageal sphincter relaxations. The most promising classes of compounds are GABA type B agonists and metabotropic glutamate receptor 5 antagonists, which can reduce both reflux episodes and symptoms, but the development of these compounds has been abandoned for either safety issues or lack of efficacy. Esophageal hypersensitivity and impaired mucosal integrity may prove to be relevant therapeutic targets in the future.

  1. Transmesocolic double gastro-enteric fistulas due to ingestion of 28 magnets

    Directory of Open Access Journals (Sweden)

    Adrian Surd

    2018-05-01

    Full Text Available Introduction: Accidental ingestion of magnetic foreign bodies has become more common due to increased availability of objects and toys with magnetic elements. The majority of them traverse the gastrointestinal system spontaneously without complication. However, ingestion of multiple magnets may require surgical resolution. Magnet ingestion usually does not cause serious complications, but in case of multiple magnet ingestion or ingestion of magnet and a metal object, it could cause intestinal obstruction, fistula formation or even perforation. Case report: We report case of a transmesocolic double gastro-enteric fistula formation following ingestion of 28 small magnets in a 17 months old boy. No history of foreign body ingestion could be obtained from parents therefore the patient was treated conservatively in a pediatric clinic for vomiting, dehydration, upper respiratory tract infection and suspicion of upper digestive tract bleeding. After 48 h he was sent in our clinic for surgical evaluation. Intraoperatively double transmesocolic gastro-enteric fistula was found. After separation of de gastric and enteral walls, resection of gastric wall and intestinal segment containing the two perforations was performed, followed by gastric suture in two layers and entero-enteric anastomosis. A total of 28 magnets were removed from the stomach and small intestine. Conclusion: Single magnet ingestion is treated as non-magnetic foreign body. Multiple magnet ingestion should be closely monitored and surgical approach could be the best option to prevent or to cure its complications. Keywords: Ingestion, Magnetic foreign body, Multiple magnets, Intestinal fistula, Children

  2. Etude relative à la lutte contre les atteintes au droit d’auteur sur internet: rapport pour le SPF économie, P.M.E., classes moyennes et énergie : rapport final

    OpenAIRE

    Dusollier, Séverine; Hallemans, Sandrine; Colin, Caroline

    2012-01-01

    Les atteintes aux droits d’auteur sur Internet peuvent prendre différentes formes, qu’il s’agisse des échanges illégaux d’oeuvres sur les réseaux peer-to-peer, du streaming illégal, de la diffusion d’oeuvres sur les réseaux sociaux ou tout autre site ou blog sans l’autorisation de leur auteur… Toutes ces pratiques sont très difficiles à enrayer et jusqu’alors, malgré les multiples pistes de réponse explorées par les titulaires de droits (poursuites des utilisateurs individuels à des fins diss...

  3. Scintigraphic scoring system for grading severity of gastro-esophageal reflux on 99mTc sulfur colloid gastro-esophageal reflux scintigraphy: a prospective study of 39 cases with pre and post treatment assessment

    International Nuclear Information System (INIS)

    Puranik, Ameya D.; Nair, Gopinathan; Bandyopadhyay, Abhijit; Shinto, Ajit; Zade, Anand; Aggarwal, Rajiv

    2013-01-01

    The study aimed at developing a scoring system for scintigraphic grading of gastro-esophageal reflux (GER), on gastro-esophageal reflux scintigraphy (GERS) and comparison of clinical and scintigraphic scores, pre- and post-treatment. A total of 39 cases with clinically symptomatic GER underwent 99m Tc sulfur colloid GERS; scores were assigned based on the clinical and scintigraphic parameters. Post domperidone GERS was performed after completion of treatment. Follow up GERS was performed and clinical and scintigraphic parameters were compared with baseline parameters. Paired t-test on pre and post domperidone treatment clinical scores showed that the decline in post-treatment scores was highly significant, with P value < 0.001. The scintigraphic scoring system had a sensitivity of 93.9% in assessing treatment response to domperidone, specificity of 83.3% i.e., 83.3% of children with no decline in scintigraphic scores show no clinical response to Domperidone. The scintigraphic scoring system had a positive predictive value of 96.9% and a negative predictive value of 71.4%. GERS with its quantitative parameters is a good investigation for assessing the severity of reflux and also for following children post-treatment. (author)

  4. Diagnostic value of the proton pump inhibitor test for gastro-oesophageal reflux disease in primary care

    NARCIS (Netherlands)

    Aanen, M. C.; Weusten, B. L. A. M.; Numans, M. E.; de Wit, N. J.; Baron, A.; Smout, A. J. P. M.

    2006-01-01

    AIM: To assess the diagnostic accuracy of the proton pump inhibitor test in a primary care population as well as its additional value over reflux history, using the symptom association probability outcome during 24-h oesophageal pH recording as reference test for gastro-oesophageal reflux disease.

  5. PERSEPSI IBU HAMIL DAN NIFAS TENTANG ANEMIA DAN KONSUMSI TABLET TAMBAH DARAH SELAMA KEHAMILAN : STUDI KUALITATIF DI KABUPATEN PURWAKARTA DAN LEBAK

    Directory of Open Access Journals (Sweden)

    Titaley CR

    2015-04-01

    Full Text Available Latar belakang: Salah satu intervensi yang dilakukan untuk mencegah terjadinya anemia defisiensi besi pada ibu hamil adalah melalui pemberian tablet tambah darah (tablet besi-folat selama kehamilan; Tujuan: Memberikan gambaran persepsi ibu hamil dan nifas (42 hari setelah melahirkan tentang anemia dan pemberian tablet tambah darah selama kehamilan di Kabupaten Lebak  dan Purwakarta. Metode: Data dalam penulisan ini berasal dari studi kualitatif di Kabupaten Lebak dan Purwakarta pada bulan Maret 2012. Informasi yang dianalisis bersumber dari 24 wawancara mendalam (WM dan enam diskusi kelompok terarah  (DKT, melibatkan 46 ibu hamil dan 17 ibu nifas. Analisis konten dan tematik dilakukan melalui identifikasi tema yang muncul dari hasil WM dan DKT; Hasil: Walaupun pengetahuan ibu tentang penyebab dan cara mengatasi anemia di kedua daerah studi cukup baik, persepsi yang keliru dengan menyamakan anemia dengan tekanan darah rendah masih kerap ditemukan. Penjelasan tentang tablet tambah darah telah diberikan bidan, namun informasi terkait efek samping tablet tambah darah masih dianggap kurang. Beberapa faktor pendorong minum tablet tambah darah termasuk pengetahuan ibu tentang tablet tambah darah, manfaat yang dirasakan setelah minum tablet tambah darah, anjuran tenaga kesehatan, serta dorongan anggota keluarga. Beberapa faktor penghambat yang disebutkan termasuk efek samping minum tablet tambah darah, adanya pemahaman yang keliru tentang manfaat minum tablet tambah darah, larangan paraji, dan akses yang sulit untuk mendapatkan tablet tambah darah; Kesimpulan: Diperlukan upaya komprehensif untuk meningkatkan kepatuhan ibu minum tablet tambah darah, termasuk program edukasi dan penguatan keterampilan konseling bidan dan kader, peningkatkan pengetahuan masyarakat tentang tablet tambah darah, serta peningkatan keterlibatan suami dan paraji terutama bagi masyarakat daerah terpencil.   Kata kunci: Persepsi, pengetahuan, anemia, suplementasi besi

  6. Effets de la perfusion intensive sur quelques paramètres sanguins ...

    African Journals Online (AJOL)

    Objectif: l'objectif de cette étude est d'évaluer les effets d'une perfusion intensive chez des veaux atteints de diarrhée aiguë sur les paramètres sanguins notamment l'hématocrite, les protéines totales, la créatinine et l'urée plasmatiques, le pH, l'excès de base (BE) et le bicarbonate dans le sang. Méthodologie et résultats: ...

  7. SYNDROME DE ChRIST-SIEMENS-TOURAINE

    African Journals Online (AJOL)

    Cependant le mode de transmission lié à l'X domi- nant ou récessif est le plus souvent décrit. La mutation au niveau du EDA gêne dont le locus est l'Xq12-13 entraîne ce type de syndrome. (3). Dans la forme récessive liée à l'X, la plus commune, les hommes sont atteints, mais les femmes porteuses hété- rozygotes ont une ...

  8. Mandibular segmental reconstruction with iliac crest | Obiechina ...

    African Journals Online (AJOL)

    Résumé Vingt patients consistent en 14 mâles et 6 femmes atteints des lésions destructives bénignes dans la mâchoire ont été réparées tout en utilisant la crête iliaque sans vascularisée libre. L'os récolte était courbé et solide avec un fil en acier inoxydable de 0.5mm et renforcé avec une fixation maxillo-mandibulaire.

  9. PERFORMANS DAN INDEKS KELEMBABAN SUHU KELINCI JANTAN (Lepus nigricollis YANG DIPELIHARA DENGAN LUAS LANTAI KANDANG DAN DIBERI RANSUM DENGAN IMBANGAN ENERGI DAN PROTEIN BERBEDA

    Directory of Open Access Journals (Sweden)

    Eny Puspani

    2016-01-01

    Full Text Available Penelitian yang bertujuan mempelajari indeks kelembaban suhu atau temperature humidity index dan performans kelinci jantan lokal pada kepadatan ternak berbeda dan diberi ransum dengan imbangan energi protein berbeda telah dilakukan dengan menggunakan Rancangan Acak Kelompok (RAK pola Faktorial 2 x 3 dengan empat kali ulangan (blok. Sebagai perlakuan pertama adalah imbangan energi dan protein pada ransum (R yang terdiri dari ransum dengan kandungan energi termetabolis 2500 kkal/kg dan protein kasar 17% dengan imbangan energi dan protein 147 (R1, ransum dengan kandungan energi termetabolis 2800 kkal/kg dengan kandungan protein kasar 18,5% dengan imbangan energy dan protein 151 (R2. Sebagai perlakuan kedua adalah luas lantai kandang (L yang terdiri dari 3500 cm2 (L1, 1750 cm2 (L2 dan 1166 cm2 (L3. Hasil penelitian menunjukkan bahwa iklim mikro pada perlakuan tingkat kepadatan ternak dan ransum dengan imbangan energi dan protein yang berbeda memberikan pengaruh tidak berbeda nyata (P>0,05 terhadap kelembapan udara, temperatur udara, “temperature humidity index” dan radiasi matahari. Performans pada perlakuan ransum dengan imbangan energy dan protein R1 menyebabkan konsumsi air, ransum, berat badan akhir dan pertambahan berat badan lebih tinggi (P0,05. Performans pada perlakuan tingkat kepadatan ternak L2 dan L3 menyebabkan konsumsi air dan ransum lebih tinggi sehingga berat badan akhir pada kandang L2 dan L3 juga lebih tinggi dibandingkan L1 kecuali pertambahan berat badan dan FCR memberikan pengaruh tidak berbeda nyata (P>0,05. Berdasarkan hasil penelitian dapat disimpulkan bahwa tidak terjadi perbedaan iklim mikro pada kandang dengan perlakuan ransum dengan imbangan energi dan protein berbeda serta perlakuan dengan tingkat kepadatan ternak berbeda. Kelinci yang diberi ransum dengan imbangan energi dan protein 147 (R1 menghasilkan performans lebih tinggi daripada imbangan energi dan protein 151 (R2. Kelinci yang dipelihara pada tingkat

  10. Randomised controlled trial of effects of Helicobacter pylori infection and its eradication on heartburn and gastro-oesophageal reflux: Bristol helicobacter project

    Science.gov (United States)

    Harvey, Richard F; Lane, J Athene; Murray, Liam J; Harvey, Ian M; Donovan, Jenny L; Nair, Prakash

    2004-01-01

    Objectives To investigate the effects of Helicobacter pylori infection and its eradication on heartburn and gastro-oesophageal reflux. Design Cross sectional study, followed by a randomised placebo controlled trial. Setting Seven general practices in Bristol, England. Participants 10 537 people, aged 20-59 years, with and without H pylori infection (determined by the 13C-urea breath test). Main outcome measures Prevalence of heartburn and gastro-oesophageal acid reflux at baseline and two years after treatment to eradicate H pylori infection. Results At baseline, H pylori infection was associated with increased prevalence of heartburn (odds ratio 1.14, 95% confidence interval 1.05 to 1.23) but not reflux (1.05, 0.97 to 1.14). In participants with H pylori infection, active treatment had no effect on the overall prevalence of heartburn (0.99, 0.88 to 1.12) or reflux (1.04, 0.91 to 1.19) and did not improve pre-existing symptoms of heartburn or reflux. Conclusions H pylori infection is associated with a slightly increased prevalence of heartburn but not reflux. Treatment to eradicate H pylori has no net benefit in patients with heartburn or gastro-oesophageal reflux. PMID:15126313

  11. Isolasi dan Identifikasi Mikroba Lipolitik dari Limbah Cair Surimi dan Rajungan

    Directory of Open Access Journals (Sweden)

    Devi Ambarwati Oktavia

    2017-05-01

    Full Text Available Industri pengolahan hasil perikanan di sepanjang pantai Utara Jawa seperti pengalengan rajungan di Cirebon (Jawa Barat dan pengolahan surimi di Kendal (Jawa Tengah, menghasilkan air limbah yang mengandung banyak protein dan lemak. Bakteri yang hidup di limbah yang banyak mengandung protein dan lemak tersebut diperkirakan memiliki kemampuan untuk menghidrolisis lemak menjadi asam lemak dan gliserol sehingga berpotensi untuk dimanfaatkan sebagai bioremedian alami bagi penanganan air limbah hasil perikanan di tempat lain. Penelitian ini bertujuan untuk melakukan penapisan dan identifikasi bakteri lipolitik potensial sebagai bioremedian air limbah perikanan. Penapisan dilakukan terhadap 11 isolat bakteri lipolitik dari air limbah yang diambil dari industri pengalengan rajungan di Cirebon dan pengolahan surimi di Kendal dengan menggunakan media spesifik agar tributirin. Isolat bakteri lipolitik potensial ditentukan berdasarkan zona bening yang terbentuk di sekitar koloni, yaitu sekurang-kurangnya 6 mm. Isolat bakteri potensial ini selanjutnya diidentifikasi secara molekuler berdasarkan analisis sekuen 16S-rDNA. Dari penapisan diperoleh empat isolat bakteri potensial, yaitu isolat SPB, SHj, SOr dan SKn. Identifikasi molekuler menunjukkan bahwa isolat SPB dan SHj masing-masing adalah Serratia fonticola 10AdanBacillus cereus strain 103.2.2dengan kemiripan 97%, isolat SOr memiliki kemiripan 96% dengan Bacillus pumilus strain vit bac1 dan isolat SKn adalah Enterococcus pseudoavium strain L3C21K2dengan kemiripan 87%. Keempat isolat tersebut berpotensi untuk dimanfaatkan sebagai bioremedian pada air limbah dari industri pengolahan hasil perikanan di Indonesia.

  12. The gastro-esophageal reflux barrier: biophysical analysis on 3D models of anatomy from magnetic resonance imaging.

    Science.gov (United States)

    Roy, S; Fox, M R; Curcic, J; Schwizer, W; Pal, A

    2012-07-01

    The function and structure of the gastro-esophageal junction (GEJ) determine its efficacy as a reflux barrier. This study presents a novel methodology for the quantitative assessment of GEJ and proximal gastric morphology from magnetic resonance (MR) imaging. Based on this data we propose a new conceptualization of the hypothesis that a flap valve mechanism contributes to reflux protection. 3D models of the GEJ and proximal stomach were reconstructed from MR images in 12 healthy volunteers during respiration and on eating a test meal to maximum satiation. A rotating plane analysis measured the gastro-esophageal insertion angle and span of contact. An ellipsoid fit provided quantitative assessment of gastric shape and orientation relative to a fixed anatomical reference point. Position of the esophageal insertion on the 'gastric ellipse' was noted. An ellipsoid-cylinder model was designed to analyze the relationships among parameters describing the GEJ morphology. The insertion angle became more acute on expiration, but did not change with meal ingestion. In contrast the span of contact did not vary with respiration, but increased with gastric filling. Changes in gastric morphology with distension further augmented the span of gastro-esophageal contact in almost 70% of the studies. Novel MR imaging and biophysical analysis of the GEJ and proximal stomach provide a quantitative description of structures contributing to the reflux barrier. Changes in these parameters during respiration and on eating support the hypothesis that structural components of a functional 'flap valve' like mechanism contribute to reflux protection. © 2012 Blackwell Publishing Ltd.

  13. Peran Mitra Strategis dan Agen Perubahan dalam Manajemen Talenta dan Kinerja Manajer

    Directory of Open Access Journals (Sweden)

    Ida Ketut Kusumawijaya

    2014-06-01

    Full Text Available Abstract  The purposes of the study are to analyze: (1 characteristic of strategic partner and change agent roles, talent management and managers performance, (2 influence of strategic partner and change agent roles to talent management and its impact to managers performance. Four hundred hotel managers in Bali were participated in this study by using proportional random sampling. Data were analyzed using descriptive analysis and SEM. The result shows that: (1 strategic partner and change agent role, talent management and managers performance are in enough category, (2 positive and significant effect between strategic partner and change agent roles to talent management and its impact to managers performance. Keywords:Strategic Partner Role, Change Agent Role, Talent Management, Managers Performance.AbstrakTujuan penelitian ini adalah untuk menganalisis: (1 karakteristik dari mitra strategis dan peran agen perubahan, manajemen bakat dan kinerja manajer, (2 pengaruh mitra strategis dan peran agen perubahan untuk manajemen bakat dan dampaknya terhadap kinerja manajer. Sebanyak empat ratus manajer hotel di Bali berpartisipasi dalam penelitian ini dengan menggunakan proporsional random sampling. Data dianalisis menggunakan analisis deskriptif dan SEM. Hasil penelitian menunjukkan bahwa: (1 mitra strategis dan peran agen perubahan, manajemen bakat dan kinerja manajer termasuk dalam kategori cukup, (2 pengaruh positif dan signifikan antara mitra strategis dan peran agen perubahan untuk manajemen bakat dan dampaknya terhadap kinerja manajer.Keywords: Peran Mitra Strategis, Peran Agen Perubahan, Manajemen Talenta, kinerja Manajer.

  14. TRANSFORMASI ORGANISASIONAL DAN MSDM: HAMBATAN DAN IMPLIKASINYA PADA REKRUTMEN DAN SELEKSI

    Directory of Open Access Journals (Sweden)

    Licen Indahwati Darsono

    2002-01-01

    Full Text Available Rapid change of environment is an external force that causes the organization to transform. Fundamentally, the main purpose of the transformation is to change the organizational structure to be more flexible and competitive with fewer hierarchial levels, managers, and employees. The transformation needs to be radical, causing resistance from the organization's members. Their resistance can cause the transformation to fail, therefore organization must find ways to lessen this resistance. First, organization must learn about the diversity of its members' cultures and values. Second, organization must build its own organizational culture which can support the success of the transformation, by communicating it with the members of the organization. To support organizational culture building efforts, it needs changes in human resources practices, especially recruitment and selection. Abstract in Bahasa Indonesia : Perubahan yang cepat dalam lingkungan merupakan kekuatan eksternal yang mengakibatkan transformasi dalam sebuah organisasi. Pada dasarnya, tujuan utama dari transformasi tersebut adalah merubah struktur organisasi agar menjadi lebih fleksibel dan mampu bersaing, dengan tingkat structural yang sedikit, serta jumlah manajer dan karyawan yang lebih kecil. Transformasi tersebut harus menyeluruh, dan hal ini dapat menyebabkan resistensi dari para anggota organisasi yang memperhambat perubahan tersebut. Resistensi itu bisa menyebabkan perubahan tersebut batal, oleh karena itu organisasi harus mencari jalan untuk mengurangi hambatan-hambatan tersebut. Pertama, organisasi harus belajar keanekaragaman dari budaya dan nilai anggotanya. Kedua, organisasi harus mengembangkan budaya organisasi sendiri melalui komunikasi yang baik dengan anggotanya. Untuk mendukung usaha mengembangkan budaya organisasi, harus ada perubaban pada kebijakan sumber daya manusia, terutama dalam rekrutmen dan seleksi karyawan. Kata kunci: transformasi, resistensi, budaya

  15. Perbedaan konsumsi buah dan sayur pada anak sekolah dasar yang obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul

    Directory of Open Access Journals (Sweden)

    Irma Nuraeni

    2016-03-01

    gender and energy intake, showed that obese  children who rarely consuming fruits (<7 times/week (OR=2,24, 95%CI: 1.53-3.28, rarely consuming vegetables (<7 times/week (OR=2,52, 95%CI: 1,70-3,73, and consuming fruits and vegetables less than 5 servings/day (equivalent to 400 g/day (OR= 4,59, 95%CI:2,11-10,00 were greater risk for being obesity.Conclusion:Obese children had rarely and less consume of fruits and vegetables than that did in non-obese children at Yogyakarta Municipality and District of Bantul. The children rarely and less consuming fruits and vegetables increased the risk of obesity.KEYWORDS: children obesity, vegetable, fruitABSTRAKLatar Belakang: Indonesia saat ini mengalami masalah gizi ganda, yaitu masalah gizi kurang dan gizi lebih. Kelebihan  gizi atau obesitas pada anak dan remaja apabila tidak diatasi maka berdampak menjadi obesitas pada masa dewasa yang berpotensi mengalami penyakit tidak menular, seperti jantung, hipertensi dan diabetes mellitus. Prevalensi obesitas pada anak di Provinsi Daerah Istimewa Yogyakarta mengalami peningkatan dari tahun ke tahun (1; 2. Obesitas disebabkan ketidakseimbangan antara masukan dengan keluaran energi. Anak cenderung mengkonsumsi padat energi yang berasa manis dan berlemak tinggi serta makanan kurang serat dari buah dan sayur. Beberapa penelitian menunjukkan peningkatan risiko obesitas pada orang yang kurang konsumsi buah dan sayur.Tujuan: Untuk mengetahui perbedaan frekuensi dan jumlah konsumsi buah dan sayur pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul serta peran konsumsi buah dan sayur terhadap kejadian obesitas. Metode: Rancangan penelitian ini adalah case-control, 244 kasus (anak obes dan 244 kontrol (anak tidak obes. Subjek penelitian adalah anak usia 6-12 tahun yang duduk di kelas 1 hingga kelas 5 sekolah dasar di Kota Yogyakarta dan di Kabupaten Bantul. Data identitas diperoleh dari kuesioner terstruktur, sedangkan data frekuensi dan jumlah konsumsi buah dan sayur diperoleh

  16. Kondisi oral higiene dan karies gigi pada vegetarian dan non vegetarian di Maha Vihara Maitreya Medan

    OpenAIRE

    Prawira, Albert

    2011-01-01

    Perbedaan pola makan antara vegetarian dan non vegetarian dapat mempengaruhi kesehatan gigi dan mulut. Tujuan penelitian adalah untuk mengetahui kondisi oral higiene dan karies gigi pada umat vegetarian dan non vegetarian di Maha Vihara Maitreya Medan. Jenis penelitian adalah survei deskriptif. Sampel terdiri atas 74 vegetarian dan 65 non vegetarian. Pemeriksaan oral higiene dan karies gigi masing-masing menggunakan indeks OHIS Greene dan Vermillion dan indeks DMFT Klein, se...

  17. UPAYA MENINGKATKAN HASIL BELAJAR, AKTIVITAS DAN SIKAP PADA MATERI GETARAN, GELOMBANG DAN BUNYI, MELALUI METODE DISKUSI, OBSERVASI, DAN EKSPERIMEN

    Directory of Open Access Journals (Sweden)

    Yuni Lestari Purnomowati

    2016-03-01

    Full Text Available Penelitian dilakukan menggunakan metodePenelitian Tindaan Kelas (PTK. Penelitian ini dilaksanakan di  SMKN 3 Metro pada siswa Kelas XI-TKJa semester genapTahun Pelajaran 2012/2013 berjumlah 31 siswa.Sasaran perubahan dalam penelitian ini yaitu peningkatan hasil, aktivitas dan sikap siswa terhadap pelajaran Fisika. Peneliti dapat menyimpulkan bahwa peningkatan hasil belajargetaran, gelombang dan bunyi terjadi karena kerjasama siswa selama proses pembelajaran menumbuhkan suasana yang nyaman sekaligus kompetitif. Perubahan sikap siswa terhadap pelajaran Fisika semakin baik. Ketika pembelajaran fisika mampu memberikan apa yang diharapkan oleh siswa, yaitu siswa merasa nyaman, tidak terintimidasi oleh guru dan teman karena keterbatasan yang dimilikinya, terlibat dengan teman sejawat pada saat menyelesaikan tugas-tugas yang diberikan dengan diskusi, melakukan observasi, dan bereksperimen, maka persepsi terhadap fisika sebagai objek menjadi berubah lebih baik. Adanya interaksi siswa dengan media pembelajaran karena kegiatan mendiskusikan, mengobservasi, dan melakukan eksperimen mendorong siswa menjadi aktif selama proses pembelajaran. Penelitian dilakukan menggunakan metodePenelitian Tindaan Kelas (PTK. Penelitian ini dilaksanakan di  SMKN 3 Metro pada siswa Kelas XI-TKJa semester genapTahun Pelajaran 2012/2013 berjumlah 31 siswa.Sasaran perubahan dalam penelitian ini yaitu peningkatan hasil, aktivitas dan sikap siswa terhadap pelajaran Fisika. Peneliti dapat menyimpulkan bahwa peningkatan hasil belajargetaran, gelombang dan bunyi terjadi karena kerjasama siswa selama proses pembelajaran menumbuhkan suasana yang nyaman sekaligus kompetitif. Perubahan sikap siswa terhadap pelajaran Fisika semakin baik. Ketika pembelajaran fisika mampu memberikan apa yang diharapkan oleh siswa, yaitu siswa merasa nyaman, tidak terintimidasi oleh guru dan teman karena keterbatasan yang dimilikinya, terlibat dengan teman sejawat pada saat menyelesaikan tugas-tugas yang

  18. Evaluation of new gastro-intestinal prokinetic (ENGIP-II) study.

    Science.gov (United States)

    Walwaikar, Pradeep P; Kulkarni, Sujay S; Bargaje, Rahul S

    2005-12-01

    Non-ulcer dyspepsia is a common clinical disorder characterised by reduced gastric motility. Safety concerns have restricted use of currently available prokinetic drugs. Itopride is a new safer prokinetic drug with dopamine D2 antagonism and acetylcholinesterase inhibitory actions. The ENGIP-II study was conducted to investigate the efficacy, and safety of itopride in patients of non-ulcer dyspepsia. There were significant reductions in upper abdominal pain, heartburn frequency, gastro-oesophageal regurgitation, nausea, bloating, early satiety after meals at day 3 only; whereas significant improvements were noted in belching, anorexia at day 6 and in vomiting at day 9. Thus, ENGIP-II study shows that itopride was well tolerated patients and appears to be the drug of choice in patients with non-ulcer dyspepsia.

  19. Transoral incisionless fundoplication for gastro-esophageal reflux disease: Techniques and outcomes.

    Science.gov (United States)

    Testoni, Pier Alberto; Mazzoleni, Giorgia; Testoni, Sabrina Gloria Giulia

    2016-05-06

    Gastro-esophageal reflux disease (GERD) is a very common disorder that results primarily from the loss of an effective antireflux barrier, which forms a mechanical obstacle to the retrograde movement of gastric content. GERD can be currently treated by medical therapy, surgical or endoscopic transoral intervention. Medical therapy is the most common approach, though concerns have been increasingly raised in recent years about the potential side effects of continuous long-term medication, drug intolerance or unresponsiveness, and the need for high dosages for long periods to treat symptoms or prevent recurrences. Surgery too may in some cases have consequences such as long-lasting dysphagia, flatulence, inability to belch or vomit, diarrhea, or functional dyspepsia related to delayed gastric emptying. In the last few years, transoral incisionless fundoplication (TIF) has proved an effective and promising therapeutic option as an alternative to medical and surgical therapy. This review describes the steps of the TIF technique, using the EsophyX(®) device and the MUSE(TM) system. Complications and their management are described in detail, and the recent literature regarding the outcomes is reviewed. TIF reconfigures the tissue to obtain a full-thickness gastro-esophageal valve from inside the stomach, by serosa-to-serosa plications which include the muscle layers. To date the procedure has achieved lasting improvement of GERD symptoms (up to six years), cessation or reduction of proton pump inhibitor medication in about 75% of patients, and improvement of functional findings, measured by either pH or impedance monitoring.

  20. L’expérience d’une patiente qui reçoit des soins pour la démence

    Science.gov (United States)

    Frank, Christopher; Forbes, Rev Faye

    2017-01-01

    Résumé Objectif Permettre aux médecins de famille de comprendre « l’expérience vécue » de la démence de la bouche d’une personne atteinte de démence—Faye Forbes, ministre anglicane de 64 ans atteinte de la maladie d’Alzheimer, qui donne son point de vue sur comment vivre avec la démence—et utiliser cette information pour améliorer les soins et les résultats. Sources d’information Une recherche a été effectuée dans MEDLINE sur Ovid entre janvier 2005 et février 2015, à l’aide des mots-clés anglais suivants : dementia, caregiver, perspectives et quality of health care. Les articles qui s’adressaient aux médecins de famille ont été sélectionnés. Des revues pertinentes et des articles de recherche originaux ont été utilisés, le cas échéant, s’ils s’appliquaient aux personnes atteintes de démence et à leurs soignants. Message principal Plusieurs cadres de référence organisent les principales expériences décrites par les patients et leurs soignants. Nous avons utilisé une revue de la littérature qualitative pour fournir un cadre de référence résumant l’expérience de Faye, en fonction des thèmes suivants : tenter d’obtenir un diagnostic, accéder au soutien et aux services, besoins en matière d’information, prise en charge de la maladie, et communication et attitudes. Conclusion Les médecins doivent tenir compte de ces thèmes lorsqu’ils planifient la prise en charge des personnes atteintes de démence. Il importe de tenter de comprendre l’expérience et le point de vue des personnes atteintes de démence et de leurs soignants afin de pouvoir dispenser des soins optimaux. PMID:28115451

  1. Systematic review: role of acid, weakly acidic and weakly alkaline reflux in gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Boeckxstaens, G. E.; Smout, A.

    2010-01-01

    The importance of weakly acidic and weakly alkaline reflux in gastro-oesophageal reflux disease (GERD) is gaining recognition. To quantify the proportions of reflux episodes that are acidic (pH <4), weakly acidic (pH 4-7) and weakly alkaline (pH >7) in adult patients with GERD, and to evaluate their

  2. Les leishmanioses cutanées à Leishmania major et à Leishmania tropica au Maroc: aspects épidémio-cliniques comparatifs de 268 cas

    Science.gov (United States)

    Chiheb, Soumia; Slaoui, Widad; Mouttaqui, Tarik; Riyad, Meriem; Benchikhi, Hakima

    2014-01-01

    Introduction Depuis 1995, le Maroc a connu une réactivation des foyers de leishmanioses cutanées (LC) à L. major et une nouvelle répartition géographique des foyers à L. tropica. Le but de cette étude est de comparer les aspects épidémio-cliniques associés aux LC potentiellement dûes à L. major et à L. tropica. Méthodes Une étude rétrospective a colligé 268 cas de LC au service de dermatologie du CHU Ibn Rochd de Casablanca entre Janvier 1995 et Septembre 2010. Les données étaient analysées par Epi info version 3.5.1. Le test X2 était appliqué (Différence significative = p< 0,05). Résultats Deux cent soixante-huit cas de LC ont été colligés, dont 160 femmes et 108 hommes. Ils ont été répartis en 123 patients originaires des foyers à L.major et 145 patients originaires des foyers à L. tropica. L'aspect ulcéronodulaire, ulcérovégétant ou végétant était retrouvé dans 58 cas (47,2%) des cas de LC à L. major versus 24 cas (16,7%) dans la L.C à L. tropica. L'aspect papulonodulaire était retrouvé dans 84 cas (58%) de LC à L. tropica contre 41 cas (33,3%) de LC à L. major. Conclusion Dans la LC à L. major, l'atteinte des membres et les aspects cliniques végétant ou ulcéro-végétant restent toujours prédominants. Dans la L.C à L. tropica, l'atteinte papulonodulaire unique du visage reste prédominante mais des formes ulcéronodulaires, végétantes ou ulcérovégétantes existent également dans les foyers récents à L. tropica, prêtant à confusion cliniquement avec des LC à L. major. PMID:25810796

  3. Relationship between the mechanism of gastro-oesophageal reflux and oesophageal acid exposure in patients with reflux disease

    NARCIS (Netherlands)

    Scheffer, R. C. H.; Wassenaar, E. B.; Herwaarden, M. A.; Holloway, R. H.; Samsom, M.; Smout, A. J. P. M.; Akkermans, L. M. A.

    2005-01-01

    This study investigated the relationship between the oesophageal acid exposure time and the underlying manometric motor events in patients with gastro-oesophageal reflux disease (GORD). In 31 patients, 3-hour oesophageal motility and pH were measured after a test meal. Ten patients underwent 24-hour

  4. Pengaruh Penambahan Ni, Cu, dan Al dan Waktu Milling pada Mechanical Alloying Terhadap Sifat Absorpsi dan Desorpsi Mg sebagai Material Penyimpan Hidrogen

    Directory of Open Access Journals (Sweden)

    Febrian Budi Pratama

    2012-09-01

    Full Text Available Mg merupakan salah satu material yang digunakan sebagai material penyimpan hidrogen dengan membentuk MgH2. Sifat absorpsi dan desorpsi hidrogen dari suatu metal hidrida salah satunya tergantung  pada bahan, unsur penambah, dan metode pembuatannya. Pada penelitian kali ini Mg sebagai material penyimpan hidrogen dihasilkan melalui metode mechanical alloying dengan unsur penambah Ni, Cu, dan Al dan variasi waktu milling 10, 20, 30 jam. Selanjutnya sampel dilakukan pengujian SEM, XRD, DSC, dan Uji hidrogenisasi. Dari data uji diperoleh bahwa meningkatnya waktu milling menurunkan ukuran partikel sehingga meningkatkan wt% hidrogen terabsorb dan menurunkan temperatur onset desorpsi. Namun efek aglomerasi dan coldwelding yang berlebih pada proses mechanical alloying mengakibatkan ukuran partikel menjadi lebih besar. Unsur pemadu Al dan Cu berfungsi sebagai katalis, sedangkan Ni berfungsi sebagai pemadu yang ikut bereaksi dengan hidrogen. Mg10wt%Al dengan waktu milling 20 jam mempunyai nilai weight percent terbaik H2 yaitu 0.38% dalam temperatur hidrogenisasi 2500C, tekanan 3 atm, dan waktu tahan 1 jam. Sedangkan Mg10wt%Al dengan waktu milling 30 jam memiliki temperatur onset paling rendah yaitu 341.490C Kata Kunci— Absorpsi, Desorpsi, Material Penyimpan Hidrogen, Mechanical Alloying, Mg

  5. Age at menarche among school girls in Sokoto, Northern Nigeria

    African Journals Online (AJOL)

    et étalonné les murs. Résultats: Filles rurales deux cent vingt huit 228 et quatre cent quatre-vingts 480 des filles urbaines qui avaient atteint l'apparition des premières règles dans l'année ont été étudiées. L'âge moyen à l'apparition des premières règles pour toutes les filles était 15.26 ans. Menstruées âge moyen pour les ...

