bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol
Authors: Djamaludin Djunizar , Tabrani Meilisa
Published: February 2021

Efficacy domestic apple (malus domestica) and guava fruit (psidium guajava l.) juices in the management of blood cholesterol levels Background: Hypertension is a chronic condition, which is blood pressure increases in the blood vessels. One of the causes of hypertension is a diet with high fat. High-fat levels occur precipitation of cholesterol. The methods to overcome hyper cholesterol in the blood by pharmacological and non-pharmacological. Method of non-pharmacological to reduce cholesterol levels with consuming guava and green apple juice.Purpose: Known the efficacy domestic apple (Malus domestica) and guava fruit (Psidium guajava L.) juices in the management of blood cholesterol levels.Method: The design of the research used in this study was a quasi-experiment used non-equivalent control group design. The samples were 16 samples. The sampling used a purposive sampling technique. The data analysis used Independent T-Test.Results: The study showed that the average difference of cholesterol levels in the guava juice group was 17,25±17,019 mg/dl. Meanwhile, the green apple juice group was 58,63±39,867 mg/dl. The result of t value = 2,700 and p value = 0,017 (p < 0,05).Conclusion: There was a difference effect of guava juice and green apple juice to cholesterol levels reduction. Suggestions of this study for hyper cholesterol patients to consume green apple juice as a non-pharmacological treatment.Keywords: Cholesterol; Domestic Apple (Malus Domestica); Guava (Psidium guajava L.); Consumption; Juice.Pendahuluan: Hipertensi adalah kondisi kronis dimana mengalami peningkatan tekanan darah pada dinding pembuluh darah. Salah satu penyebab hipertensi yaitu pola makan dengan kadar lemak tinggi. Kadar lemak tinggi menyebabkan terjadi endapan kolesterol. Cara mengatasi kelebihan kolesterol dalam darah dengan farmakologi dan nonfarmakologi. Cara nonfarmakologi menurunkan kadar kolesterol dengan mengonsumsi jus jambu biji dan jus apel hijau.Tujuan: Diketahui perbedaan pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol.Metode: Rancangan penelitian yang digunakan adalah quasi experiment dengan pendekatan non equivalent control group design. Sampel sebanyak 16 orang. Pengambilan sampel menggunakan teknik purposive sampling. Analisis data menggunakan uji Independent T-Test.Hasil: Hasil penelitian menunjukkan perbedaan rata-rata kadar kolesterol pada kelompok jus jambu biji adalah 17,25±17,019 mg/dl. Sedangkan, pada kelompok jus apel hijau adalah 58,63±39,867 mg/dl. Hasil nilai t = 2,700 dan p value = 0,017 (p < 0,05).Simpulan: Ada perbedaan pengaruh jus jambu biji dan jus apel hijau terhadap penurunan kadar kolesterol. Saran dari penelitian ini diharapkan penderita kolesterol mengonsumsi jus apel hijau sebagai pengobatan non-farmakologi.
Pijat teknik marmet pada post partum dan produksi ASI
Authors: Yustianti Dewi , Susilawati Susilawati , Hermawan Dessy
Published: February 2021

