bluuebunny/crossref_metadata_2025 huggingface dataset:
VARIAN PENGOLAHAN PRODUK IKAN NILA DAN PEMASARAN SECARA ONLINE
Authors: Suswanta Suswanta , Ramadhani Ramadhani
Published: October 2022

Permasalahan ekonomi dimasyarakat suatu daerah menjadi hal klasik sehingga diperlukan adanya inovasi-inovasi baru untuk menciptakan lapangan kerja baru yang bisa memberikan pendapatan yang besar kepada masyarakat disebuah desa. Hal ini pun coba dilakukan masyarakat Dusun Cibuk Kidul dimana masyarakatnya banyak yang menjadi pelaku UMKM. Salah satu jenis UMKM yang dirasa unik terdapat di Dusun Cibuk Kidul yaitu olahan dari ikan nila. Dari hasil observasi yang dilakukan oleh tim pengusul kelompok UMKM masih belum mampu memaksimalkan pemasaran melalui platform digital secara maksimal dan masif, serta kurangnya inovasi olahan dari produk ikan  mereka. Dengan melihat potensi UMKM yang dinilai mampu untuk menjadi pendapatan baru, potensi ini dapat dimaksimalkan dengan penggunaan teknologi yang semakin di masifkan penggunaannya dengan mendatangkan stakeholders yang ahli di bidangnya sehingga masyarakat  bisa dilatih cara pemasaran melalui media masa dan bagaimana membangun brand yang menarik untuk konsumen. Harapannya dengan kegiatan ini mampu membuka lapangan kerja baru bagi masyarakat dan tentunya akan meninggkatkan taraf hidup masyarakat Dusun Cibuk Kidul.
PENGEMBANGAN UMKM DAN PRODUKSI MEDIA PADA SARANG LEBAH KLANCENG (TRIGONA LAEVICEPS)
Authors: Nursetiawan Nursetiawan , Susanawati Susanawati
Published: October 2022

Madu dari Lebah Klanceng merupakan inovasi peningkatan usaha mikro, kecil, dan menengah (UMKM) bagi masyarakat. Dalam kondisi sekarang ini, yang mana situasi akibat efek pandemi Covid-19 yang melanda Indonesia mengakibatkan dampak negatif dalam usaha bidang ekonomi masyarakat, salah satunya mengalami penurunan signifikan. Pengembangan inovasi pengabdian ini bertujuan untuk meningkatkan efektivitas kinerja UMKM, meningkatkan branding produk, memudahkan promosi, serta pemasaran produk akun social media maupun e-commerce, terletak di Desa Ketawangrejo, Kecamatan Grabag, Kabupaten Purworejo, Jawa Tengah. Teknologi Digital Marketing sangat bermanfaat karena dapat mengembangkan usaha pada lingkup yang lebih luas, metode yang digunakan antara lain observasi sebagai pengamatan peningkatan UMKM, pengurusan perizinan P-IRT, marketing sebagai pemasaran iklan, produksi logo desain, dan strukturisasi sebagai penghubung koneksi pemilik mitra dengan UMKM. Berdasarkan hasil pada program pengabdian, bahwa pendaftaran izin SPP-IRT UMKM Omah Klanceng berhasil mendapatkan izin oleh Dinas Kesehatan dengan P-IRT No 6093306010559-26, produksi inovasi logo kemasan serta desain packing yang menarik sebagai identitas produk, foto produk untuk proses penjualan marketing, pembuatan banner madu Omah Klanceng dengan pengrajin kotak, dan pembuatan lokasi google maps. Produk madu Lebah Klanceng memiliki manfaat meningkatkan daya tahan tubuh serta pemesanan dapat dikirim keseluruh Indonesia melalui Instagram, Facebook, dan WhatsApp @omah.klanceng dengan ukuran 250 ml dan 500 ml.
PENGEMBANGAN PEMASARAN PRODUK LOKAL MELALUI DIGITAL BUSINESS DAN PEMBAHARUAN BRAND PRODUK
Authors: Wijaya Titis Wisnu , Muchlis Zaini , Azizah Laila Ma’rifatul , Miftah Muhammad
Published: October 2022

Pemasaran merupakan sebuah kegiatan yang dilakukan oleh pelaku usaha dalam mempromosikan suatu produk atau layanan. Pemasaran ini mencakup pengiklanan, penjualan, dan pengiriman produk ke konsumen maupun produsen yang lain.  Dengan adanya Pemasaran sangat membantu para konsumen dalam menemukan produk yang sesuai dengan kebutuhan. Adapun fungsi Pemasaran antara lain; (1) sebagai sarana pengenalan produk, (2) riset, dan (3) distribusi. Disamping itu packaging juga menjadi faktor penting dalam sebuah penjualan produk. Fungsi utama packaging atau pengemasan yaitu untuk menguatkan identitas sekaligus menarik pembeli yang menyukai bentuk kemasan yang menarik dan tertata rapi. Tidak hanya itu packaging juga perlu sedikit sentuhan untuk memberikan warna baru dalam pengemasan. Kemudian labelling produk dianggap perlu pembaruan agar supaya lebih ikonis dan menarik. Di dusun Kunden, Kerten, Imogiri, Bantul, Daerah Istimewa Yogyakarta memiliki UMKM yang dikelola secara mandiri seperti tempat mitra pengabdi yaitu keripik tempe sagu dan peyek milik Ibu Paijah. Model pemasarannya dititipkan dari satu toko ke toko yang lainnya. Selain itu usaha Ibu Paijah ini juga menerima pesanan baik secara langsung di rumahnya ataupun melalui pesan singkat. Permasalahan usaha Ibu Paijah ini yaitu ingin memasarkan produknya lebih luas karena beliau sadar usaha keripik tempe sagu dan peyek tidak hanya beliau saja yang membuat. Oleh karena itu, tim pengabdi menginisiasi program pengabdian di UMKM Ibu Paijah dalam mengembangkan pemasaran yang lebih luas melalui pembuatan Google My Business (GMB) dan pembaruan labelling dan packaging produk seiring dengan analisa kebutuhan pemasaran. Metode yang digunakan yaitu metode problem solving. Dalam pelaksanaan kegiatan pengabdian ini dijalankan melalui lima tahapan, yaitu identifikasi dan analisis situasi, pendampingan dan penggalian informasi, pembuatan Google My Business, pembaruan labelling, packaging dan foto produk, dan monitoring. Hasil yang diperoleh dari kegiatan pengabdian ini yaitu strategi dalam meningkatkan penjualan melalui pembaruan labelling dan packaging produk dan pembuatan Google My Business. Sejalan dengan itu, strategi ini menjadi faktor pendukung dalam pemasaran yang luas baik secara langsung maupun dalam jaringan. Sehingga roda perekonomian UMKM dapat berkembang lebih baik.
Pemanfaatan Whey Menuju Produksi Yang Zerowaste
Authors: Wonoadi Grace Lestariana , Husein Rahmawati , Sukamto Sukamto
Published: October 2022