  6. 179 ORIGINAL ARTICLE

    African Journals Online (AJOL)

    boaz

    été conçue pour déterminer les sous – ensembles de lymphocyte T (CD4 + cellules T, CD8 + cellules T et le rapport CD4/CD8) dans les sujets atteints de cancer de la prostate et sujets témoins. CD4 + cellules T ( l/count) et CD8 + cellules T ont été estimées en utilisant la méthode de cytométrique en flux par Partec tandis ...

  7. Oesophagitis, signs of reflux, and gastric acid secretion in patients with symptoms of gastro-oesophageal reflux disease

    Energy Technology Data Exchange (ETDEWEB)

    Johansson, K.E.; Ask, P.; Boeryd, B.; Fransson, S.G.; Tibbling, L.

    1986-01-01

    In a study comprising 100 patients referred to a surgical clinic with symptons suggestive of gastro-oesophageal reflux disease, the value of different diagnostic procedures was investigated. Positive acid perfusion and 24-h pH tests were the commonest findings. Forty-nine per cent showed normal oesophageal mucosa or diffuse oesophagitis at endoscopy. The severity of heartburn and regurgitation did not differ between patients with normal oesophageal mucosa and oesophagitis of various severities. The severity of macroscopic oesophagitis was significantly corelated to the total reflux time, the presence of reflux or a hiatal hernia at radiology, an open cardia or reflux at endoscopy, pressure transmission or reflux, and low lower oesophageal sphincter pressure at manometry. Gastric hypersecretion was found in 66% of the patients. Gastric acid secretion was not correlated to the severity of oesophagitis or to the findings at 24-h pH test. In patients with severe oesophagitis the sensivity for radiologic, manometric and endoscopic signs of incompetence of the gastro-oesophageal junction was 94%.

  8. Oesophagitis, signs of reflux, and gastric acid secretion in patients with symptoms of gastro-oesophageal reflux disease

    International Nuclear Information System (INIS)

    Johansson, K.E.; Ask, P.; Boeryd, B.; Fransson, S.G.; Tibbling, L.

    1986-01-01

    In a study comprising 100 patients referred to a surgical clinic with symptons suggestive of gastro-oesophageal reflux disease, the value of different diagnostic procedures was investigated. Positive acid perfusion and 24-h pH tests were the commonest findings. Forty-nine per cent showed normal oesophageal mucosa or diffuse oesophagitis at endoscopy. The severity of heartburn and regurgitation did not differ between patients with normal oesophageal mucosa and oesophagitis of various severities. The severity of macroscopic oesophagitis was significantly corelated to the total reflux time, the presence of reflux or a hiatal hernia at radiology, an open cardia or reflux at endoscopy, pressure transmission or reflux, and low lower oesophageal sphincter pressure at manometry. Gastric hypersecretion was found in 66% of the patients. Gastric acid secretion was not correlated to the severity of oesophagitis or to the findings at 24-h pH test. In patients with severe oesophagitis the sensivity for radiologic, manometric and endoscopic signs of incompetence of the gastro-oesophageal junction was 94%

  9. BAHAYA LATEN INFEKSI GONORE DAN KLAMIDIA DI ASIA SELATAN & ASIA TENGGARA, DI INDONESIA DAN KOTA MANADO

    Directory of Open Access Journals (Sweden)

    Aron Pirade

    2014-04-01

    menempati urutan tertinggi. Wilayah Asia Selatan dan Asia Timur-Selatan (juga disebut Asia Tenggara adalah wilayah dengan prevalensi Gonore dan Klamidia terbesar. Prevalensi Gonore di tahun 1995 dan 1999 yaitu 29.11 dan 27.2 juta penduduk wilayah Asia Selatan dan Asia Tenggara. Klamidia, di tahun 1995 dan tahun 1999 yaitu 40.48 dan 42.89 juta penduduk wilayah Asia Selatan dan Asia Tenggara. Di Indonesia sendiri, pada 11 area penelitian menunjukkan bahwa prevalensi Gonore dalam wilayah Indonesia menunjukkan rata-rata prosentasenya 20%-40% dari keseluruhan STI pada wanita beresiko tinggi terkena STI. Sedangkan infeksi oleh Klamidia prosentasenya 15%- 45% dari keseluruhan STI pada wanita beresiko tinggi terkena penyakit kelamin. Prosentase Gonore dan Klamidia di Kota Manado rata-rata 15-30%. Tingginya prevalensi infeksi Gonore dan Klamidia di Asia Tenggara, ternyata diikuti juga dengan tingginya perkembangan infeksi Gonore dan Klamidia di Indonesia dan Kota Manado.

  10. KANDUNGAN ASAM AMINO, TAURIN, MINERAL MAKRO-MIKRO, DAN VITAMIN B12 UBUR-UBUR (Aurelia aurita SEGAR DAN KERING

    Directory of Open Access Journals (Sweden)

    - - Nurjanah

    2014-06-01

    Full Text Available Tujuan penelitian adalah menentukan komposisi gizi, asam amino, taurin, mineral makro dan mikro,dan vitamin B12 pada ubur-ubur (Aurelia aurita segar dan kering. Asam amino esensial pada ubur-uburyaitu arginina, leusina, valina, treonina, lisina, isoleusina, fenilalanina, metionina, dan histidina, sedangkanasam amino non esensial yaitu asam glutamat, glisina, asam aspartat, serina, alanina, dan tirosina. Asamamino esensial tertinggi segar dan kering adalah arginina sebesar 1,72% (bk dan 1,44% (bk dan terendahhistidina yaitu sebesar 0,19% (bk dan 0,13% (bk. Asam amino non esensial segar dan kering tertinggiadalah asam glutamat dan glisina yaitu sebesar 3,26% (bk dan 2,62% (bk dan terkecil tirosina sebesar0,38% (bk dan 0,41% (bk. Taurin segar sebesar 2,68% (bk dan kering sebesar 0,67% (bk. Mineral makrotertinggi segar dan kering adalah natrium yaitu 180.092,1 ppm (bk dan 111.209,4 ppm (bk, terkecil adalahkalsium yaitu 5.750,2 ppm (bk dan 11,1 ppm (bk. Mineral mikro tertinggi segar dan kering adalah iodium yaitu8.291,5 ppm (bk dan 1.800 ppm (bk dan yang terkecil adalah tembaga yaitu 1,1 ppm (bk dan 0,6 ppm (bk.Vitamin B12 segar adalah 396,6 μm/100 g (bk dan kering 63,5 μm/100 g (bk.Kata kunci: asam amino, mineral, taurin, ubur-ubur (Aurelia aurita, vitamin B12

  11. Sistem Informasi Penjualan dan Pemesanan Layanan Berbasis Web dan SMS Gateway di Petshop "PetZone"

    Directory of Open Access Journals (Sweden)

    Siska Fadhilah Wati

    2013-09-01

    Full Text Available Dewasa ini teknologi informasi sangat membantu dalam dunia bisnis. Kemudahan yang ditawarkan akan menjaring lebih banyak konsumen. Namun, perusahan tingkat menengah seperti PetZone saat ini masih jarang yang menawarkan kemudahan berbelanja atau pemesanan layanan secara online. Oleh karena itu diperlukan sebuah sistem berbasis web di perusahaan PetZone yang dapat memudahkan pemilik dan karyawan dalam apenjualan, pelayanan, dan pemasaran, serta memudahkan pelanggan dalam jual-beli barang dan jasa. Atas dasar masalah tersebut dibangun Sistem Informasi Penjualan dan Pemesanan Layanan Berbasis Web dan SMS Gateway untuk menunjang proses bisnis yang ada. Sistem informasi dibangun menggunakan bahasa pemrograman PHP framework Codeigniter, javascript untuk tampilan yang dinamis, dan database MySQL. Proses pembuatan dan pengembangan Sistem Informasi Penjualan ini menggunakan metode air terjun. Metode air terjun meliputi kebutuhan pengguna, analisis, rancangan, implementasi dan pengujian. Pemodelan Sistem Informasi yang dibangun menggunakan metode berorientasi objek UML (Unified Modeling Language yang terdiri dari Use case  diagram, Class diagram dan Sequence diagram. Hasil pengujian Sistem Informasi Penjualan dan Pemesanan Layanan Berbasis Web dan SMS Gateway menunjukkan bahwa semua fitur yang terdapat baik dalam sistem informasi maupun SMS gateway dapat bekerja dengan baikdengan ratusan sample data, dan server SMS gateway dapat memproses lebih dari satu SMS secara bersamaan. Dalam perkembangan ke depannya nanti, Sistem Informasi Penjualan dan Pemesanan Layanan Berbasis Web dan SMS Gateway masih dapat dikembangkan lagi dengan menambah fitur-fitur pada SMS gateway sehingga lebih memudahkan konsumen.

  12. Persepsi Santri dan Kiai terhadap Pluralisme Agama di Pendidikan Ulama Tarjih Muhammadiyah (PUTM dan Aswaja Nusantara Yogyakarta

    Directory of Open Access Journals (Sweden)

    Zainal Arifin

    2017-05-01

    Abstrak: Perdebatan pluralisme agama masih mengemuka dalam konteks masyarakat majemuk di Nusantara. Bahkan, tidak jarang menimbulkan konflik dan perang pemikiran. Menarik melihat perspektif kiai dan santri Muhammadiyah dan NU terhadap isu pluralisme melalui praktik pendidikan di Ulama Tarjih Muhammadiyah (PUTM Yogyakarta dan Pondok Pesantren Aswaja Nusantara Yogyakarta yang dianggap representatif karena membawa muatan konsep, ide dan paradigma dari Muhammadiyah dan NU. Penelitian ini bersifat kualitatif,  data diperoleh dari wawancara dan studi kepustakaan dengan saling memberikan verifikasi, koreksi dan pelengkap. Hasil penelitian ini, PUTM dan Pesantren Aswaja Nusantara memiliki konsep yang sama dalam memegang teguh akidah, yakni sikap eksklusif dan menolak pluralisme secara teologis namun menerimanya secara sosiologis. Sehingga, paradigma dari dua lembaga tersebut merepresentasikan dari paradigma Muhammadiyah dan NU dalam merespon fenomena pluralisme agama dan budaya.

  13. Control of transient lower oesophageal sphincter relaxations and reflux by the GABAB agonist baclofen in patients with gastro-oesophageal reflux disease

    Science.gov (United States)

    Zhang, Q; Lehmann, A; Rigda, R; Dent, J; Holloway, R H

    2002-01-01

    Background and aims: Transient lower oesophageal sphincter relaxations (TLOSRs) are the major cause of gastro-oesophageal reflux in normal subjects and in most patients with reflux disease. The gamma aminobutyric acid (GABA) receptor type B agonist, baclofen, is a potent inhibitor of TLOSRs in normal subjects. The aim of this study was to investigate the effect of baclofen on TLOSRs and postprandial gastro-oesophageal reflux in patients with reflux disease. Methods: In 20 patients with reflux disease, oesophageal motility and pH were measured, with patients in the sitting position, for three hours after a 3000 kJ mixed nutrient meal. On separate days at least one week apart, 40 mg oral baclofen or placebo was given 90 minutes before the meal. Results: Baclofen reduced the rate of TLOSRs by 40% from 15 (13.8–18.3) to 9 (5.8–13.3) per three hours (preflux episodes by 43% from 7.0 (4.0–12.0) to 4.0 (1.5–9) per three hours (median (interquartile range); preflux disease, the GABAB agonist baclofen significantly inhibits gastro-oesophageal reflux episodes by inhibition of TLOSRs. These findings suggest that GABAB agonists may be useful as therapeutic agents for the management of reflux disease. PMID:11772961

  14. Perioperative epidural analgesia reduces cancer recurrence after gastro-oesophageal surgery.

    Science.gov (United States)

    Hiller, J G; Hacking, M B; Link, E K; Wessels, K L; Riedel, B J

    2014-03-01

    Recent interest has focused on the role of perioperative epidural analgesia in improving cancer outcomes. The heterogeneity of studies (tumour type, stage and outcome endpoints) has produced inconsistent results. Clinical practice also highlights the variability in epidural effectiveness. We considered the novel hypothesis that effective epidural analgesia improves cancer outcomes following gastro-oesophageal cancer surgery in patients with grouped pathological staging. Following institutional approval, a database analysis identified 140 patients, with 2-year minimum follow-up after gastro-oesophageal cancer surgery. All patients were operated on by a single surgeon (2005-2010). Information pertaining to cancer and survival outcomes was extracted. Univariate analysis demonstrated a 1-year 14% vs. 33% (P = 0.01) and 2-year 27% vs. 40% [hazard ratio (HR)=0.59; 95% CI, 0.32-1.09, P = 0.087] incidence of cancer recurrence in patients with (vs. without) effective (> 36 h duration) epidural analgesia, respectively. Multivariate analysis demonstrated increased time to cancer recurrence (HR = 0.33; 95% CI: 0.17-0.63, P benefit (HR = 0.42; 95% CI: 0.21-0.83, P benefit in patients with oesophageal cancer (HR = 0.34; 95% CI: 0.16-0.75, P = 0.005) and in patients with tumour lymphovascular space infiltration (LVSI), (HR = 0.49; 95% CI: 0.26-0.94, P = 0.03). Effective epidural analgesia improved estimated median time to death (2.9 vs. 1.8 years, P = 0.029) in patients with tumour LVSI. This study found an association between effective post-operative epidural analgesia and medium-term benefit on cancer recurrence and survival following oesophageal surgery. A prospective study that controls for disease type, stage and epidural effectiveness is warranted. © 2014 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  15. Changes in the serum protein profile during radiotherapy to the upper respiratory and gastro-intestinal tracts

    International Nuclear Information System (INIS)

    David, M.; Lobera, A.; Legrand, E.

    1984-01-01

    Patients with a cancer of the upper airways of upper gastro-intestinal tract present a state of malnutrition as a result of the disease itself and, more importantly, as a result of its localisation. Loco-regional radiotherapy often leads to an aggravation, of this state. The protein profile, consisting of nine serum proteins, was determined each week in 54 patients with cancer of the upper respirato-gastro-intestinal tract receiving radiotherapy. During the course of radiotherapy, the already altered nutritional state of these patients deteriorated further, as shown by a regular and significant downturn in the weight curve. The weekly monitoring of the protein profile showed a gradual and significant decrease in the levels of nutritional proteins (prealbumin, retinol binding protein, transferrin) and immunoglobulins (IgM, IgA) and a small variation in the levels of inflammatory proteins (haptoglobin, orosomucoid, C3 complement fraction, alpha 1 -antitrypsin). The protein profile, established on the basis of carefully selected proteins, can provide useful information in the monitoring of a patient's nutritional state [fr

  16. Changes in the serum protein profile during radiotherapy to the upper respiratory and gastro-intestinal tracts

    Energy Technology Data Exchange (ETDEWEB)

    David, M; Lobera, A; Legrand, E [Fondation Bergorie, Bordeaux (France)

    1984-01-01

    Patients with a cancer of the upper airways on upper gastro-intestinal tract present a state of malnutrition as a result of the disease itself and, more importantly, as a result of its localisation. Loco-regional radiotherapy often leads to an aggravation, of this state. The protein profile, consisting of nine serum proteins, was determined each week in 54 patients with cancer of the upper respirato-gastro-intestinal tract receiving radiotherapy. During the course of radiotherapy, the already altered nutritional state of these patients deteriorated further, as shown by a regular and significant downturn in the weight curve. The weekly monitoring of the protein profile showed a gradual and significant decrease in the levels of nutritional proteins (prealbumin, retinol binding protein, transferrin) and immunoglobulins (IgM, IgA) and a small variation in the levels of inflammatory proteins (haptoglobin, orosomucoid, C3 complement fraction, alpha/sub 1/-antitrypsin). The protein profile, established on the basis of carefully selected proteins, can provide useful information in the monitoring of a patient's nutritional state.

  17. KEABSAHAN PERUBAHAN DAN PENAMBAHAN PERATURAN HUKUM PIDANA MELALUI PERPPU DAN PERMA

    Directory of Open Access Journals (Sweden)

    Amiruddin Amiruddin

    2013-12-01

    Full Text Available KUHP yang berlaku sekarang berasal dari “Wetboek van Strafrecht voor Nederlandsh-Indie” 1918dan dinyatakan berlaku di Indonesia berdasarkan UU Nomor 1 Tahun 1946 juncto UU Nomor 73 Tahun1958. Mengingat usianya yang sangat tua, maka beberapa ketentuan yang ada dalam KUHP sudah tentuketinggalan dan harus disesuaikan dengan perkembangan masyarakat dan ilmu pengetahuan. Meskipuntelah ada upaya untuk melakukan perubahan yang menyeluruh melalui penyusunan RUU KUHP namunbelum juga disahkan. Oleh karena itu, maka pola perubahan yang dilakukan adalah bersifat parsial yaitumulai dari Perpu Nomor 16 Tahun 1960 sampai dengan Peraturan Mahkamah Agung Nomor 2 Tahun2012 tentang Penyesuaian Batasan Tindak Pidana Ringan dan Jumlah Denda dalam KUHP. Perubahanyang dilakukan itu pun ada yang sesuai dengan prosedur dan ada juga yang tidak sesuai dengan prosedurperubahan perundang-undangan.Kata kunci: perubahan, penambahan, KUHP.

  18. Produksi Panel Dinding Bangunan Tahan Gempa dan Ramah Lingkungan dari Limbah Bahan Berbahaya dan Beracun Industri Minyak dan Gas

    Directory of Open Access Journals (Sweden)

    Luqman Hakim

    2015-10-01

    Full Text Available Berdasarkan hasil uji karakteristik fisik terhadap panel dinding dari komposit limbah industry migas berupa activated alumina, sandblasting dan glasswall yang telah dilakukan pada tahun pertama diketahui bahwa kuat lentur tertinggi diperoleh dari sampel B4 yaitu sebesar 67,8 Kg/Cm2 dengan standar DIN 1101 17 Kg/cm2, kuat desak sampel B 2 68,31 N/mm2 dengan standar bata merah 25 N/mm2 dan batako 20 N/mm2 dan tingkat keausan terendah diperoleh dari sampel 37 streap. Dari hasil tersebut diketahui bahwa uji telah memiliki kemampuan lebih tinggi jika dibandingkan dengan standar yang berlaku. Maka pada penelitian lanjutan yang akan dilakukan bertujuan untuk mempelajari apakah produk panel dinding ini ramah lingkungan sehingga aman bagi kesehatan manusia dan lingkungan sekitarnya.Penelitian dilakukan dengan menggunakan metode uji toxicity characteristic leaching procedure (TCLP dan LC50 terhadap produk panel dinding terbaik. Uji TCLP yang akan dilakukan yaitu dengan cara mendestruksi dan ekstraksi produk panel dinding dengan menggunakan rotating agitator selama 24 jam kemudian diuji dengan menggunakan AAS untuk mengetahui konsentrasi logam berat yang terdapat dalam produl panel dinding. Adapun untuk uji LC50 dilakukan dengan menggunakan hewan uji larva udang atau tikus.Berdasarkan hasil uji TCLP dan LC50 diketahui bahwa: a Kadar kandungan logam berat yang terdapat di dalam wall panel setelah dilakukan uji TCLP ternyata berada dibawah baku mutu seperti yang telah ditetapkan dalam PP No.85 Tahun 1999. Jadi ini artinya produk wall panel dalam penelitian ini ramah lingkungan, b pengujian terhadap bahan baku wall panel, Limbah Activated Alumina, Sandblasting dan Glasswoll sebelum di solidifikasi dapat mematikan sebesar 50% hewan uji pada konsentrasi 116.667 ppm dalam waktu 96 jam, dan c hasil uji LC50 terhadap produk wall panel selama 96 jam tidak menunjukkan adanya kematian hewan uji. Dari hasil penelitian ini dapat disimpulkan bahwa produk wall panel dari

  19. Berpikir Rasional-Ilmiah dan Pendekatan Interdisipliner dan Multidisipliner dalam Studi Hukum Keluarga Islam

    Directory of Open Access Journals (Sweden)

    Khoiruddin Nasution

    2017-12-01

    Full Text Available This short article tries to explain how important it is to think rationally and scientifically, place the position of approachment in the Study of Islamic Family Law, also describe the use of Interdisciplinary and multidisciplinary approach to understand and practice the Islamic Family Law. In conclusion, there are three conclutions. First, students need to get used to think, write, speak and act rationallly and scientifically. The process can be carried out by integrating with the entire subjecy. Second,  needs a good and comprehensive understanding of approachment positions in the study of Islamic Family Law, both in relation to habituation of thinking, writing, speaking and acting rational and scientific as well as in effort to integrate and interconnect Islam and science. Third, it is necessary to habituate using an interdisciplinary and multidisciplinary approach to understand and observe all matters  that related to the Islamic Family Law.   [Tulisan singkat ini mencoba menjelaskan bagaimana pentingnya berpikir rasional dan ilmiah, meletakkan dimana posisi pendekatan dalam Studi Hukum Keluarga Islam, sekaligus menggambarkan penggunaan Pendekatan Interdisipliner dan Multidisipliner dalam memahami dan mengamalkan Hukum Keluarga Islam. Kesimpulannya ada tiga. Pertama, mahasiswa perlu dibiasakan berpikir, menulis, berbicara dan bentindak rasional dan ilmiah. Proses pembiasaannya dapat dilakukan secara terintegrasi dengan seluruh mata kuliah. Kedua, perlu pemahaman yang baik dan konprehensif bagaimana posisi pendekatan dalam studi Hukum Keluarga Islam, baik dalam kaitannya dengan pembiasaan berpikir, menulis, berbicara dan bentindak rasional dan ilmiah maupun dalam upaya integrasi dan/atau interkoneksi keilmuan. Ketiga, perlu pembiasaan menggunakan pendekatan interdisipliner dan multidisipliner dalam memahami dan mengamalkan segala persoalan yang berkaitan dengan Hukum Keluarga Islam.

  20. Persistent gastro-oesophageal reflux symptoms despite proton pump inhibitor therapy.

    Science.gov (United States)

    Ang, Daphne; How, Choon How; Ang, Tiing Leong

    2016-10-01

    About one-third of patients with suspected gastro-oesophageal reflux disease (GERD) do not respond symptomatically to proton pump inhibitors (PPIs). Many of these patients do not suffer from GERD, but may have underlying functional heartburn or atypical chest pain. Other causes of failure to respond to PPIs include inadequate acid suppression, non-acid reflux, oesophageal hypersensitivity, oesophageal dysmotility and psychological comorbidities. Functional oesophageal tests can exclude cardiac and structural causes, as well as help to confi rm or exclude GERD. The use of PPIs should only be continued in the presence of acid reflux or oesophageal hypersensitivity for acid reflux-related events that is proven on functional oesophageal tests. Copyright: © Singapore Medical Association.

  1. Du gris au vert - L'espoir reprend racine dans les hautes terres d ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    15 déc. 2010 ... Renforcer le leadership en matière de politiques parmi les travailleurs de la santé qui œuvrent auprès de patients atteints du VIH/sida. Les travailleurs de la santé doivent posséder le leadership et les capacités en matière de recherche et d'élaboration de politiques requis pour con.

  2. Bahasa, Simbol, dan Religi

    OpenAIRE

    Supriyadi, Supriyadi

    1999-01-01

    Manusia sering disebut sebagai makhluk sosial, makhluk berakal, makhluk berseni, dan sebagainya. Tulisan ini secara tidak langsung membicarakan manusia sebagai makhluk berbahasa, bersimbol, dan bereligi . Meskipun demikian, titik tolaknya bukan pada manusia itu sendiri, tetapi pada bahasa, simbol, dan religinya, terutama pada hubungan di antara ketiganya . Hubungan antara bahasa dan simbol tidak diragukan lagi karena bahasa merupakan jenis simbol . Demikian juga hubungan antara simbol dengan ...

  3. TANGKI SEPTIK DAN MASALAHNYA

    Directory of Open Access Journals (Sweden)

    Sri Soewasti Soesanto

    2012-10-01

    Full Text Available Manusia yang sehat tiap hari membuang tinja yang harus ditampung dan/atau diolah secara saniter. Meskipun Indonesia telah 55 tahun merdeka dan telah memiliki banyak ahli sanitasi/teknik penyehatan baik lulusan dalam maupun luar negeri, namun cara pengelolaan tinja yang ada kebanyakan masih belum memenuhi syarat kesehatan. Tangki septik dianggap sebagai cara penampungan tinja yang terbaik, padahal sebenarnya masih terjadi pencemaran tanah dan air melalui saluran perembesan.Tangki septik (septic tank merupakan salah satu macam sarana pengolahan tinja manusia yang pada garis besarnya terdiri dari sebuah tangki pembusukan lumpur (sludge digester dan saluran perembesan efluen. Tangki pembusukan harus memenuhi syarat mengenai perbandingan panjang dan lebar serta syarat kedalaman maksimum dan minimum, agar pembusukan lumpur dari tinja manusia dapat berjalan sempurna malahan tidak berbau busuk lagi.

  4. Impact of splenectomy on surgical outcome in patients with cancer of the distal esophagus and gastro-esophageal junction

    NARCIS (Netherlands)

    Pultrum, B. B.; van Bastelaar, J.; Schreurs, Liesbeth; van Dullemen, H. M.; Groen, H.; Nijsten, M. W. N.; van Dam, G. M.; Plukker, J. T. H. M.

    We aim to determine the effect of splenectomy on clinical outcome in patients with cancer of the distal esophagus and gastro-esophageal junction (GEJ) after a curative intended resection. From January 1991 to July 2004, 210 patients underwent a potentially curative gastroesophageal resection with an

  5. Perancangan dan Implementasi Autonomous Landing Menggunakan Behavior-Based dan Fuzzy Controller pada Quadcopter

    Directory of Open Access Journals (Sweden)

    Fadjri Andika Permadi

    2012-09-01

    Full Text Available Perkembangan teknologi sistem kendali pesawat sayap berputar (copter semakin pesat salah satunya pada pesawat berbaling-baling empat (quadcopter. Landing merupakan bagian tersulit dalam penerbangan quadcopter. Ukuran quadcopter yang kecil mengakibatkan susahnya pengendalian kestabilan dan kecepatan turun.Cara mengatasi permasalahan ini adalah dengan autonomous landing yang menggunakan algoritma kendali behavior-based (berbasis perilaku. Tugas akhir ini merancang dan mengimplementasikan algoritma kendali behavior-based (berbasis perilaku pada proses autonomous landing quadcopter dan kontroler PD (Proporsional, Diferensial pada untuk  kestabilan sudut roll dan pitch, sedangkan untuk jarak landing menggunakan kontroler logika fuzzy. Pada Tugas Akhir ini, didapatkan nilai parameter kontroler PD roll dan kontroler PD pitch dari hasil tuning terstruktur pada simulasi Kp=500 dan Kd=30. Sedangkan kendali landing menggunakan kontroler logika fuzzy dengan parameter Ke=4 Kde=175 dan Ku=1 pada simulasi dapat melakukan proses landing selama 8 detik dari ketinggian 3 meter. Respon hasil implementasi pada quadcopter belum sesuai dengan hasil simulasi. Proses landing pada implementasi lebih cepat dengan waktu 3.5 detik dari ketinggian 2 meter, selain itu koreksi sudut roll dan sudut pitch masih terhadapat error +/-3º.

  6. Penskalaan Butir Format Respons Pilihan dan Respons Bebas Berdasarkan Model Rasch dan Partial Credit

    Directory of Open Access Journals (Sweden)

    Eko Hariadi

    2007-06-01

    Full Text Available Penelitian melihat pengaruh jumlah parameter butir, kategori respons bebas (RB, pengaruh sampel terhadap akurasi estimasi parameter kemampuan untuk menghasilkan estimasi yang stabil dan pengaruh pembobotan butir RP dan butir RB terhadap kesalahan baku. Penelitian dalam dua tahap, simulasi menggunakan 30 kondisi dengan replikasi 50 dengan variabel panjang tes, jumlah kategori, dan jumlah parameter butir, dan analisis deskriptif, dilanjutkan penerapan penskalaan gabungan butir tipe respons pilihan (rp dan butir respons bebas (rb pada konstruksi tes elektronika yang terdiri 40 butir pilihan ganda dan 4 butir jawaban tersusun, 3 butir memiliki lima kategori jawaban dan 1 butir dengan 4 kategori jawaban, melibatkan 355 siswa. Hasil penelitian menunjukkan: ukuran sampel kurang berpengaruh pada root mean square error atau (RSME> dan korelasi antara 9 dengan 0, namun berpengaruh terhadap akurasi estimasi parameter butir pilihan ganda (/>/y,dan parameter butir respons tersusun (3^- Jumlah parameter butir berpengaruh terhadap parameter kemampuan, tetapi tidak berpengaruh terhadap akurasi dari b^, dan S„,. Estimasi dari parameter tingkat kesulitan butir jawaban tersusun tiga kategori lebih akurat daripada butir jawaban tersusun lima kategori. Estimasi tahan {robust untuk parameter kesulitan butir jawaban tersusun 5 kategori memerlukan sampel minimal 250 responden, sedangkan untuk butir respons tersusun 3 kategori memerlukan sampel minimal 100 responden. Estimasi parameter kemampuan dari skor total (0^^ tidak sama dengan rata-rata jumlah tbeta dari masing-masing subtes (0^ + 0CR. Theta dari tes yang dikalibrasi bersama-sama berbeda dengan theta dari total subtes yang dikalibrasi secara terpisah. Korelasi kemampuan yang mengunakan pembobotan dan kemampuan tanpa pembobotan mempunyai suatu rentang dari 0,988 sampai 0,948. Kata kunci: penyekaiaan, model rash dan partial credit.

  7. Research priority setting in Barrett's oesophagus and gastro-oesophageal reflux disease.

    Science.gov (United States)

    Britton, James; Gadeke, Lisa; Lovat, Laurence; Hamdy, Shaheen; Hawkey, Chris; McLaughlin, John; Ang, Yeng

    2017-11-01

    The incidence of gastro-oesophageal reflux disease and Barrett's oesophagus is increasing. Barrett's oesophagus is the main precursor to oesophageal adenocarcinoma, which has a poor prognosis. In view of the vast potential burden of these diseases on patients and health-care resources, there is a real need to define and focus research efforts. This priority setting exercise aimed to produce a list of the top ten uncertainties in the field that reflect the priorities of patients and health-care providers. We adopted the robust and transparent methodologies previously outlined by the James Lind Alliance. This qualitative approach firstly involves an ideas gathering survey that, once distilled, generates a longlist of research uncertainties. These uncertainties are then prioritised via an interim ranking survey and a final workshop to achieve consensus agreement. The initial 629 uncertainties, generated from a survey of 170 individual respondents (47% professional, 53% non-professional) and one workshop, were narrowed down to the final top ten uncertainties of priority for future research. These priorities covered a range of issues, including a need for improved patient risk stratification, alternative diagnostic and surveillance tests, efficacy of a dedicated service for Barrett's oesophagus, cost-effectiveness and appropriateness of current surveillance, advances in development of non-drug treatments for gastro-oesophageal reflux disease, safety of long-term drug treatment, and questions regarding the durability and role of different endoscopic therapies for dysplastic Barrett's oesophagus. This is the first patient-centred assessment of priorities for researchers in this chronic disease setting. We hope that recognition and dissemination of these results will shape the future direction of research and translate into meaningful gains for patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. ANALISIS TINGKAT KEPUASAN DAN HARAPAN PASEN TERHADAP PELAYANAN PUSKESMAS DAN RUMAH SAKIT DAERAH PROVINSI DIY

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    Sunarto Sunarto

    2010-10-01

    Full Text Available Kepuasan merupakan perasaan seseorang mengenai kesenangan atau kekecewaan sebagai hasil membandingkan antara kinerja dan harapan. Jumlah kunjungan Puskesmas tahun 2007 sebesar 3.094.027 pasien yang terdiri dari 3.076442 rawat jalan dan 17.585 rawat inap. Penelitian untuk mengentahui gambaran tingkat kepuasan dan untuk mengetahui perbedaan tingkat kepuasan dan harapan pasien yang mendapatkan pelayanan Puskemas dan rumah sakit menurut wilayah Kabupatet / Kota di Propinsi DIY Penelitian ini merupakan penelitian deskriptif analitik dengan menggunakan rancangan cros sectional. Instrumen penelitian yang digunakan adalah kuisioner dengan 35 item pernyataan yang diambil dari atribut-atribut SERVQUAL dalam 5 dimensi. Total sampel untuk lima Kabupaten Kota sebanyak 1000, masing-masing Kabupaten Kota 200. Penelitian ini dilakukan terhadap pasien yang menerima pelayanan kesehatan di Puskesmas dan Rumah Sakit Daerah di Kabupaten-Kota Daerah Istimewa Yogyakarta. Penilaian tingkat kepuasan pasien ketika mereka berobat ke Puskesmas dan Rumah Sakit di Propinsi DIY, dengan menggunakan skala O sampai 4. Hasilnya adalah dimensi tangibles, rata-rata kepuasan pasien (2,96 cukup dan harapan pasien (3,38 pada dimensi reliability, rata-rata kepuasan pasien (3,01 bagus dan harapan pasien (3,40. Pada dimensi responsiveness, rata-rata kepuasan pa-sien (3,07 bagus dan harapan pasien (3,42. Dimensi assurance, rata-rata kepuasan pasien (3, 1 0 bagus dan harapan pasien (3 ,42. pada dimensi emphaty, rata-rata kepuasan pasien (3,02 bagus dan harapan pasien (3,35. Hasil uji statistik didapatkan nilai p > 0.05, berarti pada alpha 5%, dapat disimpulkan bahwa tidak terdapat perbedaan tingkat kepuasan diantara kelima wilayah kabupaten/kota di DIY. Penilaian tingkat kepuasan pasien, ketika mereka berkunjung ke Puskesmas dan Rumah Sakit di DIY secara rata-rata bagus dan tidak ada perbedaan tingkat kepuasan menurut wilayah Kabupaten-Kota di Propinsi DIY. Kata Kunci : Kepuasan, harapan

  9. Perkiraan Asupan Iodium dan Natrium Menggunakan Urin 24 Jam pada Anak dan Dewasa

    Directory of Open Access Journals (Sweden)

    Djoko Kartono

    2015-01-01

    deficiency area but considerably high intake of sodium based on the analysis of a 24 hour urine collection. Keywords: adult, children, iodine, sodium, 24 hours urine.   ABSTRAK Riset Kesehatan Dasar (Riskesdas 2007 mendapatkan angka hipertensi yang tinggi (31.7%. Pertanyaannya, masih relevankah program fortifikasi iodium dalam garam karena konsumsi garam berkorelasi dengan hipertensi. Tujuan penelitian ini menilai kadar iodium urin dan natrium urin serta perkiraan asupan natrium dan iodium. Disain studi potong lintang dengan sampel keluarga: bapak, ibu, anak 6-12 tahun. Lokasi di tiga desa di Kecamatan Getasan, Kabupaten Semarang. Sebanyak 99 keluarga menjadi sampel penelitian. Variabel dikumpulkan mencakup berat dan tinggi badan, kadar iodium   garam, volume urin 24 jam, kadar iodium urin dan natrium urin. Perkiraan asupan iodium dan natrium menggunakan nilai iodium dan natrium urin dan volume urin. Jenis garam yang dikonsumsi (97% bentuk bata, rerata kadar iodium 20.4 ppm dan konsumsi garam 8.0 ± 4.7 gram per orang per hari. Median dan rerata volume urin 1500 mL dan 1523 ± 623 mL. Median dan rerata ekskresi iodium urin (EIU 93 dan 105 ± 61 μg/L. Proporsi EIU subyek < 100 μg/L 55.6% dan EIU ≥ 300 μg/L 1%. Median dan rerata ekskresi natrium urin (ENU 2588 mg/L (ppm dan 2732 ± 986 mg/L. Proporsi ENU ≥ 2300 mg/L 62%. Frekuensi konsumsi sumber iodium dan natrium: 47.5% subyek mengonsumsi mi instan dan snack 1-2 kali seminggu, 98% mengonsumsi vetsin/kecap/saus ≥ 1 kali sehari. Frekuensi makan makanan asin: 53.9% subyek mengonsumsi 1-2 kali seminggu dan 26.9% mengonsumsi roti/biskuit/cake 1-2 kali seminggu. Median dan rerata asupan iodium (bapak, ibu, anak 113 μg/L dan 126 ± 73 μg/L. Median dan rerata asupan natrium (bapak, ibu, anak 3131 mg/L dan 3306 ± 1193 mg/L. Ringkasnya, garam merupakan sumber utama asupan iodium dan natrium walaupun kadar iodium dalam garam cukup rendah dibanding standar nasional industri. Lokasi penelitian merupakan daerah kekurangan

  10. KEADILAN ORGANISASIONAL DAN KONSEKUENSINYA TERHADAP ORGANIZATIONAL CITIZENSHIP BEHAVIOR GURU SMA DAN SMK KOTA MADIUN*

    Directory of Open Access Journals (Sweden)

    Veronika Agustini Srimulyani

    2017-11-01

    Full Text Available Keadilan organisasional memiliki potensi untuk menciptakan manfaat besar bagi organisasi dan karyawan, dan salah satu manfaatnya adalah menumbuhkan extra-role behavior (ERB atau organizational citizenship behavior (OCB. Tujuan dari penelitian ini untuk menganalisis konsekuensi keadilan organisasional (keadilan distributif, keadilan prosedural, dan keadilan interaksional pada organizational citizenship behavior guru SMA dan guru SMK di Kota Madiun. OCB dibagi menjadi dua jenis yaitu citizenship behaviors directed toward individuals (OCB-I dan citizenship behaviors directed towards the organisation (OCB-O. Penelitian ini menggunakan pendekatan kuantitatif dengan metode survei. Sampel penelitian ini adalah 409 guru, yang dipilih secara non-acak. Data diperoleh dengan menyebarkan kuesioner. Analisis data menggunakan analisis regresi. Hasil penelitian disimpulkan: keadilan distributif dan keadilan interaksional berpengaruh positif signifikan terhadap OCB-I dan OCB-O; keadilan prosedural tidak berpengaruh signifikan terhadap OCB-I tetapi keadilan prosedural berpengaruh positif signifikan terhadap OCB-O.