The effect of marmet technique and breast milk production in postpartumBackground: Breast milk coverage in Indonesia is only 42%. This figure is clearly below the WHO target which requires coverage of breast milk up to 50%. The inability of breastfeeding mothers can be prevented by teaching appropriate techniques to expedite the release of breast milk, one of which is the technique of marmet which is a massage using two fingers that can stimulate the hormone oxytocin to produce milk.Purpose: Knowing the effect of marmet technique and breast milk production in postpartum.Methods: This type of quantitative research with quasi-experimental research designs or quasi-experimental with two groups pretest-posttest. The study population of post partum at community medical center (BPM Nurhayati, S.ST) Jati Agung Sub district, South Lampung Regency of 56 post partum mothers and 30 samples. 15 samples treated marmet technique and 15 as comparison groups. The technique sample with accidental sampling. Analysis data of univariate and bivariate t-test.Results: There was a significant difference before and after the Marmet technique shows the highest significant was after the Marmet technique because of the meanest values with a difference of 40.63 milliliters of Breast milk and t-test results 11.398 and p-value 0.000 <0.05.Conclusion: There was a significant influence before and after the technique of Marmet on breast milk Production in Post Partum.Keywords: Breast Milk Production; Marmet technique; PostpartumPendahuluan: Cakupan ASI di Indonesia hanya 42%. Angka ini jelas berada di bawah target WHO yang mewajibkan cakupan ASI hingga 50%. Ketidakmampuan ibu menyusui dapat dicegah dengan mengajarkan teknik yang sesuai untuk memperlancar pengeluaran ASI, salah satunya dengan teknik marmet yang merupakan pijitan dengan menggunakan dua jari yang dapat merangsang hormone ositosin untuk memproduksi ASI.Tujuan: Diketahui pengaruh tekhnik marmet terhadap peningkatan produksi ASI pada ibu post partum.Metode: Jenis penelitian kuantitatif dengan rancangan penelitian quasi eksperimen atau eksperimen semu dengan two group pretest-postest. Populasi penelitian ibu post partum di BPM Nurhayati, S.ST Kecamatan Jati Agung Kabupaten Lampung Selatan sebanyak 56 ibu post partum dan sampel sebanyak 30 ibu. Dimana dibagi 2 kelompok, 15 ibu dilakukan perlakuan (teknikmarmet) dan 15 ibu sebagai kelompok pembanding. Teknik sampel dengan acidental sampling. Analisa data univariat dan bivariat uji t (t-test).Hasil: Ada perbedaan yang signifikan sebelum dan sesudah teknik Marmet menunjukan signifikan tertinggi terdapat pada sesudah teknik Marmet karena sesudah teknik Marmet mempunyai nilai mean paling banyak dengan perbedaan sebanyak 40,63 mililiter ASI dan hasil t-test 11,398 dan nilai p-value 0,000 < 0,05.Simpulan: Ada pengaruh yang signifikan sebelum dan sesudah teknik marmet terhadap produksi ASI pada ibu post partum.
Penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini
Authors: Asnuddin Asnuddin , Mattrah Asrini
Published: February 2021

Social media use: The role of parents' perceptions about social media impact in early marriageBackground: Early marriage is a marriage that is conducted at adolescence, the factors causing early marriage are socio-cultural factors, economic pressure, level of education, difficulty in getting a job, social media, religion and views and beliefsPurpose: To find out the influence of social media and the role of parents on the incidence of early marriageMethod: A quantitative research using descriptive analytical research method with cross sectional study design with variable use of social media with the criteria for the results "active and inactive". For the variable of the role of parents with 2 outcome criteria, namely "influential and not influential". And for the variable incidence of early marriage, there are 2 criteria, namely age 14-16 years and age 17-19 years, the questionnaire used has been through the validity of previous researchers. Then the results of the data obtained were analyzed in the SPSS program using the Chi Square testResults: From the Chi Square test results for social media variables obtained p value = 0.001, then the value of p = 0.001 <0.05 (α) while the role of parents variable Chi Square test results obtained p value = 0.022, therefore the value of p = 0.022 <0.05 (α).Conclusion: Based on the results of the study it can be concluded that, there is a significant influence between the use of social media and the role of parents in the event of early marriage Keywords: Social media; Parents, Early marriagePendahuluan: Pernikahan usia dini adalah perkawinan yang dilakukan pada usia remaja, faktor penyebab pernikahan usia dini adalah faktor sosial budaya, desakan ekonomi, tingkat pendidikan, sulit mendapat pekerjaan, media sosial, agama serta pandangan dan kepercayaan.Tujuan: Untuk mengetahui pengaruh media sosial dan peran orang tua terhadap kejadian pernikahan dini di Kecamatan Marioriawa Kabupaten Soppeng Metode: Penelitian kuantitatif dengan menggunakan metode penelitian deskriptif analitik dengan rancangan cross sectional study dengan variabel penggunaan media sosial dengan kriteria hasil “aktif dan tidak aktif”. Untuk variabel peran orang tua dengan 2 kriteria hasil yaitu “berpengaruh dan tidak berpengaruh”. Dan untuk variabel kejadian pernikahan dini ada 2 kriteria  yaitu umur 14-16 tahun dan umur 17-19 tahun,  kuesioner yang di gunakan sudah melalui uji validitas peneliti sebelumnya. Kemudian hasil data yang di dapatkan dianalisis di program SPSS dengan menggunakan uji Chi SquareHasil: Dari hasil uji Chi Square untuk variabel media sosial didapatkan nilai p=0,001, maka nilai p=0.001<0.05 (α) sedangkan variabel peran orang tua hasil uji Chi Square didapatkan nilai p=0,022, oleh karena itu nilai p=0.022<0.05 (α).Simpulan: Berdasarkan hasil penelitian dapat di simpulkan bahwa, Ada pengaruh yang signifikan antara penggunaan media sosial dan peran orang tua terhadap kejadian pernikahan dini
Pengembangan program pelatihan edukator tuberkulosis paru
Authors: Iskandar R Totong , Novieastari Enie , Satinah Satinah
Published: February 2021