Peningkatan produktivitas dan pemasaran keju artisan dari Rumah Keju Jogja (RKJ) dengan brand KEJUGJA meningkatkan pula volume whey sebagai cairan sisa produksi. Tanpa penanganan yang tepat, whey tersebut hanya menjadi limbah produksi. Menyadari hal itu, RKJ telah berinisiatif memberi nilai tambah pada limbah tersebut dengan kreasi produksi kerupuk dari whey. Permasalahan yang dihadapi RKJ adalah: 1) Terbatasnya jumlah sumber daya manusia untuk proses produksi, dan 2)  Ketergantungan pada faktor cuaca dalam proses pengeringan. Oleh karena itu, dalam masa pandemi COVID-19 kegiatan PPM UMY menawarkan solusi :1) Pelatihan pembuatan kerupuk whey bagi warga terdampak COVID-19, dan 2). Pembuatan alat pengering kerupuk. Metode yang digunakan dalam kegiatan ini meliputi Focus Group Discussion, workshop, dan pendampingan penerapan ilmu pengetahuan dan teknologi. Output kegiatan berupa adanya 13 (tiga belas) orang yang mampu membuat kerupuk whey dan tersedianya cetakan krupuk dan alat pengering kerupuk. Outcome kegiatan meliputi terserapnya limbah produksi keju yang bernilai ekonomis, meningkatnya peluang usaha bagi warga terdampak pandemi, serta meningkatnya kapasitas produksi kerupuk whey.
PENDAMPINGAN BUMDES TIRTA KAMULYAN KANGEN WATER DI DESA BANGUNJIWO, KASIHAN, BANTUL, YOGYAKARTA
Authors: Gunawan Barbara
Published: October 2022

Tujuan kegiatan ini adalah meningkatan pendapatan BUMDes melalui usaha air minum kemasan Tirta Kamulyan, yang merupakan salah satu unit usaha BUMDes Bangunjiwo. Permasalahan pada bidang produksi, yaitu belum adanya filter untuk menyaring air yang siap minum dan proses penuangan yang kurang higienis; sedangkan untuk bidang pemasaran adalah kurangnya kemampuan pengelola dalam memasarkan produk secara online, disamping itu kemasan yang digunakan tidak menarik. Metode yang digunakan adalah: 1) Pengadaan dan pelatihan penggunaan filter air minum kemasan, 2) Ceramah sosialisasi protokol kesehatan bagi pengelola BUMDes dan karang taruna, 3) Pelatihan dan pendampingan pembuatan label kemasan produk, pemasaran produk secara online, dan pembuatan blok dan sosial media untuk karang taruna. Dari kegiatan pengabdian terselenggara kegiatan berupa: 1) Pengadaan filter air dan pelatihan pemanfaatan filter air, 2) Sosialisasi protokol kesehatan Covid-19 bagi pengelola BUMDes dan karang taruna, memasang banner protocol Covid-19 di sekitar BUMDes, memberikan alat protokol kesehatan, 3) Pelatihan dan pendampingan pembuatan label kemasan produk, 4) Pelatihan dan pendampingan pemasaran produk secara online; dan 5) Pelatihan dan pendampingan pembuatan blok dan sosial media untuk karang taruna. Semua kegiatan selesai dilaksanakan dan berhasil baik, setelah program pengabdian, penjualan produk Tirta Kamulyan Kangen Water meningkat 20%.
OPTIMALISASI KEMANDIRIAN EKONOMI DALAM MENGEMBANGKAN PERAN ANGGOTA ORGANISASI AISYIYAH RANTING NGADIWINATAN
Authors: Rahmah Rahmah , Afsah Yusi Riwayatul
Published: October 2022

Aisyiyah sebagai organisasi perempuan keagamaan di Ngadiwinatan memiliki beragam kegiatan berbasis pemberdayaan masyarakat salah satunya pemberdayaan kemandirian ekonomi warga Aisyiyah. Di masa pandemi ini kiprah Aisyiyah Ranting Ngadiwinatan sangat dibutuhkan untuk membantu warga Aisyiyah yang terkena dampak kesulitan ekonomi khususnya dalam mempertahankan kemandirian ekonomi. Sehingga dibutuhkan suatu upaya untuk dapat memfasilitasi ataupun membantu kesulitan ekonomi warga Aisyiyah Ngadiwinatan. Adapun tujuan akhir dari kegiatan ini adalah optimalisasi peran organisasi Aisyiyah ranting Ngadiwinatan dalam kemandirian ekonomi anggota Aisyiyah Ngadiwinatan. Kegiatan ini terdiri dari tiga tahapan yang diawali dengan kegiatan seminar kewirausahaan, membuat forum diskusi online dan memfasilitasi pembukaan unit usaha ekonomi ranting aisyiyah Ngadiwinatan. Hasil dari kegiatan ini adalah meningkatnya pengetahuan peserta dalam berwirausaha, terlibatnya secara aktif anggota dalam warung online dan terbentuknya pengelola kedai BUEKA Ngadiwinatan. Implikasi dari kegiatan ini adalah meningkatnya wawasan para peserta untuk mengembangkan usahanya melalui online dengan memanfaatkan media sosial serta saling bekerjasama. Simpulan dari kegiatan ini adalah partisipasi aktif dan motivasi yang tinggi dari pengurus dan anggota Aisyiyah ranting Ngadiwinatan menjadikan segera terbentuknya unit usaha ekonomi yang beri nama kedai BUEKA Ngadiwinatan sebagai wadah kemandirian ekonomi warga Aisyiyah Ngadiwinatan.
Peningkatan Pemasaran Hasil UMKM Di Era Pandemi Covid 19
Authors: Febriani Erma
Published: October 2022