  11. PENINGKATAN KUALITAS DAN PROSES PEMBUATAN BIODIESEL DARI BLENDING MINYAK KELAPA SAWIT (PALM OIL DAN MINYAK KELAPA (COCONUT OIL DAN BANTUAN GELOMBANG ULTRASONIK

    Directory of Open Access Journals (Sweden)

    Hantoro Satriadi

    2015-01-01

    Full Text Available Keterbatasan solar sebagai sumber energi bahan bakunya tidak dapat diperbaharui menuntut adanya bahan baku alternatif yang dapat diperbaharui dan ramah lingkungan untuk pembuatan biodiesel. Reaksi utama produksi biodiesel adalah esterifikasi dan transestirifikasi yang berlangsung lambat dan membutuhkan banyak katalis dan alkohol. Reaksi yang terjadi belum sempurna dan belum memenuhi standar SNI dan ASTM. Untuk memperbaiki mutu biodiesel serta menghasilkan yield maksimal, maka dilakukan blending bahan baku antara minyak kelapa sawit dan minyak kelapa dan dengan bantuan gelombang ultrasonic. Penelitian ini bertujuan untuk mempelajari pengaruh variabel perbandingan volume minyak kelapa sawit dan minyak kelapa, perbandingan volume methanolminyak, dan persentase berat katalis terhadap minyak terhadap hasil atau yield biodiesel. Alat utama yang digunakan adalah reaktor yang dilengkapi pembangkit gelombang ultrasonic dengan temperature 60 oC, tekanan 1 atm, volume 3 liter, dan frekuensi 28 kHz. Variabel proses pada penelitian ini adalah perbandingan volume minyak sawit dan kelapa 2:1, 3:1, dan 4:1, pebandingan volume metanol-minyak 0,2:1, 0,25:1, dan 0,3:1, dan persentase berat katalis KOH terhadap minyak 0,3%, 0,5%, dan 0,7%. Hasil penelitian didapat konversi tertinggi dicapai pada variabel perbandingan volume minyak sawit dan kelapa 3:1, perbandingan volume metanol/minyak 0,25:1, dan persentase berat katalis terhadap minyak dengan yield 97,26%.[A Improvement of Quality and Process for Biodiesel Production from Palm Oil and Coconut Oil Blends with Ultrasound Assisted] Limitations of solar energy as a source of raw material cannot be renewed demands for alternative raw materials that are renewable and environmentally friendly for the manufacture of biodiesel. The main production of biodiesel reaction is esterification and transestirifikasi which runs slow and requires a lot of alcohol and a catalyst. Reactions that happen yet perfect, and has not met

  12. Perbandingan Akurasi Pengukuran Suhu Dan Kelembaban Antara Sensor DHT11 Dan DHT22

    OpenAIRE

    Saptadi, Arief Hendra

    2014-01-01

    Suhu dan kelembaban merupakan dua objek pengukuran yang acapkali terdapat di dalam sistem akuisisi data. Terdapat banyak piranti sensor yang berfungsi untuk mengukur dua objek tersebut dan akurasi merupakan salah satu parameter yang dapat digunakan untuk memilihnya. DHT11 dan DHT22 adalah sensor seri DHT dari Aosong Electronics yang dapat melakukan pengukuran suhu dan kelembaban secara serempak dengan keluaran digital. Informasi tentang akurasi terdapat di dalam lembar data keduanya. Kendati ...

  13. Pertumbuhan dan Mutu Fisik Bibit Jabon (Anthocephalus Cadamba Miq.) di Polibag dan Politub

    OpenAIRE

    Junaedi, Ahmad

    2010-01-01

    Informasi pertumbuhan dan mutu fisik bibit jabon (Anthocephalus cadamba Miq.) di wadah bibit dengan volume yang berbeda diperlukan sebagai bagian yang akan diperhitungkan dalam pemilihan wadah bibit yang akan digunakan. Penelitian ini dilakukan untuk mengetahui pertumbuhan dan mutu fisik bibit jabon yang disapih pada wadah bibit polibag (volume 300 cm3) dan politub (volume 60 cm3). Tahapan penelitian meliputi : pembibitan serta pengamatan pertumbuhan dan penilaian mutu fisik bibit jabon yang ...

  14. An expert panel-based study on recognition of gastro-esophageal reflux in difficult esophageal pH-impedance tracings

    NARCIS (Netherlands)

    Smits, M. J.; Loots, C. M.; van Wijk, M. P.; Bredenoord, A. J.; Benninga, M. A.; Smout, A. J. P. M.

    2015-01-01

    Despite existing criteria for scoring gastro-esophageal reflux (GER) in esophageal multichannel pH-impedance measurement (pH-I) tracings, inter- and intra-rater variability is large and agreement with automated analysis is poor. To identify parameters of difficult to analyze pH-I patterns and

  15. Les sources de protéines dans l’alimentation du bétail en France : la place des oléoprotéagineux

    Directory of Open Access Journals (Sweden)

    Peyronnet Corinne

    2014-07-01

    Full Text Available En France, les aliments concentrés totalisent 30 millions de tonnes de matières premières parmi lesquelles 64 % sont des céréales et 22 % des tourteaux d’oléagineux. Le déficit français en matières riches en protéines (dosant plus de 15 % de protéines qui était d’environ 70 % dans les années 1980 a baissé en dessous de 40 % successivement grâce au développement du pois dans les années 1990 puis du colza depuis les années 2000 avec des surfaces totales cultivées de 2,5 millions d’hectares environ. Le tourteau de soja reste le premier tourteau utilisé en France mais ses importations baissent, notamment depuis 2009, et il n’a représenté que 3,3 millions de tonnes sur la campagne 2012/2013. L’utilisation du tourteau de soja non OGM diminue également avec 0,6 million de tonnes en 2012 contre 1,2 en 2002. Les tourteaux de colza et tournesol ont quant à eux atteint respectivement 2,3 et 1,4 millions de tonnes en 2012/2013 parmi lesquels 700 000 tonnes de tourteau de tournesol High pro (à 36 % de protéines importées de la zone Mer noire et 600 000 tonnes de différentes qualités produites en France. Depuis 2013, des tourteaux de tournesol High pro sont également produits en France à Bassens. Les prix des MRP suivent le marché mondial du tourteau de soja mais la demande française pour des matières premières non OGM permet une meilleure valorisation des sources de protéines locales.

  16. GAMBARAN JENIS DAN JUMLAH KONSUMSI FAST FOOD DAN SOFT DRINK PADA MAHASISWA OBESITAS DI UNIVERSITAS HASANUDDIN

    OpenAIRE

    Suryanti, Rut; Jafar, Nurhaedar; Syam, Aminuddin

    2013-01-01

    Konsumsi fast food dan soft drink dapat menyebabkan kelebihan berat badan dan obesitas.Penelitian ini bertujuan untuk mengetahui gambaran jenis dan jumlah zat gizi makro dari konsumsi fast food dan soft drink pada mahasiswa yang obesitas.Jenis penelitian adalah deskriptif, dilaksanakan pada bulan Mei-Juni 2013 di Universitas Hasanuddin dengan jumlah responden 60 orang. Instrument penelitian adalah kuesioner identitas diri dan food frekuensiSemiQuantitatif fast food dan soft drink, food pictur...

  17. URGENSI DAN PROSPEK PENGATURAN (IUS CONSTITUENDUM UU TENTANG CONTEMPT OF COURT UNTUK MENEGAKKAN MARTABAT DAN WIBAWA PERADILAN

    Directory of Open Access Journals (Sweden)

    Lilik Mulyadi

    2015-07-01

    Full Text Available UU Contempt of Court merupakan kebutuhan yang bersifat urgent, segera dan mendesak, sehingga perlu dilakukan kajian dan penelitian secara kritis, akademis dan bersifat komprehensif untuk menjaga keluhuran dan menegakkan martabat dan wibawa peradilan.

  18. Fluiditas Antara Maskulinitas Dan Femininitas: Representasi Waria Dalam Film Dokumenter Dan Fiksi

    Directory of Open Access Journals (Sweden)

    Maimunah Maimunah

    2012-06-01

    Full Text Available Dunia Waria menjadi salah satu tema yang muncul dalam perkembangan film Indonesia pasca Orde Baru. Penelitian ini mengkaji dua film dokumenter dan sebuah film fiksi yaitu Betty Bencong Slebor karya Benyamin Sueb (1978 serta dua film dokumenter Renita­Renita karya Tony Trimarsanto (2006 dan Ngudal Piwulang Wandu karya Kukuh Yudha Karnanta (2009. Meng­ gunakan metode penelitian kualitatif dan teori queer dalam membaca media film, hasil penelitian ini menunjukkan bahwa dari ketiga film tersebut terlihat perbedaan dalam memaknai tubuh dan gender. Tokoh Sholeh dalam Ngudal Piwulang Wandu berharap suatu hari nanti kembali menjadi lanang sejati, menikah secara heteroseksual dan memiliki anak. Renita membayangkan tubuh dan identitas gender sebagai perempuan sempurna, sedangkan Betty terlihat menikmati interplay antara tubuh feminine dan maskulinnya. Tubuh dalam konteks ini dapat dilihat sebagai suatu con­ tinuum, perpaduan antara femininitas dan maskulinitas, bukan suatu entitas yang statis. Perbe­ daan ketiga tokoh utama dalam memandang tubuh, seksualitas, dan gender mereka juga mere­ fleksikan bahwa tidak ada identitas dan entitas tunggal dari waria. Abstract: The growing visibility of waria/male to female transgender has become one of the do­ dominant features in Indonesia’s contemporary film industry. The research examines three waria films: Tony Trimarsanto’s Renita­Renita (2006, Kukuh Yudha Karnanta’s Ngudal Piwulang Wan­ du (2009, and Benyamin Sueb’s Betty Bencong Slebor (1978. Two basic research questions are, firstly: how is the fluidity of masculinity and femininity represented; secondly how do the waria per­ceive themselves (self­identity in a heterosexual culture. Queer film theory will be used in analyzing the film diegesis. The research finds the fluidity and continuum of the waria main characters in de­fining the meaning of the self and their bodies. This fluidity offers a playful negotiation to the essen

  19. RETURN DAN RISIKO SAHAM PADA PERUSAHAAN PERATA LABA DAN BUKAN PERATA LABA

    Directory of Open Access Journals (Sweden)

    Dwi Putra R.A.

    2013-05-01

    Full Text Available Perataan laba merupakan praktik yang umum dilakukan oleh manajer perusahaan untuk mengurangi fluktuasi laba, yang diharapkan memiliki efek menguntungkan bagi evaluasi kinerja manajemen. Beberapa peneliti percaya bahwa investor memiliki lebih banyak kecenderungan untuk berinvestasi di perusahaan yang menerapkan perataan laba. Investor percaya bahwa perusahaan halus memiliki return yang berbeda dan risiko investasi. Beberapa penelitian membuktikan tentang return yang berbeda dan risiko investasi antara perusahaan perata dan bukan perata laba. Studi lainnya menyatakan bahwa tidak ada perbedaan antara perusahaan perata dan bukan perata laba. Penelitian ini mencoba untuk menguji perbedaan risiko investasi dan return antara perusahaan manufaktur perata dan bukan perata laba yang terdaftar di Bursa Efek Indonesia pada tahun 2009-2011. Perusahaan-perusahaan diklasifikasikan dengan Indeks Eckel dan pendapatan berdasarkan pendapatan operasional, laba sebelum pajak, dan laba setelah pajak. Studi ini menunjukkan bahwa tidak ada perbedaan return investasi antara perusahaan perata dan bukan perata laba. Namun, ada perbedaan dalam risiko investasi antara perusahaan perata dan bukan perata labaKata kunci: Return, Risiko, Perata laba, Beta Income smoothing is a common practice by corporate managers to reduce fluctuations in earnings, which are expected to have beneficial effects for management performance evaluation. Some researchers believe that investors have much more tendency to invest in companies that apply income smoothing. Investors believe that smoother companies have different return and risk investment.  Some studies prove about different return and risk investment between the smoother and non-smoother companies. On the other hand, the rest studies state that there is no difference between smoother and non-smoother companies. This study tries to examine the difference of investment risk and return between smoother and non-smoother manufacturing

  20. PENGARUH VARIETAS DAN SISTEM BUDIDAYA TERHADAP PERTUMBUHAN, PRODUKSI, DAN KANDUNGAN GIZI JAGUNG (ZEA MAYS L.

    Directory of Open Access Journals (Sweden)

    Yukarie Ayu Wulandari

    2016-06-01

    Full Text Available Jagung merupakan bahan pangan yang berpotensi untuk dikembangkan sebagai pangan lokal, pakan, dan bahan baku industri. Mengingat pentingnya jagung, maka perlu adanya upaya untuk peningkatan produktivitasnya. Penelitian bertujuan untuk mengetahui pengaruh varietas dan sistem budidaya terhadap pertumbuhan, produksi, dan kandungan gizi jagung. Penelitian menggunakan Rancangan Petak Terbagi dengan petak utama varietas (Srikandi Putih-1 dan Srikandi Kuning-1 dan anak petak sistem budidaya (organik dan inorganik yang diulang lima kali. Hasil menunjukkan bahwa varietas Srikandi Putih-1 memberikan hasil tertinggi pada tinggi tanaman, jumlah daun, luas daun, lingkar batang, pati, dan vitamin A. Varietas Srikandi Kuning-1 memberikan hasil tertinggi pada produksi, protein dan lemak. Sistem budidaya inorganik memberikan hasil tertinggi pada tinggi tanaman, jumlah daun, panjang tongkol, bobot bersih tongkol, bobot pipilan kering, bobot 100 butir, konversihasil/ha, patidan protein. Interaksi varietas Srikandi Putih-1 dengan sistem budidaya organik memberikan hasil tertinggi terhadap jumlah daun, lingkar batang dan kandungan vitamin A. Varietas Srikandi Kuning-1 yang dibudidayakan secara inorganik memberikan hasil tertinggi terhadap bobot bersih tongkol, bobot pipilan kering, bobot 100 butir, konversi hasil ha-1 dan kandungan protein. Kandungan pati tertinggi pada varietas Srikandi Putih-1 yang dibudidayakan secara inorganik, sedangkan kandungan lemak tertinggi pada varietas Srikandi Kuning-1 yang dibudidayakan secara organik.

  1. TUGAS DAN WEWENANG PUSAT PELAPORAN DAN ANALISIS TRANSAKSI KEUANGAN (PPATK DALAM PEMBERANTASAN TINDAK PIDANA PENCUCIAN UANG

    Directory of Open Access Journals (Sweden)

    Johari Johari

    2014-03-01

    Full Text Available Tugas dan wewenang Pusat Pelaporan dan Analisis Transaksi Keuangan (PPATK terdapat di dalam Pasal 26 dan Pasal 27 Undang-Undang No. 25 Tahun 2003 tentang Tindak Pencucian Uang. Berdasarkan ketentuan tersebut, tugas dan wewenang PPATK tersebut bertujuan untuk mendeteksi terjadinya tindak pidana pencucian uang, dan membantu penegakan hukum yang berkaitan dengan pencucian uang, termasuk tindak pidana asal yang melahirkannya (predicate offences. Namun, Peranan PPATK akan berjalan secara efektif apabila aparat penegak hukum seperti Kepolisian, Kejaksaan, Pengadilan, Bea dan Cukai, para regulator seperti Bank Indonesia, Departemen Keuangan, Badan Pengawas Pasar Modal serta Penyedia Jasa Keuangan, industri perbankan, asuransi, perusahaan pembiayaan, dana pensiun, perusahaan efek, pengelola reksadana, media massa, masyarakat bekerjasama secara terorganisir dan terpadu dalam pemberantasan tindak pencucian uang di Indonesia. Dengan kewenangan yang dimilikinya, PPATK dapat mengejar hasil dari kejahatan, apabila hasil kejahatan tersebut dapat dikejar dan disita maka negara dengan sendirinya akan mengurangi tindak kejahatan itu sendiri. Kata kunci : Pencucian uang, tindak pidana pencucian uang (money laundering, kejahatan terorganisir, dan Pusat Pelaporan dan Analisis Transaksi Keuangan (PPATK.

  2. RISQUE, EXPERTISE Résidus phytosanitaires, PCB, dioxines dans les aliments : nouvelles approches pour la maîtrise du risque

    Directory of Open Access Journals (Sweden)

    Narbonne Jean-François

    2002-03-01

    Full Text Available Les pesticides et plus généralement les composés organochlorés (PCB et dioxines ont été largement répandus dans l’environnement depuis la seconde guerre mondiale. Les progrès considérables des méthodes d’analyse et des connaissances moléculaires des mécanismes de toxicité ont été plus récents. Ainsi, la mise en évidence de traces de ces composés dans l’ensemble des compartiments de l’environnement et la découverte d’effets néfastes non pris en compte dans les premières utilisations nous amènent à ré-examiner le rapport risques/avantages. La multiplicité des mécanismes d’action des produits chimiques présentant des propriétés insecticides, herbicides et fongicides peut conduire à des effets toxiques sur des organismes « non cibles », y compris l’homme. Des études épidémiologiques ont été menées pour détecter des augmentations éventuelles d’effets cancérigènes et d’atteintes des fonctions neurologiques et reproductrices chez les populations exposées professionnellement (travailleurs de l’industrie chimiques, agriculteurs. Pour les consommateurs, les effets retardés d’exposition à de faibles doses sont difficiles à mettre en évidence. La prévention consiste donc à définir des limites maximales en résidus (LMR, calculées à partir de doses journalières admissibles (DJA et à procéder au contrôle des denrées alimentaires, en particulier celles qui sont destinées aux enfants. Pour la surveillance des compartiments de l’environnement, des réseaux spécifiques ont été mis en place (air, sols, eaux douce, marine ou d’adduction fondés sur des approches chimiques classiques, ou plus récemment biologiques. Aujourd’hui, les risques liés aux pesticides sont pris en compte dans la gestion intégrée de la sécurité sanitaire des aliments par les opérateurs des filières, par exemple en mettant en oeuvre la méthode HACCP. Les PCB et dioxines présents dans l

  3. Cough associated with gastro-oesophageal reflux disease (GORD): Japanese experience.

    Science.gov (United States)

    Niimi, Akio

    2017-12-01

    Differences in the aetiology as well as patient background of chronic cough have been recognised among US, UK, and Japan. One of the marked differences has been the prevalence of gastro-oesophageal reflux disease (GORD), which has been one of the top three causes in Western countries. It was indeed uncommon or rare in Japan, but, with the increasing prevalence of GOR itself, chronic cough associated with GORD seems to have become more common. In this article, cough associated with GORD will be reviewed based on literature and our Japanese experience. Further, potentially broader relevance of GORD in chronic cough will also be mentioned, highlighting the potential importance of dysmotiliy/non-acid reflux. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Single isotopic probe for gastro-esophageal reflux diagnosis in children

    Energy Technology Data Exchange (ETDEWEB)

    Maurel, G.; Le Moing, G.; Mensch, B.

    1987-03-01

    Gastro-esophageal reflux (GER) in children has been implicated in various recurring respiratory diseases. Several techniques including oesophageal pH testing and scintigraphy have been devised to detect and quantify GER Limitations have been found for each test: short duration with gamma-camera and restricted acceptability of the pH probe by children. A single isotopic probe was designed for a non-invasive screening test of GER in infants. This device was checked by comparison with oesophageal scintigraphy using a gamma camera. Only 1 discrepancy was detected in 19 reflux episodes. This method, using a relatively inexpensive detector and data acquisition module, seems to be well accepted by children, and may be associated with a pH probe for GER diagnosis.

  5. Systematic review and meta-analysis of laparoscopic Nissen (posterior total) versus Toupet (posterior partial) fundoplication for gastro-oesophageal reflux disease

    NARCIS (Netherlands)

    Broeders, J. A. J. L.; Mauritz, F. A.; Ahmed Ali, U.; Draaisma, W. A.; Ruurda, J. P.; Gooszen, H. G.; Smout, A. J. P. M.; Broeders, I. A. M. J.; Hazebroek, E. J.

    2010-01-01

    BACKGROUND: Laparoscopic Nissen fundoplication (LNF) is currently considered the surgical approach of choice for gastro-oesophageal reflux disease (GORD). Laparoscopic Toupet fundoplication (LTF) has been said to reduce troublesome dysphagia and gas-related symptoms. A systematic review and

  6. Penyusunan Perencanaan Keberlangsungan Bisnis PT PLN (Persero APD Jateng dan DIY dengan ISO 22301 dan Metode OCTAVE

    Directory of Open Access Journals (Sweden)

    Azmi Afifah Zahra

    2017-01-01

    Full Text Available Abstrak— Penelitian dalam tugas akhir ini adalah melakukan penyusunan perencanaan keberlangsungan bisnis teknologi informasi pada PT PLN (Persero APD Jateng dan DIY dengan berbasis risiko sebagai bentuk kesiapan perusahaan dalam menangani risiko dan dampak bisnis yang mengancam perusahaan. PT PLN (Persero APD Jateng dan DIY menggunakan sistem dan layanan TI sebagai daya dukung perusahaan dalam mencapai tujuannya. Penggunaan sistem dan layanan TI tersebut tidak terlepas dari adanya ancaman pada risiko sistem dan layanan TI serta dampak dari proses bisnis yang dijalankan oleh tiap fungsi bisnis perusahaan. Dalam proses penyusunan untuk perencanaan keberlangsungan bisnis akan dibuat terlebih dahulu alur kerja untuk kegiatan pengelolaan keberlangsungan bisnis (Business Continuity Management untuk PT PLN (Persero APD Jateng dan DIY dengan menggunakan acuan ISO 22301: 2012 dan alur kerja yang telah diterapkan oleh perusahaan lain yaitu dari Perusahaan Chubu Electric Power Company Group dan DHS Electricity dengan tetap memberikan prosedur praktis yang dapat disesuaikan oleh PT PLN (Persero APD Jateng dan DIY. Hasil akhir dari penelitian ini adalah berupa rekomendasi penerapan alur kerja dan strategi keberlangsungan bisnis untuk PT PLN (Persero berdasarkan pada risiko aset TI yang menjadi tanggung jawab tim SCADA dan Telekomunikasi.

  7. Pengembangan Sistem Informasi Akuntansi Dan Pengelolaan Keuangan Modul Bendahara Menggunakan Teknologi Java dan PostgreSQL

    Directory of Open Access Journals (Sweden)

    Alfie Satria Hidayat

    2012-09-01

    Full Text Available Penerapan sistem informasi saat ini sudah menjadi kebutuhan yang krusial bagi proses bisnis instansi pemerintah. Direktorat Jenderal Perbendaharaan adalah salah satu instansi pemerintah di bawah Kementerian Keuangan yang memiliki tugas pokok dan fungsi terkait dengan siklus anggaran (budget cycle mulai dari perencanaan, pelaksanaan, sampai pertanggungjawaban anggaran. Saat ini terdapat banyak aplikasi yang dikembangkan oleh Direktorat Jenderal Perbendaharaan untuk membantu satuan kerja sebagai mitra kerja dalam pengelolaan Anggaran Pendapatan dan Belanja Negara. Namun, aplikasi-aplikasi tersebut belum terintegrasi padahal dalam proses bisnisnya semuanya saling terkait dan berurutan. Selain itu, beberapa aplikasi menggunakan database yang sama sehingga dimungkinkan terjadi duplikasi data dan memerlukan sinkronisasi jika terjadi perubahan. Diantara aplikasi yang ada, salah satunya terdapat aplikasi pembukuan bendahara. Melalui penelitian ini, penulis akan membuat Sistem Informasi Akuntansi dan Pengelolaan Keuangan (SIAPKAN  khususnya modul bendahara sebagai solusi untuk menjawab permasalahan dengan mengintegrasikan semua aplikasi yang terkait dalam proses siklus anggaran. Aplikasi ini merupakan aplikasi berbasis web yang akan dikembangkan dengan menggunakan bahasa pemrograman Java (Servlet dan JSP. Aplikasi ini akan menggunakan single database yaitu dengan database PostgreSQL sehingga data yang diolah dan disajikan lebih akurat dan proses bisnis akan berjalan lebih efektif dan efisien.

  8. EKSISTENSI DAN SEBARAN NYAMUK AEDES AEGYPTI DAN AEDES ALBOPICTUS DI KAMPUS UNIVERSITAS HASANUDDIN MAKASSAR

    Directory of Open Access Journals (Sweden)

    Yosefina Dota T

    2015-03-01

    Full Text Available Penelitian yang bertujuan untuk mengetahui eksistensi dan sebaran nyamuk Aedes aegypti dan Aedes albopictus telah dilakukan di Kampus Universitas Hasanuddin, Kec. Tamalanrea, Makassar. Penelitian bersifat eksploratif dengan melakukan sampling terhadap lima lokasi yaitu : a Fak. Peternakan (Utara, b Fak. Hukum (Timur, c Pusat Kegiatan Penelitian/PKP (Selatan, d Workshop/Dekat Pondokan mahasiswa (Barat dan e Fak. MIPA (Tengah. Sampling nyamuk menggunakan metode ovitrap (menggunakan attraktan Eluisine Indica L. dan survei terhadap berbagai tempat penampungan air. Sampel telur dan larva nyamuk yang diperoleh disimpan dalam microtube berisi alkohol 70% kemudian diidentifikasi berdasarkan Rueda (2004. Hasil penelitian menunjukkan bahwa Nyamuk Ae. aegypti dan Ae. albopictus ditemukan hidup dan berkembang biak di kampus Universitas Hasanuddin, Makassar. Eksistensi dan sebaran kedua jenis nyamuk tersebut dipengaruhi oleh faktor adanya manusia/masyarakat kampus yang beraktivitas baik di dalam ruangan (indoor maupun di luar ruangan (outdoor, adanya berbagai tempat penampungan air baik buatan (bak mandi, ember maupun barang bekas (botol/kaleng bekas, tempurung kelapa, vegetasi/tanaman dan berbagai macam hewan yang berada di sekitaran kampus. Hasil penelitian dalam ruangan (indoor menunjukkan bahwa nyamuk Ae. aegypti lebih banyak ditemukan hidup di dalam ruangan gedung PKP sedangkan Ae.albopictus lebih banyak di Fak. Hukum. Hasil penelitian di luar ruangan (outdoor menunjukkan bahwa nyamuk Ae. aegypti lebih banyak ditemukan hidup di area Workshop sedangkan Ae.albopictus lebih banyak di area PKP.

  9. The natural history of gastro-oesophageal reflux symptoms in the community and its effects on survival: a longitudinal 10-year follow-up study.

    Science.gov (United States)

    Ford, A C; Forman, D; Bailey, A G; Axon, A T R; Moayyedi, P

    2013-02-01

    Gastro-oesophageal reflux symptoms (GERS) are common in the community. However, few studies have examined their long-term natural history, or impact on survival. To examine these issues in individuals recruited into a community-based screening programme for Helicobacter pylori in 1994. Data on mortality and cause of death at 10 years were obtained from the Office for National Statistics. Baseline demographic data, lifestyle factors, gastrointestinal symptoms and quality of life were recorded at study entry. The effect of all these factors on persistent and new-onset GERS, and 10-year mortality, were examined using univariate and multivariate analysis, with results expressed as odds ratios (ORs) or hazard ratios (HR) with 99% confidence intervals (CI). Of 3967 individuals providing complete GERS data at baseline and 10 years, 549 (13.8%) had GERS at baseline. Of these, 183 (33.3%) had persistent symptoms. Among 3418 individuals asymptomatic at baseline, approximately 0.8% per year developed new-onset GERS. No predictors of persistent GERS were identified. New-onset symptoms were associated with lower quality of life or presence of irritable bowel syndrome (IBS) at baseline, and higher body mass index (BMI) at 10 years. There were 8331 (99.1%) of 8407 subjects providing complete GERS data at baseline, 1289 (15.5%) of whom were symptomatic. Presence of GERS at baseline did not affect survival (HR: 0.84; 99% CI: 0.44-1.59). Gastro-oesophageal reflux symptoms persisted in one-third of individuals, whilst new-onset gastro-oesophageal reflux symptoms were associated with poor quality of life, irritable bowel syndrome and higher body mass index. Gastro-oesophageal reflux symptoms did not impact adversely on survival. © 2012 Blackwell Publishing Ltd.

  10. Ontogeny of the VIP system in the gastro-intestinal tract of the Axolotl, Ambystoma mexicanum: successive appearance of co-existing PACAP and NOS.

    Science.gov (United States)

    Badawy, Gamal; Reinecke, Manfred

    2003-03-01

    Evidence for the presence and potential co-existence of vasoactive intestinal polypeptide (VIP), pituitary adenylate cyclase-activating polypeptide (PACAP) and nitric oxide synthase (NOS) in gastro-intestinal endocrine cells and/or nerve fibers is conflicting and very few results exist on development. This immunofluorescence study aims to clarify the appearance and localization of VIP, PACAP and NOS in the gastro-intestinal tract of the Axolotl, Ambystoma mexicanum, during ontogeny. VIP-immunoreactivity appeared in nerve fibers as early as on day 3 after hatching likely indicating a particular role, such as a trophic action, of VIP in very early development. PACAP-immunoreactivity was observed 3 days later within the VIP-immunoreactive (-IR) fibers. From this time on, VIP- and PACAP-immunoreactivity exhibited complete co-existence. VIP/PACAP-IR fibers were found throughout the gastro-intestinal tract. They were most prominent in the myenteric plexus and the muscle layers and less frequent in the submucosa. NOS-immunoreactivity appeared as late as at the 1st (64 days) juvenile stage in a subpopulation of the VIP/PACAP-IR fibers that contacted submucosal arteries. We found only very few VIP/PACAP-IR perikarya, indicating that part of the VIP/PACAP-IR fibers is of extrinsic origin. On day 12 and in the 1st and 2nd (104 days) juvenile stage, infrequent PACAP-IR entero-endocrine cells were noted, while neither VIP- nor NOS-immunoreactivity occurred in endocrine cells at any stage of development. The complete coexistence of neuronal PACAP- and VIP-immunoreactivities and their very early appearance in ontogeny may suggest important and coordinated roles of both peptides in the control of Axolotl gastro-intestinal activity, while the VIP/ PACAP/NOS-IR fibers may be involved in the regulation of submucosal blood flow.

  11. Penskalaan Butir Format Respons Pilihan dan Respons Bebas Berdasarkan Model Rasch dan Partial Credit

    OpenAIRE

    Eko Hariadi

    2007-01-01

    Penelitian melihat pengaruh jumlah parameter butir, kategori respons bebas (RB), pengaruh sampel terhadap akurasi estimasi parameter kemampuan untuk menghasilkan estimasi yang stabil dan pengaruh pembobotan butir RP dan butir RB terhadap kesalahan baku. Penelitian dalam dua tahap, simulasi menggunakan 30 kondisi dengan replikasi 50 dengan variabel panjang tes, jumlah kategori, dan jumlah parameter butir, dan analisis deskriptif, dilanjutkan penerapan penskalaan gabungan butir tipe res...