The training and development of nursing educators in management of pulmonary tuberculosis Background: The quality of education in patients is a key element in the quality of health promotion in hospitals. The phenomenon that occurs in the pulmonary clinic is the provision of very minimal education and there is no TB educator team.Purpose: To increase the competence of nurses as educators in the pulmonary clinic by carrying out TB educator training.Method: The action research, identification of problems with structured interview techniques, observation, and filling out questionnaires to the district head and 2 persons. Analysis of the problem is done with the fish bone method, solving the problem using the planing of action method.Results: As a condition of completeness of training instruments, curriculum structure and activity descriptions and modules containing training material have been made. From the results of this training a TB educator team will be formed at RS X.Conclusion: The manifestation of the responsibility of the nursing manager in improving the quality of nursing human resources in order to increase the competence of nurses as tb educators in health promotion and prevention of increasing numbers of patients with pulmonary TB in the hospital by compiling the curriculum structure and basic tb educator training modules.Keywords: The training; Development; Nursing educators; Management; Pulmonary tuberculosisPendahuluan: Kualitas edukasi pada pasien menjadi elemen kunci mutu promosi kesehatan di rumah sakit. Fenomena yang terjadi di poliklinik paru ialah pemberian edukasi yang sangat minim dan belum ada tim edukator TB.Tujuan: Untuk meningkatkan kompetensi perawat sebagai edukator di poliklinik paru dengan melaksanakan pelatihan edukator TB.Metode: Metode yang digunakan dengan penelitian tindakan, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada kabidyankep dan 2 orang kasie. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode planing of action.Hasil: Sebagai syarat kelengkapan instrumen pelatihan telah dibuat struktur kurikulum dan deskripsi kegiatan serta modul yang berisi materi pelatihan. Dari hasil pelatihan ini akan dibentuk tim edukator TB RS X.Simpulan: Wujud tanggung jawab manajer keperawatan dalam peningkatan kualitas SDM keperawatan guna meningkatkan kompetensi perawat sebagai edukator TB dalam promosi kesehatan dan pencegahan peningkatan angka penderita TB Paru di rumah sakit yakni dengan menyusun struktur kurikulum dan modul pelatihan edukator TB dasar.
Post-caesarean section pain and quality of sleep among mothers who delivered by caesarean section under spinal anesthesia
Authors: Harini Ririn , Juwitasari Juwitasari , Setyowati Lilis , Oktavia Rifdah Dita
Published: February 2021