Pengabdian Masyarakat ini dilaksanakan secara blanded, yakni offline dan online dengan target produsen tempe. Tujuan khusus yang ingin dicapai dari kegiatan program kemitraan masyarakat ini adalah meningkatkan produktivitas mitra, meningkatkan pendapatan mitra dan memperluas pemasaran produk dari mitra, sehingga diharapkan dapat meningkatkan pendapatan dari kegiatan tersebut dan tempe tidak terjual dengan harga murah. Metode yang dipakai dalam pencapaian tujuan tersebut adalah metoda deskriptif melalui pendekatan dan usaha komprehenship pada aspek sosial, budaya, religi, mutu layanan dan kehidupan bermasyarakat terhadap produksi tempe melalui penyuluhan dan pelatihan dengan menggunakan zoom mengenai produksi tempe. Hasil kegiatan yang telah dilaksanakan dalam rangka pencapaian tujuan tersebut adalah pembuatan tempe yang higienis, pelatihan pemasaran produk online, pelatihan pembukuan dan budgeting, pengenalan media online, pembuatan plang produsen tempe, pembuatan design label produk tempe, pencetakan label dan packaging.
PEMANFAATAN DIGITAL MARKETING DAN STRATEGI PACKAGING UNTUK MENINGKATAN PEMASARAN PRODUK USAHA
Authors: Sugito Sugito , Anam Muhammad Zahrul
Published: October 2022

Wabah covid-19 ternyata memberikan berkah kepada Ibu Tati Wijayanti untuk memulai bisnis rumahan dengan produk utama sabun dan sejenisnya. Meskipun bisnis ini memiliki potensi keuntungan yang besar jika ditinjau dari margin keuntungan dan kebutuhan pasar, namun potensi belum diimbangi dengan strategi pemasaran yang memadai. Permasalahan serupa juga terjadi dengan usaha kripik kentang Ibu Muslihah. Pengabdian ini bertujuan untuk meningkatkan penjualan produk sabun “Cupa Cupi” dan “Kangen Snack” melalui optimalisasi pemasaran di media sosial dan packaging. Berbagai kegitan pengabdian masyarakat telah dilakukan berupa pelatihan penggunaan sosial media untuk promosi dan pemasaran, pembuatan kemasan untuk produk sabun dan keripik kentang, pembuatan akun Facebook dan Instagram serta pendampingan pengelolaannya untuk promosi dan pemasaran. Kegiatan-kegiatan tersebut mampu memberikan manfaat kepada mitra sehingga mampu memperkaya media promosi dan pemasaran melalui  media sosial media variasi kemasan produk.
PEMANFAATAN DIGITAL MARKETING DAN INOVASI BISNIS UNTUK MENINGKATKAN PENJUALAN JASA SABLON
Authors: Sugito Sugito , Anam Muhammad Zahrul
Published: October 2022

Merebaknya wabah covid-19 telah berdampak pada menurunnya permintaan jasa sablon di Usaha Sablon “TOPO PRINTING” milik Bapak Topo Rudihartono yang berada di Dusun Depok, Ambarketawang, Gamping, Sleman. Ada beberapa faktor yang menyebabkan penurunan omset usaha sablon ini yaitu : 1) ketergantungan terhadap satu pelanggan, 2) teknologi sablon yang masih konvensional, dan 3) pemasaran yang belum dijalankan secara profesional. Melihat dari adanya kemajuan teknologi internet dan strategi pemasaran melalui digital, maka pengabdian ini bertujuan untuk mengoptimalkan pemanfaatan media digital dalam rangka meningkatkan penjualan jasa sablon “TOPO PRINTING”. Beberapa program yang dijalankan dalam pengabdian ini adalah pelatihan pembuatan media digital marketing, pelatihan pemanfaatan Search Engine Optimization dalam digital marketing, pembuatan platform media sosial untuk promosi, dan peningkatan kualitas hasil produksi sablon, Program-program yang telah dijalankan berhasil memberikan strategi pemasaran dan penjualan dengan media digital dan meningkatan kualitas produksi sehingga berdampak pada meningkatnya penjualan jasa sablon “TOPO PRINTING”.
Penguatan Daya Saing Organisasi melalui Pendampingan Tata Kelola dan Perumusan Rencana Strategi Bisnis
Authors: Wahyuningsih Rr. Sri Handari
Published: October 2022