  12. Perbandingan Inklinasi dan Ukuran Rahang antara Orang Jawa Buta dan Normal

    Directory of Open Access Journals (Sweden)

    C. Christnawati

    2016-10-01

    Full Text Available Latar Belakang. Penglihatan merupakan salah satu faktor yang diperlukan untuk mengontrol postur kepala. Postur kepala berhubungan dengan kompleks kraniofasial. Maksila dan mandibula merupakan bagian dari kompleks kraniofasial. Pada orang buta terjadi penyimpangan pertumbuhan dan perkembangan daerah orbita karena tidak adanya rangsang. Tujuan Penelitian adalah untuk mempelajari perbandingan inklinasi dan ukuran rahang berdasarkan jenis kelamin antara orang Jawa buta dan normal. Metode Penelitian. Penelitian ini dilakukan terhadap 53 subjek, terdiri dari 25 orang buta ( 12 orang laki-laki dan 13 orang perempuan dan 28 orang normal (14 orang laki-laki dan 14 orang perempuan. Setiap subjek penelitian dilakukan pengambilan sefalogram lateral pada posisi alamiah kepala, kemudian dilakukan penapakan pada kertas kalkir di atas iluminator. Pengukuran sembilan parameter inklinasi dan ukuran maksila dan mandibula dilakukan pada hasil penapakan. Data dianalisis dengan uji Anava dua jalur. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang tidak bermakna (p<0,05. Panjang mandibula dan panjang basis mandibula laki-laki normal lebih besar daripada perempuan normal dan kelompok buta, serta perempuan normal lebih besar daripada perempuan buta (p<0,05. Kesimpulan Ukuran maksila laki-laki buta lebih besar daripada perempuan normal. Panjang mandibula dan panjang basis mandibula laki-laki normal lebih besar daripada perempuan normal lebih besar daripada perempuan normal, laki-laki buta, dan perempuan buta, serta perempuan normal lebih besar daripada perempuan buta.   Background Vision is one of the factors involved in the control of head posture. The posture of the head is related to craniofacial complex. Maxilla and mandible are part of craniofacial complex. In the blind there are deviations of growth and development of the orbital region in the absence of stimuli. The purpose of this study was to compare the inclinations and sizes of maxilla and mandible

  13. [Osteopathie bei gastroösophagealem Reflux mit Hiatushernie: Ein Fallbericht gemäß der CARE-Leitlinie].

    Science.gov (United States)

    Rotter, Gabriele; Brinkhaus, Benno

    2017-01-01

    Hintergrund: Das Vorhandensein einer Hiatushernie kann das Auftreten einer gastroösophagealen Refluxerkrankung (GERD) als Komplikation bedingen. Konventionelle medizinische Therapiemaßnahmen können zu unerwünschten Ereignissen und Rezidiven führen. Bisher sind die Effekte von osteopathischen Behandlungen bei Hiatushernie und GERD nicht bekannt. Fallbericht: Eine 59-jährige Patientin mit endoskopisch diagnostizierter chronischer Gastritis, GERD und Hiatushernie beklagte einen persistierenden gastroösophagealen Reflux trotz konventionell-medizinischer konservativer Therapie. Die osteopathische Diagnostik ergab eine funktionelle Störung im Bereich des Magens und der Kardia mit einer Beteiligung zugehöriger Reflexzonen. Nach einer osteopathischen Behandlung als individuelle, befundorientierte Therapie ließen die Beschwerden erheblich nach. Die Hiatushernie war nach einer dieser Behandlung endoskopisch nicht mehr nachweisbar. Schlussfolgerungen: Dieser Fallbericht schildert die Symptomreduktion einer GERD nach osteopathischer Behandlung. In der endoskopischen Folgeuntersuchung fand sich die initial diagnostizierte Hiatushernie nicht mehr, diese Befund änderung könnte jedoch auf die unterschiedlichen Untersucher zurückgeführt werden. Prospektive kontrollierte klinische Studien sind notwendig, um den Stellenwert von osteopathischen Behandlungen bei GERD mit Hiatushernie zu untersuchen. © 2017 The Author(s). Published by S. Karger GmbH, Freiburg.

  14. Gastro-oesophageal reflux in patients with chronic rhino-sinusitis investigated with multichannel impedance - pH monitoring.

    Science.gov (United States)

    Katle, E J; Hatlebakk, J G; Grimstad, T; Kvaløy, J T; Steinsvåg, S K

    2017-03-01

    The pathophysiology of chronic rhinosinusitis (CRS) is unclear. It has been discussed for decades whether gastro-oesophageal reflux (GOR) may be a contributing factor for some patients. The aim of the present study was to evaluate the level of GOR in an unselected group of patients with CRS using multichannel impedance-pH monitoring. Consecutive patients with CRS diagnosed using the EPOS2012 criteria, completed questionnaires on GOR symptoms and were offered 24-h multichannel intraluminal impedance (MII)-pH monitoring. The results were compared with a group of healthy controls. Forty-six patients completed MII-pH-monitoring and were compared with 45 control subjects, with comparable age and gender distributions. The median number of reflux episodes in the patients was 56.5 compared with 33 in controls, while, the numbers of proximal reflux episodes was 27.5 versus 3, respectively. Thirty nine patients had abnormal pH-impedance recordings compared with five controls. The CRS patients had significantly higher incidences of gastro-oesophageal reflux compared with asymptomatic controls. The results of this study suggest that GOR may be a causative or contributing factor of CRS.

  15. DIAGNOSIS DAN PENATALAKSANAAru LIMFOMA ORtsITA

    Directory of Open Access Journals (Sweden)

    Ardizal Rahman

    2014-12-01

    Full Text Available Limfoma orbita merujuk pada limfoma yang terjadi di konjungtiva, kelenjar lakrimal, palpebradan otot-otot ekstraokular. Limfoma primer non-Hodgkin (NHL dari orbita dapat ditemukanpada hanya 1o/o dari semua limforna non-Hodgkin. Anaiisis mutasi somatik pada regiovariabel (V dari immunoglobulin (ig dan segmen gen rantai berat (H telah menunjukkanperan dari stimulasi antigen kronik pada patogenesis limfoma /nucosa-associated lymphoidflssue (MALT. Patogen mikroba seperti Helicobacter pylaridan Chlamydia pneumonia dapaimendasari proses inflamasi dan pada akhirnya memicu akuisisi MALT juga memainkanperan penting dalam tranformasi maligna dan ekspansi klonal lanjutan limfoma. Penentuanstadium kanker sangat penting karena akan menentukan terapi apa yang akan diberikan dankemungkinan remisi dan prognosisnya. Berdasarkan sistem stadium Ann-Arbor, limfoma yangterbatas di orbita disebut sebagai stadium l, keterlibatan struktur sekitar (sinus paranasal,tonsil, dan hidung menjadikannya stadium ll. Stadium lll adalah penyakit nodal abdominaldibawah diafragma dan stadium lV merujuk pada keterlibatan yang tersebar dari satu ataulebih lokasi ekstranodal (hepar, sum-sum tulang atau sistem saraf pusat. Mayoritas pasiendatang dengan keluhan massa konjungtiva berwarna pink (91%, diikuti hiperemis konjungtiva(32%, propiosis (27%, massa palpebra atau orbita (19"fi, penurunan visus dan ptosis (6%,dan diplopia(2%. Bilateralitas terjadi pada 10% hingga 15% kasus dimana 80 % terjadisecarasimultan sedangkan 20% merupakan kondisi yang berurutan. Penilaian lanjut untuk stagingyang akurat dan perencanaan terapitermasuk anamnesis yang lengkap dan pemeriksaan fisik,pemeriksaan laboratorium rutin, elektroforesis protein sei-um, LDH serum, Fr-mikroglobulin,rontgen thoraks, CT scan thoraks, abdornen, dan pelvis, dan biopsisum-sum tulang. Diagnosapositif harus berdasarkan pada perneriksaan histologik dari sampeltumor yang memadai yangdiperoleh dengan biopsiorbita. Beberapa kriteria

  16. Dinámica para la identificación de las formas parasitarias microscópicas de los geohelmintos intestinales

    Directory of Open Access Journals (Sweden)

    Rebeca Margarita Laird Pérez

    2015-11-01

    Full Text Available Las estadísticas sobre geohelmintos intestinales, a partir del examen parasitológico de las heces, constituye la espina dorsal de los programas para el control de estos gusanos, pues a partir de ellas se obtiene información útil para la toma de decisiones; no obstante, existen insuficiencias cognoscitivas y en las habilidades para la identificación de formas microscópicas de geohelmintos por parte del personal del laboratorio, así como deficiencias didácticas en el abordaje bibliográfico sobre aspectos de interés para la identificación parasitaria, lo cual contribuye al reporte de errores en el laboratorio. Con vistas a contribuir al mejor diagnóstico de estos agentes parasitarios se elaboró el presente artículo, en el período de enero a marzo de 2013. Se realizó una amplia revisión bibliográfica y se diseñó una dinámica de identificación con énfasis en los detalles morfo-biológicos. Se concluye en la importancia del estudio del número y características de las cubiertas y contenido ovular en los inconvenientes de reportar las especies del género Trichuris, si no se emplean oculares micrométricos, en la utilidad de considerar la posible presencia de especies antropozoonóticas y de realizar el diagnóstico diferencial con los huevos y las larvas de otros helmintos presentes en las heces, con los que se comparten similitudes morfológicas.

  17. Rancang Bangun Aplikasi Enkripsi dan Dekripsi Email Dengan Menggunakan Algoritma Advanced Encryption Standard Dan Knapsack

    Directory of Open Access Journals (Sweden)

    Timothy John Pattiasina

    2014-07-01

    Full Text Available Advanced Encryption Standard (AES dan Knapsack adalah dua algoritma enkripsi simetris dan asimetris yang paling sering digunakan. Penelitian ini menganalisa kedua algoritma AES dan algoritma Knapsack. Prototipe aplikasi enkripsi email ini dirancang dengan menggabungkan karateristik algoritma AES dan Knapsack untuk memecahkan masalah keamanan email. Algoritma AES digunakan untuk mengenkripsi dan deskripsi email berupa teks atau file, sedangkan Algoritma Knapsack di gunakan untuk mengenkripsi kunci AES. Enkripsi hybrid yang diterapkan pada aplikasi bertujuan untuk menambah keamanan informasi dalam sebuah jaringan.

  18. Hubungan Antara Pengetahuan, Sikap, dan Perilaku Karyawan dengan Penerapan Manajemen Budaya Keselamatan dan Kesehatan Kerja

    Directory of Open Access Journals (Sweden)

    Endang Purnawati Rahayu

    2015-05-01

    Full Text Available Budaya K3 dipengaruhi oleh organisasi, individu, dan lingkungan kerja. Tujuan penelitian ini menganalisis hubungan pengetahuan, sikap dan perilaku karyawan dengan penerapan Budaya Keselamatan Dan Kesehatan (K3 di Bagian Produksi PT. Mustika Ratu. Penelitian ini menggunakan pendekatan kuantitatif jumlah sampel sebanyak 170 orang yang diambil secara simple random sampling. Hasil penelitian:  85,9% responden memiliki pengetahuan yang baik mengenai penerapan manajemen budaya K3, 80.6% bersikap baik dan 84.7% berperilaku baik pada penerapan budaya K3.  Penerapan manajemen budaya K3 memberikan hasil baik : 89,4 % sudah menerapkan manejemen budaya K3. Mengenai hubungan pengetahuan, sikap dan perilaku terhadap penerapan manajemen budaya K3, sub variabel yang diteliti memberikan hasil yang sama yaitu adanya hubungan yang bermakna. Hubungan pengetahuan terhadap penerapan manajemen budaya K3 (pValue < 0,001 dan Odd Ratio 9,133 (95% CI=3,143-26,539. Hubungan  sikap terhadap penerapan manajemen budaya K3 (Pvalue < 0,001 dan Odd Ratio= 9,286 (95% CI = 3,250 - 26,531, sedangkan hubungan perilaku terhadap penerapan manajemen budaya K3 (p value < 0,001 dan Odd Ratio=  5,956 (95% CI = 2,080 - 17,051. Temuan lainnya adalah tidak ada hubungan yang bermakna antara karakteristik responden dengan penerapan budaya K3. Saran: pihak manajemen harus melakukan monitoring dan harus memiliki komunikasi yang baik dengan karyawan, melatih dan melibatkan karyawan untuk meningkatkan upaya perusahaan pada pelaksanaan K3 dengan penerapan OSHAS 18001 sesuai Undang-Undang Nomor 1 Tahun 1970 dan PP (peraturan pemerintah nomor 50 pada tahun 2012.

  19. The effect of baclofen on gastro-oesophageal reflux, lower oesophageal sphincter function and reflux symptoms in patients with reflux disease

    NARCIS (Netherlands)

    van Herwaarden, M. A.; Samsom, M.; Rydholm, H.; Smout, A. J. P. M.

    2002-01-01

    BACKGROUND: Baclofen decreases gastro-oesophageal reflux episodes in healthy subjects by reducing the incidence of transient lower oesophageal sphincter relaxations. AIM: To investigate the effect of baclofen on reflux symptoms, oesophageal pH and lower oesophageal sphincter manometry in patients

  20. PRODUKSI BIOGAS DARI SAMPAH BUAH DAN SAYUR : PENGARUH VOLATILE SOLID DAN LIMONEN

    Directory of Open Access Journals (Sweden)

    Piyantina Rukmini

    2016-10-01

    Full Text Available Abstrak- Biogas merupakan salah satu sumber energi alternatif yang sedang dikembangkan dan sumber energi yang terbarukan. Bahan baku yang digunakan adalah kulit jeruk busuk (Citrus sinensia osbeck dan kobis (Brassica oleracea. Penelitian ini bertujuan untuk mengetahui pengaruh volatile solid dan limonen terhadap produksi biogas. Penelitian menggunakan erlenmeyer 500 mL sebanyak 6 buah, waterbath, manometer air, dan thermometer. Volume total digester 350 mL. Penelitian dilakukan dengan cara menghancurkan bahan baku supaya lebih mudah didegradasi oleh bakteri. Oksigen yang bersifat toxic bagi bakteri anaerobik, dapat dihilangkan dengan penambahan N2 dalam digester pada awal operasi. Penelitian dilakukan pada kondisi mesofilik (30 – 400C selama 50 hari. Hasil penelitian menunjukkan bahwa pada digester yang memiliki VS sama (T1 dan T3 dengan 15% VS, dan T2 dan T4 dengan 20% VS, dengan konsentrasi kulit jeruk/limonen berbeda (T1= 114ppm< T3= 170ppm, dan T2= 152ppm

  1. ANEMIA DAN ANEMIA GIZI BESI PADA KEHAMILAN: HUBUNGANNYA DENGAN ASUPAN PROTEIN DAN ZAT GIZI MIKRO

    Directory of Open Access Journals (Sweden)

    Nur Handayani Utami

    2015-03-01

    Full Text Available Anemia masih menjadi permasalahan kesehatan pada wanita hamil. Zat besi dianggap sebagai salah satu zat gizi mikro yang berperan terhadap terjadinya anemia. Kekurangan gizi besi dalam tingkat lanjut dapat menyebabkan anemia, yang disebut sebagai anemia gizi besi. Tujuan studi ini adalah untuk menganalisis perbedaan antara asupan protein dan gizi mikro serta menghitung odd ratio (OR kejadian anemia dan anemia gizi besi akibat asupan protein dan gizi mikro pada wanita hamil di lokasi studi. Analisis ini merupakan analisa dari data studi kohor Tumbuh Kembang anak pada tahun pertama, yang dilaksanakan di Kelurahan Kebon Kalapa dan Ciwaringin, Kota Bogor yang dianalisa menggunakan disainkasus kontrol. Sebanyak 47 ibu hamil menjadi sampel dalam analisa ini. Kategori untuk anemia yaitu apabila kadar hemoglobin (Hb ibu hamil ≤11 g/dL. Kekurangan gizi besi dikategorikan apabila kadar serum transferrin reseptor (sTfR diatas 4.4 mg/L. Sedangkan Anemia Gizi Besi dikategorikan apabila memiliki kadar Hb < 11 g/dL dan sTfr > 4.4 mg/L. Tes one way anova digunakan untuk menganalisa adanya perbedaan asupan energi, protein dan zat gizi mikro antara ibu hamil yang mengalami anemia, anemia gizi besi maupun yang normal. Odd ratio dianalisa dengan menggunakan uji chi square. Nilai signifikan ditentukan apabila nilai p value < 0.05 dan perhitungan OR> 1. 27.7% dari ibu hamil di lokasi studi mengalami anemia, 14.9% tergolong dalam anemia ringan, 10.6% anemia sedang dan 2.1% anemia berat. Anemia gizi besi dialami oleh 17% dari wanita hamil. Terdapat hubungan yang signifikan antara keparahan anemia dan terjadinya anemia gizi besi. Tidak ditemukan perbedaan antara asupan protein, besi, folate dan zink pada wanita yang mengalami anemia, anemia gizi besi maupun yang normal. Akan tetapi terdapat kecenderungan bahwa asupan zat besi dan seng pada ibu yang anemia dan anemia gizi besi lebih rendah daripada ibu yang normal. Anemia masih menjadi permasalahan kesehatan pada ibu

  2. TINJAUAN ATAS SUKU BUNGA DAN DAMPAKNYA PADA KEPUTUSAN INVESTASI DAN PEMBIAYAAN

    Directory of Open Access Journals (Sweden)

    Devie Devie

    2000-01-01

    Full Text Available Interest rate characteristics will have an impact to the investing and financing decision making since interest rate is a cost of funding and expected outcome as well. Having the understanding of interest rate characteristics, the most efficient cost of funding and higher expected outcome will be resulted. Compound interest rate is a common rate in business that has always been modified with its compounding periods, known as effective interest rate. In practice, the effective interest rate will be converted to the flat interest rate so that it will be easy to do the investing and financing as well as finding the most effective cost of funding with the highest outcome. Abstract in Bahasa Indonesia : Karakteristik suku bunga sangat berpengaruh dalam mengambil keputusan investasi dan pembiayaan, karena suku bunga merupakan biaya pendanaaan di satu sisi dan merupakan tingkat hasil yang diharapkan disisi lain. Dengan memahami karakteristik suku bunga, dapat diperoleh biaya pendanaan yang paling efisien dan sebaliknya akan mencapai tingkat hasil yang diharapkan lebih besar. Suku bunga majemuk merupakan suku bunga yang berlaku pada dunia bisnis yang senantiasa mengalami modifikasi sesuai dengan periode pembayaran bunga, yang disebut suku bunga efektif. Dalam perkembangannya suku bunga efektif dikonversikan menjadi suku bunga flat agar memudahkan melakukan investasi - pembiayaan dan mencari biaya pendanaan yang paling efisien dan tingkat hasil yang paling besar. Kata kunci: suku bunga, keputusan investasi dan pembiayaan, tingkat hasil

  3. Intoxication par la paraphényléne-diamine (takaout au Maroc: à propos de 24 cas

    Directory of Open Access Journals (Sweden)

    Ali Derkaoui

    2011-03-01

    Full Text Available La paraphénylène-diamine (PPD est une amine aromatique dérivée de l’aniline, utilisée depuis 1863 par les femmes dans un but cosmétique comme teinture capillaire noire ou adjuvant de henné dans plusieurs pays d’Afrique et de Moyen Orient. Le but de notre travail était de décrire les caractéristiques cliniques, paracliniques et évolutives de nos patients et de les comparer avec les données de la littérature. Il s’agissait d’une étude rétrospective portant sur les cas admis en réanimation (2003-2010. Les critères d’inclusion étaient d’ordre clinique, paraclinique, thérapeutique et évolutif. Durant la période de l’étude 24 patients ont été inclus provenant de la région de Fés-Boulmane. L’intoxication à la (PPD représentait 26% de l’ensemble des intoxications admises au cours de la même période. L âge moyen était de 23,6 plus or minus 11 ,6 ans. Il existait une prédominance féminine avec un sex-ratio de 4,7. L’intoxication était volontaire dans 82,6 %, accidentelle dans 8,6 %, et criminelle dans 4,3%. Le syndrome de rhabdomyolyse caractéristique de cette intoxication était retrouvé chez 60% de nos patients, l’atteinte respiratoire chez 56,5%, l’atteinte cardiaque était présente dans 30% des cas et 17,4% des patients avaient présentés une insuffisance rénale. La prise en charge thérapeutique se basait sur l’apport volémique massif, alcalinisation des urines ainsi que l’administration de corticoïdes et de diurétiques. Le recours à une trachéotomie de sauvetage était nécessaire chez 7 patients. Trois de nos patients avaient bénéficié d’une épuration extra rénale. L’évolution était fatale chez 47,8% des cas. La PPD représente ainsi la principale cause de mortalité toxique dans notre contexte. L’intoxication à la PPD, représente la première cause de rhabdomyolyse toxique dans notre contexte. Elle est responsable d’une mortalité très élevée. Ce qui

  4. Pengembangan Sistem Informasi Akuntansi Dan Pengelolaan Keuangan (Siapkan Modul Administrasi Berteknologi Java Dan DBMS PostgreSql

    Directory of Open Access Journals (Sweden)

    Wahyudiono Wahyudiono

    2012-09-01

    Full Text Available Direktorat Jenderal Perbendaharaan Negara telah meluncurkan berbagai jenis aplikasi dalam rangka penatausahaan transaksi satuan kerjanya (satker. Tujuannya adalah menghasilkan laporan keadaan kas dan realisasi anggaran yang akurat dan dapat dipertanggungjawabkan. Beberapa aplikasi untuk membantu satker dalam menatausahakan transaksi yang berhubungan dengan uang negara sudah disediakan. Namun aplikasi-aplikasi yang ada tersebut belum terintegrasi antara satu dengan lainnya. Hal tersebut tentu saja menjadi sebuah penghambat bagi pencapaian efisiensi dan efektifitas pengelolaan data dan transaksi. Pada pengerjaan tugas akhir ini dikembangkan sebuah Aplikasi Sistem Informasi dan Akuntansi Keuangan Negara (SIAPKAN yang dirancang dengan tujuan dapat mengintegrasikan semua aplikasi yang digunakan oleh satker. SIAPKAN merupakan aplikasi berbasis Web berteknologi bahasa pemrograman Java (JavaServlet dan JSP dan sistem manajemen basis data PostgreSQL. Dengan menggunakan bahasa pemrograman Java dan Database Management System (DBMS PostgreSQL, modul Administrasi yang menjadi fokus utama tugas akhir, menjadi gerbang awal dari aplikasi SIAPKAN. Melalui modul Administrasi inilah kebutuhan referensi tiap modul disediakan.

  5. Metode Sederhana dan Efektif untuk Penghitungan dan Visualisasi Tiga Dimensi (3D) Biofilm Vibriio Cholera

    OpenAIRE

    Kurniawan, Andi; Fadjar, Mohamad; Sukoso, Sukoso; Prihanto, Asep Awaludin

    2015-01-01

    Mikroorganisme yang mampu menghasilkan biofim menimbulkan masalah yang serius dalam bidang kesehatan dan pangan. Penelitian biofim bagi sebagian peneliti sangat identik dengan kerumitan proses penghitungan dan visualisasi penutupan permukaan substrat penempelan bakteri. Penelitian ini ditujukan untuk mengetahui efiiensi metode alternatif untuk menghitung dan memvisualisasikan biofimVibrio cholera. Pada penelitian ini beberapa faktor lingkungan seperti pH, suhu, dan kondisi kultur diujicobakan...

  6. PEMBELAJARAN KETERAMPILAN BERBICARA MODEL KOOPERATIF TEKNIK MENCARI PASANGAN DAN TEKNIK KANCING GEMERINCING PADA SISWA INTROVER DAN EKSTROVER DI SMP

    Directory of Open Access Journals (Sweden)

    Sri Sunarsih

    2012-06-01

    Full Text Available Unit Penelitian dan Pengabdian pada Masyarakat merupakan salah satu unit di Universitas Respati Yogyakarta yang bertugas untuk mengelola kegiatan penelitian dan pengabdian kepada masyarakat yang dilakukan oleh dosen. Dalam proses pengolahan data kegiatan kegiatan penelitian dan pengabdian kepada masyarakat masih mengalami beberapa permasalahan yaitu belum adanya basis data yang digunakan untuk pengumpulan data rekam jejak kegiatan penelitian dan pengabdian kepada masyarakat oleh dosen dan sistem pengarsipan dokumen masih berbentuk kertas yang berdampak pada kerusakan dokumen, hilangnya dokumen, efisiensi ruang dan pencarian data. Penelitian yang dilakukan bertujuan menghasilkan luaran sistem informasi yang dapat melakukan proses pengolahan data penelitian dan kegiatan pengabdian kepada masyarakat yang dikelola oleh Unit Penelitian dan Pengabdian pada Masyarakat di Universitas Respati Yogyakarta. Pengolahan data mengacu pada komponen beban kerja dosen dibidang penelitian dan pengabdian kepada masyarakat. Metode pengembangan dilakukan dengan tahapan analisa sistem, perancangan sistem, coding dan implementasi sistem. Hasil pengembangan sistem informasi penelitian dan pengabdian masyarakat yaitu sebuah sistem yang dapat membantu Unit Penelitian dan Pengabdian pada Masyarakat dalam proses pengolahan data rekam jejak kegiatan penelitian dan kegiatan pengabdian kepada masyarakat yang dilakukan dosen.

  7. DETEKSI DAN MANAJEMEN REFEEDING SYNDROME

    OpenAIRE

    Darmadi Darmadi; Riska Habriel Ruslie

    2012-01-01

    AbstrakRefeeding syndrome (RFS) dideskripsikan sebagai perubahan biokimiawi, manifestasi klinis dan komplikasi sebagai konsekuensi pemberian nutrisi pada pasien kurang gizi. Refeeding syndrome ini menyebabkan dampak buruk dan kematian. Sindroma ini lebih sering terjadi pada kelompok risiko. Refeeding syndrome merupakan suatu sindroma yang sering tak terdiagnosis oleh karena itu perlu peningkatan pengetahuan dan kesadaran dari tenaga medis untuk mengurangi morbiditas dan mortalitas dari RFS. K...

  8. Islam, Media, dan Politik : Sebuah Perdebatan dan Kontempelasi Nilai Berdemokrasi

    Directory of Open Access Journals (Sweden)

    Idil Akbar

    2016-10-01

    Full Text Available Infact, press or media is one of pilar democracy. Media in democracy is a public sphere to communi-cation and makes relation, and a same time as public arena to gain information. But, media also could not release from streotypes and tendency that usually bring of interest, either the owner or ideology. It is meaning media can not released from perspective distorsion, values bias and take a side. Media also effective to become propaganda instrument for a political interest and an ideology. It is seen like how media in US, for example, stereotype of Islam in discourses contradiction and glob-al interest opposition. Then, Islam dominantly identified as doctrine teaches radicalism, fundamen-talism and terorism. Thus, it is often be justification for US to operate the military mission in the name of democracy. Tak dipungkiri pers atau media menjadi salah satu pilar bagi demokrasi. Media dalam demokrasi adalah sebagai ruang bagi publik berkomunikasi dan berinteraksi, sekaligus sarana publik mem-peroleh informasi tentang banyak hal. Namun, media juga tak bisa dilepaskan dari stereotip dan kecenderungan-kecenderungan, yang biasanya membawa kepentingan, baik pemilik maupun ide-ologi. Media karenanya tak lepas dari distorsi perspektif, bias nilai dan berpihak. Media juga efektif menjadi alat propaganda bagi sebuah kepentingan politik dan ideologi, seperti bagaimana media di negara Amerika, misalnya, menstereotipkan Islam dalam analisis pertentangan wacana dan kepent-ingan global. Sehingga, dominan Islam diidentikkan dengan sematan sebagai ajaran yang mengajarkan radikalisme, fundamentalisme dan terorisme. Karenanya pula seringkali menjadi alasan pembenar bagi Amerika untuk menjalankan misi militer atas nama demokrasi.

  9. Corrosion and Maintenance Data Sharing (Partage des Donnees de Corrosion et de Maintenance)

    Science.gov (United States)

    2011-11-01

    Determination of Fracture Types 5-5 5.3.10 Application of Simulation Tools 5-5 5.3.11 Application of Fracture Mechanics Theories 5-5 5.3.12 Simulated...incomplet. L’objectif visant à présenter les meilleures procédures d’analyse de pannes n’a pas été atteint, bien que, dans l’esprit de ses auteurs , il...components. In spite of this limitation, a lot of different forms can be observed and one of the most useful theories that can be used to categorize

  10. DEPRESI DAN GANGGUAN TIDUR

    Directory of Open Access Journals (Sweden)

    Wayan Eko Radityo

    2012-12-01

    Full Text Available Depresi merupakan gangguan mood berupa kesedihan yang intens, berlangsung dalamwaktu lama, dan mengganggu kehidupan normal yang insidennya semakin meningkatseiring dengan meningkatnya tekanan hidup. Tahun 2020, depresi diperkirakanmenempati urutan kedua penyakit di dunia. Gejala-gejala depresi terdiri dari gangguanemosi, gangguan kognitif, keluhan somatik, gangguan psikomotor, dan gangguanvegetatif. Salah satu gejala depresi yang muncul adalah gangguan tidur yang bisaberupa insomnia, bangun secara tiba-tiba, dan hipersomnia. Hal ini disebabkan olehgangguan neurotransmiter dan regulasi hormon. Selain sebagai gejala depresi, gangguantidur juga bisa merupakan penyebab depresi. Beberapa penelitian memberikanhubungan gangguan tidur dapat meningkatkan risiko depresi di kemudian hari.

  11. Pengaruh Variasi Kadar Zn Dan Temperatur Hydrotermal Terhadap Struktur Dan Nilai Konduktivitas Elektrik Material Graphene

    Directory of Open Access Journals (Sweden)

    Lita Nur Azizah

    2014-09-01

    Full Text Available Graphene adalah bentuk 2D dari karbon dengan sifat-sifat unggul yang menarik untuk dikembangkan. Permasalahan yang kemudian muncul adalah proses sintesis massal yang masih menjadi kendala. Penelitian ini bertujuan untuk mensintesis material graphene secara kimiawi dengan menggunakan reduktor zinc dan metode hydrothermal dan menganalisa pengaruh varaiasi penambahan massa sebesar 0,8 gram, 1,6 gram, dan 2,4 gram zinc serta variasi temperatur hydrthermal 160ᵒC, 180ᵒC, 200ᵒC. Proses karakterisasi material graphene dilakukan dengan pengujian Scanning Electron Microscope (SEM, X-Ray Diffraction (XRD, Fourier Transform Infrared spectroscopy, Uji Iodine number, dan Four Point Probe digunakan untuk mengetahui nilai konduktivitas elektrik material. Morfologi dari graphene yang dihasilkan berbentuk lembaran-lembaran transparan dan disertai dengan kerutan pada permukaannya. Nilai konduktivitas elektrik terbesar dihasilkan dari variasi panambahan serbuk zinc sebesar 0,8 gram dan temperatur hydrothermal sebesar 200ᵒC dengan nilai sebesar 0,10281 S/cm dan bilangan iodine 11384,64.

  12. PENGARUH CARA PENGAWETAN TERHADAP KOMPOSISI KIMIA DAN EFISIENSI DALAM BENTUK HAY DAN SILASE PADA DAUN 16 PROVENAN GAMAL (GLIRICIDIA SEPIUM

    Directory of Open Access Journals (Sweden)

    A. W. Puger

    2012-09-01

    Full Text Available RINGKASAN Percobaan yang bertujuan untuk mengetahui pengaruh cara pengawetan terhadap kandungan zat-zat makanan dan efisiensinya pada daun 16 provenan gamal telah dilaksanakan selama 3 bulan. Penelitian menggunakan rancangan acak lengkap yang terdiri atas 3 perlakuan pengawetan (gamal segar, gamal hay, dan gamal silase dan 3 blok sebagai ulangan. Setiap perlakuan terdiri atas 16 provenan, yaitu 6 dari Mexico (M, 4 dari Guatemala (G, dan satu provenan masing-masing dari Colombia (C, Indonesia (I, Nicaragua (N, Panama (P, Costa Rica (R, dan Venezuela (V. Sampel setiap daun (helai dan tangkai provenan sebelum dan setelah diawetkan dianalisis kandungan zat-zat makanannya dan dihitung efisiensinya setelah dibuat hay dan silase. Kandungan DM dan CP dari hay adalah tertinggi (P0,05 setelah diawetkan menjadi hay dan silase, sedangkan efisiensi DM, OM, dan CP dari hay lebih tinggi (P<0,05 daripada silase. Provenan P13, R12, dan M34 mengandung zat-zat makanan lebih tinggi; sementara provenan G14 dan G17 lebih efisien bila diawetkan dalam bentuk hay dan silase. Pada pertanian lahan kering pengawetan gamal dalam bentuk hay lebih efektif dan efisien jika dibandingkan dengan dalam bentuk silase.

  13. Chemoradiotherapy in tumours of the oesophagus and gastro-oesophageal junction.

    Science.gov (United States)

    Hulshof, M C C M; van Laarhoven, H W M

    2016-08-01

    Oesophageal cancer remains a malignancy with a poor prognosis. However, in the recent 10-15 years relevant progress has been made by the introduction of chemoradiotherapy (CRT) for tumours of the oesophagus or gastro-oesophageal junction. The addition of neo-adjuvant CRT to surgery has significantly improved survival and locoregional control, for both adenocarcinoma and squamous cell carcinoma. For irresectable or medically inoperable patients, definitive CRT has changed the treatment intent from palliative to curative. Definitive CRT is a good alternative for radical surgery in responding patients with squamous cell carcinoma and those running a high risk of surgical morbidity and mortality. For patients with an out-of-field solitary locoregional recurrence after primary curative treatment, definitive CRT can lead to long term survival. Copyright © 2016. Published by Elsevier Ltd.

  14. Single isotopic probe for gastro-esophageal reflux diagnosis in children

    International Nuclear Information System (INIS)

    Maurel, G.; Le Moing, G.; Mensch, B.

    1987-01-01

    Gastro-esophageal reflux (G.E.R.) in children has been implicated in various recurring respiratory diseases. Several techniques including oesophageal pH testing and scintigraphy have been devised to detect and quantify G.E.R. Limitations have been found for each test: short duration with gamma-camera and restricted acceptability of the pH probe by children. A single isotopic probe was designed for a non-invasive screening test of G.E.R. in infants. This device was checked by comparison with oesophageal scintigraphy using a gamma camera. Only 1 discrepancy was detected in 19 reflux episodes. This method, using a relatively inexpensive detector and data acquisition module, seems to be well accepted by children, and may be associated with a pH probe for GER diagnosis. (orig.)