Background: Post caesarean section mothers commonly feel pain in the post-operative area during the wound healing process. Most post-operative mothers feel the pain sensation as a disturbance and lowering their quality of sleep.Purpose: To determine pain level and identify the relationship of pain level and sleep quality among mothers who delivered by caesarean section under spinal anaesthesia.Method: The descriptive non-experimental correlative study design identified 50 mothers from Inpatient Ward  Wava Husada Hospital of Kepanjen, Malang, East Java, Indonesia at April 2020. The Post-caesarean section pain level identified by using the Numeric Rating Scale (NRS) and the sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) questionnaire.Results: 38 mothers (76%) had severe pain level and most of them (43 mothers) had poor sleep quality. The Spearman correlation test showed that there was a relationship between the Post-caesarean section pain level and sleep quality, p value = 0.000 (p <0.05) and r = 0.314.Conclusion: The post-caesarean section pain levels among mothers who delivered by caesarean section under spinal anaesthesia should be identified earlier as we would like to encourage the nursing staff to give further intervention to maintain their sleep quality.
Sumbangan Dato’ Dr. Haron Din Terhadap Penghayatan Al-Quran
Authors: Muhammad Yusry Affandy Md Isa
Published: February 2021

Dato’ Dr. Haron Din (1941-2016) merupakan sebahagian daripada ulama tanah air yang banyak menyumbang jasa terhadap komuniti Muslim di Malaysia. Beliau diiktiraf ramai pihak termasuk kerajaan sebagai tokoh yang berpengaruh. Kajian kualitatif ini berobjektif untuk menganalisis ketokohan Dato’ Dr. Haron Din dalam menyampaikan mesej dan gerak kerja dakwah dalam konteks menyebarkan penghayatan al-Quran. Kajian ini penting dalam memfokuskan sumbangan beliau dalam lapangan al-Quran dapat dicontohi setelah ketiadaannya. Di samping itu, kajian ini membuktikan beliau berkomitmen tinggi dalam menyampaikan risalah al-Quran untuk dihayati dalam kehidupan Muslim. Kaedah kajian ini mengaplikasikan kaedah induktif bagi mendapatkan fakta-fakta biografi dan sumbangan Dato’ Dr. Haron Din. Kaedah deskriptif pula dijalankan bagi menganalisis dan menghuraikan aspek-aspek ketokohan dan fakta-fakta sumbangan. Dapatan kajian telah menunjukkan Dato’ Dr. Haron Din telah menyumbang terhadap penghayatan al-Quran menerusi aktiviti penyampaian ilmu, penubuhan Darussyifa’, ketokohan sebagai pimpinan PAS dan khidmat negara seperti panel penasihat dan Ketua Kluster Dakwah Majlis Perundingan Islam Kebangsaan. Dalam setiap penglibatannya, dakwah terhadap al-Quran sering ditekankan hasil daripada pemahamannya yang tinggi terhadap al-Quran dan pengajian Syariah yang dikuasainya.
لطائف المناسبات في سورة الملك من خلال "التفسير الكبير" لفخر الدين الرازي
Authors: Ali Bader Alfailakawi  , Ahmed Abdol Kareem El- Kubesi
Published: February 2021

This study aims to study the best occasions of the verses that are involved in the interpretation of El-Razi for Surah El-Mulk. It studies and compares that with the interpretation of El-Biqai. The aim is to note the extent of convergence between the interpretations of the two Imams for the Quranic Text. This study illustrates the significance of proportionality between the Verses and Suras of Quran, so that realising the value behind specifying the Verses and Suras which are revealed from Allah Almighty. Accordingly, this study adopts the comparative analytical inductive approach, through which the method shall extract the occasions from the surah, then comparing these occasions according to El-Razi and El-Biqai in Surah El-Mulk. This study concluded that El-Biqai had agreed with El-Razi in some occasions and he had also conflicted with him in another occasions. As such the study is valuable because it has identified the interpreters' visions regarding the linking between verses.
Comparison of antibiotic accumulation in appendix with various methods of its injection
Authors: Duzhyi ID , Shymko VV , Pustovoy IA , Piatykop HI , Kuprienko VV , Kulahina UE
Published: February 2021

Relevance of the problem: In respect that, lack dynamic of morbidity incidence of acute appendicitis and frequency of postoperative complications, against the backdrop of increasing the number of antibiotics. The problem of prevention of purulent-inflammatory complications during its surgical treatment remains relevant.