Koperasi Primer BMT Amanah merupakan salah satu Baitul Maal Wat Tamwil yang beroperasi dibidang simpan pinjam berlokasi di Galur, Kulonprogo. Berdasar identifikasi dengan Pengurus, Kinerja jangka pendek BMT cukup baik. Namun demikian Pengurus dan manajer memiliki permasalahan dalam menetapkan arah pengembangan ke depan. Selain itu masih ditemukan pembagian pekerjaan dan sasaran tugas yang belum jelas antara pengurus, manajer, dan staf. Program pengabdian ini difokuskan pada dua kegiatan utama, yaitu Penguatan Tata Kelola Organisasi dan Perumusan Rencana Strategi Bisnis. Penguatan Tata Kelola dilakukan melalui pemantapan struktur organisasi, evaluasi tugas dan fungsi, analisis jabatan, dan standar kerja. Sedangkan penyusunan rencana strategi bisnis dilakukan melalui: evaluasi Visi, Misi, dan Tujuan; merumuskan rencana strategi , action plan, dan target tahunan. Metode yang digunakan antara lain: Focus Group Discussion, Penyuluhan, pendampingan, monitoring program. Hasil pendampingan adalah tersusunnya Dokumen Tata Kelola, Rencana Strategi Bisnis, dan publikasi dalam konferensi nasional.
PENDAMPINGAN TATA KELOLA UMKM UD PEDHARINGAN BERBASIS TEKNOLOGI INFORMASI DAN KOMUNIKASI
Authors: Mutiarin Dyah , Wijaya Sakir Ridho , Riyadi Slamet
Published: October 2022

Artikel ini bertujuan untuk mendeskripsikan dan menganalisis proses pemberdayaan terhadap UMKM di masa pandemik covid-19. UD Pedharingan sebagai mitra yang didampingi dalam pemberdayaan ini memiliki permasalahan kurangnya pemahaman mengenai digital marketing yaitu promosi dan penjualan secara online (daring) dengan memanfaatkan jejaring sosial atau platform. Permasalahan lainnya adalah packaging yang kurang menarik serta perlunya sumber daya manusia (SDM) yang memahami digital marketing dan marketplace. Pendampingan Digitalisasi UMKM UD Pedharingan berbasis Teknologi Informasi dan Komunikasi ini bertujuan membantu meningkatkan kegiatan perekonomian desa berbasis digital atau Digitalisasi UMKM. Metode yang dilakukan adalah melalui pendampingan dan pelatihan marketing berbasis digital. Hasilnya ada peningkatan kapasitas UD Pedharingan dalam melakukan digital marketing, pengetahuan tentang marketplace, pembuatan media sosial UMKM dan pembuatan kemasan ulang produk UMKM.
PEMBERDAYAAN SDM DESA BANGUNJIWO MELALUI PELATIHAN INTENSIF KETERAMPILAN BAHASA INGGRIS SEBAGAI UPAYA INISIASI PENDIRIAN KAMPUNG INGGRIS MUHAMMADIYAH BANGUNJIWO
Authors: Hatmanto Endro Dwi , Rahmawati Fitria
Published: October 2022

Berkaitan dengan program pengabdian masyarakat untuk memberdayakan masyarakat, aktifitas yang biasa dilakukan berupa pelatihan-pelatihan yang sifatnya parsial. Pengabdian ini berusaha untuk memberdayakan masyarakat dengan program pelatihan yang menjadi bagian dari sebuah program besar pengembangan kampung Inggris di desa Bangunjiwo, Kasihan, Bantul. Program ini diikuti oleh masyarakat Bangunjiwo dan warga Ranting Muhammadiyah Bangunjiwo Barat. Sebagai kelanjutan program pengabdian yang telah dilakukan di tahun pertama, tujuan dari program tahun kedua ini difokuskan untuk meningkatkan kemampuan warga dalam kemampuannya mengajar bahasa Inggris sebagai persiapan inisiasi kampung inggris dan sebagai sarana income generating bagi masyarakat Bangunjiwo dan Ranting Muhammadiyah Bangunjiwo Barat. Peserta pada program tahun kedua ini adalah 15 anggota Muhammadiyah, khususnya pemuda/pemudi AMM dan NA Ranting Bangunjiwo Barat. Capaian program intensif keterampilan bahasa Inggris pada tahun kedua ini meliputi dua tahapan, yakni tahapan kognitif dan tahapan praktik. Tahapan kognitif adalah peningkatan penguasaan keterampilan ke-15 peserta pelatihan dalam berkomunikasi dengan bahasa Inggris untuk tujuan sehari-hari, sedangkan tahapan praktik adalah peningkatan pengetahuan dan keterampilan dasar mengajar terkait metode/teknik pengajaran.
Prevalence of reproductive tract infections among ever married women of age 18 to 49 years in a rural area of Cuddalore district, Tamil Nadu
Authors: P. Sahana , I. K. Annie I. K. , Felix A. John William
Published: October 2022

Background: Reproductive tract infections (RTIs) affect not only women’s health but also has its implications on child health, family and socioeconomic development of the community. Unless the symptoms become alarming, women with RTI don’t seek health care. If untreated or inadequately treated RTI can lead to complications causing morbidity and mortality. So, this study focused to find out the prevalence of RTI among ever married women and its association between RTI and sociodemographic variables in a rural area.Methods: This community based cross sectional study was conducted from September 2021 to March 2022 among ever married women of 18 to 49 years in a rural area, Parangipettai, Cuddalore district, Tamil Nadu. A total of 320 women were interviewed by a house-to-house survey. Structured pretested questionnaire was used to collect data on symptoms of RTI, sociodemographic and obstetric variables.Results: Out of 320 study participants, the prevalence of RTI was found to be 23.8% (n=76). The most common symptoms reported was vaginal discharge 14.37% followed by lower abdominal pain 13.75%. This study showed that RTI was significantly associated with age of women (p=0.006) and previous history of abortion (p=0.023).Conclusions: In spite of various health programs in place, the prevalence of RTI was as high as 23.8% in this study. This implies sensitizing rural women about RTI at regular intervals is necessary for reducing the burden and preventing the complications of RTI.
Impact of COVID-19 on antenatal care utilization-a tertiary care center study in New Delhi
Authors: Maan Garima , Dhiman Niharika
Published: October 2022