  15. INDUSTRIALISASI DAN TANTANGANNYA PADA SEKTOR PENDIDIKAN

    Directory of Open Access Journals (Sweden)

    Arif Unwanullah

    2015-10-01

    Full Text Available Abstrak: Industrialisasi dan Tantangannya pada Sektor Pendidikan. Sumbangan pendidikan dalam perubahan dan pembangunan masa lalu telah bergeser dengan kemajuan teknoekonomi dan komunikasi. Perubahan yang terjadi telah menggeser tatanan kehidupan dan pandangan masyarakat. Materialisme, kapitalisme, efisiensi, dan efektivitas telah menjadi tujuan dan semangat hidup. Pergeseran pandangan masyarakat telah mengubah pula pandangan keberhasilan dan mutu pendidikan, di mana pendidikan diukur dari keberhasilan dalam keterserapan lulusan dalam dunia kerja, oleh karenanya pendidikan dianalisis dari karakteristik sebagai investasi (capital-investment. Pergeseran makna dan tanggung jawab pendidikan mendorong dunia pendidikan melakukan pembaruan dengan alternatif: membangun pembaruan penalaran warganya menuju pemerdekaan dan pendewasaan, pendidikan dilaksanakan secara komprehensif dan bekerjasama dengan semua pihak secara kemitraan, dan membangun visi pendidikan secara komprehensif dan simultan dengan semua pihak. Kata kunci: perubahan sosial, materialistik, modernisasi dan kapitalis Abstract: Industrialization and its education Sector challenges. Contribution of education has shifted with the progress of technology, economy, and communication. The changes have shifted the society's views. Materialism, capitalism, efficiency, and effectiveness have become of interest and enthusiasm for life. The shift has changed society's view, i.e. the view of success and quality of education, in which education is measured from a rate of the absorption of graduates into labor market, therefore education is analyzed from the characteristics of an investment (capital-investment. A shift in meaning and responsibility of education encourages the education sector to create reformation through these following alternatives: creating new thoughts towards liberation and maturation, implementing education comprehensively and cooperating with all parties in partnership, and creating

  16. Respiratory and laryngeal symptoms secondary to gastro-oesophageal reflux

    Science.gov (United States)

    Rafferty, G; Mainie, I; McGarvey, L P A

    2011-01-01

    Gastro-oesophageal reflux may cause a range of laryngeal and respiratory symptoms. Mechanisms responsible include the proximal migration of gastric refluxate beyond the upper oesophageal sphincter causing direct irritation of the larynx and lower airway. Alternatively, refluxate entering the distal oesophagus alone may stimulate oesophageal sensory nerves and indirectly activate airway reflexes such as cough and bronchospasm. Recognising reflux as a cause for these extraoesophageal symptoms can be difficult as many patients do not have typical oesophageal symptoms (eg, heartburn) and clinical findings on laryngoscopy are not very specific. Acid suppression remains an effective treatment in the majority of patients but there is growing appreciation of the need to consider and treat non-acid and volume reflux. New opinions about the role of existing medical and surgical (laparoscopic techniques) treatment are emerging and a number of novel anti-reflux treatments are under development. PMID:28839612

  17. An updated review on gastro-esophageal reflux in pediatrics.

    Science.gov (United States)

    Vandenplas, Yvan; Hauser, Bruno

    2015-01-01

    Comprehensive guidelines for the diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) were developed by the European and North American Societies for Pediatric Gastroenterology, Hepatology and Nutrition. GERD is reflux associated with troublesome symptoms or complications. The recognition of GER and GERD is relevant to implement best management practices. A conservative management is indicated in infants with uncomplicated physiologic reflux. Children with GERD may benefit from further evaluation and treatment. Since the publications of the European and North American Societies for Pediatric Gastroenterology, Hepatology and Nutrition guidelines in 2009, no important novelties in drug treatment have been reported. Innovations are mainly restricted to the management of regurgitation in infants. During the last 5 years, pros and cons of multichannel intraluminal impedance have been highlighted. However, overall 'not much has changed' in the diagnosis and management of GER and GERD in infants and children.

  18. Variasi Temporal dan Stabilitas Fisik dan Kimia Senyawa Bioaktif Karotenoid Rumput Laut Coklat Turbinaria decurrens

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    Rini Susilowati

    2014-06-01

    Full Text Available Pada pengembangan senyawa bioaktif karotenoid dari rumput laut coklat Turbinaria decurrens sebagai produk nutrasetikal atau pangan fungsional, pengetahuan mengenai variasi temporal dan stabilitas fisik dan kimia senyawa tersebut merupakan hal yang penting. Penelitian ini bertujuan untuk menjelaskan variasi temporal dan stabilitas fisik dan kimia senyawa karotenoid dari T. decurrens. Bahan baku T. decurrens diambil dari Pantai Binuangeun, Banten. Kuantifikasi kadar karotenoid pada sampel dilakukan terhadap ekstrak kasar etanol dari sampel dengan menggunakan teknik spektrofotometri UV-Vis. Variasi temporal kadar karotenoid dilakukan dengan pengambilan sampel pada musim penghujan (Februari, musim peralihan (April dan Oktober, serta musim kemarau (Juni dan Agustus, pada tahun 2012. Analisis variabel air (DO, pH, suhu, temperatur, salinitas, fosfat, dan nitrogen anorganik terlarut dari titik pengambilan sampel juga dilakukan, untuk mengetahui faktor utama yang mempengaruhi produksi senyawa ini di alam. Analisis stabilitas senyawa dilakukan dengan perlakuan penambahan asam, basa, oksidator, dan suhu. Hasil pengujian menunjukan bahwa kadar karotenoid temporal dari alga ini berkisar 0,002–0,063 mg/g (bobot segar. Analisis korelasi terhadap variabel air menunjukkan bahwa kadar karotenoid dipengaruhi faktor musim, tidak tergantung pada variabel air lokal. Terkait dengan probabilitas fungsinya dalam fotosintesis, kadar tertinggi senyawa ini terdapat pada musim penghujan. Karotenoid dapat meluruh sebesar 84% pada perlakuan asam, 15% pada perlakukan basa, 28% pada perlakukan oksidasi, dan 15% pada suhu tinggi (70 oC. Dengan demikian, pada pengembangannya sebagai produk pangan fungsional atau nutrasetikal, diperlukan teknik mikroenkapsulasi untuk menjaga stabilitas fisik dan kimia senyawa karotenoid T. decurrens.

  19. Inovasi Desain, Teknologi, dan Pemasaran Lewat Website Usaha Kecil Menengah Batik dan Lutik (Lurik Batik di Kecamatan Laweyan Surakarta

    Directory of Open Access Journals (Sweden)

    Anastasia Riani Suprapti

    2016-12-01

      Tujuan penelitian terapan ini adalah untuk meningkatkan produktivitas dan mengembangkan produk batik dan lutik yang ada di wilayah Kecamatan Laweyan Surakarta dengan inovasi desain dan teknologi baru. Program ini bekerja sama dengan mitra UKM Batik Dewi (UKM 1 dan Batik Sinung Rejeki (UKM2 yang terletak di Kecamatan Laweyan. Pengusaha batik Laweyan dengan produknya berupa batik dan tekstil bermotif batik (printing dan cap dalam era globalisasi sekarang ini ternyata memiliki daya tahan yang baik, ditengah persaingan dengan produk sejenis dari daerah lain maupun dari luar negeri. Secara garis besar pola yang digunakan dalam implementasi penelitian ini meliputi: diskusi (FGD, kerja bengkel, operasional pabrik, pelatihan dan pendampingan (kelompok dan individu. Seperti halnya Usaha Kecil Menengah pada umumnya, pengusaha batik di Laweyan juga menghadapi masalah Internal meliputi  permodalan, inovasi desain, pemasaran, dan manajemen keuangan, yang meliputi administrasi keuangan/pembukuan. Beberapa solusi yang ditawarkan untuk mengatasi permasalahan yang dihadapi diantaranya adalah melakukan Inovasi desain dan teknologi, pengaturan layout pabrik, dan pemasaran lewat web. Selain itu mengembangkan desain motif batik yang lebih diminati pasar diberikan juga untuk pengembangan teknik kombinasi batik-lurik ikat dengan cara lukis dan pengelantangan. Penggunaan media teknologi informasi dan komunikasi untuk promosi lewat website. Adapun untuk usaha pengembangan manajemen pemasaran,  diusahakan media promosi dan menjalin kerjasama pemasaran  dengan instansi terkait, misalnya dengan mengikuti pameran-pameran di Solo dan Jakarta.

  20. UJI AKTIVITAS ANTIBAKTERI EKSTRAK RUMPUT LAUT Kappaphycus alvarezii DAN Eucheuma denticullatum TERHADAP BAKTERI Aeromonas hydrophila DAN Vibrio harveyii

    Directory of Open Access Journals (Sweden)

    Dwi Budi Wiyanto

    2010-04-01

    Full Text Available Penelitian tentang Uji Aktivitas Antibakteri Ekstrak Rumput Laut Kappaphycus alvarezii dan Eucheuma denticullatum Terhadap Bakteri Aeromonas hydrophila dan Vibrio harveyii dilakukan, mengingat banyak dijumpai  penyakit pada usaha budidaya ikan dan udang, terutama bakteri Aeromonas hydrophila dan Vibrio harveyii. Penelitian ini bertujuan untuk mengetahui efektifitas senyawa bioaktif rumput laut K. alvarezii dan E. denticullatum yang diekstrak menggunakan pelarut metanol dan etanol sebagai antibakteri terhadap A. hydrophila dan V. harveyii.  Penelitian dilakukan sebanyak dua tahap, yaitu: (1 Uji aktivitas antibakteri ekstrak rumput laut; dan (2 Analisa senyawa bioaktif yang terdapat pada ekstrak rumput laut, dimana masing-masing tahapan dianalisis menggunakan rancangan acak lengkap faktorial. Hasil penelitian menunjukkan, dua jenis ekstrak rumput laut dengan pelarut metanol dan etanol, mempunyai daya antibakteri terhadap A. hydrophila dan V. harveyii. Ekstrak E. denticullatum dengan pelarut metanol memiliki daya hambat lebih luas dibanding ekstrak K. alvarezii dengan pelarut metanol terhadap A. hydrophila (19.43±0,55 mm. Ekstrak E. denticullatum dengan pelarut metanol memiliki daya hambat lebih luas dibanding ekastrak K. alvarezii dengan pelarut metanol terhadap V. harveyii (19.85±0,23 mm. Asam heksadekanoat merupakan senyawa paling dominan dijumpai pada ekstrak rumput laut K. alvarezii, dan E. denticullatum yang diekstrak menggunakan pelarut metanol. Kata Kunci : Aktivitas Antibakteri, Rumput laut K. alvarezii dan E. denticullatum,  Bakteri A.  hydrophila dan V. harveyii. 

  1. Gastro-oesophageal reflux - an important causative factor of severe tooth wear in Prader-Willi syndrome?

    Science.gov (United States)

    Saeves, Ronnaug; Strøm, Finn; Sandvik, Leiv; Nordgarden, Hilde

    2018-04-23

    Prader-Willi syndrome (PWS) is the most common genetic human obesity syndrome and is characterized by hypotonia, endocrine disturbances, hyperphagia, obesity and mild mental retardation. Oral abnormalities, such as decreased salivary flow rates and extreme tooth wear, have also been described. Studies have shown a significant increase in reflux symptoms in individuals with obstuctive sleep apnoea syndrome and increased BMI, both of which are typical findings in PWS. Gastro-oesophageal reflux disease (GORD) has been identified in some individuals with PWS and is a significant intrinsic factor in dental tooth wear. The aim of this study was therefore to estimate the prevalence of GORD in adults and children and to evaluate a possible correlation between GORD and tooth wear in adults with PWS. They were all registered at the TAKO-centre. Twenty-nine individuals, 17 adults with a mean age of 32.6 years (range 18-48) and 12 children with a mean age of 8.8 years (range 3-17), agreed to undergo 24-hour oesophageal pH monitoring, and 90% of those enrolled managed to complete the examination. Four children and eleven adults were diagnosed with pathological gastro-oesophageal reflux, which is defined as acid exposure (pH less than 4) more than 3.6 or 4.3 percent of the time, respectively. Manometry performed in the adult group showed a pathologically high lower oesophageal sphincter pressure in four of the five individuals who had normal oesophageal pH values (pH under 4 less than 4.3% of the time). The two groups (reflux and non-reflux) were well balanced according to BMI, genotype, tooth grinding and hyposalivation. However, twice as many individuals in the reflux group as in the non-reflux group reported high consumption of acidic foods and drinks. Increased tooth wear was significantly correlated with GORD in the two groups (reflux n=6 and non-reflux n=6). The prevalence of gastro-oesophageal reflux is high in individuals with PWS. Tooth wear was strongly associated with

  2. PERANCANGAN MEJA DAN KURSI ANAK MENGGUNAKAN METODE QUALITY FUNCTION DEPLOYMENT (QFD DENGAN PENDEKATAN ATHROPOMETRI DAN BENTUK FISIK ANAK

    Directory of Open Access Journals (Sweden)

    Denny Nurkertamanda

    2012-02-01

    Full Text Available Meja dan kursi anak merupakan suatu sarana pendukung yang sangat penting dalam kelancaran pelaksanaan proses belajar anak. Ketidakserasian antara meja dan kursi dengan ukuran tubuh anak merupakan salah satu kendala dalam upaya meningkatkan sumber daya manusia yang berkualitas. Akibat dari meja dan kursi yang tidak sesuai dengan ukuran tubuh anak dapat mengakibatkan anak cepat mengalami kelelahan. Penelitian ini membahas perancangan dan pengembangan produk meja dan kursi anak sesuai dengan anthropometri (ukuran tubuh manusia dan bentuk fisik anak untuk menghasilkan rancangan kursi yang ergonomis untuk mengantisipasi adanya ketidakserasian antara meja kursi dengan ukuran tubuh anak. Metode yang digunakan dalam perancangan dan pengembangan meja dan kursi ini adalah metode Quality Function Deployment (QFD. Metode QFD merupakan suatu proses atau mekanisme terstruktur untuk menentukan kebutuhan pelanggan dan menerjemahkan kebutuhan-kebutuhan itu ke dalam kebutuhan teknis yang relevan. Metode QFD memiliki empat (4 fase yaitu fase perencanaan produk (product planning, perancangan produk (design product, perencanaan proses (process planning dan perencanaan pengendalian proses (process-control planning. Dalam penelitian ini hanya dilakukan hingga fase ke-3 yaitu fase perencanaan proses. Hasil yang didapatkan dari penelitian ini berupa gambar rancangan meja dan kursi anak.   KATA KUNCI : Perancangan dan pengembangan produk, Anthropometri, Ergonomis, QFD

  3. KETERGANTUNGAN ONLINE GAME DAN PENANGANANNYA

    Directory of Open Access Journals (Sweden)

    Ridwan Syahran

    2015-06-01

    Full Text Available Penelitian ini dimaksudkan untuk mengetahui perilaku yang ditimbulkan dari kecanduan bermaian online game pada siswa SMP Negeri 1 Palu yang meliputi faktor-faktor penyebab kecanduan, keadaan psikologis yang ditimbulkan dari kecanduan bermain online game dan dampak-dampak yang ditimbulkan dari kecanduan bermain online game.Pendekatan penelitian ini adalah penelitian kualitatif dengan jenis penelitian studi kasus dengan berdasarkan responden dan informan sebagai bahan sumber data. Dalam proses pengumpulan data digunakan teknik observasi dan wawancara, dimana setelah data diperoleh selanjutnya dianalisis dengan menggunakan analisis deskriptif kualitatif.Berdasarkan hasil penelitian ini, bahwa subyek (RZ dan (MT, kedua subyek penelitian menjadi ketergantungan atau kecanduan untuk bermain online game yang dikarenakan tersedianya beberapa fasilitas pendukung untuk bermain game di rumah, adanya faktor sosial dari pertemanan dengan teman bermain dan keingintahuan yang sangat besar terhadap suatu jenis game. Penanganan ketergantungan game online dengan bantuan dari berbagai pihak terutama pihak sekolah memberikan kepercayaan kepada konselor sekolah atau guru BK untuk mengadakan seminar kepada orang tua siswa tentang game online dan masalah yang akan ditimbulkan, mengatur waktu belajar dan bermain anak, memasukkan materi tentang game online dan dampaknya kepada siswa serta memberikan penyaluran yang baik dalam memilih game yang edukatif serta Menjalin komunikasi interpersonal agar anak dapat terbuka dengan orang tua.

  4. PERENCANAAN DAN ANALISA SISTEM SPRINKLER OTOMATIS DAN KEBUTUHAN AIR PEMADAMAN FIRE FIGHTING HOTEL XX

    Directory of Open Access Journals (Sweden)

    Rahesa Dwi Putri

    2017-02-01

    Full Text Available Dalam pembangunan sebuah gedung terdapat suatu utilitas keamanan salah satunya adalah sistem instalasi sprinkler yang dirancang sesuai dengan standar proteksi kebakaran yang disiapkan untuk mencegah, memadamkan dan menanggulangi kebakaran dalam bangunan gedung. Pada perencanaan sistem sprinkler ini bertujuan untuk memahami dan melakukan perhitungan pada kecepatan aliran dan tekanan serta merencanakan kebutuhan air pada pemadaman fire fighting gedung hotel. Penulis melakukan penganalisaan dan perhitungan dengan menentukan discharge coefficient of the sprinkler k-factor pada kecepatan aliran fluida, selanjutnya menggunakan presure loss dari Hazen-Williams dan dilakukan kebutuhan air dengan mengacu pada Azas Bernoulli, yang penulis sebut dengan metode Step by Step. Dari hasil perhitungan ini didapat bahwa hubungan antara kecepatan aliran pada sprinkler otomatis ini dengan pressure loss yang terjadi dipengaruhi oleh area yang direncanakan, diameter pipa yang digunakan serta panjang pipa. Dimana perencanaan ini mengacu pada standar yang berlaku seperti Standar Nasional Indonesia (SNI dan National Fire Protection Association (NFPA yang harus dipakai dalam perencanaan siste sprinkler otomatis pada sebuah gedung.

  5. ANALISIS HUBUNGAN KEMANDIRIAN KEUANGAN DAERAH DAN KETERGANTUNGAN DAERAH TERHADAP PENGANGGURAN DAN KEMISKINAN

    Directory of Open Access Journals (Sweden)

    Rosyafah Febiandani

    2017-06-01

    Full Text Available Adanya desentralisasi fiskal diharapkan dapat menciptakan kemandirian daerah dan dapat mengurangi ketergantungan pemerintah daerah terhadap pemerintah pusat. Kemandirian keuangan daerah dicerminkan dengan perbandingan besarnya PAD terhadap total pendapatan daerah. Sejak 10 tahun dilaksanakannya otonomi daerah sesuai UU No 32 Tahun 2004, kemandirian keuangan daerah di Provinsi Jawa Tengah masih berada di level yang kurang baik dibandingkan dengan provinsi lainnya di Pulau Jawa. Jumlah pengangguran dan jumlah penduduk miskin di Provinsi Jawa Tengah juga masih terhitung tinggi. Penelitian ini bertujuan untuk mengetahui hubungan dari tingkat kemandirian keuangan daerah dan tingkat ketergantungan daerah terhadap tingkat pengangguran dan tingkat kemiskinan di kabupaten/kota Provinsi Jawa Tengah Tahun 2013. Data yang digunakan dalam penelitian ini adalah data sekunder. Metode analisis yang digunakan adalah Analisis Korelasi Kanonikal menggunakan bantuan program SPSS. Hasil penelitian menunjukkan kemandirian keuangan daerah mempunyi hubungan yang signifikan, kuat, dan tidak searah dengan pengangguran dan kemiskinan. Sedangkan hubungan antara ketergantungan daerah terhadap kemiskinan dan pengangguran mempunyai hubungan yang signifikan, tidak kuat, dan tidak searah. Peningkatan kemandirian keuangan daerah guna mengurangi tingkat ketergantungan terhadap pemerintah pusat dapat dilakukan dengan cara menggali dan mengelola sumber daya atau potensi daerah yang dimilikinya secara efektif dan efisien sebagai sumber utama pendapatan keuangan daerahnya. Fiscal decentralization is expected to create independency regional financial and to reduce the dependence of local governments to the central government. Independency regional financial can be result by the ratio of PAD to total local revenue. Since 10 years the implementation of regional autonomy based on UU No. 32 of 2004, independency regional financial in Central Java is still unwell compared to the other

  6. Epistemologi dan Keterbatasan Teori Gravitasi

    Directory of Open Access Journals (Sweden)

    Erwin Erwin

    2017-08-01

    Full Text Available Peristiwa tentang kecenderungan jatuhnya benda-benda menuju pusat bumi dan keteraturan peredaran planet dan benda-benda langit lainnya dalam tata surya dahulu dianggap dua fenomena yang berbeda. Mekanika benda langit dan mekanika bumi yang sebelumnya merupakan dua pengetahuan yang terpisah, dianggap satu kesatuan oleh Sir Isaac Newton. Newton mengemukakan hukum gravitasi umum yaitu gaya tarik menarik antara dua benda besarnya sebanding dengan massa masing-masing benda dan berbanding terbalik dengan kuadrat jarak antara kedua benda. Hukum gravitasi ini sukses menjalaskan bagaimana benda cendrung jatuh menuju pusat bumi dan peredaran planet dan benda-benda langit lain mengelilingi matahari dalam sistem tata surya. Namun hukum gravitasi Newton ternyata tidak sepenuhnya tepat, beberapa hal dapat dijelaskan dengan hukum relativitas Einstein, namun demikian hukum relativitas Einstein juga dicurigai masih perlu diamandemen agar dapat menjelaskan fenomena alam dengan tepat.

  7. EPISTEMOLOGI DAN KETERBATASAN TEORI GRAVITASI

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    Erwin Erwin

    2017-08-01

    Full Text Available Peristiwa tentang kecenderungan jatuhnya benda-benda menuju pusat bumi dan keteraturan peredaran planet dan benda-benda langit lainnya dalam tata surya dahulu dianggap dua fenomena yang berbeda. Mekanika benda langit dan mekanika bumi yang sebelumnya merupakan dua pengetahuan yang terpisah, dianggap satu kesatuan oleh Sir Isaac Newton. Newton mengemukakan hukum gravitasi umum yaitu gaya tarik menarik antara dua benda besarnya sebanding dengan massa masing-masing benda dan berbanding terbalik dengan kuadrat jarak antara kedua benda. Hukum gravitasi ini sukses menjalaskan bagaimana benda cendrung jatuh menuju pusat bumi dan peredaran planet dan benda-benda langit lain mengelilingi matahari dalam sistem tata surya. Namun hukum gravitasi Newton ternyata tidak sepenuhnya tepat, beberapa hal dapat dijelaskan dengan hukum relativitas Einstein, namun demikian hukum relativitas Einstein juga dicurigai masih perlu diamandemen agar dapat menjelaskan fenomena alam dengan tepat.

  8. KARAKTERISASI DAN AKTIVITAS KATALITIK BERBAGAI VARIASI KOMPOSISI KATALIS Ni DAN ZnBr2 DALAM Γ-Al2O3 UNTUK ISOMERISASI DAN HIDROGENASI (R-(+-SITRONELAL

    Directory of Open Access Journals (Sweden)

    ED Iftitah

    2014-06-01

    Full Text Available Pengaruh sifat dan karakter berbagai variasi komposisi katalis Ni dan ZnBr2 yang terimpregnasi dalam γ-Al2O3 terhadap aktivitas dan selektivitasnya untuk reaksi isomerisasi dan hidrogenasi (R-(+-Sitronelal telah dilakukan. Dalam penelitian ini, terdapat tiga jenis variasi komposisi Ni dan ZnBr2 dalam γ-Al2O3, yaitu: A1=Ni/ZnBr2/γ-Al2O3 (3:2, A2=Ni/ZnBr2/γ-Al2O3 (1:1 dan A3=Ni/ZnBr2/γ-Al2O3 (2:3. Katalis dikarakterisasi menggunakan X-ray diffraction (XRD, Brunauer-Emmett-Teller (BET surface area, dan SEM-EELS. Luas area permukaan spesifik dan porositasnya ditentukan berdasarkan adsorption-desorption gas nitrogen pada 77 K. Distribusi dan volume pori ditentukan dengan desorption isotherm pada P/Po ≥ 0,3. Hasil yang didapat menunjukkan bahwa terdapat hubungan antara karakter dan sifat katalis dengan aktivitas katalitiknya terhadap produk isomerisasi dan hidrogenasi (R-(+-Sitronelal. Uji aktivitas dilakukan dalam sebuah reaktor mini dengan 0,5 g katalis dan 3 mL (R-(+-Sitronelal menggunakan atmosfir gas N2 dan/atau H2 dalam waktu 5 dan 24 jam masing-masing pada suhu 90 dan 120 °C. Komposisi katalis, pemilihan jenis atmosfir gas dan suhu sangat berpengaruh terhadap aktivitas dan selektivitas pembentukan produk isomerisasi dan hidrogenasi. Konversi (R-(+-Sitronelal tertinggi ditunjukkan oleh katalis A3=Ni/ZnBr2/γ-Al2O3 (2:3 dengan kondisi reaksi selama 5 jam (4 jam N2 + 1 jam H2 pada suhu 90 °C dan 24 jam (4 jam N2 + 20 jam H2 pada suhu 120 °C. The influence of catalyst properties and characteristics of Ni and ZnBr2 catalysts impregnated in γ-Al2O3 on the activity and selectivity of (R-(+-Citronellal isomerisation and hydrogenation has been done. In this study, there were three sets of Ni and ZnBr2 in γ-Al2O3 with various composition, they were A1=Ni/ZnBr2/γ-Al2O3 (3:2, A2=Ni/ZnBr2/γ-Al2O3 (1:1, A3=Ni/ZnBr2/γ-Al2O3 (2:3. The catalysts were characterized using X-ray diffraction (XRD, Brunauer-Emmett-Teller (BET surface area and SEM

  9. PERGESERAN KARIR TRADISIONAL MENJADI KARIR PROTEAN: DAMPAK DAN IMPLIKASINYA PADA INDIVIDU DAN PERUSAHAAN

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    Christofera Marliana Junaedi

    2003-01-01

    Full Text Available It was started by The Great Depression in America that so many changes happened on the organization internally and externally, and the change of career development from career job to protean career as well. Some researchers prove it and state that the job esspecially for career nowadays is different from it was few decades ago. The effect of this changes occur on the system and value that employees have and career development management conducted by the company. This article will discuss the change factor of company internally and externally, its effects,the subtitution of the new paradigm from the old one, and also its implications on the individu and the company. Abstract in Bahasa Indonesia : Berawal dari terjadinya depresi yang besar (The Great Depression di Amerika yang menyebabkan perubahan organisasi secara internal dan eksternal, perubahan pengembangan karir pun bergeser dari karir tradisional menjadi karir protean. Banyak peneliti yang membuktikannya dan menyatakan bahwa karir saat ini berbeda dengan beberapa decade sebelumnya. Dampak dari perubahan ini tentu saja menimbulkan sistem dan nilai yang dimiliki karyawan dan juga manajemen pengembangan karir perusahaan. Artikel ini akan membahas tentang perubahan factor internal dan eksternal organisasi, dampaknya pada perubahan paradigma dari paradigma lama menjadi baru, dan juga implikasinya pada individu dan perusahaan. Kata kunci: karir tradisional, karir protean, paradigma lama, paradigma baru, manajemen karir.

  10. Regret Aversion Bias dan Risk Tolerance Investor Muda Jakarta dan Surabaya

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    Yohnson Yohnson

    2008-01-01

    Full Text Available Investment decision behavior is an interesting topic in finance research. Bailey and Kinerson’s (2005 research found that individual risk tolerance and experienced regret significantly influenced investment decisions. Anticipation of potential future regret did not predict subsequent investment decision behavior. Specifically, this research also wants to know the effects of a person’s experienced regret and anticipated regret or the effects of individual risk tolerance on investment decision behavior in Jakarta and Surabaya. Respondent of this research is 323 students from UK Petra who represent young investors from Surabaya and students from UPH who represent young investors from Jakarta. The method of research is experimental study and the design of research is 2x2x2 (between subject with experienced regret (time deposit and stock as first variable, anticipated regret (time deposit and stock as second variable and risk tolerance (high and low as third variable This study finds that an individual risk tolerance significantly influences decisions. Regret aversion bias does not influence young investors in Indonesia. (We assume that it is because the character of Indonesian investors is different from foreign investors. The couse of this is supposedly the unique characteristics of Indonesian investors and the different view points between Indonesian investors and investors from other countries. Abstract in Bahasa Indonesia: Perilaku keputusan investasi sangat menarik untuk diteliti. Dalam penelitian Bailey dan Kinerson (2005 ditemukan risk tolerance dan experienced regret mempengaruhi keputusan investasi. Anticipated regret tidak dapat dipakai sebagai predictor perilaku keputusan investasi. Penelitian ini juga ingin mengetahui experienced regret, anticipated regret atau risk tolerance yang lebih mempengaruhi perilaku keputusan investasi di Jakarta dan Surabaya. Responden yang diteliti sebesar 323 mahasiswa berasal dari UK Petra yang mewakili

  11. Fisiologi dan Gangguan Keseimbangan Natrium, Kalium dan Klorida serta Pemeriksaan Laboratorium

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    Rismawati Yaswir

    2012-09-01

    Full Text Available AbstrakElektrolit adalah senyawa di dalam larutan yang berdisosiasi menjadi partikel yang bermuatan (ion positifatau negatif. Sebagian besar proses metabolisme memerlukan dan dipengaruhi oleh elektrolit. Konsentrasielektrolit yang tidak normal dapat menyebabkan banyak gangguan. Pemeliharaan tekanan osmotik dan distribusibeberapa kompartemen cairan tubuh manusia adalah fungsi utama empat elektrolit mayor, yaitu natrium (Na+,kalium (K+, klorida (Cl-, dan bikarbonat (HCO3-. Pemeriksaan keempat elektrolit mayor tersebut dalam klinisdikenal sebagai ”profil elektrolit. Natrium adalah kation terbanyak dalam cairan ekstrasel, kalium kation terbanyakdalam cairan intrasel dan klorida merupakan anion terbanyak dalam cairan ekstrasel. Jumlah natrium, kalium danklorida dalam tubuh merupakan cermin keseimbangan antara yang masuk terutama dari saluran cerna dan yangkeluar terutama melalui ginjal. Gangguan keseimbangan natrium, kalium dan klorida berupa hipo- dan hiper-. Hipoterjadibila konsentrasi elektrolit tersebut dalam tubuh turun lebih dari beberapa miliekuivalen dibawah nilai normaldan hiper- bila konsentrasinya meningkat diatas normal.Pemeriksaan laboratorium untuk menentukan kadarnatrium, kalium dan klorida adalah dengan metode elektroda ion selektif, spektrofotometer emisi nyala,spektrofotometer atom serapan, spektrofotometri berdasarkan aktivasi enzim, pemeriksaan kadar klorida denganmetode titrasi merkurimeter, dan pemeriksaan kadar klorida dengan metode titrasi kolorimetrik-amperometrik.Kata kunci: elektrolit, keseimbangan, gangguan keseimbanganAbstractElectrolyte is compound in condensation which is disociation become particle which is charged (ionnegative or positive. Most metabolism processes need and influenced by electrolyte. Electrolyte concentrationwhich abnormal can cause many troubles. Conservancy of osmotic pressure and distribution some human beingbody fluid compartment are especial function four major electrolyte, that is natrium (Na

  12. Dampak belanja irigasi dan jaringan terhadap output PDRB sektor pertanian dan pertumbuhan ekonomi Kota Jambi

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    Aminah, Siti; Parmadi, Parmadi

    2018-01-01

    Penelitian ini bertujuan untuk menganalisis perkembangan Belanja irigasi dan jaringan serta perkembangan output GDP sektor pertanian Kota Jambi selama periode tahun 2005-2015 dan menganalisis pengaruh belanja irigasi dan jaringan terhadap  GDP Output sektor pertanian dan pertumbuhan ekonomi Kota Jambi. Hasil penelitian menunjukkan Selama periode penelitian tahun 2005-2015 dengan rata-rata pertumbuhan 61,98%, nilai rata-rata PDRB harga berlaku Kota Jambi sebesar 157.601,68 dalam juta rupi...

  13. Pengaruh Faktor Internal dan Eksternal Perusahaan Terhadap Audit Delay dan Timeliness

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    Sistya Rachmawati

    2008-01-01

    Full Text Available The objective of this research is to investigate the influence of the firm size, the profitability, the solvability, the public accountant size and the existence of internal auditor division toward the Audit Delay and Timeliness on manufacture companies that listed in Jakarta Stock Exchange.The Research sample was taken from Fifty-nine listed companies in Jakarta Stock Exchange. These samples were selected by using Purposive sampling method. Analysis hypothesis is using Multiple Regression, before hypothesis test, normality data test using P-Plot test.The result of Multiple Regression model shows that Audit Delay influenced by firm size and public accountant size, and Timeliness influenced by firm size and solvability. This result is recommended for auditor to increase effectiveness and efficiency of his audit performance and for all existing studies to contribute towards the current literature on Auditing. Abstract in Bahasa Indonesia: Penelitian ini bertujuan untuk mengukur pengaruh faktor internal yaitu: profitabilitas, solva¬bili¬tas, internal auditor dan size perusahaan dan faktor eksternal, yaitu ukuran KAP terhadap audit delay dan Timeliness pada perusahaan manufaktur yang terdaftar pada Jakarta Stock Exchange. Pemilihan sampel menggunakan metode Purposive Sampling. Dari hasil pengolahan Regresi Berganda pada Audit Delay diketahui bahwa koefisien determi¬nasi Adjusted R2 = 0,123. Artinya seluruh variabel independen (Profitabilitas, Solvabilitas, Internal Auditor, Size Perusahaan, dan KAP hanya mampu menjelaskan variasi dari variabel depen¬den (Audit Delay adalah sebesar 12,3%. Sedang¬kan pada Timeliness, seluruh variabel independen (Profitabilitas, Solvabilitas, Internal Auditor, Size Perusahaan, dan KAP dapat men¬jelaskan variasi pada variabel dependennya (Timeliness adalah sebesar 7,9%. Hasil dari penelitian ini dapat membantu profesi akuntan publik dalam upaya meningkatkan efisiensi dan efektivitas proses audit dengan

  14. Perbedaan Kadar Thyroid Stimulating Hormone dan Free Thyroxine pada Pasien Talasemia Β-Mayor dengan Kelasi Besi Deferasirox dan Deferiprone

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    Aries - Krisbiyantoro

    2018-03-01

    Hasil. Rerata usia pasien 12,5+3,12 tahun. Rerata kadar TSH kelompok deferiprone dan deferasirox adalah 3.051,78 IU/ml dan 2.351,29 IU/ml. Sedangkan rerata kadar FT4 untuk kelompok deferiprone dan deferasirox 15.424,12 mmol/l dan 15.822,75 IU/ml. Tidak terdapat perbedaan kadar TSH dan FT4 pada kelompok yang mendapatkan deferasirox dan deferiprone berturut-turut nilai TSH (p=0,148; p>0,05 dan FT4 (p=0,836; p>0,05. Kesimpulan. Tidak terdapat perbedaan kadar TSH dan FT4 pada pasien talasemia beta mayor yang mendapatkan kelasi deferasirox maupun deferiprone.