Materials and methods: The authors compared the intensity of accumulation of ceftriaxone in the appendix tissues depending on the method of injection.

Results: It turned out that with the intramuscular injection of ceftriaxone in 1–2 hours before the operation, its accumulation in appendix in an amount sufficient to delay the growth of the laboratory culture of Escherichia coli is not observed. After intravenous injection of the drug, accumulation occurs slowly, significantly far behind to the lymphotropic technique. With the lymphotropic injection of ceftriaxone, 1 hour before the operation, a dose of growth retardant culture test is already fixed, and with the intjection of 2 hours before the operation – the dose of ceftriaxone practically corresponds to the maximum possible, that is, the action of a “pure” antibacterial drug.

Conclusions: The method of selecting antibiotic therapy for acute appendicitis is the introduction of ceftriaxone by lymphotropic route.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.268-273
The Effect of Bitter Melon (Momordica charantia L.) Leaves Extractonon Glycated Albumin in Diabetic Foot Ulcers: Randomized Controlled Trial
Authors: Rosyid Fahrun Nur , Prasetyo Tomy Adi , Prabawati Chlara Yunita , Supratman - , Sugiarto - , HS K Heri Nugroho
Published: February 2021

Objective: This study aims to prove the effect of supplementation of bitter melon leaves extract on glycemic status in diabetic foot ulcer (DFU).

Materials and Methods: This study used a randomized, double-blinded, and placebo-controlled trial. Thirty DFU patients based on PEDIS 1-8 scores who met the criteria were divided into 2 groups consisting of 15 patients as a treatment group with the administration of bitter melon leaves extract at a dose of 6 g/day and 15 patients as a control group of with placebo. This intervention was conducted in 4 weeks. Glycemic status was measured by the value of glycated albumin and examined at baseline and at the end of treatment. Data were analyzed using paired t-test and independent t-test.

Results: After 4 weeks of treatment, there was an increase in the baseline value of glycated albumin in the treatment group from 24.5 ± 11.7% to 25.8 ± 12.7% or an increase of 1.3 ± 6.3% and a decrease in the control group from 27.5 ± 13.1% to 25.8 ± 8.5% or a decrease of 1.7 ± 12.4%. The results of the analysis of the effect of supplementation of bitter melon leaves extract on the value of glycated albumin were not significant (p = 0.99).

Conclusion: The supplementation of bitter melon leaf extract with a dose of 6 g / day did not significantly affect the value of glycated albumin.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.281-287
‘’Evaluation of Flora Bacteria Grown in Blood Cultures: Are They Etiologic Agent of Infection or Only Contaminants?’’
Authors: Orak Filiz , Guven Hulusi , Ates Selma , Doganer Adem , Baylan Filiz Alkan
Published: February 2021

Objective: In this study, it was aimed to determine whether the flora bacteria growing in blood cultures were infectious agents or only contaminants, for this purpose the hemogram parameters and other demographic characteristics of the patients were evaluated.

Materials and Methods: We evaluated 11.579 blood culture results using the BacT/ALERT® microbial detection system. The skin flora bacteria was detected in the blood cultures during one year and the rates of infectious agents among these bacteria were investigated retrospectively. The blood culture results, which were accepted as true bacteremia and contamination were compared in terms of positive blood culture flask count and inflammation markers (white blood cell count, neutrophil ratio, lymphocyte ratio and C-reactive protein levels).

Results: The total number of blood culture test was 11.579. Out of this number, 8205 (70.87%) was free of microbial growth and there was 3374 (29.13%) with microbial growth. 2609 (77.3%) of the positive cultures represented skin flora bacteria, 2510 (96.2%) of them were coagulase negative staphylococci. Only 50 (1.9%) of the flora bacteria were considered as infectious agents in terms of clinical and laboratory findings in addition to culture. A statistically significant correlation was found between true bacteremia and white blood cell (WBC) count and C-reactive protein (C-RP) levels (p <0.05).