Background: The COVID­19 pandemic has impacted people’s daily lives all around the world. A lack of resources caused by COVID­19 has put many health systems under pressure and sparked protest from many quarters. As COVID­19 care was the primary focus of the majority of Delhi’s healthcare delivery facilities, several staff members became positive, staff members became involved in COVID­19 emergency duties, and staff members were forced into mandatory quarantines, which limited the provision of antenatal care to routine care. The aim of this study was to know the impact of COVID-19 on routine antenatal care utilization.Methods: This was a questionnaire-based study was conducted in the Department of Obstetrics and Gynecology in MAMC and Lok Nayak Hospital New Delhi, between December 2020 to May 2021 over a period of 6 months. A total of 55 antenatal cases who fulfilled the inclusion and exclusion criteria were included in the study presenting to hospital over a period of 6 months.Results: Only 12% women were booked, 23% women had fear of getting infection, all routine investigation were done in only 14.5% women, 20% women had travel difficulties, 50% women missed their first trimester visit, 50.9% women could get the anomaly scan done.Conclusions: The COVID-19 had a substantial impact on antenatal care, delaying the diagnosis, travel to the medical facility, and subsequent treatment. Age of the mother, suspension and diversion of maternity health care, fear of the COVID-19 pandemic, lack of family support, and transportation accessibility were all important factors that affected how little antenatal care pregnant women used.
Fetal outcome and mode of delivery in a patient with meconium-stained amniotic fluid
Authors: Rana Bindra Bharatsinh , Airao Bhavesh B.
Published: October 2022

Background: Meconium-stained amniotic fluid (MSAF), especially observed before term, is considered a sign of meconium fetal jeopardy.Methods: All data were retrieved from pregnant patients with MSAF who delivered at OBGY department of C. U. Shah medical college and hospital from February 2022 to July 2022.Results: In this study meconium-stained liquor was more common in primigravida within the age group of 21-30 years of age with moderate type of meconium being more common.Conclusions: In this study we concluded that meconium-stained liquor more commonly seen in primigravida which have associated risk factors like preeclampsia, malposition, prolonged labour and abnormal uterine inertia. It was also reconfirmed that MSAF is associated with a new-born risk, especially meconium aspiration syndrome. Patients had a higher rate for emergent caesarean section and baby admission to NICU. These data may be useful to make health/reproductive-health progress in area.
Effect of prophylactic tranexamic acid in normal vaginal delivery
Authors: Gupta Vishakha , Sehgal Alka , Tandon Rimpy , Pandher Dilpreet Kaur , Tahlan Anita
Published: October 2022

Background: Use of tranexamic acid (TXA) in combination with uterotonics in management of postpartum haemorrhage is quite established, but its use for prophylaxis is still uncommon, specifically post normal delivery. Shock index (SI) (heart rate divided by systolic blood pressure) and delta shock index (DSI) i.e., difference of SI before and after an event are being recognized as tools for hemodynamic status evaluation and bedside assessment for individual respectively. The present study compared the combined effect of TXA and oxytocin uterotonic on postpartum blood loss as evaluated by shock index (SI) and delta shock index (DSI) in low-risk pregnancies.Methods: 230 subjects divided equally, underwent randomised control trial with combination of Injection TXA and oxytocin versus oxytocin alone immediately post-delivery and impact evaluated using SI, DSI, postpartum haemoglobin (HB) and haematocrit (HCT) at admission and one hour postpartum, followed for six weeks for any complications.Results: Prophylactic use of TXA in terms of SI values, HB and HCT revealed significant improvement, in both preterm and term pregnancies with either spontaneous or induced labours. DSI with a sensitivity of 69.6% and specificity of 67% with a simple plus or minus notation gave a satisfactory idea of shift of stability and instability of hemodynamic status of an individual as an indirect predictor of blood loss with a cut-off between -0.0682 to +0.1182. 6 weeks postpartum follow up was uneventful.Conclusions: The study depicted benefit and safety profile of prophylactic use of TXA in low-risk pregnancies, significant for developing countries with high incidence of anaemia during pregnancy and advocates incorporation of SI and DSI as markers of haemodynamic status in partograph.
Addiction to tobacco and alcohol in male partners of infertile couples: a descriptive study
Authors: Chaithanya S. V.
Published: October 2022

Background: In recent decades infertility has become a burdensome problem with its profound psychological, economic, demographic and medical complications. In an infertile couple male factor plays as much important role as that of female factor. Life style factors like addiction to tobacco, alcohol and drugs do have an effect on male fertility. The purpose of this study was to assess the effect of addiction to tobacco and alcohol in male partners of infertile couples in a tertiary care center.Methods: This prospective cross-sectional study was undertaken in the department of obstetrics and gynecology, JIPMER, Pondicherry from June 2018 to October 2019. 440 male partners of infertile couples were included. The study participants were subjected to detailed history taking, examination and investigations to assess various parameters contributing to infertility.Results: Semen abnormalities were noted in 78.2% of the study population, among which azoospermia (19.8%) was the most common type. Addiction to smoking and alcohol was noted in 25.7% and 18.2% respectively.Conclusions: Smoking, alcohol intake and duration of addiction have a significant association with semen quality.
The role of intravenous aminoacid infusion in case of oligohydramnios in improving pregnancy outcome
Authors: Roat Subhash Chandra , Damor Gautam Lal , Shivrayan Suman , Bilwal Bharat Kumar
Published: October 2022

Background: Adequate amniotic fluid volume is essential for the normal growth and well-being of the foetus. Diminished liquor or oligohydramnios is quite often associated with abnormal foetal outcomes such as intrauterine growth restriction, foetal anomaly, malpresentation, post maturity syndrome and foetal distress in labour.Methods: The present study was conducted in the department of obstetrics and gynecology, at PDZH, RNT Medical College, Udaipur in the year 2020-2021. The study group comprised sonographically proven cases of Oligohydramnios in third trimester attending antenatal clinic and those admitted in wards and clean labour room.Results: Patient with severe oligohydramnios (AFI<5) 17% chance of persistent oligohydramnios and patient with borderline oligohydramnios (AFI 5-8) had 83% on 1st ANC visit, which improved at the time of delivery to 28% with normal AFI and 67% (5-8 AFI).Conclusions: Antepartum AFI assessment is one of the most reliable and inexpensive standard technique for assessment of foetal wellbeing in antepartum period. This is a good predictor of foetal wellbeing. oligohydramnios means that the foetus is in a compromised condition. Amniotic fluid index assessment is a helpful tool in determine who is at risk for adverse outcome during labour and delivery. This helps in instituting appropriate corrective measures so that interventional procedures can be undertaken in the interest of unborn baby.
Study on clinical profile, scoring systems and outcomes of obstetric patients in our intensive care unit
Authors: Babu Swapna Mandala , Tauro Deepak Ivan , Menon Indira , Das Deepa , Shivanna Shivkumar , Karkare Philip
Published: October 2022

