Hasil Pencarian  ::  Simpan CSV :: Kembali

"Telah dilakukan penelitian yang bertujuan untuk mengetahui pengaruh penambahan starter mikroba (Acetobacter aceti, Lactobacillus plantarum dan Saccharomyces cerevisiae) serta pemerasan pulp terhadap fermentasi dan mutu biji kakao. Penelitian menggunakan metode Rancangan Acak Lengkap (RAL) pola faktorial 3x5 dengan dua kali ulangan. Hasil penelitian menunjukkan bahwa penambahan starter meningkatkan konsentrasi etanol pada saat fermentasi dan meningkatkan kadar asam asetat dan asam sitrat, tetapi menurunkan konsentrasi asam oksalat pada biji kakao. Penambahan starter disertai pemerasan pulp menghasilkan biji kakao dengan kadar asam asetat sebesar 0,47%, sedangkan biji kakao tanpa pemerasan menghasilkan kadar asam asetat 0,49%. Penambahan starter disertai pemerasan pulp menghasilkan mutu biji kakao terbaik dengan karakteristik sebagai berikut: skor nilai uji belah tertinggi (379 dari 400), mutu fisik (Golongan mutu A) serta memenuhi persyaratan mutu SNI 2008 No. 2323 tentang biji kakao dengan rasio jumlah per berat biji sebanyak 88 biji/100g; nilai pH 4,93; kadar asam asetat 0,47%, kadar lemak 34,90%, kadar air 4,47%, kadar serat kasar 3,66% dan kadar abu 4,82% dengan waktu fermentasi selama 5 hari.

---

The aimed of this study was to investigate the effect of starter culture addition (Acetobacter aceti, Lactobacillus plantarum, and Saccharomyces cerevisiae) with depulping on the fermentation and quality of cocoa beans. The experimental design of this study was conducted using a 3×5 factorial Completely Randomized Design (CRD) with duplicate replication. The result revealed that starter addition increased ethanol concentration on the fermentation process, increased acetate acid, and citric acid concentration meanwhile oxalic acid was decreased on cocoa beans during 5 days of fermentation. Depulping caused a slight decrease in acetic acid concentration at the end of fermentation with values of 0,47%, meanwhile the sample of cocoa beans without depulping treatment had acetic acid concentration of 0,49%. Starter culture addition and depulping treatment resulted the best characteristic of cocoa beans which visualized by the largest amounts of cut test score (379 of 400), physical quality (Grade A) and completed SNI No. 2323-2008 requirements with total beans/100 g ratio of 88 beans/100g; pH values of 4,93; acetic acid concentrations of 0,47%, content of fat 15,12%, moisture 4,47%, crude fiber 3,66% and total ash 4,82% after 5 days fermentation."

"Kelainan jantung univentrikel tanpa restriksi aliran darah paru perlu dilakukan tindakan paliatif tahap awal berupa pulmonary artery banding (PAB) untuk menurunkan tekanan paru sebelum dilanjutkan tindakan bidirectional cavopulmonary shunt / BCPS. Namun, interval waktu optimal antara kedua tahap pembedahan paliatif tersebut masih belum diketahui. Dilakukan penelitian kohort retrospektif pada pasien kelainan jantung univentrikel tanpa restriksi aliran darah paru yang menjalani tindakan BCPS dengan riwayat PAB. Total sebanyak 41 subjek yang dianalisis. Terdapat hubungan bermakna antara interval waktu tindakan PAB–BCPS dan mortalitas dini pasca-BCPS (p = 0,018), dengan nilai median interval waktu pada pasien yang mengalami mortalitas lebih singkat dibandingkan pada pasien yang hidup [9(8–10) vs. 26(12–97) bulan]. Tidak terdapat hubungan/korelasi bermakna antara interval waktu PAB–BCPS dan mortalitas 1 tahun (p = 0,645), lama penggunaan ventilator (r = 0,053;p = 0,768), lama rawat ICU (r = 0,064;p = 0,693), dan lama rawat RS (r = -0,098;p = 0,544) pascaoperasi BCPS. Disimpulkan bahwa terdapat hubungan yang signifikan antara interval waktu tindakan PAB–BCPS dan kejadian mortalitas dini pasca-BCPS. Pasien yang mengalami mortalitas memiliki nilai interval waktu lebih singkat dibandingkan dengan pasien yang hidup.