Conclusion: Peripheral blood collection instead of catheter and using special phlebotomy teams should be taken into consideration in order to reduce contamination rates precautions such as adequate skin preparation, preparation of blood culture bottles and using single needle instead of double needle.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.288-292
Perspective of people with epilepsy about Epilepsy
Authors: Reza Zeighami , M Shokati , K Hossein Zadeh , Parsipur Sahar
Published: February 2021

Objective: This study aims to define epilepsy patient perspective about epilepsy.

Material & methods:Phenomenological hermeneutic approach is used by emphasizing on van Manon (2001) method. In this study participants have chosen by targeted sampling. Semi structured interviews as well as observation have deployed for data collection

Results: Patient’s perspective explored by main four themes including: dumb concept, destructive agent of present and future’s life, the cause of social isolation and divine punishment.

Conclusion:Epilepsy is a disorder which is bounded by ambiguity and unawareness among patients and societies. The disease also known by them as an incurable and destructive disease, present and future’s life destructive element, the cause of social isolation, divine punishment and atonement for sins.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.374-378
Serum Calcium and Its Association with Preeclampsia
Authors: Parvin Sultana , Chowdhury Saleha Begum , Nahar KN , Hoque MD Mozammel
Published: February 2021

Background: The purpose of the study was to evaluate association of serum calcium concentration with preeclampsia.

Method: This study was carried out in the Department of Obstetrics and Gynaecology of Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2016 to December 2016 including 120 antenatal patients in their second half of pregnancy. All the included patients were classified as 40 mild preeclampsia (Group A) 40 severe preeclampsia (Group B) and 40 normal pregnant women (Group C). Serum calcium was estimated in the Department of Biochemistry and correlated with preeclampsia.

Result: In results the mean serum calcium concentration was found 8.2±0.2mg /dl in Group A, 7.6 ± 0.3 mg/dl in Group B and 9.0±0.5 mg/dl in Group C (p=0.001). Low serum calcium was found 53.7% and 12.5% in case and control respectively. The difference was statistically significant (p=<0.05) between case and control groups having OR=8.1 with 95% CI (2.7 - 26.5) %. Pearson’s correlation test revealed that both systolic and diastolic blood pressure had negative correlation with the serum calcium concentration (p=<0.05).

Conclusion: In conclusion this study showed that low serum calcium is associated with preeclampsia and its concentration inversely proportional to the severity of preeclampsia and both systolic and diastolic blood pressure.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.379-383
Association and correlation between cardiorespiratory fitness, BMI, musculo-skeletal and handgrip strength among young adult student girl population in Sullia, Karnataka, India
Authors: D’Souza Urban JA , D Damodar , Kurunji Maurya R , Prabhu Vishnudas , Chodankar Nagesh , Hayati Firdaus , Kadir Fairrul bin Masnah , Prakash DR , Jeffree Mohammad Saffree Bin
Published: February 2021

Background: Obesity is at a rising trend among the childhood age group and is a WHO priority on classification of non-communicable diseases. High income group countries once had a statistically higher percent of obesity problems which has been extended both to the developing and low- income countries. Prevalence rate of obesity in India vary between 11.8% to 31.3% and is higher among the women than men. Obesity also affects the physical and cardio-respiratory fitness thereby leading to a group of metabolic, cardiovascular and musculoskeletal disorders. An association between BMI, musculo-skeletal and cardio-respiratory fitness is less reported among the young adult girl population in the context of Indian professional students.

Aim & Objectives: To assess few of the musculo-skeletal, cardio-respiratory parameters in relation to BMI among the young adult girl students of medical and dental colleges.

Material & Methods: One hundred and seventy-one girl students in the range of 19 to 21 years were randomly selected from the educational institute of Sullia, Dakshina Kannada, Karnataka and were assessed for BMI, muscular strength, handgrip strength, flexibility test, cardio-respiratory test and pulmonary function test by standard methods. Data was analysed.

Results: Musculo-skeletal flexibility, strength, cardiorespiratory fitness and pulmonary functions have an inverse association when compared to the BMI and weight of the girl students.