Background: Obstetric patients in ICU, pose a clinical challenge to intensivists and obstetricians. The objective of our study was to evaluate the incidence, indications and interventions in these patients. Secondly to assess whether clinical scores can help to estimate severity of the condition, predict mortality and morbidity in these patients.Methods: It was a retrospective observational study including all antepartum and postpartum patients admitted to ICU between January 2018 to June 2020.Results: Majority of patients needing ICU care were in the antepartum period (82.8%). Multigravida (55.2%) and unbooked cases (60.4%) constituted a major proportion of patients. Hypertensive disorders of pregnancy followed by sepsis amounted for common etiologies. Transfusions (43.2%), ventilatory support (26%) followed by inotropic support (14.9%) were the interventions required in the majority number of patients. Maternal mortality rate was 2.23%. Out of the clinical scores, OEWS (Obstetric early warning score) was a better modality to assess the severity of the disease and the need for ICU care.Conclusions: A multidisciplinary approach and close coordinated care of obstetric patients can reduce the maternal mortality rate. Early identification of critically ill obstetric patients using clinical scores can help us in triaging patients to high dependency units/ICU. OEWS is a very simple score which helps us in identifying patients needing intensive care.
Caesarean scar defect: a histopathological comparative study
Authors: Agrawal Pooja A. , Samant Padmaja Y. , Fernandes Gwendolyn
Published: October 2022

Background: We have evaluated the validity of this syndrome in Indian patients and analysed the gynaecological indications for hysterectomy in women with history of caesarean sections. We have studied pathological changes in the scar area and compared the findings with matched cases without previous caesarean scar.Methods: A prospective observational case control study was done at tertiary care hospital (Seth GS Medical College and King Edward Memorial Hospital) over two years (December 2018 to December 2020) with universal sampling and enrolled all consenting eligible patients. After hysterectomy histopathological study of the specimens was done. Total cases: 16 hysterectomy samples with history of previous caesarean section. Total controls: 40 hysterectomy samples with history of no previous caesarean section. The difference between the two proportions was analysed using Chi square or Fisher exact test. All analysis was 2 tailed and the significance level was set at 0.05.Results: Women with history of previous caesarean scar had gynaecological symptoms related to the caesarean scar defect such as abnormal uterine bleeding, dysmenorrhea and chronic pelvic pain, post-menopausal bleeding and the most frequent clinical symptom related to the scar defect was abnormal uterine bleeding. The clinical symptoms were found to be associated with histopathological changes at scar site.Conclusions: This study compared caesarean cases and no caesarean controls and sheds light on the role of histopathology in detection of caesarean scar site changes. It helped in comparison of various factors affected due to the presence of caesarean scar and its long-term complications, leading to hysterectomy.
Comparison of foeto-maternal outcomes of planned verses emergency caesarean section
Authors: Mohite Shravani , Anurag Aakriti , Narshetty Jayshree , Kumar Sushil
Published: October 2022

Background: Caesarean section is the most commonly performed obstetrical procedure. Caesarean sections can be divided into either planned or emergent, with the latter accounting for a higher frequency of complications.Methods: A prospective observational comparative study conducted in the department of obstetrics & gynaecology at MGM Medical College, Navi Mumbai over a period of 1 year. All women with singleton pregnancies undergoing emergency or elective caesarean section were included in the study. 600 patients were included with 300 in each group. Incidences of the various indications for caesarean sections was assessed for both groups. Relevant pre-operative, intra-operative and post-operative findings were noted. Maternal outcome assessed in terms of intraoperative complications, postoperative complications, need for intensive care unit (ICU) stay, maternal mortality rate. Foetal outcome was assessed in terms of APGAR score at birth, birth injuries, admission to neonatal intensive care unit (NICU), and perinatal mortality.Results: In our study, cases undergoing emergency caesarean sections were seen to have significantly higher rate of maternal as well as foetal complications as compared to those undergoing planned caesarean sections.Conclusions: Early pregnancy registration and thereby screening high risk patients for managing and planning accordingly for caesarean section, can significantly reduce the incidence of presumed risks, consequences and complications that may result due to emergency caesarean sections.
Successful pregnancy outcome in a case of Eisenmenger syndrome
Authors: Roy Tuhin S.
Published: October 2022

Eisenmenger syndrome is a very rare heart disease in pregnant women. Eisenmenger syndrome is defined as pulmonary hypertension resulting from an uncorrected left to right shunt of a VSD, ASD or patent ductus arteriosus (PDA), with subsequent shunt reversal and cyanosis. Pulmonary hypertension is the prognosis index. The high mortality risk (25-30%) is associated with pregnancy and the peripartum period due to cardiovascular collapse. Pregnancy should be discouraged and reliable contraception, preferably permanent sterilization, advised because of the extreme risk associated with pregnancy. Depo-Provera or progesterone implants are nonsurgical alternatives. Even first-trimester termination is associated with a maternal mortality rate of 5-10%. However, despite all the risks, a few patients deliver successfully with a good maternal and neonatal outcome. We presented a 27-year-old booked G1P0+0 admitted at 34 weeks gestation with Eisenmenger syndrome. She was treated medically during pregnancy, underwent elective caesarean section at 34 weeks of gestation delivered a baby and was subsequently discharged on the 15th postoperative day without any serious complications.
A rare case of abnormal uterine bleeding in a perimenopausal woman with chronic uterine inversion caused by extrusion of benign fundal submucosal fibromyoma
Authors: Acharyya Tanaya , Paul Soumya Sankar , Sarma Hemkanta Dev
Published: October 2022