---

Univentricular heart defects with unrestricted pulmonary blood flow require pulmonary artery banding (PAB) as an initial palliative procedure to reduce pulmonary pressure before proceeding with the second-stage surgery (bidirectional cavopulmonary shunt / BCPS). However, the optimal time interval between these two palliative surgeries remains unknown. A retrospective cohort study was conducted on patients with univentricular heart defects and unrestricted pulmonary blood flow who underwent BCPS with a history of PAB. A total of 41 subjects were analyzed. There was a statistically significant association between the time interval of PAB–BCPS and early mortality after BCPS (p = 0.018), with a shorter median interval time in patients who experienced mortality compared to those who survived [9(8–10) vs. 26(12–97) months, respectively]. No significant association between the PAB–BCPS time interval and one-year mortality (p = 0.645), period of ventilator use (r = 0.053; p = 0.768), ICU length of stay (r = 0.064; p = 0.693), or hospital length of stay (r = -0.098; p = 0.544) following BCPS. In conclusion, the time interval between PAB and BCPS is significantly associated with early mortality after BCPS. Patients who did not survive had a shorter interval compared to those who survived."

"Kelainan jantung univentrikel tanpa restriksi aliran darah paru perlu dilakukan tindakan paliatif tahap awal berupa pulmonary artery banding (PAB) untuk menurunkan tekanan paru sebelum dilanjutkan tindakan bidirectional cavopulmonary shunt / BCPS. Namun, interval waktu optimal antara kedua tahap pembedahan paliatif tersebut masih belum diketahui. Dilakukan penelitian kohort retrospektif pada pasien kelainan jantung univentrikel tanpa restriksi aliran darah paru yang menjalani tindakan BCPS dengan riwayat PAB. Total sebanyak 41 subjek yang dianalisis. Terdapat hubungan bermakna antara interval waktu tindakan PAB–BCPS dan mortalitas dini pasca-BCPS (p = 0,018), dengan nilai median interval waktu pada pasien yang mengalami mortalitas lebih singkat dibandingkan pada pasien yang hidup [9(8–10) vs. 26(12–97) bulan]. Tidak terdapat hubungan/korelasi bermakna antara interval waktu PAB–BCPS dan mortalitas 1 tahun (p = 0,645), lama penggunaan ventilator (r = 0,053;p = 0,768), lama rawat ICU (r = 0,064;p = 0,693), dan lama rawat RS (r = -0,098;p = 0,544) pascaoperasi BCPS. Disimpulkan bahwa terdapat hubungan yang signifikan antara interval waktu tindakan PAB–BCPS dan kejadian mortalitas dini pasca-BCPS. Pasien yang mengalami mortalitas memiliki nilai interval waktu lebih singkat dibandingkan dengan pasien yang hidup.

---

Univentricular heart defects with unrestricted pulmonary blood flow require pulmonary artery banding (PAB) as an initial palliative procedure to reduce pulmonary pressure before proceeding with the second-stage surgery (bidirectional cavopulmonary shunt / BCPS). However, the optimal time interval between these two palliative surgeries remains unknown. A retrospective cohort study was conducted on patients with univentricular heart defects and unrestricted pulmonary blood flow who underwent BCPS with a history of PAB. A total of 41 subjects were analyzed. There was a statistically significant association between the time interval of PAB–BCPS and early mortality after BCPS (p = 0.018), with a shorter median interval time in patients who experienced mortality compared to those who survived [9(8–10) vs. 26(12–97) months, respectively]. No significant association between the PAB–BCPS time interval and one-year mortality (p = 0.645), period of ventilator use (r = 0.053; p = 0.768), ICU length of stay (r = 0.064; p = 0.693), or hospital length of stay (r = -0.098; p = 0.544) following BCPS. In conclusion, the time interval between PAB and BCPS is significantly associated with early mortality after BCPS. Patients who did not survive had a shorter interval compared to those who survived."