Background: Overall five-year survival rate of Wilm’s Tumor (WT) in developing countries is still poor. Delayed diagnosis is one of the contributing factors, whereas early diagnosis is an important thing for the outcome. It is caused by the WT burden in developing countries that was not comparable with the number of facilities for diagnosis and treatment. Ultrasonography (USG) is the mandatory first-line imaging modality in children with a suspected abdominal mass and an overall sensitivity of 76%. Additionally, it can be found in many health facilities at a lower cost, quick, non-invasive, and carries no risk of radiation. Therefore, the relationship between USG and histopathology should be measured. Materials and Methods: A cross-sectional study with an analytical approach was performed in pediatric (0 untill 18 year of age) renal malignancy and neuroblastoma that admitted to Dr. Hasan Sadikin Hospital, Bandung between 2015-2018. Data were collected from medical records. Statistical analyses using Fisher exact test were done to determine the significance of the relationship between USG and histopathology. Results: Forty-three samples were obtained based on inclusion criteria, such as WT (n=33), neuroblastoma (n=6), renal clear cell carcinoma (n=2) and no specific type of renal malignancy (n=2). Fisher exact test revealed no-significant relationship between USG and histopathology with p-value > 0.05 Conclusion: There is no significant relationship between USG and histopathology. Therefore, centralized unity for USG interpretation is recommended.
Background: Hypertension contributes to the increased risk of adverse cardiovascular events and leads to higher morbidity and mortality. Life style modification, including diet, is the recommended initial intervention strategy to reduce blood pressure and affect the metabolic profile as a risk factor of hypertension. One of the recommended dietary interventions is Dietary Approach to Stop Hypertension (DASH).Objective: This review aims to systematically review and analyze the studies on the effect of DASH Diet on blood pressure and metabolic profile in hypertensive patientsMethods: All the literature were systematically searched by PubMed using PICO analyses (Population: hypertensive patients, Intervention: DASH diet, Comparison: usual care, Outcome: blood pressure and metabolic profile) and obtained 119 studies. Based on the predetermined inclusion and exclusion criteria, there are six studies included in this analysis. Statistical analysis was performed using Review Manager 5.4.Results: A total of three randomized controlled trials (RCTs) were reviewed comparing the effects of DASH and usual or control diet on blood pressure. Systolic blood pressure was significantly reduced in DASH group than control group (mean difference -3.89 [-5.02, -2.75]; P < 0.00001; I2 = 0%, P-heterogenicity = 0.45). Diastolic blood pressure was significantly reduced in DASH group than control group (mean difference -2.19 [-3.04, -1.33]; P < 0.00001; I2 = 37%, P-heterogenicity = 0.21). We reviewed three RCTs comparing uric acid levels. One study found uric acid levels were significantly reduced in the DASH group than control group.Conclusions: DASH diet is effective as an initial intervention in reducing blood pressure and metabolic profile, especially uric acid.
Dalam negara demokrasi pemilu merupakan suatu kewajiban, namun di tengah situasi pandemi terdapat potensi munculnya masalah yang dapat mencederai substansi demokrasi itu sendiri. Tujuan dilakukannya penelitian ini adalah memetakan kekhawatiran masyarakat dengan kelompok usia 19-24 tahun terhadap masalah demokrasi Indonesia pada masa pandemi serta mengelaborasikannya. Metode yang digunakan dalam penelitian ini adalah survei terkait Pilkada 2020 yang dilakukan pada 100 responden. Survei terdiri dari tingkat pengetahuan mengenai teknis Pilkada,tingkat antusiasme masyarakat, dan kekhawatiran terhadap potensi masalah Pilkada 2020. Berdasarkan tingkat pengetahuan masyarakat akan teknis Pilkada 2020, diperoleh data bahwa responden sebanyak 32% tidak mengetahui sama sekali mengenai sistem maupun teknis pelaksanaan Pilkada 2020, 50% responden sedikit mengetahui teknis pelaksanaan Pilkada, dan 18% responden telah mengetahui teknis pelaksanaan Pilkada. Berdasarkan tingkat antusiasme masyarakat terhadap Pilkada 2020, diperoleh data bahwa sebanyak 45% responden belum memutuskan akan melakukan pencoblosan atau tidak, 40% akan tetap melakukan pencoblosan, 12% tidak peduli dengan pelaksanaan pilkada, dan 3% menyatakan tidak akan melakukan pencoblosan karena takut terhadap penularan virus Covid-19. Berdasarkan tingkat kekhawatiran masyarakat terhadap potensi timbulnya masalah baru dalam Pilkada 2020, diperoleh data bahwa responden sebanyak 76% orang khawatir akan praktik money politic berkedok bantuan Covid-19, 69% khawatir akan muncul cluster virus baru, 68% khawatir terhadap berkurangnya jumlah pemilih, dan 11% sisanya khawatir akan permasalahan lain. Dengan mengidentifikasi dan mengelaborasikan potensi masalah, maka memungkinkan dilakukannya tindakan preventif sehingga kerugian yang disebabkan oleh permasalahan terkait dapat diminimalisir.
This study was conducted at International Elementary School of Bunga Matahari to find out the type of teacher talk in English classroom interactions and the students’ responses on teacher talk of praises. The descriptive qualitative design was applied and aimed to analyze the types of talk employed by the teacher in the classroom interaction based on FIACSystem presented by Flanders (1970). The data were analyzed using an interaction model of Miles, Huberman, and Saldana (2013) et al. and focused on the teacher and student talk in ICP class. This research employed observation through video recording in order to reach the objectives of this study. The participant in this study were 45 students with 15 students in each class and 3 English teachers. The results showed that by analyzing responses of transcription from the observation, the teacher talk of giving praises is approximately less, giving direction dominates the teacher talk category that consists of direct influence of teacher talk. In addition, the students’ response was dominantly toward teacher talk of praises.
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