Uterine inversion secondary to a pathological process of the myometrium is very rare. We report the case of a 48-year-old woman presenting with abnormal uterine bleeding (AUB) and mass like sensation in vaginal canal, in whom a study by MRI demonstrated a uterine inversion with submucosal pedunculated leiomyoma. She had undergone total abdominal hysterectomy (TAH) and ovaries were preserved bilaterally.
A successful pregnancy outcome: post bilateral salphingo-oophorectomy
Authors: Adapathya Sadhana , G. Usha Rani
Published: October 2022

A 30 year old nulliparous woman, married for 7 years presented with complaints of lower abdominal pain since a year. Her menstrual history has been regular, associated with dysmenorrhea. She gave a past surgical history of right ovarian cystectomy in view of chocolate cyst noted on diagnostic laparoscopy. Investigations revealed a bilateral complex ovarian cyst and an elevated Ca-125 of 100 units/ml, proceeded with bilateral salphingo-oopherectomy as grade IV endometrioma of both ovaries with frozen pelvis noted. Later, she resumed her menstrual cycles with exogenous estrogen and progesterone. She conceived following a donor oocyte frozen embryo transfer and she delivered a healthy 2.74 kg girl baby with a good Apgar score.
The Impact of Medical Students' Metacognitive Awareness Level on Their Academic Performance
Authors: Shah Dev K. , Modna Yuliya
Published: October 2022

Background: Metacognition influences the academic performance of medical students. The objective of our study was to determine the metacognitive awareness level of medical students in different academic groups in physiology course and develop a guideline on that basis to provide academic support.Methods: A 52-items metacognitive awareness inventory (MAI) devised by Schraw and Dennison was used to assess the metacognition level of low (<70%), average (70-84%), and high performing (>85%) students in a physiology course at Trinity Medical Sciences University (TMSU).Results: Sixty-four students participated in the study. A significant positive correlation (rs=0.462) was found between the total MAI score and the final score in the physiology course. High performing students reported significantly higher score on declarative knowledge (p=0.001); procedural knowledge (p=0.048); implementation of strategies (p=0.003); correction (p=0.000) and evaluation of effectiveness (p=0.000) subscale than their low performing counterparts. Compared to average performing students, high performers were found significantly superior in terms of declarative knowledge (p=0.006), better planning (p=0.047), monitoring (p=0.008) and evaluation of effectiveness (0.004) of the learning process.Conclusions: Metacognitive awareness level has a significant impact on the academic performance of medical students in the physiology course. Low performers need to improve both declarative and procedural knowledge while average performers should augment their declarative knowledge. In terms of regulation of cognition, low performers should develop better implementation, correction, and evaluation skills while average performers should make better planning other than improving their monitoring and evaluating skills.
Psychosocial experience of mothers of children with sickle cell disease in Antananarivo and Toamasina, Madagascar
Authors: Samena Hanitriniaina S. C. , Rasamoelison Rina J. , Razanamanana Safidisoa N. , Robinson Annick L.
Published: October 2022

Background: Sickle cell disease in children can disrupt life of their mothers who are at the forefront of care. The objectives of this study were to describe the psychosocial experience of these mothers, to identify factors associated to maternal anxiety and depressive disorders.Methods: A cross-sectional study was conducted from December 2017 to February 2018 with mothers of children with sickle cell disease under the age of 15 in Antananarivo and Toamasina. The abbreviated Beck and Hamilton scales were used to assess respectively depression and anxiety.Results: Of 134 mothers surveyed, 61.2% had depression and 35.8% had anxiety. Depression significantly affected mothers with more than one child with sickle cell disease (aOR=4.31, CI- 1.12-16.58) and mothers of children hospitalized at least three times per year for vaso-occlusive crisis (aOR=13.55, CI- 1.56-117.5). Anxiety was associated with blood transfusion more than three times (aOR=9.06, CI- 2.05-40.00). Pity (74.6%) and fear of death (55.2%) were the main feelings reported. Negative occupational repercussions were reported by 48.5% of mothers, marital conflict by 15.6%, financial difficulties by 43.3%.Conclusions: A global approach focused on the child and his family would be optimal for success in the management of pediatric sickle cell disease.
Rate of incense usage in the northern part of Nigeria and its adverse effects among users
Authors: Rimi Maryam Ibrahim , Abdulkadir Saeed Suleiman , Jabbo Astaharam Ardo , Yelwa Ahmed Armiya’u
Published: October 2022

Background: Incense is an oleoresin that seeps from wounds in the trunks and leaves of Boswellia trees (B. carterii and B. papyrifera, endemic to Arabia, Africa, China, and India, respectively). Incense is traditionally burned for a variety of home functions in different cultures, and it has been linked to airborne pigmented and depigmented dermatitis.Methods: Questionnaires were developed using SurveyHeart and administered to determine the rate of incense usage in some households in northern Nigeria. Responses were compiled, data collated and the findings showed that four hundred and sixty (460) people responded.Results: The highest age range that responded was between thirty to thirty-nine (30-39) years with forty-eight (48%). Seventy-three (73%) were married and about 62% have one to five (1-5) children. Ninety-five percent (95%) of them use incense bakhour to neutralize odour. The survey showed that most people have been using it for more than ten (10) years. The research also tells that most respondents burn about ten (10) grams daily. Majority of the respondents displayed no respiratory conditions as well as their family members while thirty-two (32%) claimed they and their families suffer some of respiratory ailment.Conclusions: In conclusion, the use of incense in the northern part of the country is on the high side (94.86% out of 460 respondents) both in frequency and dose-wise which poses as a serious health condition to its users due to the contents of the incense and approximately 68% of the respondents have no knowledge of its adverse effects.
Abnormal uterine bleeding in peri and post menopausal women: comparison of efficacy of saline infusion sonography with transvaginal sonography
Authors: Pal Richa , Naik Balakrishna , Puttanna V. N.
Published: October 2022