  15. KETENTUAN TENTANG STANDAR PELAYANAN MINIMAL BIDANG KELUARGA BERENCANA DAN KELUARGA SEJAHTERA BERDASARKAN ASAS PERIKEMANUSIAAN DAN HAK ASASI MANUSIA

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    . Riyanti

    2017-01-01

    Hasil penelitian, ketentuan tentang standar pelayanan minimal bidang keluarga berencana, keluarga sejahtera dan asas perikemanusiaan dengan hak asasi manusia sangat berhubungan keterbatasan lingkup pelayanan dan standar pelaksanaan Komunikasi Informasi dan Edukasi yang tidak jelasberdampak pada tidak dipenuhinya hak asasi manusia untuk mendapatkan kesetaraan dan kebebasan dalam pelayanan keluarga berencana dan keluarga sejahtera.

  16. Pemahaman terhadap Konsep Pahala dan Dosa Serta Hubungannya Dengan Etos Kerja Dosen dan Pegawai Fakultas Ushuluddin dan Pemikiran Islam IAIN Raden Fatah Palembang

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    Idrus Alkaf

    2016-03-01

    Full Text Available Artikel ini membahas tentang konsep pahala dan dosa dalam ajaran Islam dan pengaruhnya terhadap etos kerja dosen dan staf Fakultas Ushuluddin dan Pemikiran Islam, IAIN Raden Fatah Palembang. Pemahaman tentang pahala dan dosa, yang merupakan bagian dari doktrin etika dalam Islam ternyata memiliki peran dalam menentukan etos kerja. Kegiatan yang dianggap baik berdasarkan ajaran Islam pasti akan dihargai. Sebaliknya, mereka yang tidak menjalankan atau yang melanggar aturan akan mendapatkan dosa sebagai balasannya. Dengan menggunakan metode pengumpulan data melalui survei, observasi, wawancara atau kuesioner, dalam artikel ini, diketahui bahwa pemahaman dosen dan staf tentang pahala dan dosa ternyata sangat berhubungan dengan etos kerja mereka sehari-hari. Semakin baik tingkat pemahaman dosen dan staf dengan konsep pahala dan dosa, semakin tinggi etos kerja mereka. Ini menyiratkan bahwa pemahaman seseorang tentang konsep pahala dan dosa itu dapat mendorong orang untuk bekerja lebih baik, lebih serius dan lebih berhati-hati. Atau dengan kata lain, secara teologis pemahaman ini dapat berdampak pada aktivitas sehari-hari. This article discusses the concept of merit and sin in Islam and the influence by the work ethic of faculty and staff of the Faculty of Islamic Theology and Islamic Thought, Islamic State Institute Raden Fatah Palembang. Understanding of merit and sin, which is part of the doctrine of ethics in Islam to have a role in determining the work ethic. Activities that are considered good based on the teachings of Islam is believed to be rewarded. Vice versa, those who do not run or that violate the rules will get sin as a reward. By Idrus analysis using the method of data collection through the courts (survey, observation, interviews or questionnaires, in this article, Idrus found understanding of faculty and staff to the concept of merit and sin is very in touch with their work ethic in everyday tasks. Or the better the level of

  17. POTENSI TAMAN NASIONAL BOGANI NANI WARTABONE, PERMASALAHAN DAN KONSERVASI PADA TINGKAT PENGEMBANGAN DAN PENGAWASAN

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    Femmy Roosje Kawuwung

    2010-03-01

    Full Text Available Taman Nasional Bogani Nani Wartabone sebelumnya bernama Dumoga Bone. Nani Wartabone seorang pahlawan yang terkenal di daerah Gorontalo, untuk mengenang pahlawan tersebut maka namanya diabadikan pada nama Taman Nasional. Pada tahun 1982 luas 300.000 hektar dinyatakan Menteri Pertanian. Ditunjuk Menteri Kehutanan, SK No. 731/Kpts-II/1992 luas 287.115 hektar. Propinsi Gorontalo dengan ketinggian tempat 50 – 2.000 meter dpl. Posisi 1o– 4o LS, 120o – 124o BT. Permasalahan; terjadinya fragmentasi, perladangan berpindah, pertanian, illegal logging, pemukiman, pertambangan, dan pencurian spesies flora dan fauna. Tujuan mengetahui potensi Taman Nasional Bogani Nani Wartabone, permasalahan dan upaya konservasi.Potensi Taman Nasional Bogani Nani Wartabone adalah; Flora terdiri dari 400 jenis pohon, 241 jenis tumbuhan tinggi, 120 jenis efifit dan terdapat 24 jenis anggrek. Tumbuhan endemik yaitu; palem matayangan, kayu hitam dan bunga bangkai(Amophaphallus compamulatus. Tumbuhan yang umum adalah cempaka, kenanga, agates, dan tanaman hias.Taman Nasional Bogani Nani Wartabone memiliki 24 jenis mamalia, 64 jenis aves, 11 jenis reptile. Mamalia (satwa endemik : monyet hitam/yaki (Macaca nigra, Monyet Dumoga Bone, babirusa, kelelawar bone, kus-kus besar (Palanger ursinus, anoa kecil (B.quarlesi. Di Taman Nasional Bogani Nani Wartabone tercatat 200 – 225 jenis burung. Reptil : ular kobra, king kobra (N. hammah, ular belang, katak pohon (Rhacophorus monticola, ikan : ikan mas (Cyprinus carpio, bekicot (Achatina fulica. Upaya konservasi adalah pada tingkat pengembangan dan pengawasan. Dalam upaya konservasi harus ada kerja sama dari pemerintah dan masyarakat sekitar kawasan.

  18. Pengaruh Massa Zn Dan Temperatur Hydrotermal Terhadap Struktur Dan Sifat Elektrik Material Graphene

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    Muhammad Rizki Ilhami

    2014-09-01

    Full Text Available Kemajuan teknologi yang sangat berkembang pada saat ini membutuhkan material yang tidak hanya kecil ataupun ringan, tetapi juga memiliki sifat thermal, elektrik, dan mekanik yang baik. Graphene adalah material yang dapat menjawab kebutuhan hal tersebut. Permasalahan yang kemudian muncul adalah proses sintesis massal yang masih menjadi kendala. Penelitian ini bertujuan untuk mensintesis material graphene dengan metode hydrothermal dan menggunakan serbuk Zn sebagai reduktor. Penelitian ini menganalisa pengaruh varaiasi penambahan massa sebesar 0,8 gram, 1,6 gram, dan 2,4 gram zinc serta variasi temperatur hydrthermal 160ᵒC, 180ᵒC, 200ᵒC. Proses karakterisasi material graphene dilakukan dengan pengujian Scanning Electron Microscope (SEM, X-Ray Diffraction (XRD, Fourier Transform Infraredspectroscopy, Thermo Gravimetric Analysis/Differential Scanning Calorimetry (TGA/DSC, dan Four Point Probe digunakan untuk mengetahui nilai konduktivitas elektrik material. Morfologi dari graphene yang dihasilkan berbentuk lembaran-lembaran transparan dan tipis yang saling menumpuk.Semakin banyak serbuk Zn yang diberikan menjadikan permukaan graphene semakin tipis. Nilai konduktivitas elektrik terbesar dihasilkan dari variasi panambahan serbuk zinc sebesar 2,4 gram dan temperatur hydrothermal sebesar 180ᵒC dengan nilai sebesar 0,012526 S/cm.

  19. PERBEDAAN FISIK DAN KIMIA KOMPOS DAUN YANG MENGGUNAKAN BIOAKTIVATOR MOL DAN EM 4

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    Priyantini Widiyaningrum

    2013-02-01

    Full Text Available Tujuan penelitian ini untuk mengetahui kemampuan mikroorganisme lokal (MOL sebagai aktivator dalam proses pengomposan sampah daun, serta membandingkan penampilan fisik, penyusutan bahan, kadar air dan C/N rasio kompos yang dihasilkan dengan kompos yang menggunakan EM sebagai bioaktivator. Bahan baku kompos terdiri dari daun kering cacah dan kotoran kambing. Kompos dipanen setelah proses pengomposan berlangsung selama 6 minggu. Setiap perlakuan dibuat tiga ulangan. Data kualitatif yang diamati meliputi tekstur, warna dan bau, sedangkan data kuantitatif yang diukur meliputi persentase penyusutan bahan, persentase kompos yang terbentuk, kadar air, dan C/N rasio. Analisis data kualitatif dilakukan secara deskriptif, sedangkan data kuantitatif menggunakan uji t. Hasil pengamatan menunjukkan bahwa kompos kedua perlakuan memiliki penampilan fisik tidak berbeda. Berdasarkan uji t, ratarata penyusutan bahan, kadar air dan C/N rasio kompos matang tidak berbeda nyata, akan tetapi persentase kompos yang terbentuk menunjukkan perbedaan nyata. Dari penelitian ini disimpulkan bahwa kompos daun kedua perlakuan memperlihatkan penampilan fisik, penyusutan, kadar air dan C/N rasio yang tidak berbeda, sedangkan persentase kompos yang terbentuk pada kompos + EM lebih tinggi dibanding kompos + MOL. Secara umum kedua kompos masuk kategori layak digunakan berdasarkan standar SNI No. 19-7030-2004. 4 4

  20. Komposisi Kimia, Kadar Albumin Dan Bioaktivitas Ekstrak Protein Ikan Gabus (Channa Striata Alam Dan Hasil Budidaya

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    Ekowati Chasanah

    2015-12-01

    Full Text Available Khasiat kesehatan ikan gabus (C. striata telah dikenal secara luas dan saat ini C. striata telah digunakan sebagai bahan baku industri produk suplemen. Tingginya permintaan akan produk suplemen tersebut menimbulkan masalah pada ketersediaan C. striata yang sebagian besar ditangkap dari sungai dan danau sebagai tempat hidupnya. Ikan gabus budidaya dipercaya memiliki kualitas tidak sebaik ikan gabus alam.Tujuan penelitian ini adalah untuk mendapatkan informasi mengenai komposisi kimia, termasuk albumin dan potensi ekstrak protein kasar ikan gabus alam dan hasil budidaya sebagai antioksidan dan anti hipertensi. Hasil analisis menunjukkan bahwa ikan gabus alam dan hasil budidaya memiliki kadar protein yang tidak berbeda secara nyata, tetapi berbeda pada kadar air, abu, dan lemak. Ikan gabus alam memiliki kadar lemak dan abu lebih rendah tetapi kadar air lebih tinggi dibanding ikan gabus budidaya. Ikan dari kedua sumber memiliki bagian yang dapat dimakan atau edible portion (EP sebesar 36%,dengan kadar mineral makro (Na, K, Ca dan mikro (Zn, Fe pada ikan hasil budidaya lebih tinggi dibanding kedua kelompok mineral pada ikan gabus alam. Kadar albumin ikan gabus alam lebih tinggi daripada kadar albumin ikan gabus budidaya. Namun demikian, hasil analisis asam amino menunjukkan bahwa ikan gabus hasil budidaya memiliki kuantitas asam amino yang lebih tinggi daripada ikan gabus alam. Asam amino non essensial dominan adalah alanin, asam aspartat, glisin, alloisoleusin, prolin, dan glutamin, sedangkan asam amino esensial didominasi oleh leusin, lisin, dan fenilalanin. Kedua ikan gabus yang diperoleh dari tempat yang berbeda tersebut memiliki bioaktivitas sebagai antioksidan yang lemah, namun berpotensi sebagai antihipertensi (penghambat Angiotensin Converting Enzyme (ACE dengan kekuatan 1/10 kekuatan kontrol obat hipertensi captopril.

  1. Komposisi Kimia, Kadar Albumin dan Bioaktivitas Ekstrak Protein Ikan Gabus (Channa striata Alam dan Hasil Budidaya

    Directory of Open Access Journals (Sweden)

    Ekowati Chasanah

    2015-12-01

    Full Text Available Khasiat kesehatan ikan gabus (C. striata telah dikenal secara luas dan saat ini C. striata telah digunakan sebagai bahan baku industri produk suplemen. Tingginya permintaan akan produk suplemen tersebut menimbulkan masalah pada ketersediaan C. striata yang sebagian besar ditangkap dari sungai dan danau sebagai tempat hidupnya. Ikan gabus budidaya dipercaya memiliki kualitas tidak sebaik ikan gabus alam.Tujuan penelitian ini adalah untuk mendapatkan informasi mengenai komposisi kimia, termasuk albumin dan potensi ekstrak protein kasar ikan gabus alam dan hasil budidaya sebagai antioksidan dan anti hipertensi. Hasil analisis menunjukkan bahwa ikan gabus alam dan hasil budidaya memiliki kadar protein yang tidak berbeda secara nyata, tetapi berbeda pada kadar air, abu, dan lemak. Ikan gabus alam memiliki kadar lemak dan abu lebih rendah tetapi kadar air lebih tinggi dibanding ikan gabus budidaya. Ikan dari kedua sumber memiliki bagian yang dapat dimakan atau edible portion (EP sebesar 36%,dengan kadar mineral makro (Na, K, Ca dan mikro (Zn, Fe pada ikan hasil budidaya lebih tinggi dibanding kedua kelompok mineral pada ikan gabus alam. Kadar albumin ikan gabus alam lebih tinggi daripada kadar albumin ikan gabus budidaya. Namun demikian, hasil analisis asam amino menunjukkan bahwa ikan gabus hasil budidaya memiliki kuantitas asam amino yang lebih tinggi daripada ikan gabus alam. Asam amino non essensial dominan adalah alanin, asam aspartat, glisin, alloisoleusin, prolin, dan glutamin, sedangkan asam amino esensial didominasi oleh leusin, lisin, dan fenilalanin. Kedua ikan gabus yang diperoleh dari tempat yang berbeda tersebut memiliki bioaktivitas sebagai antioksidan yang lemah, namun berpotensi sebagai antihipertensi (penghambat Angiotensin Converting Enzyme (ACE dengan kekuatan 1/10 kekuatan kontrol obat hipertensi captopril.

  2. DESAIN, TATA LETAK, DAN KONSTRUKSI TAMBAK

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    Akhmad Mustafa

    2008-12-01

    Full Text Available Komoditas yang umum dibudidayakan di tambak Indonesia adalah udang dan ikan bandeng yang menjadi komoditas unggulan untuk dikembangkan. Salah satu faktor penting yang sangat menentukan keberhasilan usaha budidaya tambak adalah rekayasa tambak yang mencakup disain, tata letak, dan konstruksi tambak. Secara umum, desain petakan tambak merupakan perencanaan bentuk tambak yang meliputi: ukuran panjang dan lebar petakan, kedalaman, ukuran pematang, ukuran berm, dan ukuran saluran keliling, serta ukuran dan letak pintu air. Tata letak suatu unit tambak harus memenuhi tujuan seperti: menjamin kelancaran mobilitas operasional sehari-hari, menjamin kelancaran dan keamanan pasok air, serta pembuangannya, dapat menekan biaya konstruksi tanpa mengurangi fungsi teknis dari unit tambak yang dibangun dan mempertahankan kelestarian lingkungan. Konstruksi tambak yang menggambarkan proses pengerjaan tambak harus disesuaikan dengan desain dan tata letak yang telah ada. Rekayasa tambak diarahkan pada kemampuan untuk menciptakan kondisi yang sesuai dengan keadaan alami yang dituntut oleh organisme akuatik yang dibudidayakan sehingga produktivitas tambak meningkat, efisien secara ekonomis, dan berkelanjutan.

  3. Pengaruh Lama Perendaman dan Jenis Minuman Beralkohol Bir dan Tuak terhadap Kekerasan Email Gigi Manusia (In Vitro)

    OpenAIRE

    Magista, Malida; Nuryanti, Archadian; Wahyudi, Ivan Arie

    2014-01-01

    Erosi gigi merupakan hilangnya lapisan email gigi karena asam. Jenis asam, pH rendah, serta kandungan kalsium, fosfat, dan fluoride pada bir dan tuak diduga merupakan faktor kimiawi penyebab erosi gigi. Tujuan penelitian ini untuk mengetahui pengaruh lama perendaman dan jenis minuman beralkohol bir dan tuak terhadap kekerasan email gigi manusia (in vitro). Penelitian ini menggunakan 14 sampel gigi premolar pertama atas. Setiap gigi dibagi menjadi 2 bagian, bukal dan palatal. kemudian dibagi m...

  4. Pengaruh Lama Perendaman Dan Jenis Minuman Beralkohol Bir Dan Tuak Terhadap Kekerasan Email Gigi Manusia (in Vitro)

    OpenAIRE

    Magista, Malida; Nuryanti, Archadian; Wahyudi, Ivan Arie

    2014-01-01

    Erosi gigi merupakan hilangnya lapisan email gigi karena asam. Jenis asam, pH rendah, serta kandungan kalsium, fosfat, dan fluoride pada bir dan tuak diduga merupakan faktor kimiawi penyebab erosi gigi. Tujuan penelitian ini untuk mengetahui pengaruh lama perendaman dan jenis minuman beralkohol bir dan tuak terhadap kekerasan email gigi manusia (in vitro). Penelitian ini menggunakan 14 sampel gigi premolar pertama atas. Setiap gigi dibagi menjadi 2 bagian, bukal dan palatal. kemudian dibagi m...

  5. AGROFORESTRI UNTUK ADAPTASI DAN MITIGASI PERUBAHAN IKLIM

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    Tigor Butarbutar

    2017-01-01

    Full Text Available Hilangnya tutupan lahan hutan karena konversi hutan untuk pemukiman, perkebunan, pertanian dan kebutuhan untuk pembangunan di sektor lain, telah menyebabkan perubahan pola cuaca/iklim di berbagai tempat. Perubahan iklim dapat diantisipasi dengan mitigasi dan adaptasi. Mitigasi berarti usahausaha pencegahan yang perlu dilakukan, sedangkan adaptasi merupakan kegiatan-kegiatan penyesuaian yang perlu dilakukan untuk dapat hidup dan bertahan dan meningkatkan ketahanan, kelenturan dan mengarahkemigrasikarenakondisiiklimyangberbeda.Agroforestridapatmemitigasidanmengadaptasi perubahaniklim dengan alasan-alasansebagaiberikut: aPencampuranjenis pohonpenghasilkayu,buah dan lain-lain, karena campuran jenis lebih baik dari tanaman murni; b Pencampuran jenis yang didasarkan pada sifat toleransi ( dan , sehingga akan memanfaatkan seluruh cahaya untuk fotosintesis; c Pencampuran perbedaan umur; d Pencampuran berdasarkan perbedaan waktu pemanenan; e Penggabungan nilai ekonomi, sosial dan budaya sehingga perubahan vegetasi dapat berjalan seiring dengan perubahan sosial dan budaya secara berangsur yang dapat disesuaikan dengan perubahan iklim; dan f Dapat digunakan sebagai model untuk memfasilitasi perubahan kelompok vegetasi menjadi kelompok yang baru (adaptasi, seperti teori perubahan vegetasi melalui perladangan berpindah-pindahyangteratur.

  6. Aminoazo dye-protein-adduct enhances inhibitory effect on digestibility and damages to Gastro-Duodenal-Hepatic axis.

    Directory of Open Access Journals (Sweden)

    Li-Yun Lin

    Full Text Available 4-Dimethylaminoazobenzene (DAB, methyl yellow, or butter yellow, a human carcinogen, has been banned for use in foods since 1988. In 2014, DAB adulteration in Tofu occurred in Taiwan. We hypothesize that DAB can form [DAB•SBP]adduct adduct with soybean protein (SBP which could damage Gastro-Duodenal-Hepatic axis. Sprague-Dawley rats gavage fed [DAB•SBP]adduct adduct revealed severely reduced body weight and damaged duodenum, liver, hepatic mitochondria, and spleen. Hepatic levels of glutathione and ATP were severely reduced. Serum GOT and GPT were substantially elevated. Analysis by the adsorption isotherm clearly revealed DAB formed very stable [DAB•SBP]adduct adduct at 1:1 molar ration (Phase A. The equilibrium constant of this colloidal adduct [DAB•SBP]adduct was KeqA = ∝, behaving as the most stable and toxic species. At higher protein concentration (Phase C it formed conjugate [DAB×SBPgross]conjugate, with KeqC = 3.23×10-2 mg/mL, implicating a moderately strong adsorption. The in vitro pepsin digestibility test showed apparently reduced digestibility by 27% (by Ninhydrin assay or 8% (by Bradford assay. Conclusively, this is the first report indicating that [DAB•SBP]adduct potentially is capable to damage the Gastro-Duodenal-Hepatic axis.

  7. Perancangan dan Pengujian Load Balancing dan Failover Menggunakan NginX

    Directory of Open Access Journals (Sweden)

    Rahmad Dani

    2017-06-01

    Full Text Available Situs web dengan traffic yang tinggi dapat menyebabkan beban kerja yang berat di sisi server, yang pada gilirannya akan mengakibatkan turunnya kinerja server, bahkan kegagalan sistem secara keseluruhan. Salah satu solusi untuk mengatasi masalah tersebut adalah dengan menerapkan teknik load balancing dan failover. Load balancing merupakan teknologi untuk melakukan pembagian beban kepada beberapa server, memastikan tidak terjadi kelebihan beban pada salah satu server. Sementara itu, failover merupakan kemampuan suatu sistem untuk berpindah ke sistem cadangan jika sistem utama mengalami kegagalan. Dalam penelitian ini load balancing dengan teknik failover akan diimplementasikan pada sistem operasi Ubuntu. Software inti yang digunakan dalam penelitian ini adalah Nginx dan KeepAlived. Nginx akan berfungsi sebagai load balancer, sedangkan KeepAlived untuk mengimplementasikan teknik failover. Beberapa skenario telah disiapkan untuk menguji sistem load balancing yang telah dirancang. Pengujian dilakukan dengan menggunakan perangkat lunak JMeter. Berdasarkan pengujian yang telah dilakukan, sistem yang dirancang berhasil membagikan beban permintaan dan dapat terus bekerja walaupun terjadi kegagalan pada server load balancer ataupun kegagalan pada server backend. Selain itu, dalam beberapa pengujian, penggunaan load balancing terbukti mampu menurunkan waktu respon dan meningkatkan thoughput pada sistem sehingga mampu meningkatkan performa keseluruhan sistem. Mengacu pada hasil penelitian ini, sistem load balancing dan failover menggunakan Nginx dapat dijadikan salah satu solusi pada sistem web server dengan situs web yang memiliki traffic tinggi.

  8. PENGOLAHAN BUAH DAN BIJI RAMBUTAN SEBAGAI MAKANAN TRADISIONAL KOKTAIL, MANISAN, EMPING BIJI RAMBUTAN DAN OBAT HERBAL YANG BERKHASIAT

    Directory of Open Access Journals (Sweden)

    Nuni Widiarti

    2013-02-01

    Full Text Available Kegiatan pengabdian kepada masyarakat berupa penyuluhan Pengolahan Buah Dan Biji Rambutan Sebagai Makanan Tradisional Koktail, Manisan, Emping Biji Rambutan Dan Obat Herbal Yang Berkhasiat bertujuan untuk memberikan pengetahuan kepada masyarakat khususnya ibu-ibu PKK dukuh kanggan Desa Wringinputih terhadap manfaat rambutan, dan biji rambutan terhadap kesehatan beserta bagaimana meningkatkan nilai jual rambutan dan biji rambutan pada saat panen raya. Khalayak sasaran dalam pengabdian masyarakat ini adalah ibu-ibu rumah tangga di dukuh Kanggan Desa Wringinputih khususnya warga RT 01 dan 02 RW XIII yang berjumlah 20 orang. Metode yang dilakukan dalam pngabdian ini adalah penyuluhan dan demonstrasi pembuatan emping serta manisan buah rambutan. Manfaat yang diperoleh dari hasil pengabdian ini adalah masyarakat menjadi tahu manfaat dari daun hingga akar dan buah rambutan terhadap berbagai penyakit dan kecantikan.

  9. Gastro-Resistant Insulin Receptor-Binding Peptide from Momordica charantia Improved the Glucose Tolerance in Streptozotocin-Induced Diabetic Mice via Insulin Receptor Signaling Pathway.

    Science.gov (United States)

    Lo, Hsin-Yi; Li, Chia-Cheng; Chen, Feng-Yuan; Chen, Jaw-Chyun; Hsiang, Chien-Yun; Ho, Tin-Yun

    2017-10-25

    Momordica charantia is a commonly used food and has been used for the management of diabetes. Our previous study has identified an insulin receptor (IR)-binding protein (mcIRBP) from Momordica charantia. Here we identified the gastro-resistant hypoglycemic bioactive peptides from protease-digested mcIRBP. By in vitro digestion and IR kinase activity assay, we found that a 9-amino-acid-residue peptide, mcIRBP-9, was a gastro-resistant peptide that enhanced IR kinase activities. mcIRBP-9 activated IR signaling transduction pathway, which resulted in the phosphorylation of IR, the translocation of glucose transporter 4, and the uptake of glucose in cells. Intraperitoneal and oral administration of mcIRBP-9 stimulated the glucose clearance by 30.91 ± 0.39% and 32.09 ± 0.38%, respectively, in streptozotocin-induced diabetic mice. Moreover, a pilot study showed that daily ingestion of mcIRBP-9 for 30 days decreased the fasting blood glucose levels and glycated hemoglobin (HbA1c) levels by 23.62 ± 6.14% and 24.06 ± 1.53%, respectively. In conclusion, mcIRBP-9 is a unique gastro-resistant bioactive peptide generated after the digestion of mcIRBP. Furthermore, oral administration of mcIRBP-9 improves both the glucose tolerance and the HbA1c levels in diabetic mice via targeting IR signaling transduction pathway.

  10. In vitro and in vivo evaluation of gastro-retentive carvedilol loaded chitosan beads using Gastroplus™.

    Science.gov (United States)

    Praveen, Radhakrishnan; Prasad Verma, Priya Ranjan; Venkatesan, Jayachandran; Yoon, Dong-Han; Kim, Se-Kwon; Singh, Sandeep Kumar

    2017-09-01

    The objective of present investigation was to develop gastro-retentive controlled release system of carvedilol using biological macromolecule, chitosan. 3 2 full factorial design was adopted for optimization of tripolyphosphate (X 1 ) and curing time (X 2 ). Bead stability in 0.1N HCl, buoyancy duration, density, drug loading, dissolution efficiency and cumulative percentage release at 8th hour were evaluated as dependent variables. The levels of X 1 and X 2 of optimized formulation having maximum desirability was found to 2.0% w/v and 62.66min, respectively. The in silico predicted responses and observed response were found to be in good agreement (percent bias error: -13.295 to +13.269). SEM images showed numerous pores in the cross sectional image that renders buoyancy. AUC 0-∞ of optimized formulation was 1.47 times higher as compared to suspension corroborating enhanced extent of absorption. T max and mean residence time were significantly higher from optimized formulation vis a vis suspension. In silico study indicated maximum regional absorption from the duodenum (94.1%) followed by jejunum (5.6%). Wagner-Nelson and Loo-Reigelman method were the preferred deconvolution approach over numerical deconvolution to establish IVIVC. In conclusion, the study showed that gastro-retentive controlled release system prepared using chitosan could be a potential drug carrier of carvedilol with improved bioavailability. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. IMPLEMENTASI E-POSYANDU UNTUK MONITORING PERKEMBANGAN KESEHATAN DAN GIZI IBU DAN ANAK

    Directory of Open Access Journals (Sweden)

    - Sumardi

    2012-11-01

    Full Text Available Salah satu kegiatan Posyandu adalah untuk memonitoring gizi anak pada daerah sekitarnya. Memonitoring dilakukan oleh Kader Posyandu dengan mencatat dan melaporkan sesuai dengan format yang diberikan oleh puskesmas. Informasi yang dihasilkan berupa status gizi anak, daftar anak pengikut penimbangan, daftar anak yang melakukan imunisasi, dan data kematian anak. Selama ini penyampaian informasi belum menghasilkan lengkap, akurat, jelas, dan tepat waktu. Hal ini tentunya menjadi masalah dalam memonitoring gizi anak pada suatu Posyandu. Sistem dikembangkan dengan bahasa pemrograman PHP dan database dengan PHPMyAdmin. Desain sistem meliputi form login admin, form pengolahan daftar anak, form pengolahan layanan anak, form pengolahan catatan imunisasi, form data kematian, form daftar imunisasi. Untuk menghasilkan laporan pengolahan data dibuat dalam bentuk pdf agar tidak terjadi manipulasi informasi. Sistem ini diharapkan mampu mengatasi permasalahan yang berhubungan dengan kualitas informasi, berupa : ketersedian informasi saat dibutuhkan secara cepat, sudah dalam bentuk komputerisasi, tidak ada keterlambatan pelaporan hasil pengolahan data, dan hasil pengolahan data sesuai dengan keadaan yang ada. Pada tahap akhir pembuatan produk akan dilakukan evaluasi untuk memaksimalkan fungsinya. Kata kunci: E-Posyandu, monitoring, gizi anak, web report, Puskesmas

  12. Korelasi dan Penyebaran Kejadian Rabies pada Anjing dan Manusia di Kabupaten Klungkung Bali Tahun 2010-2014

    Directory of Open Access Journals (Sweden)

    Rendi Tegar Pratama

    2016-06-01

    Full Text Available Rabies atau penyakit anjing gila merupakan penyakit virus yang disebabkan oleh genus Lyssavirus dari famili Rhabdoviridae bersifat akut serta sangat berbahaya dan mengakibatkan kematian karena mampu menginfeksi sistem saraf pusat yakni otak dan sumsum tulang belakang. Penelitian ini bertujuan untuk mengetahui kawasan rabies, penyebaran rabies dan korelasi antara kejadian rabies pada anjing dan manusia di Kabupaten Klungkung tahun 2010-2014. Metode yang digunakan dalam penelitian ini adalah analisis deskriptif. Untuk mengetahui hubungan kejadian rabies pada anjing dan manusia dilakukan uji korelasi Rank Spearman. Berdasarkan uji korelasi Spearman diperoleh hasil bahwa terdapat hubungan yang searah antara kejadian rabies pada anjing dan manusia. Dari uji Spearman yang dilakukan nilai koefisiensi yang diperoleh adalah 0,468 dengan nilai signifikansi 0,037.

  13. INTERVENSI KOGNITIF DAN PENDEKATAN RANTAI NILAI DALAM PENINGKATAN PEMANFAATAN TEKNOLOGI INFORMASI DAN KOMUNIKASI DI USAHA KECIL DAN MENENGAH DI BANDUNG

    Directory of Open Access Journals (Sweden)

    Ari Widyanti

    2016-06-01

    Full Text Available Pemanfaatan teknologi informasi dan komunikasi (TIK di usaha kecil dan menengah (UKM di Indonesia masih pada tingkat yang belum sesuai harapan. Mempertimbangkan bahwa UKM di Indonesia banyak menyerap tenaga kerja dan menyumbang pendapatan nasional yang cukup besar, serta melihat bahwa pemanfaatan TIK di banyak industri besar telah membawa peningkatan performansi yang cukup signifikan,  peningkatan pemanfaatan TIK di UKM merupakan hal yang penting untuk dilakukan. Penelitian ini dilakukan dengan tujuan untuk memetakan tingkat pemanfaatan TIK di UKM dan mengaplikasikan intervensi kognitif dan pendekatan rantai nilai dalam meningkatkan pemanfaatan TIK di UKM. Pemetaan pemanfaatan TIK dilakukan melalui survey dengan menggunakan kuesioner terstruktur dan wawancara yang melibatkan 61 UKM di berbagai bidang di Bandung. Hasil pemetaan pemanfaatan TIK di UKM menunjukkan bahwa pemanfaatan TIK di UKM sebatas pada tujuan pemasaran produk dan sebatas pada penggunaan website. Kendala utama pemanfaatan TIK di UKM adalah faktor SDM terutama berkaitan dengan keterbatasan pengetahuan dan informasi. Berdasarkan hasil pemetaan, selanjutnya, intervensi dilakukan melalui edukasi/kampanye dengan materi mengenai rantai nilai pada 30 UKM yang bergerak di bidang fashion. Hasil intervensi menunjukkan bahwa level pengetahuan dan intensi/kemauan untuk menerapkan TIK di UKM selain untuk kepentingan pemasaran (misalnya untuk perancangan produk dan hubungan dengan pemasok semakin meningkat. Implikasi dari hasil penelitian ini dibahas lebih lanjut.       Abstract The use of information and communication technology (ICT in small and medium enterprise (SME in Indonesia is at low level. Considering that SME in Indonesia employ a lot of people and contribute to Gross Domestic Product (GDP as well as improve performance of industries,  coupled with low level of ICT use in Indonesian SME, ICT’ used in SME must be increased. Therefore, this study aims to map the use of ICT in

  14. Microstructural characteristics and gastro-small intestinal digestion in vitro of potato starch: Effects of refrigerated storage and reheating in microwave.

    Science.gov (United States)

    Colussi, Rosana; Singh, Jaspreet; Kaur, Lovedeep; Zavareze, Elessandra da Rosa; Dias, Alvaro Renato Guerra; Stewart, Robert B; Singh, Harjinder

    2017-07-01

    The objective of our study was to evaluate paste clarity, retrogradation (syneresis %), thermal characteristics and kinetics of glucose release during in vitro gastro-small intestinal digestion of freshly cooked and refrigerated potato starch. Freshly cooked starch pastes had a paste clarity of 71%, which decreased to 35.4% whereas syneresis (%) increased after 7days of refrigerated storage. The X-ray and thermal characteristics of native, retrograded and microwave reheated starch samples differed significantly from each other. For the freshly cooked starch pastes, ∼88% starch hydrolysis was observed at the end (150min) of digestion under simulated gastro-small intestinal conditions that decreased to ∼70% for the 7day stored pastes. The hydrolysis (%) of refrigerated pastes increased to 86% and 92% after one and two cycles of microwave reheating, respectively. These results contribute to the understanding of starch retrogradation in relation to starch digestion. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Sistem Pakar Diagnosis Hama dan Penyakit Tanaman Hortikultura dengan Teknik Inferensi Forward dan Backward Chaining

    Directory of Open Access Journals (Sweden)

    Ginanjar Wiro Sasmito

    2017-05-01

    Full Text Available One of the obstacles to doing cultivation of horticulture plant is to overcome pest and disease. Pest and disease attack can decrease productivity and even causes harvest fail that influence toward one of income sources the country. Therefore the diagnose on pest and disease must be done fastly and accurately. One of horticulture plant is red onion and chili plant. An expert system is offered as the second choice after expert on consultation. Using Expert System Development Life Cycle (ESDLC method, combination inference engine of and backward chaining for diagnosing pest and horticulture plant disease created as giving the solution. The technique of reasoning used in this research is the rule-based. The result of the research is an application that can be used to diagnosis pest and disease horticulture plant, that are red onion and chili. By this application, the farmer can determine quick action should be taken if the farm pests and diseases, without waiting for a consultation with an expert to do the handling. The application result also could be a learning system to the farmer about pest and disease horticulture plant. Salah satu kendala melakukan budidaya tanaman hortikultura adalah dalam mengatasi hama dan penyakit. Serangan hama dan penyakit dapat menurunkan produktivitas dan bahkan menyebabkan gagal panen yang berpengaruh terhadap salah satu sumber devisa negara. Oleh karena itu, diagnosis terhadap hama dan penyakit harus dilakukan dengan cepat dan akurat. Tanaman hortikultura tersebut salah satunya adalah bawang merah dan cabai. Sistem pakar dihadirkan sebagai pilihan kedua setelah pakar dalam melakukan konsultasi. Dengan menggunakan metode Expert System Development Life Cycle (ESDLC, penggabungan teknik inferensi forward dan backward chaining untuk diagnosis hama dan penyakit tanaman hortikultura dibuat sebagai solusi atas permasalahan yang ada. Teknik penalaran yang digunakan dalam penelitian ini yakni rule-based reasoning. Hasil

  16. Apport des techniques non invasives dans le suivi de l'atteinte cardiaque dans la maladie de Steinert

    OpenAIRE

    Luporsi , Jean-Dominique

    2008-01-01

    The first part of this personal work is a review focused on epidemiology, genetic bases,clinical description and treatment of Steinert's disease. The second part exposes a personal trial based on the recruitment of 102 patients coming from the orphan diseases and the neurology departments of the Nancy universitary hospital, who are then sent to the cardiology department for systematic non-invasive investigations in the framework of their myotonicdystrophy. A comparison is made between Our res...