Conclusion: Obesity and overweight reduces the flexibility, musculoskeletal and cardio-respiratory fitness in addition to the pulmonary functions among the young adult girl population as confirmed by the battery of tests.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.384-389
Is Everything a Challenge for Multiple Sclerosis patients? Nonverbal Semantic Memory Performance in Iranian Relapsing-Remitting Multiple Sclerosis Patients
Authors: Yazdani Sara , Sharifi Shahla , Foroughipour Mohsen , Gol Atiyeh Kamyabi
Published: February 2021

Objectives: The objective of the current study was to evaluate the nonverbal semantic memory performance of MS patients and compare it with their healthy counterparts.

Materials and methods: In this study, 70 patients with definite relapsing-remitting multiple sclerosis(15 men and 55 women) and 70 healthy individuals of comparable demographics (age, gender, and education) from patients’ relatives and family members were selected based on convenient sampling. The patients recruited for this study were divided into two groups based on their Montreal Cognitive Assessment (MoCA) scores. The first group of patients (MS1) with MoCA scores of 18-25, and the MoCA scores of the second group (MS2) ranged from 10 -17. All of the participants were right-handed, originally born in Mashhad, Iran, and native speakers of Persian. To assess the nonverbal semantic memory performance of the participants, the picture version of The Camel and Cactus Test (CCT) was selected and administered from the Cambridge Semantic Memory battery test.

Results: The results revealed that there was no significant difference between the MS1 and the Healthy Controls group in living and man-made variables, while MS 2 performed significantly different compared to other groups in these variables. The results also showed that all three groups of participants performed significantly different from each other in reaction time variable.

Conclusion: The findings showed that cognitive impairment in multiple sclerosis patients did not affect their nonverbal semantic memory performance, however, it had an impact on their reaction time.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.390-395
Is physiotherapy an underused approach to prevent surgery in selective musculoskeletal disorders?
Authors: Amin Junaid , Gohir Sameer , Qaiser Umer , Siddiqui Ammar A , Alshammary Freah , Alam Mohammad Khursheed
Published: February 2021

Objectives: The purpose of the literature review was to appraise the evidence that an early physiotherapy intervention helps to prevent the surgery in selective musculoskeletal disorders. A search of Google Scholar, Web of Science, Scopus, and PubMed was carried out utilizing the terms (“physiotherapy”, “surgery” OR “exercise, surgery” OR “rehabilitation”, “surgery”).

Methods: The article titles and abstracts were screened for eligibility and included in the review. The recent literature evidently emphasized that physiotherapy has opted in selective musculoskeletal problems to avoid and delay surgeries.

Results: Regardless of recommended conservative treatment option and effectiveness of physiotherapy, a massive gap can be observed between its evidence and practice. Conversely, overuse of diagnostic imaging, surgeries, and medications is present in clinical practice. In most of the clinical problems the long-term outcomes were reported the same with surgical and physiotherapy intervention. Likewise, patients can also get the advantage of better clinical outcome and cost-effectiveness with physiotherapy as compared to surgical intervention.

Conclusion: The cost-effectiveness is an important factor in low-income countries where economic aspects of health care are highly considered. These advantages of physiotherapy should be considered by the clinicians, policymakers, patients, and included in the clinical guidelines.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.409-413
Giant Anterior Neck Lipoma in an Elderly: A Rare Differential Diagnosis
Authors: Ishak Mohd Saiful Adli , Umbaik Norsyamira Aida Mohamad , Mohamad Irfan
Published: February 2021