Background: Abnormal uterine bleeding (AUB) can present with menorrhagia or metrorrhagia but cannot indicate the cause of the bleeding, so further investigation is always needed. This study aimed to assess the role of Saline infusion sonography (SIS) in evaluating the intracavitary uterine lesions in comparison to transvaginal ultrasound (TVS) and thereby short listing the patients for hysteroscopy.Methods: This prospective analytical study was conducted in 64 women presenting with AUB in OBG department, Mazumdar Shaw Medical Center, Bangalore from November 2014 to November 2015. Transvaginal ultrasound, followed by SIS were performed for all. Hysterectomy specimen (gross cut section and histopathology) taken as gold standard. Findings at TVS and SIS were compared with gold standard.Results: Findings were analysed by Chi-square test. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of SIS and TVS in detecting intracavitary abnormalities were calculated. SIS found to be more sensitive and specific when compared to TVS. Discrepancies in detection of polyp seen. 13 cases of polyp were missed in TVS, indicating high false negative rate of TVS, whereas no polyps were missed by SIS. In our present study, ET (endometrial thickness) of more than 18 mm was observed in TVS in 6 cases and all these cases turned out to be polyp in SIS, indicating need of SIS or hysteroscopy whenever ET is more than 18 mm in TVS.Conclusions: Study results have substantiated that SIS is a better tool as compared to TVS for the assessment of uterine intra-cavitary lesions especially polyps.
Antimicrobial susceptibility profiles of bacterial isolates from burn wound infections: experience at a tertiary care hospital teaching institution
Authors: Thomas Bonnie J. , Arora Balvinder Singh , Arora Savita
Published: October 2022

Background: This study was conducted to know, understand and document the current bacterial isolates and their antimicrobial susceptibility profile in our tertiary healthcare facility. Aim was to isolate, identify and study the current antimicrobial susceptibility profiles of bacterial isolates from patients with burn wound infections admitted in our tertiary care hospital.Methods: Wound swabs from burn patients admitted in burn ICU and burn wards were collected on day 1, day 3, day 5 and day 10. Samples were processed using standard microbiologic procedure and bacterial isolates that grew on culture was tested for their antimicrobial sensitivity pattern using Kirby Bauer disk diffusion method.Results: Majority of patients in this study were of the age group of 21 to 30 years (32%). Total body surface area (TBSA) of the study subjects were collected and it was found that the mean TBSA was 39.59±11.6. Total number of bacterial isolates identified during this study was 226 and of those most common was Klebsiella pneumoniae (n=62).  Aminoglycoside resistance were at 61% and among carbapenems, ertapenem showed 90% resistance in Klebsiella pneumoniae isolates. Cefoxitin resistance indicating the presence of MRSA were seen in 31% of Staphylococcus aureus isolates. Acinetobacter showed 100% resistance to ceftazidime.Conclusions: The results indicate the predominance of drug resistant gram-negative bacterial isolates in burn wounds. Klebsiella pneumoniae came out to be the most common bacterial isolate in our study. Because of increasing resistance and decreasing availability of newer antibiotics, active microbial surveillance and judicious antibiotic usage is the way forward.
Psychological impact on near relatives of patients admitted in intensive care unit
Authors: Kripalani Sanjay
Published: October 2022

Background: It is recognized that ICU patients are exposed to massive stresses both from their life-threatening illness and the necessary intensive medical procedures they are subjected to. These stresses may lead to psychological problems like depression, anxiety and post-traumatic stress disorder. However, the psychological demands and impact of the ICU on the near relatives of these patients are often not appreciated. We aimed to determine the prevalence of anxiety and depression and the influence of ICU specific interventions on the development of psychological symptoms in relatives of ICU patients.Methods: This prospective, questionnaire-based observational study was conducted on all consenting near relatives of patients on admission in the intensive care unit during the study period. The Hospital Anxiety and Depression Scale and the General Health Questionnaire were used to determine the presence of psychological disorders during this study.Results: In this study, GHQ demonstrated a 72.5% prevalence of psychological illness in near relatives of ICU patients. The prevalence of psychological illness using Hospital Anxiety and Depression Scale (HADS) was 56.3% on the anxiety scale and 55% on the depression scale.Conclusions: Critical care can result in the development of psychological disorders among near relatives of ICU patients. Intensive care physicians need to pay more attention to their care's impact on the psychological health of their patients’ near relatives.
A cross sectional observation study on quality of life and cognition in elderly population and their correlation at a tertiary care centre
Authors: Motlag Mrinalini , S. Tony K. , Madavi Shweta V. , Bhondre Amol G. , Pandharipande M. S. , Deshmukh Deepti
Published: October 2022

Background: India, the second most populous country is facing demographic transition. cognitive decline is one of the normative changes of aging; however, this may impact both physical and mental health of an individual. Quality of life is one of the measures of successful aging. This study was conducted to correlate the level of cognition and quality of life in elderly population. Our aim was to assess quality of life in geriatric population using OPQOL-35 and to assess cognitive assessment by MOCA and determine correlation of cognitive level with quality of life (QoL).Methods: A cross-sectional observational study was conducted among 110 elderly adults (above the age of 60 years. Montreal cognitive assessment (MoCA) was administered to assess the cognitive level. QoL was assessed by OPQOL-35.Results: Significant positive correlation was noted between quality of life and level of cognition scoring (with        correlation coefficient 0.234).Conclusions: The study concluded that the level of cognition and quality of life of elderly adults are in positive correlation with each other. community level screening of elderly for cognitive dysfunction can be made even in resource poor settings. Early identification and referral of elderly with cognitive dysfunction will ensure successful aging.