  17. Pengembangan Model dan Media Pembelajaran Matematika Ekonomi dan Bisnis dengan Aplikasi Microsoft Mathematics

    Directory of Open Access Journals (Sweden)

    Mohammad Arief

    2015-09-01

    Full Text Available The purpose of this research was to produce: 1 Computer-assisted learning model (Computer Assisted Instruction/CAI using Microsoft Mathematics Application for task completion in the Economic Mathematic and Business course; 2 the development (production interactive multimedia for learning in Economic Mathematic and Business course; 3 Dissemination of results model development and learning media CAI into learning of the Economic Mathematic and Business course in the department of management Economics Faculty UM. The research method that used in this study is qualitative method with Class Action Research (CAR. To collecting data observation that are; 1 observation; 2 questionnaire; 3 photo documentation; 4 application. Research subject was student Management S-1 of academic years 2011/2012 on the odd semester of 2011/2012 who are taking Economic Mathematic and Business courses that are 43 students. The result of development model activities and learning media of Economic Mathematic and Business shown that even though they are beginner using this software, however its ease to use and better outcome expectation with the appropriate learning model, it’s very helpful to achieve learning objective of Economic Mathematic and Business course. Important suggestion is the time in mid semester examination or final semester examination in task completion should be use conventional way, because mastery concept of mathematic which associated and economic phenomena and business not all them can be explained through application program. Abstrak: Tujuan penelitian ini adalah untuk menghasilkan: 1 Model pembelajaran berbantuan komputer ( Computer Assisted Instruction / CAI dengan memanfaatkan Aplikasi Microsoft Mathematics untuk penyelesaian soal dalam mata kuliah Matematika Ekonomi dan Bisnis; 2 Pengembangan multimedia interaktif untuk pembelajaran mata kuliah Matematika Ekonomi dan Bisnis; 3 Diseminasi hasil pengembangan model dan media pembelajaran CAI ke

  18. Otomatisasi Pelayanan Binatu Berbasis Raspberry Pi Untuk Meningkatkan Efektivitas Dan Efisiensi Kegiatan Operasional Dan Pelayanan Binatu

    Directory of Open Access Journals (Sweden)

    Al Habsyi Yesa

    2017-01-01

    Full Text Available Bisnis binatu (laundry atau bisnis jasa cuci pakaian merupakan bisnis yang menggiurkan saat sekarang ini. Proses layanan binatu umumnya terdiri dari pendaftaran, pengolahan, dan pengambilan pakaian. Proses ini memiliki banyak kekurangan yaitu pendaftaran manual tidak efektif dan efisien, pengolahan pakaian hanya diketahui oleh penyedia layanan binatu, dan pelanggan tidak mengetahui pakaian telah selesai. Ditengah persaingan bisnis yang begitu ketat, pelayanan konsumen merupakan suatu hal yang sangat penting. Penyedia jasa dituntut untuk berinovasi untuk menyediakan layanan jasa yang efektif dan efisien. Oleh karena itu pada penelitian ini merancang dan merealisasikan otomatisasi pelayanan binatu berbasis raspberry pi. Sistem ini menggunakan timbangan digital berbasis load cell, teknologi radio frequency identification (RFID sebagai masukan data otomatis, Raspberry Pi sebagai pusat dari pengolahan basis data (database, dan webserver sebagai pusat informasi bagi pelanggan. Hasil penelitian menghasilkan beberapa kesimpulan. Timbangan digital memiliki eror rata-rata 0,88 %, metode RFID dapat memasukan data pelanggan secara otomatis dengan metode pengambilan nomor identitas jenis hex 8 digit, Raspberry Pi dapat mengakomodasi aplikasi yang efektif dan efisien untuk menyimpan data pelanggan secara otomatis dengan pemakaian CPU rata-rata 5%, dan webserver yang digunakan dapat menyediakan informasi layanan binatu bagi pelanggan.

  19. Clarithromycin highly-loaded gastro-floating fine granules prepared by high-shear melt granulation can enhance the efficacy of Helicobacter pylori eradication.

    Science.gov (United States)

    Aoki, Hajime; Iwao, Yasunori; Mizoguchi, Midori; Noguchi, Shuji; Itai, Shigeru

    2015-05-01

    In an effort to develop a new gastro-retentive drug delivery system (GRDDS) without a large amount of additives, 75% clarithromycin (CAM) loaded fine granules were prepared with three different hydrophobic binders by high-shear melt granulation and their properties were evaluated. Granules containing the higher hydrophobic binder showed sustained drug release and were able to float over 24h. The synchrotron X-ray CT measurement indicated that both the high hydrophobicity of the binder and the void space inside the granules might be involved in their buoyancy. In an in vivo experiment, the floating granules more effectively eradicated Helicobacter pylori than a CAM suspension by remaining in the stomach for a longer period. In short, CAM highly-loaded gastro-floating fine granules can enhance the eradication efficiency of H. pylori compared with CAM alone. Copyright © 2015 Elsevier B.V. All rights reserved.

  20. Tobacco smoking, alcohol consumption and gastro-oesophageal reflux disease.

    Science.gov (United States)

    Ness-Jensen, Eivind; Lagergren, Jesper

    2017-10-01

    Gastro-oesophageal reflux disease (GORD) develops when reflux of gastric content causes troublesome symptoms or complications. The main symptoms are heartburn and acid regurgitation and complications include oesophagitis, strictures, Barrett's oesophagus and oesophageal adenocarcinoma. In addition to hereditary influence, GORD is associated with lifestyle factors, mainly obesity. Tobacco smoking is regarded as an aetiological factor of GORD, while alcohol consumption is considered a triggering factor of reflux episodes and not a causal factor. Yet, both tobacco smoking and alcohol consumption can reduce the lower oesophageal sphincter pressure, facilitating reflux. In addition, tobacco smoking reduces the production of saliva rich in bicarbonate, which is important for buffering and clearance of acid in the oesophagus. Alcohol also has a direct noxious effect on the oesophageal mucosa, which predisposes to acidic injury. Tobacco smoking cessation reduces the risk of GORD symptoms and avoidance of alcohol is encouraged in individuals where alcohol consumption triggers reflux. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. MR imaging of the gastro-intestinal tract in children

    Energy Technology Data Exchange (ETDEWEB)

    Hoermann, Marcus [Medical University of Vienna/General Hospital, Department of General and Paediatric Radiology, Waehringerguertel 18-20, A-1090 Vienna (Austria)], E-mail: marcus.hoermann@meduniwien.ac.at

    2008-11-15

    MR imaging (MRI) is an established method for the evaluation of particularly inflammatory bowel disease in adults, as well as for acute abdominal pain in pregnant women. Despite the fact that MRI is ideally suited for the evaluation of children the method is still not established in these patients. The value of MRI in Crohn's disease, ulcerative colitis and appendicitis as well as intestinal tumors and malformations has been documented in children. There will be more indications in the future depending on the development of new imaging techniques, faster sequences, stronger gradients and increasing availability. Furthermore, the radiologist's attention must be drawn to decrease the radiation burden in children and to replace ionizing techniques especially in chronic disease with the need for repeated follow-up studies and in younger children. This review will discuss some general considerations for the use of MRI in evaluating the paediatric gastro-intestinal tract.

  2. KANDUNGAN NATRIUM (Na DAN GARAM (NaCl DALAM IKAN ASIN KERING MENTAH DAN GORENG DI PASAR ANYAR BOGOR

    Directory of Open Access Journals (Sweden)

    Heru Yuniati

    2012-11-01

    Full Text Available Telah dilakukan penelitian untuk mengetahui kandungan natrium (Na dan garam (NaCl dalam 10 jenis ikan asin kering yang beredar di Pasar Anyar Bogor. Analisis natrium dilakukan terhadap ikan asin mentah, setelah dicuci, dan setelah digoreng dengan menggunakan flamefometer. Analisis garam dilakukan dengan titrasi argentometri terhadap ikan asin mentah. Hasil analisis menunjukkan, kandungan Na dan garam dalam ikan asin sangat beragam besarnya berturut-turut berkisar antara 0,3-8,1% dan 5,7-21,2%. Ikan asin yang mempunyai kadar Na dan garam tinggi adalah ikan sepat, peda putih dan gabus. Jumlah air dalam ikan asin juga bervariasi, berkisar antara 10,3-46,8%. pencucian dan penggorengan dapat menurunkan kadar garam ataupun natrium sebesar 37,4%.

  3. STRUKTUR META TEORI AKUNTANSI KEUANGAN (Sebuah Telaah dan Perbandingan antara FASB dan IASC

    Directory of Open Access Journals (Sweden)

    I Made Narsa

    2007-01-01

    Full Text Available The objectives of this paper is to analyses the structure of meta-theoretical of financial accounting that was used by FASB and IASC to develop the conceptual framework for financial accounting reporting. The discussion of conceptual framework conducted by comparison of the basic different between the FASB and IASC framework, then analyses the constraints to implement IFRS and identify the way out of the constraints faced by the body. Abstract in Bahasa Indonesia : Penelitian ini bertujuan untuk membahas struktur meta teori yang dipergunakan oleh FASB dan IASC dalam mengembangkan rerangka konseptual, menelaah perbedaan-perbedaan mendasar, menganalisis hambatan-hambatan yang dialami serta mengidentifikasi upaya-upaya yang harus dilakukan agar IFRS diterapkan oleh negara-negara anggota. Penelitian ini dilakukan dengan cara membandingkan rerangka dasar yang diatur dalam FASB dan IASC dan kemudian menganalisa hambatan yang timbul dengan adanya penerapan IFRS dan mengidentifikasi bagaimana hambatan tersebut dapat diselesaikan. Kata kunci: globalisasi, harmonisasi, meta teori, FASB dan IASC, kerangka dasar, akuntansi keuangan

  4. Pengaruh Perbedaan Jenis Asam dan Waktu Demineralisasi pada Nilai Rendemen dan Sifat Fisiko Kimia Gelatin Tulang Sapi Bali.

    OpenAIRE

    Ramadani, Dewi

    2014-01-01

    2014 Dewi Ramadani (I 411 10 267). Pengaruh Perbedaan Jenis Asam dan Waktu Demineralisasi pada Nilai Rendemen dan Sifat Fisiko Kimia Gelatin Tulang Sapi Bali. Muhammad Irfan Said Sebagai Pembimbing Utama dan Farida Nur Yuliati Sebagai Pembimbing Anggota. Gelatin merupakan senyawa hasil hidrolisis serabut kolagen secara persial. Tujuan dari penelitian ini adalah untuk melihat pengaruh jenis larutan dan waktu demineralisasi pada nilai rendemen dan sif...

  5. Perawatan Kandidiasis Pseuodomembran Akut dan Mukositis Oral pada Penderita Kanker Nasofaring yang Menerima Khemoterapi dan Radioterapi

    Directory of Open Access Journals (Sweden)

    S. Supriatno

    2016-10-01

    Full Text Available Latar belakang: Terapi radiasi merupakan metode primer perawatan pasien kanker leher dan kepala. Perubahan funsional dan kerusakan jaringan oral menyebabkan timbulnya mukositia oral yang diikuti dengan kandidiasis oral. Tujuan: Melaporkan efek samping perawatan khemoterapi dan radioterapi pada pasien kanker nasofaring yang terjadi di rongga mulut berupa kandidiasis pseudomembran akut dan mukositis oral serta penatalaksanaannya. Kasus: Seorang laki-laki, 69 tahun, datang ke Bagian Gigi dan Mulut RSUP Dr. Sardjito, atas rujukan dari instalasi Penyakit Dalam., RSUP Dr. Sardjito, dengan keluhan sakit untuk menelan makanan dan mulutnya banyak bercak-bercak putih. Keluhan dirasakan satu minggu setelah dilakukan khemoterapi ke-3 dan radioterapi ke-9. Pasien didiagnosa kanker nasofaring (NPC dengan klasifikasi T2N3M0. Pemeriksaan klinik menunjukkan adanya lapisan putih pada mukosa lidah, pipi, palatum, dan mukosa bibir. Seluruh mukosa mulut berwarna merah tua dan terdapat anguler cheilitis di kedua sudut bibir. Pasien diklasifikasikan menderita mukositis oral derajat 1. Penatalaksanaan: Menghilangkan jaringan nekrotik dan debris dengan berkumur larutan perhidrol 3% dan pemberian medikasi termasuk tablet nistatin 500.000 IU, betadin kumur, dan larutan perhidrol 3% selama 1 minggu. Saat reevaluasi, pasien sudah dapat menelan dan makan yang sedikit keras tanpa ada rasa sakit lagi. Pemeriksaan klinis didapatkan bercak putih di lidah, palatum, pipi dan bibir sudah tidak ada. Warna mukosa oral telah normal, OHI dan kondisi umum baik dalam 1 minggu pasca perawatan. Kesimpulan: Perawatan kandidiasis dan mukositis oral akibat kemoradioterapi pada pasien kanker nasofaring telah berhasil dan kondisi oral membaik. Pasien dapat mengunyah dan menelan makanan tanpa ada rasa sakit, dan hasil pengobatan yang diberikan pada pasien sesuai dengan harapan operator.   Background: Radiation therapy remains the primary method of treatment for patients with head and neck

  6. A sulphonamido-indanone derivative CGP 28237 (ZK 34228), a novel non-steroidal anti-inflammatory agent without gastro-intestinal ulcerogenicity in rats.

    Science.gov (United States)

    Böttcher, I; Schweizer, A; Glatt, M; Werner, H

    1987-01-01

    CGP 28237 (5-methylsulphonylamino-6-phenoxy-1-indanone) belongs to a series of structurally novel indanones. The compound is a weak acid (pK = 6.98), but it does not contain a carboxylic group. CGP 28237 exhibits potent anti-inflammatory activity in developing and established adjuvant arthritis in rats (ED40 approximately 0.5 mg/kg p.o.) and good activity in carrageenin oedema (ED40 approximately 3 mg/kg p.o.). It inhibits yeast-induced fever in rats with ED50 values of 1, 2 and 10 mg/kg p.o. at 1, 3 and 5 hours after drug administration. The antinociceptive activity in mice (phenyl-p-benzoquinone writhing) and rats (acetic-acid writhing) is weak. CGP 28237 has been shown to be non-ulcerogenic in rats under acute and chronic test conditions: it does not cause mucosal lesions in the stomach at 2 X 400 mg/kg p.o., it does not enhance gastro-intestinal blood loss during 10 days' oral treatment with 400 mg/kg p.o., and it did not induce gastro-intestinal lesions in a 4-week toxicity study up to 1000 mg/kg p.o. Although CGP 28237 is not a cyclooxygenase inhibitor in bovine seminal vesicle microsomes, it inhibits prostaglandin synthesis in zymosan-stimulated murine macrophages (IC50 approximately 3 X 10(-6) mol/l) and protects rabbits against arachidonic acid-induced lung embolism with 10 mg/kg p.o. CGP 28237 may represent a novel anti-inflammatory drug with excellent gastro-intestinal tolerability.

  7. Role of non-acid gastro-esophageal reflux in children with respiratory symptoms.

    Science.gov (United States)

    Zenzeri, Letizia; Quitadamo, Paolo; Tambucci, Renato; Ummarino, Dario; Poziello, Antonio; Miele, Erasmo; Staiano, Annamaria

    2017-05-01

    Respiratory symptoms are a possible atypical clinical picture of gastro-esophageal reflux disease (GERD). However, a significant number of patients with GERD-related respiratory symptoms do not report improvement despite aggressive acid-suppressive therapy. Some of these refractory cases may be due to the recently appreciated entity of non-acid or weakly acidic reflux. The aim of our study is to assess the pH-impedance features of GER inducing airway symptoms, compared with GER inducing typical gastro-intestinal (GI) symptoms. We prospectively enrolled infants and children with GERD-related respiratory symptoms from January 2015 to December 2015. Age- and sex-matched patients with GERD-related GI symptoms were enrolled as comparison group. The overall number, the acidity pattern, and the height of reflux episodes were compared between the two groups. Forty patients (M/F: 20/20; mean age: 58.3 months) were enrolled in the study group and 40 in the comparison group. The mean acid exposure index was 7.9% within the study group and 15.9% within the comparison group (p:0.026). Children with respiratory symptoms versus children with GI symptoms had a mean of 40.8 acid reflux episodes versus 62.4 (p:0.001), a mean of 2.2 weakly acid reflux episodes versus 20.1 (p:0.002), and a mean of 22.1 weakly alkaline reflux episodes versus 10.2 (P 1 year with GERD-related respiratory symptoms showed a significantly higher number of weakly alkaline refluxes than children with GERD-related GI symptoms. This supports the hypothesis that respiratory symptoms are less related to acidity than GI symptoms. Pediatr Pulmonol. 2017;52:669-674. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  8. VAKSINASI IKAN TILAPIA (Oreochromis niloticus MENGGUNAKAN VAKSIN MONOVALEN DAN BIVALEN UNTUK PENCEGAHAN PENYAKIT MOTILE AEROMONAS SEPTICEMIA DAN STREPTOCOCCOSIS

    Directory of Open Access Journals (Sweden)

    Desy Sugiani

    2013-08-01

    Full Text Available Peningkatan respon antibodi pascavaksinasi dengan antigen tunggal dan campuran dari bakterin Aeromonas hydrophila and Streptococcus agalactiae diharapkan dapat meningkatkan daya tahan ikan tilapia (Oreochromis niloticus terhadap penyakit Motile Aeromonas Septicemia/MAS dan Streptococcosis. Sediaan vaksin disiapkan dengan metode pembuatan dan formula yang berbeda, proses inaktifasi dilakukan dengan menambahkan 3% Neutral Buffer Formalin (NBF 10% pada biakan bakteri dalam media tumbuh BHI dan TSB. Vaksinasi diberikan melalui injeksi intraperitoneal dengan sediaan vaksin monovalen A. hydrophila, monovalen S. agalactiae, dan bivalen A. hydrophila + S. agalactiae (Sel utuh, produk ektraselular/ECP, crude supernatan, campuran sel utuh + ECP, dan broth. Uji tantang dilakukan menggunakan dosis LD50 infeksi tunggal maupun ko-infeksi dari bakteri A. hydrophila dan S. agalactiae. Efektivitas dan keampuhan vaksin tersebut dihitung berdasarkan nilai RPS (Relative Percent Survival dan hasil respon hematologi. Titer antibodi dapat terdeteksi setelah satu minggu pemeliharaan pasca vaksinasi. Nilai titer antar perlakuan vaksin bivalen berbeda nyata (P<0.05 dengan vaksin monovalen dan kontrol. Nilai RPS vaksin bivalen (campuran sel utuh + ECP mencapai 100 untuk uji tantang dengan A. hydrophila dan 56,7 pada uji tantang ko-infeksi. Vaksin monovalen A. hydrophila maupun S. agalactiae hanya mampu memproteksi terhadap bakteri homolog, tidak terjadi proteksi silang di antara keduanya.

  9. Kajian Pemilihan Sumber Mikroorganisme Solid Phase Microbial Fuel Cell (SMFC Berdasarkan Jenis dan Volume Sampah, Power Density dan Efisiensi Penurunan COD

    Directory of Open Access Journals (Sweden)

    Ganjar Samudro

    2017-06-01

    Full Text Available Mikroorganisme merupakan salah satu komponen penting dalam proses Solid Phase Microbial Fuel Cell (SMFC untuk degradasi bahan organik dan transfer elektron. Pemilihan sumber mikroorganisme menjadi metode yang paling sederhana untuk dikaji sebagai informasi awal ketersediaan dan identifikasi jenis mikroorganisme yang mendukung proses SMFC. Tujuan kajian ini adalah untuk memilih sumber mikroorganisme tanah, septic tank dan sedimen sungai yang tepat digunakan dalam proses SMFC berdasarkan jenis dan volume sampah, power density, dan efisiensi penurunan COD. Kajian ini didasarkan pada hasil penelitian menggunakan reaktor SMFC tipe single chamber microbial fuel cell dengan variabel jenis dan volume sampah , serta sumber mikroorganisme. Metode perbandingan secara kuantitatif dilakukan berdasarkan kecenderungan nilai power density dan efisiensi penurunan COD tertinggi di antara jenis dan volume sampah kantin, dedaunan dan komposit kantin-dedaunan. Hasil yang didapatkan adalah sumber mikroorganisme tanah dan sedimen sungai tepat digunakan untuk volume sampah 1/3 dan 2/3 dari volume reaktor, sedangkan sumber mikroorganisme septic tank tepat digunakan untuk volume sampah 1/3 dan 1/2 dari volume reaktor. Sumber mikroorganisme dari septic tank menunjukkan kinerja power density dan efisiensi penurunan COD yang lebih rendah dibandingkan sumber mikroorganisme tanah dan sedimen sungai.

  10. Prevalencia de parásitos intestinales en niños de diferentes niveles de educación del distrito de San Marcos, Ancash, Perú.

    Directory of Open Access Journals (Sweden)

    Eleuterio Jacinto

    2012-10-01

    Full Text Available Objetivo: Investigar la prevalencia de parasitosis intestinal en estudiantes del Distrito de San Marcos, en el departamento de Ancash, Perú. Material y métodos: Se analizaron en total 1303 muestras de heces de niños de nivel inicial, primario y secundario, mediante examen directo. Resultados: Se encontró uno o más parásitos intestinales en 65,0% de los estudiantes. De las 845 muestras positivas para parásitos, se encontró un parasito en 82,0% dos en18,0% predominando los protozoarios sobre los helmintos. Los enteroparásitos patógenos encontrados según su frecuencia fueron: Giardia lamblia 23,7%, Ascaris lumbricoides 16,9% e Hymenolepis nana 9,6%. La frecuencia del enteroparásito no patógeno Entamoeba coli fue 31,8%. Conclusiones: Existe un alto índice de parasitismo en la población rural de la sierra de Ancash, lo que estaría en relación con las deficientes condiciones de saneamiento ambiental en esta zona, por lo que es necesario que en los colegios de la zona, se dé educación sobre higiene personal y además, mejorar las condiciones de saneamiento.

  11. POLA KONSUMSI, STATUS KESEHATAN DAN HUBUNGANNYA DENGAN STATUS GIZI DAN PERKEMBANGAN BALITA

    Directory of Open Access Journals (Sweden)

    Engkun Rohimah

    2016-01-01

    Full Text Available ABSTRACTThis study was aimed to analyze relationship between patterns of consumption and health status with nutritional status and development of children under five years. The design of this study was cross sectional. Subject in this study were 63 children under five years. Food consumption data was collected using Food Frequency Questionnaire (FFQ and child development data using Bina Keluarga Balita instruments. The results showed severe wasting and wasting existed in the under three years children but not in preschool. Under three years children had an average growth rate greater than preschool. There is a significant relationship between maternal employment and health caregiving pattern with nutritional status (WHZ (p=0.015, income with nutritional status (HAZ (p=0.009, and disease history within a month with nutritional status (WAZ (p=0.022. Mothers should pay more attention to children’s health caregiving pattern and provide sufficient time for the children.Keywords: consumption, development, health, nutritional statusABSTRAKPenelitian ini bertujuan untuk menganalisis hubungan pola konsumsi dan status kesehatan dengan status gizi dan perkembangan balita. Desain penelitian adalah cross sectional dengan subjek sebanyak 63 balita. Data pola konsumsi diambil menggunakan Food Frequency Questionnaire (FFQ dan data perkembangan balita diambil menggunakan instrumen Bina Keluarga Balita. Hasil penelitian menunjukkan bahwa status gizi sangat kurus dan kurus masih ada pada usia batita tetapi tidak ada di usia prasekolah. Sebagian besar subjek yang berusia batita memiliki rata-rata nilai perkembangan lebih besar dibandingkan subjek yang berusia prasekolah. Terdapat hubungan yang signifikan antara pekerjaan ibu dan pola asuh kesehatan dengan status gizi (BB/TB (p=0,015, pendapatan per kapita dengan status gizi (TB/U (p=0,009, dan riwayat penyakit sebulan dengan status gizi (BB/U (p=0,022. Ibu sebaiknya lebih memperhatikan pola asuh kesehatan anak

  12. METODE ANUITAS DAN PROPORSIONAL MURABAHAH SEBAGAI BENTUK TRANSPARANSI DAN PUBLIKASI LAPORAN BANK

    Directory of Open Access Journals (Sweden)

    Mr Faisal

    2015-02-01

    Full Text Available Proportional and annuity methods are based on PBI 14/14/PBI/2012 on Transparency and Publication Reports of Islamic Banking and SEBI No. 15/26/DPbs/2013 on Implementation of Accounting Guidelines of Islamic Banking in Indonesia. These methods are forms of commitment to bring transparency in the Islamic banks and recognition on financial statement of profit on murabaha. The Annuity method is referred to PSAK 50, PSAK 55 and PSAK 60 because the substance is classified as a form of financing. Proportional method is referred to PSAK 102 because the substance is classified as trading activities. Metode anuitas dan proporsional didasarkan pada PBI No. 14/14/PBI/2012 tentang Transparansi dan Publikasi Laporan Bank Syariah dan SEBI No. 15/26/DPbs/2013 tentang Pelaksanaan Pedoman Akuntansi Perbankan Syariah Indonesia. Metode tersebut merupakan bentuk komitmen bank syariah dalam mewujudkan transparansi dan laporan keuangan pada pengakuan keuntungan murabahah. Metode anuitas mengacu pada PSAK 50, PSAK 55, dan PSAK 60 karena secara substansi dikategorikan sebagai bentuk pembiayaan. Metode proporsional mengacu pada PSAK 102 karena secara substansi dikategorikan sebagai bentuk kegiatan jual beli.

  13. Generation of Anomalous Internal Pressures in Source Rocks and Its Role in Driving Petroleum Migration La genèse de pressions internes anormales dans les roches mères et son rôle de poussée dans la migration du pétrole

    Directory of Open Access Journals (Sweden)

    Barker C.

    2006-11-01

    . La présence de gaz conduit à des comportements très différents et la pression de pores dans les roches mères inférieure à la normale à moins qu'il n'y ait une genèse suffisante de la matière organique en hydrocarbures pour la compenser. En l'absence d'une genèse continue (c'est-à-dire pour le méthane biogénique, le gaz se dissout régulièrement et les pressions chutent considérablement en dessous de la pression hydrostatique. A l'inverse, sur les élévations, les systèmes gazéifères ont tendance à la surpression et la pression peut atteindre la charge de fracturation de la roche. Le craquage thermique des bitumes qui restent dans une roche mère au cours de l'enfouissement va de pair avec une augmentation de volume et, dans un pore isolé, le système des pressions atteint des valeurs élevées. Il suffit qu'un pour cent des bitumes de type huile soit transformé en gaz pour que la pression atteigne la charge pour laquelle la fracturation de la roche est une conséquence inévitable.

  14. PERANCANGAN DAN PENGEMBANGAN PROTOTYPE SISTEM PARKIR

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    Indah Ayu Septriyaningrum

    2016-10-01

    Abstrak  Sistem parkir manual pada pelayanan parkir mall memerlukan pengelolaan dan pengembangan sistem yang lebih rumit dan jauh dari kata efisien. Informasi yang didapatkan pengelola parkir terkait kondisi parkir di lapangan setiap harinya masih kurang. Tujuan dari penelitian ini adalah merancang dan mengembangkan prototype sistem parkir. Metode pengembangan dan perancangan sistem pada penelitian ini adalah metode Waterfall. Hasil yang didapatkan adalah sistem ini dapat mendeteksi keberadaan mobil pada slot parkir yang tersedia dengan bantuan Intel Galileo Board Gen 2 sebagai kontroler, sensor LDR (Light Dependent Resistor dan sensor ultrasonik (PING sebagai alat bantu pendeteksi keberadaan mobil. Sistem dapat menampilkan aktifitas parkir pada aplikasi web seperti kondisi lahan parkir kosong, lahan terisi, waktu masuk, waktu keluar, lama parkir dan kapasitas parkir yang tersedia serta grafik pemakaian lahan parkir. Dapat disimpulkan bahwa perancangan dan pengembangan sistem berhasil diimplementasikan. Kata Kunci : Sistem parkir, waterfall, Intel Galileo Board Gen 2,sensor LDR (Light Dependent Resistor, sensor ultrasonik

  15. KUALITAS DIET DAN HUBUNGANNYA DENGAN PENGETAHUAN GIZI, STATUS SOSIAL EKONOMI, DAN STATUS GIZI

    Directory of Open Access Journals (Sweden)

    Nurul Muslihah

    2013-11-01

    Full Text Available ABSTRACTThe objective of study was to assess the diet quality and its relation to nutrition knowledge, body mass index (BMI, and socio economic status (SES among adults person. The cross sectional study was conducted with 100 adults aged ≥25 years old from Kedung Kandang sub district, Malang. Dietary quality was assessed using two non-consecutive 24-h dietary recalls and semi quantitative FFQ. Nutrition knowledge questionnaire was modified from Parmenter and Wardle. The most subjects were middle SES and the BMI were normal and overweight. The average of diet quality score was 7.14±1.96 with dietary diversity score 1.93±0.43; micronutrient adequacy score 2.3±1.4; prevention NCD score 2.87±0.92. Nutrition knowledge score was 43.3±24.6 with dietary recommendation 9.3±3.6; sources of nutrients 14±11.5; choosing foods 6.3±4.9; diet-disease relationships 13.7±8.6. Nutrition knowledge score was no correlation with BMI, dietary diversity, prevention NCD score, but positively associated with SES, quality diet, micronutrient adequacy score. SES was no associated with BMI and quality diet index. Dietary diversity score was associated with BMI. Diet quality score was associated with nutrition knowledge but no correlation with BMI and SES. The conclusion is diet quality and nutrition knowledge was still poor and not correlated with BMI and SES, but only nutrition knowledge score.Keywords: diet quality, nutrition knowledge, socio economic statusABSTRAKTujuan penelitian mengkaji kualitas diet dan hubungannya dengan pengetahuan gizi, indek massa tubuh (IMT, dan status sosial ekonomi (SSE pada orang dewasa. Rancangan penelitian menggunakan cross sectional study pada 100 orang dewasa usia ≥25 tahun dari Kecamatan Kedung Kandang, Malang. Kualitas makanan diukur dengan 24-hour recall selama dua hari yang tidak berurutan dan semi quantitative FFQ, kuesioner pengetahuan gizi terstruktur dimodifikasi dari Parmenter dan Wardle. Umumnya subjek dengan SSE

  16. Perilaku Bolos Siswa dan Implikasinya Terhadap Layanan Bimbingan dan Konseling (Studi Deskriptif Terhadap Siswa SMP N 1 Pasaman

    Directory of Open Access Journals (Sweden)

    Elsi Novarita

    2014-10-01

    Full Text Available Sekolah merupakan salah satu lembaga pendidikan formal yang menyelenggarakan pendidikan untuk pengembangan kemampuan dan potensi siswa. Sebagai lembaga pendidikan, sekolah juga mengajarkan nilai-nilai dan menerapkan aturan yang harus dipatuhi oleh siswa, namun kenyataannnya ada siswa yang melanggar peraturan sekolah salah satunya yaitu membolos. Bolos merupakan ketidak hadiran peserta didik di sekolah tanpa izin. Penelitian ini bertujuan untuk mendeskripsikan tentang perilaku bolos siswa di sekolah. Penelitian ini berbentuk deskriptif. Subjek penelitian ini 27 siswa yang bolos sekolah. Alat pengumpulan data berbentuk angket dan data dianalisis menggunakan teknik persentase melalui bantuan program Microsoft Office Excel. Hasil penelitian mengungkapkan bahwa bentuk perilaku bolos siswa adalah siswa sangat banyak meninggalkan sekolah tanpa izin dan meninggalkan sekolah dengan alasan yang dibuat-buat, faktor yang menyebabkan siswa bolos sekolah sangat banyak bersumber dari individu sendiri dan faktor yang lain banyak bersumber dari keluarga dan sekolah, implikasi layanan bimbingan dan konseling dilihat dari layanan informasi dan layanan konseling perorangan kurang banyak terlibat dalam pengentasan siswa yang membolos.

  17. Implementasi Sistem Informasi Puskesmas Elektronik (SIMPUSTRONIK dan Hubungan Dengan Pelayanan Kesehatan Ibu dan Anak (KIA (Studi Perbandingan Implementasi di Puskesmas Sumberasih dan Puskesmas Paiton Kabupaten Probolinggo

    Directory of Open Access Journals (Sweden)

    Sunar Wibowo

    2015-08-01

    Full Text Available Puskesmas sebagai penyedia sarana pelayanan kesehatan dituntut untuk memberikan pelayanan kesehatan yang cepat, tepat dan akurat. Oleh karena itu, merupakan suatu keharusan bahwa puskesmas memanfaatkan kemajuan informasi teknologi dalam memenuhi tuntutan pelayanan tersebut. Dengan pendekatan kuantitatif positivitik untuk menjelaskan hipotesa penelitian guna menjawab faktor implementasi yang mendukung dan kemanfaatan SIMPUSTRONIK. Survey yang dilakukan kepada bidan sebagai pelaksana SIMPUSTRONIK di Puskesmas Paiton dan Puskesmas Sumberasih Kabupaten Probolinggo menghasilkan 3 indikator implementasi yang tidak mendukung keberhasilan implementasi SIMPUSTRONIK yaitu pembagian tugas dan wewenang, keikutsertaan pengguna dalam pengembangan implementasi dan keikutsertaan pengguna dalam evaluasi implementasi. Sedang indikator yang diteliti lainnya  menunjukkan adanya hubungan. indikator implementasi tersebut berhubungan erat dengan kesiapan SDM (pengetahuan SDM serta keterkaitan keikutseraan (partisipasi implementor. Hampir semua responden menunjukkan bahwa implementasi SIMPUSTRONIK bermanfaat dan mendukung kegiatan mereka dalam pelayanan KIA, tetapi yang terbesar adalah kemanfaatan penemuan ibu hamil resiko tinggi yang dirujuk.

  18. Review article: gastro-oesophageal reflux disease in asthma and chronic obstructive pulmonary disease.

    Science.gov (United States)

    Broers, C; Tack, J; Pauwels, A

    2018-01-01

    When gastro-oesophageal reflux is causing symptoms or lesions in the oesophagus, this is referred to as gastro-oesophageal reflux disease (GERD). GERD can manifest itself through typical symptoms (heartburn, regurgitation) or may lead to extra-oesophageal symptoms. Extra-oesophageal manifestations of GERD gained increasing attention over the last decade, especially respiratory disorders, because of the prevalent co-occurrence with GERD. The role of GERD in the pathogenesis of respiratory disorders has become a topic of intense discussion. To provide an overview of the current knowledge on the role of GERD in asthma and chronic obstructive pulmonary disease (COPD). PubMed was searched for relevant articles using the keywords: GERD, asthma, COPD, prevalence, treatment. Case reports were excluded, only English language articles were considered. Estimates for the prevalence of GERD in asthma range from 30% to 90%, compared to an average of 24% in controls. In COPD patients, the prevalence of GERD ranges from 19% to 78% compared to an average of 18% in controls. These data indicate an increased prevalence of GERD in patients with asthma and COPD, although causality is not established and GERD treatment yielded inconsistent effects. Literature supports GERD as a risk factor for COPD-exacerbations and a predictor of the 'frequent-exacerbator'-phenotype. Despite the high prevalence of GERD in asthma and COPD, a causal link is lacking. The results of anti-reflux therapy on pulmonary outcome are inconsistent and contradictory. Future studies will need to identify subgroups of asthmatics and COPD patients that may benefit from anti-reflux therapy (nocturnal or silent reflux). © 2017 John Wiley & Sons Ltd.

  19. Profil Pengguna E-commerce (Studi di Wilayah Kerja Balai Besar Pengkajian dan Pengembangan Komunikasi dan Informatika Medan)

    OpenAIRE

    S.Sos, Budiman

    2017-01-01

    Perkembangan Teknologi Informasi dan Komunikasi (TIK) telah mempengaruhi berbagai sektor, salah satu contohnya adalah e-commerce. Tren e-commerce di masyarakat sangat menarik untuk diteliti, terutama profil, karakteristik, dan tren pemakaian. Penelitian ini bertujuan untuk mendeskripsikan penggunaan e-commerce pada masyarakat di wilayah kerja Balai Besar Pengkajian dan Pengembangan Komunikasi dan Informatika (BBPPKI) Medan. Penelitian ini menggunakan metode survei dengan responden berusia ant...

  20. KEPRIBADIAN SISWA DAN DISIPLIN BELAJAR SEBAGAI INTERVENING PENGARUH LINGKUNGAN KELUARGA DAN LINGKUNGAN SEKOLAH TERHADAP HASIL BELAJAR

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    Ajeng Febriyani

    2016-11-01

    Full Text Available Tujuan penelitian ini untuk menganalisis pengaruh langsung lingkungan keluarga dan lingkungan sekolah terhadap hasil belajar ekonomi maupun pengaruh tidak langsung melalui kepribadian siswa dan disiplin belajar. Populasi penelitian adalah seluruh siswa kelas XI IPS SMA Muhammadiyah sejumlah 152 siswa. Sampel yang diambil menggunakan rumus Slovin sebanyak 110 siswa. Metode pengumpulan data menggunakan angket dan dokumentasi. Metode analisis data adalah analisis deskriptif, analisis jalur, dan sobel test. Hasil penelitian menunjukkan bahwa (1 terdapat pengaruh positif dan signifikan lingkungan keluarga, lingkungan sekolah, kepribadian siswa serta disiplin belajar terhadap hasil belajar ekonomi, (2 terdapat pengaruh positif dan signifikan lingkungan keluarga dan lingkungan sekolah terhadap kepribadian siswa, (3 terdapat pengaruh positif dan signifikan lingkungan keluarga, lingkungan sekolah dan kepribadian siswa terhadap disiplin belajar, (4 kepribadian siswa secara signifikan memediasi pengaruh lingkungan keluarga dan lingkungan sekolah terhadap hasil belajar ekonomi, (5 disiplin belajar secara signifikan memediasi pengaruh lingkungan keluarga, lingkungan sekolah dan kepribadian siswa terhadap hasil belajar ekonomi. Berdasarkan hasil penelitian dapat disimpulkan bahwa kepribadian siswa dan disiplin belajar memediasi pengaruh lingkungan keluarga dan lingkungan sekolah terhadap hasil belajar ekonom. Saran yang dapat diberikan adalah pihak keluarga dan pihak sekolah mampu melakukan perbaikan kualitas lingkungan keluarga dan lingkungan sekolah untuk meningkatkan hasil belajar ekonomi. The purposes of this study were to analyze the direct effect of family and school environment for towards economics study result or or indirect effect through students’ personality and study discipline. The population in this research is The research \\ XI social grade in SMA Muhammadiyah Wonosobo with a total of 152 students. It used 110 students as the sample by

  1. potentially pathogenic gastro-intestinal microorganisms (ID 1030, 2956, 2958, 2961, 2963, 2966, 2970), improved lactose digestion (ID 1030, 2956, 2958, 2961, 2963, 2966, 2970), “intestinal flora/digestive health” (ID 4231), defence against vaginal pathogens (ID 2950, 2957, 2967) and increasing IL-10

    DEFF Research Database (Denmark)

    Tetens, Inge

    and reduction of gastro-intestinal discomfort, decreasing potentially pathogenic gastro-intestinal microorganisms, improved lactose digestion, “intestinal flora/digestive health”, defence against vaginal pathogens and increasing IL-10 production and/or enhancing the activity of natural killer cells. The food...

  2. PROFIL PENALARAN ILMIAH DAN KEMAMPUAN BERARGUMENTASI MAHASISWA SAINS DAN NON-SAINS

    Directory of Open Access Journals (Sweden)

    Asniar Asniar

    2016-06-01

    Full Text Available AbstractThis study aimed to describe the profile of scientific reasoning and the argumentation skill of students from science and non-science. This research is a descriptive study in a state university at Bandung with samples from science and non-science students totaling 100 people and lecturer of the science course. The studies starts by visiting the universities, reviewing the literature related to the focus of the research, interviews with science faculty about how learning science is done, giving questionnaires to students, giving essay on scientific reasoning, and interviews with several students. The research instrument is a questionnaire (speaking and argumentation, interview, and questions about the essays. The results showed that the average student scientific reasoning ability of non-science (1.4 higher than students of science (1. The arguments, the students found the skills to argue required by students mainly by student teachers (SS = 43.3%, S = 50%, to be able to have the skills to argue we need a habituation or conditioning (SS = 23.3%, S = 50%, and the ability to argue must be procured in all the lectures (SS = 53.5%, S = 43.3%. Keywords: Science, non-Science, Argument, Scientific Reasoning Abstrak  Penelitian ini bertujuan untuk mendeskripsikan profil penalaran ilmiah dan kemampuan berargumentasi mahasiswa sains dan non-sains. Penelitian yang dilakukan merupakan penelitian deskriptif di salah satu universitas negeri di kota Bandung dengan sampel mahasiswa sains dan non sains berjumlah 100 orang dan dosen pengampu mata kuliah IPA. Alur penelitian yang dilakukan yaitu melakukan kunjungan ke Perguruan Tinggi, mengkaji literatur yang berhubungan dengan fokus penelitian, wawancara dengan dosen IPA mengenai pembelajaran IPA yang dilakukan, memberikan angket kepada siswa, memberikan soal essay mengenai penalaran ilmiah, dan wawancara dengan beberapa mahasiswa. Instrumen penelitian berupa angket (kemampuan berbicara dan argumentasi

  3. KOMPOSISI KIMIA DAN ORGANOLEPTIK FORMULA NUGGET BERBASIS TEPUNG TEMPE DAN TEPUNG RICEBRAN

    Directory of Open Access Journals (Sweden)

    Sufiati Bintanah

    2014-07-01

    Full Text Available Abstrak Di Indonesia terjadi perubahan pola penyakit dari infeksi dan kekurangan gizi ke degeneratif dan kanker akibat perubahan gaya hidup dan pola makan  tinggi lemak dan rendah serat serta modernisasi pola hidup. Tempe kedelai merupakan bahan makanan yang dapat menurunkan trigliserida, kolesterol total, kolesterol LDL, serta meningkatkan kolesterol HDL. Bekatul juga merupakan bahan makanan yang dapat menurunkan kadar lemak darah karena mengandung oryzanol, tokoferol, dan asam felurat. Tujuan dari penelitian ini adalah untuk menyeleksi formula nugget berdasarkan karakteristik fisik, kimia dan organoleptik serta aktifitas antioksidan. Jenis penelitian ini adalah penelitian diskriptif dengan perlakuan formulasi tepung tempe dan tepung ricebran sebanyak 10 formula. Analisis komposisi kimia dilakukan terhadap bahan mentah dan nugget meliputi analisis protein (mikro kjedhl, lemak (soxhlet, air (oven, karbohidrat (Luff Schoorl l, penetapan kadar Vitamin E (Alfa-Tokoferol, analisa aktivitas anti bakteri metode difusi agar. Pengujian organoleptik menggunakan metode scoring. Hasil menunjukkan nugget dengan formula tepung tempe 50% dan tepung bekatul 50% (formula A7, mempunyai komposisi kimia terbaik yaitu protein 19,5g%, lemak 18.33g%, air 35.59%, abu 1,62%, serat kasar 9,57g%, Karbohidrat 25,41 g%, Vitamin E 148,92 µg/g, aktifitas antioksidan 197,1 µg/ml. Hasil pengujian organoleptik terhadap warna, rasa, aroma maupun tekstur yang paling disuka pada formula A7. Kesimpulan: Optimasi tepung tempe dan rice bran yang diterima berdasarkan sifat fisik, organoleptik dan analisa zat gizi adalah dengan perlakuan sangrai 20 menit. Formula nugget yang optimum A7 dengan perbandingan tepung tempe dan rice bran 50:50 g. Kata Kunci: Komposisi Kimia, Organoleptik, Formula Nugget, Tepung Tempe, Ricebran Abstract In Indonesia, there has been a changing disease pattern from infectious and food deficiency diseases to degenerative and cancerous diseases. Soy bean cake

  4. KANDUNGAN GIZI, RENDEMEN TEPUNG, DAN KADAR FENOL TOTAL ALPUKAT (Persea americana, Mill VARIETAS I JO PANJANG DAN I JO BUNDAR

    Directory of Open Access Journals (Sweden)

    Wuri Marsigit

    2016-04-01

    Full Text Available The aims of the study were to determine pulp proportion, dried pulp rendement, nutrient dan  total phenolic content avocado variety of Ijo Panjang dan Ijo Bundar. Variety of Ijo Panjang and Ijo Bundar were selected because both of varieties were categorized as excelent varities and recomendedto develop in Indonesia. Water, carbohydrate, protein, fat dan ash content were determined by using proxymate analysis (AOAC, vitamin A dan E using spectrophotometry method, vitamin C using titration method, dan minerals using AAS method. Total phenolic content were determined by using Follin-Cialcetau method. The result of the studies found that pulp portion Ijo Bundar Variety higher than Ijo Panjang. Water content dan zinc of Ijo Panjang variety higher than Ijo Bundar. Dried pulp rendement of Ijo Bundar higher than Ijo Panjang. Protein, fat,  ash, minerals (Fe, Na, K dan P avocado variety of Ijo Bundar higher than Ijo Panjang. Magnesium dan mangan content of both varieties have not significant different. Total phenolic content of pulp dan dried pulp were higher in Ijo Bundar than Ijo Bundar. Keywords: Pulp proportion, dried pulp rendement, nutrients dan total phenolics content   ABSTRAK Penelitian ini bertujuan untuk mengetahui proporsi daging buah, rendemen tepung, kandungan gizi dan fenol total alpukat varietas Ijo Panjang dan Ijo Bundar. Pemilihan kedua varietas tersebut karena merupakan varietas unggul dan direkomendasikan untuk dikembangkan di Indonesia. Kandungan, air, karbohidat, protein, lemak dan abu dilakukan dengan analisis proksimat (AOAC, kandungan vitamin A dan E dengan metode spektrofotometri dan vitamin C dengan metode titrasi, analisis mineral dengan metode AAS. Total fenol dianalisis dengan metode Folin-Ciocalteu. Hasil penelitian menunjukan bahwa proporsi daging buah, kadar air, seng varietas Ijo Panjang lebih tinggi dibandingkan Ijo Bundar. Rendemen tepung alpukat lebih tinggi pada varietas Ijo Bundar. Kandungan protein, lemak, abu

  5. Koreksi gigitan terbalik posterior dan anterior dengan alat cekat rapid maxillary expansion dan elastik intermaksila

    Directory of Open Access Journals (Sweden)

    Retno Dewati

    2014-06-01

    Full Text Available Background: Children with anterior and posterior crossbite usually have a complaint in aesthetic and masticatory function. It could caused by bad habits and hereditary factors which made worse condition. Purpose: The purpose of this case report was to report the use of orthodontic appliance rapid maxillary expansion (RPE and intermaxillary elastic to correct posterior and anterior crossbite in teenage patient. Case: A fourteen years-old teenage female patient came to Dental Hospital Dentistry Universitas Airlangga with case of anterior posterior cross bite and unerupted permanent teeth. Case management: The case was treated using orthodontic fixed appliance rapid maxillary expansion (RPE and followed by intermaxillary elastics. The posterior cross bite treatment took 4 weeks used of orthodontic fixed appliance RPE, while, treatment of anterior cross bite which used intermaxillary elactic was done within three month to achieved normal occlusion. Conclusion: This case report showed that the orthodontic appliance rapid maxillary expansion (RPE and intermaxillary elastic could be used to correct posterior and anterior crossbite.Latar belakang: Anak dengan gigitan terbalik anterior dan posterior pada umumnya mempunyai keluhan dalam hal estetik dan fungsi pengunyahan. Kondisi gigitan terbalik biasanya disebabkan oleh adanya kebiasaan buruk dan faktor keturunan yang semakin memperparah keadaan tersebut. Tujuan: Laporan kasus ini melaporkan pemakaian alat cekat rapid maxillary expansion (RPE dan elastik intermaksila untuk mengkoreksi gigitan terbalik posterior dan anterior pada anak remaja. Kasus: Pasien remaja perempuan berusia 14 tahun datang ke Rumah Sakit Gigi dan Mulut Fakultas Kedokteran Gigi Universitas Airlangga Surabaya dengan kasus gigitan terbalik anterior posterior dan terdapat gigi permanen yang tidak tumbuh. Tatalaksana kasus: Perawatan yang dilakukan adalah koreksi gigitan terbalik dengan menggunakan alat ortodonsia cekat rapid maxillary

  6. Single photon emission computed tomography procedure improves accuracy of somatostatin receptor scintigraphy in endocrine gastro-entero-pancreatic tumours

    International Nuclear Information System (INIS)

    Lebtahi, R.; Genin, R.; Rouzet, F.; Bleicner-Perez, S.; Lievre, A.; Scigliano, S.; Vialle, C.; Le Guludec, D.; Cadiot, G.; Sobhani, I.; Mignon, M.

    2005-01-01

    Somatostatin receptors scintigraphy (SRS) is a sensitive method for the detection of endocrine gastro-entero-pancreatic tumors. The aim of this study was to evaluate the sensitivity of anterior and posterior planar associated to single photon emission computerized tomography (SPECT) compared to anterior and posterior planar associated to additional lateral and oblique views in the detection of abdominal endocrine tumors. One hundred and sixty four patients with endocrine gastro-entero-pancreatic tumors were included in this study. Scintigraphic images were performed after injection of 189 ± 23 MBq of 111 In-Pentetreotide. Abdominal planar images were performed 4 h and 24 hours after injection. Abdominal SPECT was performed at 24 hours. The combination of anterior and posterior abdominal planar images with SPECT using iterative reconstruction detected significantly more tumoral sites compared to multiple planar images (298 versus 280 for the liver, p = 0.01 and 90 versus 88 for coeliac area). In particular liver lesions were better delineated on tomographic slices. The combination of 111 In-Pentetreotide SPECT with anterior and posterior planar images is more sensitive than multiple planar images to detect abdominal endocrine tumors. (author)

  7. Enquête sur l’association entre les habitudes alimentaires, l’anthropométrie et le cancer colorectal: Etude cas-témoins dans une population de l’Est Algérien 2016-2017 [Survey on the association between eating habits, anthropometry and colorectal cancer: Case-control study in a population of eastern Algeria 2016-2017

    Directory of Open Access Journals (Sweden)

    Samira NEGRICHI

    2017-12-01

    Full Text Available Résumé Introduction. Des facteurs comme l’obésité et l’alimentation sont impliqués dans la carcinogenèse colique. Objectif. Une étude rétrospective cas-témoins est menée afin d’évaluer l’association de ces facteurs avec le cancer colorectal (CCR dans une population de l’Est Algérien. Matériel et méthodes. L’enquête a été réalisée entre avril 2016 et août 2017, au niveau de l'Etablissement Public Hospitalier de Bekaria à Tébessa et des Centres Anti-Cancer de Batna et d’Annaba. Soixante quatre patients atteints de CCR âgés de 51±12 et 64 témoins dont l’âge moyen était de 51±17 ans ont été recrutés. Le questionnaire utilisé a permis de collecter les informations concernant l’âge, le sexe, les mesures anthropométriques, les habitudes alimentaires et la fréquence de consommation de quelques aliments. Résultats. Une association significative est notée entre l’obésité et la prévalence du CCR (37,5 % des patients vs 20,31 % des témoins, p=0,048. L’indice de masse corporelle (IMC moyen des patients était plus élevé que celui des témoins. La prévalence du cancer atteint son maximum entre 50 et 59 ans. La consommation des céréales et des œufs est retenue comme facteur protecteur du CCR (p=0,046 et 0,028. Les témoins consomment plus de pâtes que les patients (P=0,054. Conclusion. Cette étude met en évidence l’association entre le cancer colorectal, l’obésité et la consommation de certains aliments chez les patients atteints de CCR. [Abstract Introduction. Factors such obesity and diet are involved in colon carcinogenesis. Objective. A retrospective case-control study was done to evaluate the association of these factors with colorectal cancer (CRC in eastern Algeria population. Material and methods. This study was conducted between April 2016 and August 2017, at the Bekaria public hospital in Tebessa, and the Anti-Cancer Centers of Batna and Annaba. Sixty four patients with

  8. Scientific Opinion on the substantiation of health claims related to Saccharomyces cerevisiae var. boulardii CNCM I-1079 and defence against pathogenic gastro-intestinal microorganisms (ID 913, further assessment) pursuant to Article 13(1) of Regulation (EC) No 1924/2006

    DEFF Research Database (Denmark)

    Tetens, Inge

    . boulardii CNCM I-1079 and defence against pathogenic gastro-intestinal microorganisms. The food constituent that is the subject of the health claim, Saccharomyces cerevisiae var. boulardii CNCM I-1079, is sufficiently characterised. The claimed effect, defence against pathogenic gastro......-intestinal microorganisms, is a beneficial physiological effect. The proposed target population is the general population. The Panel notes that the evidence provided is not sufficient to establish that the strains Saccharomyces cerevisiae var. boulardii CNCM I-1079 and Saccharomyces cerevisiae var. boulardii Hansen CBS...... relationship has not been established between the consumption of Saccharomyces cerevisiae var. boulardii CNCM I-1079 and defence against pathogenic gastro-intestinal microorganisms....

  9. The origin of cholesterol in chyle demonstrated by nuclear indicator methods; Origines du cholesterol du chyle mises en evidence par la methode des indicateurs nucleaires

    Energy Technology Data Exchange (ETDEWEB)

    Vyas, M

    1962-07-01

    In order to obtain information about the mechanism of the intestinal absorption of cholesterol, rats having a lymphatic abdominal fistula are used. The animals receive either 4-{sup 14}C- cholesterol subcutaneously or orally, or the 1-{sup 14}C acetate. The study of the specific radio-activities of the cholesterol in chyle, in serum, in the lining, and in the intestinal contents makes it possible to define the roles played by the transfer cholesterol from the serum, by the cholesterol synthesised intestinally, and by the absorption cholesterol, in the formations of the lymph and of the chylomicrons. A new theory is proposed for the mechanism of cholesterol absorption. (author) [French] Pour obtenir des renseignements concernant le mecanisme de l'absorption intestinale du cholesterol, on utilise des rats porteurs d'une fistule lymphatique abdominale. Les animaux recoivent soit du cholesterol 4-{sup 14}C par voie sous-cutanee ou par voie orale, soit de l'acetate 1-{sup 14}C. L'etude des radioactivites specifiques du cholesterol du chyle, du serum, de la paroi et du contenu intestinal permet de preciser les roles joues par le cholesterol de transfert d'origine serique, par le cholesterol de synthese intestinale et par le cholesterol d'absorption, dans la formation de la lymphe et des chylomicrons. Une theorie nouvelle concernant le mecanisme de l'absorption du cholesterol est proposee. (auteur)

  10. Tekanan Metarhizium anisopliae dan Feromon terhadap Populasi dan Tingkat Kerusakan oleh Oryctes rhinoceros

    Directory of Open Access Journals (Sweden)

    Wtjaksono Witjaksono

    2015-12-01

    Full Text Available Oryctes rhinoceros is one of the most serious pests in coconut palm tree. Biological control for controlling the pest is done by applying fungal entomopathogen Metarhizium anisopliae on its breeding sites to infect the larvae. Recent development for controlling Oryctes beetle was including the use of pheromone trap baited with ethyl-4-methyl octanoic which attract both male and female of the Oryctes beetle. This research was aimed to determine the effect of combination of both entomopathogen and pheromone application on the population dynamics of rhinoceros beetle, and the intensity of leaf damage on coconut tree. For this purpose, a research was conducted in local farmer coconut tree in the Bojong Village, Panjatan District, Kulon Progo from June 2009−January 2010. Observation including leaf damage intensity before and after application, the number of adult beetle trapped by pheromone, and the number infected larvae in the breeding site. The result showed that there were significant differences among all treatments in term of intensity of leaf damage, the number of trapped adult beetle, and the number of larvae at the breeding site. Leaf damage on control, pheromone application, and combined treatment were: 4.73%; 1.08% and 0.65%. The number of trapped Rhinoceros beetle by ferotrap was 101; in combined treatment was 52. The number of M. anisopliae infected grub were 265 out of 281 total observed grub.   INTISARI Kerusakan tanaman kelapa akibat serangan Oryctes rhinoceros terjadi mulai pada tanaman muda. Mengingat besarnya kerugian yang ditimbulkan, maka perlu diupayakan cara pengendalian yang efisien, efektif dan aman bagi sumber daya alam dan lingkungan. Salah satu cara pengendalian secara hayati adalah dengan menggunakan cendawan patogenik Metarhizium anisopliae. Selain menggunakan cendawan, upaya terkini dalam mengendalikan kumbang badak adalah dengan menggunakan perangkap berferomon. Feromon dengan bahan aktif Etil-4-metil oktanoat dapat

  11. Hubungan Antara Konsumsi Serat Kasar dan Lemak Kasar dengan Kadar Total Solid dan Lemak Susu Kambing Peranakan Ettawa

    Directory of Open Access Journals (Sweden)

    Aisyah Nurhajah

    2016-04-01

    Full Text Available ABSTRAK. Penelitian ini bertujuan mengetahui hubungan antara konsumsi serat kasar dan lemak kasar dengan total solid dan lemak susu kambing Peranakan Ettawa. Penelitian ini menggunakan metode survei dan purposive sampling. Sampel yang digunakan pada penelitian ini adalah 35 ekor kambing Peranakan Ettawa dengan kriteria bulan laktasi 4-5, periode laktasi 2-3 dan frekuensi pemerahan 2 kali. Analisis data dilakukan menggunakan analisis regresi linier sederhana dan non linier kuadratik dan korelasi. Variabel bebas (variabel X pada penelitian ini adalah konsumsi serat kasar dan lemak kasar, sedangkan variabel terikat (variabel Y pada penelitian ini adalah total solid dan lemak susu. Hasil penelitian menunjukkan bahwa terdapat hubungan linier positif yang lemah antara konsumsi serat kasar dengan total solid dan lemak susu (r = 0,185 dan r = 0,160. Hubungan antara konsumsi lemak kasar dengan total solid dan lemak susu pada penelitian ini menunjukkan adanya hubungan kuadratik yang lemah (r = 0,316 dan r = 0,320. Kesimpulan dari penelitian ini adalah terdapat hubungan yang lemah antara konsumsi serat kasar dan lemak kasar dengan total solid dan lemak susu. Semakin tinggi konsumsi serat kasar akan meningkatkan kandungan total solid dan lemak susu, tetapi konsumsi lemak kasar yang semakin tinggi tidak selalu meningkatkan kandungan total solid dan lemak susu.    (Correlations between crude fiber and crude fat intake with total solid and milk fat contents in ettawa crossbreed goat  ABSTRACT. This study was aimed to determine the correlations between crude fiber and crude fat intake with total solid and milk fat contents. Samples used in this study were 35 Ettawa Crossbreed goats with lactation month of 4-5, lactation period of 2-3 and twice daily milking. Simple linear regression and non linear quadratic regression analysis were used in this study with crude fiber and crude fat intake as independent variables (X, meanwhile total solid and milk fat as

  12. HARMONISASI, INTEGRASI DESA PAKRAMAN DENGAN DESA DINAS YANG MULTI ETNIK DAN MULTIAGAMA MENGHADAPI PERGESERAN, PELESTARIAN, DAN KONFLIK DI BALI

    Directory of Open Access Journals (Sweden)

    Dewa Bagus Sanjaya

    2014-02-01

    Full Text Available Penelitian etnografi ini bertujuan untuk menganalisis hubungan desa dinas dan desa pakraman, dan integrasi masyarakat di Provinsi Bali. Penelitian ini melibatkan prajuru desa pakraman, masyarakat Hindu, dan masyarakat non-Hindu. Penentuan subjek penelitian dengan menggunakan teknik puposive. Data dikumpulkan dengan wawancara, observasi dan pencatatan dokumen. Data dianalisis secara kualitatif. Hasil penelitian menunjukkan bahwa desa pakraman dan desa dinas berada dalam kondisi harmonis, sehingga memunculkan ungkapan “satu badan dua kepala”, sekaligus sebagai wujud integrasi masyarakat. Desa pakraman melaksanakan tugas di bidang agama, adat, dan budaya,sedangkan desa dinas di bidang administrasi.

  13. Treatment of gastro-oesophageal reflux disease with rabeprazole in primary and secondary care : does Helicobacter pylori infection affect proton pump inhibitor effectiveness?

    NARCIS (Netherlands)

    de Wit, NJ; de Boer, WA; Geldof, H; Hazelhoff, B; Bergmans, P; Tytgat, GNJ; Smout, AJPM

    2004-01-01

    Background: The presence of the gastric pathogen, Helicobacter pylori influences acid suppression by proton pump inhibitors and treatment outcome in patients with gastro-oesophageal reflux disease. Aim: To determine the influence of H. pylori infection on effectiveness of rabeprazole in primary and

  14. Treatment of gastro-oesophageal reflux disease with rabeprazole in primary and secondary care: does Helicobacter pylori infection affect proton pump inhibitor effectiveness?

    NARCIS (Netherlands)

    Wit, N. J.; Boer, W. A.; Geldof, H.; Hazelhoff, B.; Bergmans, P.; Tytgat, G. N. J.; Smout, A. J. P. M.

    2004-01-01

    BACKGROUND: The presence of the gastric pathogen, Helicobacter pylori influences acid suppression by proton pump inhibitors and treatment outcome in patients with gastro-oesophageal reflux disease. AIM: To determine the influence of H. pylori infection on effectiveness of rabeprazole in primary and

  15. Meet EPA's Dan Nelson

    Science.gov (United States)

    EPA’s Dan Nelson is the Director of the Human Research Protocol Office at the National Health and Environmental Effect Research Laboratory, Dan works to protect the rights and welfare of EPA’s research participants.

  16. Analisis Sikap dan Pengetahuan Ibu Melalui Program Home Gardening dan Penyuluhan Gizi di Desa Binaan Tenayan Raya Pekanbaru

    Directory of Open Access Journals (Sweden)

    Rini Harianti

    2015-11-01

    Full Text Available Pemanfaatan pekarangan dapat mendukung penyediaan aneka ragam pangan di tingkat rumah tangga, sehingga terwujud pola konsumsi pangan keluarga yang beragam, bergizi seimbang dan aman. Saat ini, pemanfaatan pekarangan belum dilakukan secara maksimal. Melalui pemanfaatan pekarangan dan penyuluhan gizi diharapkan dapat memberikan nilai tambah dalam mencukupi kebutuhan pangan dan gizi keluarga serta dapat memperluas pengetahuan dan sikap gizi ibu. Oleh karena itu, untuk meningkatkan pemanfaatan pekarangan ini sangat diperlukan adanya penyuluhan, bimbingan dan penyediaan sarana yang diperlukan. Tujuan penelitian ini adalah untuk menganalisis sikap dan pengetahuan ibu melalui program home gardening dan penyuluhan gizi terhadap pemanfaatan pekarangan di desa binaan Tenayan Raya Pekanbaru. Penelitian ini adalah eksperimental. Subjek penelitian adalah 100 orang ibu, yang dipilih dari 4 kelurahan, di Kecamatan Tenayan Raya. Hasil menunjukkan bahwa (1 sosial ekonomi keluarga yaitu pendidikan terhadap pendapat memiliki hubungan yang signifikan p < 0.05 (p = 0.003, (2 konsumsi energi protein terhadap pendapatan memiliki hubungan yang signifikan p < 0.05 (p = 0.031, (3 analisis pengetahuan ibu terhadap program home gardening dengan pendidikan memiliki hubungan yang signifikan p < 0.05 (p = 0.004, (4 sikap ibu terhadap program home gardening dengan pendapatan dan pekerjaan ibu masing-masing memiliki hubungan yang signifikan p < 0.05 (p = 0.035 dan p = 0.006, (5 analisis pengetahuan dan sikap gizi ibu terhadap pendidikan memiliki hubungan yang signifikan p < 0.05 (p = 0.024, (6 pengetahuan dan sikap ibu yang diberi penyuluhan gizi setelah intervensi memiliki hubungan yang signifikan p < 0.05 (p = 0.000.

  17. Open trial of cimetidine in the prevention of upper gastro-intestinal haemorrhage in patients with severe intracranial injury.

    Science.gov (United States)

    Mouawad, E; Deloof, T; Genette, F; Vandesteene, A

    1983-01-01

    The present study evaluates the efficacy of Cimetidine in the prevention of clinically important gastro-intestinal haemorrhage in patients suffering from severe head injury. Fifty patients (39 males and 11 females) were included in the study. We excluded from the trial patients on anticoagulant therapy or concomitant non-steroid anti-inflammatory agents, pregnant and lactating women, and patients with previous histories of peptic ulcer disease.

  18. Gastro-esophageal reflux disease and obesity, where is the link?

    Science.gov (United States)

    Emerenziani, Sara; Rescio, Maria Paola; Guarino, Michele Pier Luca; Cicala, Michele

    2013-10-21

    The confluence between the increased prevalence of gastro-esophageal reflux disease (GERD) and of obesity has generated great interest in the association between these two conditions. Several studies have addressed the potential relationship between GERD and obesity, but the exact mechanism by which obesity causes reflux disease still remains to be clearly defined. A commonly suggested pathogenetic pathway is the increased abdominal pressure which relaxes the lower esophageal sphincter, thus exposing the esophageal mucosal to gastric content. Apart from the mechanical pressure, visceral fat is metabolically active and it has been strongly associated with serum levels of adipo-cytokines including interleukin-6 and tumor necrosis factor α, which may play a role in GERD or consequent carcinogenesis. This summary is aimed to explore the potential mechanisms responsible for the association between GERD and obesity, and to better understand the possible role of weight loss as a therapeutic approach for GERD.

  19. Multi-Dimensional Modeling of Combustion and Pollutants Formation of New Technology Light Duty Diesel Engines Modélisation multidimensionnelle de la combustion et de la formation des polluants dans les nouveaux moteurs diesel automobiles

    Directory of Open Access Journals (Sweden)

    Belardini P.

    2006-12-01

    Full Text Available In the present paper some results, obtained by the use of modern numerical CFD tools, are presented. In particular, starting from the experimental characterization of a common rail DI Diesel engine, the empirical constants of the different submodels were tuned to obtain satisfactory results in some key test conditions. The main constraints of numerical models, to obtain a right scaling of pollutants predictions in the different test cases are analyzed. The numerical analysis demonstrates that the numerical CFD tools, at their stage of development, can help the engine designers to define the more promising strategies to obtain tailpipe emission control of common rail Diesel DI engines. Dans cet article, nous présentons les résultats obtenus en utilisant des outils de simulation de la mécanique des fluides numérique (CFD. À partir de résultats expérimentaux issus de la caractérisation d'un moteur Diesel common rail, les constantes empiriques de divers modèles ont été ajustées afin d'obtenir des résultats satisfaisants pour des cas tests représentatifs. Les principales contraintes des modèles numériques pour obtenir une bonne précision dans les différents cas d'études sont ici analysées. Cette analyse numérique montre que la CFD permet déjà, au stade de développement atteint, d'aider les ingénieurs à définir les stratégies les plus prometteuses pour maîtriser les émissions à l'échappement des moteurs Diesel à injection common rail.

  20. Pengaruh Aras Energi Pakan dan Skor Kondisi Tubuh Terhadap Produksi dan Kualitas Fisik Daging Ternak Sapi Bali Betina Afkir

    Directory of Open Access Journals (Sweden)

    M.E. Ili

    2016-02-01

    Full Text Available Penelitian dilakukan untuk mengetahui pengaruh aras energi dan kondisi tubuh terhadap produksi dan mutu daging sapi Bali betina afkir. Kajian ini menggunakan 18 ekor sapi Bali betina afkir yang kurus dengan skor kondisi tubuh 2. Penelitian menggunakan rancangan acak lengkap dengan aras energi sebagai faktor utama dan skor kondisi tubuh sebagai faktor tersarang. Pakan komplit fermentasi (2% dari berat badan dengan level energi yang berbeda yaitu 7, 8 dan 9 MJ diberikan sebagai perlakuan. Penelitian berlangsung selama 3 bulan yang terdiri dari 2 minggu masa persiapan dan penyesuaian (preleminary dan 10 minggu pengambilan (koleksi data. Parameter utama adalah produksi karkas dan kualitas fisik serta kimia daging. Hasil penelitian menunjukkan bahwa tidak terdapat pengaruh (P>0.05 dari level energi dan skor kondisi tubuh pada parameter yang diukur. Sementara itu, nilai susut masak dan keempukan secara signifikan dipengaruhi oleh level energi pakan. Kesimpulannya bahwa penggemukan sapi Bali betina afkir dapat dilakukan secara efisien dalam periode singkat. Ada indikasi perubahan skor kondisi tubuh yang memadai dengan pemberian pakan pada level energi metabolis 9 MJ.