Lipoma is a benign mesenchymal tumour of adipose tissue and relatively rare occurrence in head and neck area. Mostly lipoma have a diameter of 2 cm and rarely grow beyond 10 cm. However, it may occasionally enlarge rapidly and become huge to become a giant lipoma which measures at least more than 10 cm in one dimension or weighing at least 1000g. The presentation of the anterior neck swelling is mostly related to the thyroid gland. However, it also can be the other soft tissue swellings, such as lipoma, which is the commonest mesenchymal tumours in adults. The lipomas however, are commonly involving the head and posterior neck region, which estimate about 15-20% of the cases and mostly small. We present the case of a 80-yearold man with huge anterior neck swelling for thirty years. The complete excision was performed with a good post-operative healing and cosmesis.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.449-452
Unilateral granulomatous conjunctivitis in a pregnant retroviral positive woman on HAART
Authors: Theng Lau Yee , Rahman Razlina Abdul , Kwok Iu Kwang , Ismail Shaiful Bahari
Published: February 2021

Ocular sporotrichosis is a relatively rare infection. We report a case of right ocular sporotrichosis in a 35 year-old pregnant woman at 30-week period of gestation with underlying retroviral disease on highly active antiretroviral therapy (HAART). She presented with one month history of unilateral eye redness and itchiness. Her symptoms persisted despite treatment for conjunctivitis. She was subsequently referred to ophthalmology clinic and a diagnosis of ocular sporotrichosis was made based on the culture of excised conjunctival tissues. Her symptoms improved after she was treated with fluconazole eye drops and intralesional amphotericin B. This case highlights the importance of early referral to ophthalmology in the case of unilateral eye redness in a high risk patient with history of exposure to infected cat prior to presentation.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.453-455
Paederus Dermatitis: A severe reaction to Charlie’s kiss
Authors: Rashid Farah , Haque Sanjida , Farook Taseef Hasan , Barman Aparna , Alam Mohammad Khursheed , Jamayet Nafij Bin
Published: February 2021

Paederus dermatitis is a very painful vesicular condition which is caused by the extremely potent toxin “Pederin” released from an insect calledPaederusfuscipes but commonly known as Charlie.A 26 years old woman presented with a sudden onset of neuralgia, arthralgia of left jaw, fever, nausea and fatigue with generalized pain radiating to the neck and lower jaw as well as itch-like sensation on their left arm associated with acute inflammation which began 24-48 hours prior. The patient refused to go to the hospital due to the current pandemic situation but instead updated us daily on her conditions with photographic changes of the arm until complete resolution of symptoms. This case report accounts for the daily sequential changes experienced by a patient after severe reaction to an exposure of pederin with photographs of the affected site. While the painful lesion and all systemic conditions resolved spontaneously over time, a scar was left to mark the unpleasant period.

Bangladesh Journal of Medical Science Vol.20(2) 2021 p.459-462
ILUSTRASI 3D HARDWARE PADA KOMPUTER UNTUK MATAKULIAH PRAKTIKUM PENGANTAR TERKNOLOGI INFORMASI
Authors: Ciptahadi Gus Oka
Published: February 2021

Abstract: Practicum Introduction to Information Technology is a general course that is always present at every IT campus in Indonesia. To give an introduction to hard ware to students, each lecturer always requires a long time, because they have to open (CPU) the Central Processing Unit and release other components to be explained by students. Inefficient time in opening and releasing computer hardware components when the course is taking place is the main problem that will be solved by researchers in this study. Plus the computer components that will be explained are quite small, making students unable to see it clearly when in the teaching and learning process. The offered solution, utilizing a technology based on 3D animation. Where this 3D animation technology will provide a more realistic appearance. As in the study entitled SINDO JOURNALIST 3D FILM ANIMATION in the journal Art Design and Culture volume 2. No. 1 March 2017, which researchers have reviewed, also explained that the use of 3D design technology can produce vivid and real visuals that are close to their original form [1]. The method in developing 3D animation in this study uses the Reseach and Development (R&D) Method. Conclusions from this study, researchers have succeeded in making a 3D animation-based information media about the introduction of computer hardware for the Introduction to Information Technology Practicum, with the process of animation results that have been tested using blackbox test.            Keywords: animation; hardware; research and development  Abstrak: Mata kuliah praktikum Pengantar Teknologi Informasi adalah matakuliah umum yang selalu terdapat pada setiap kampus IT di Indonesia. Untuk memberikan pengenalan hardware kepada peserta didik, setiap dosen selalu membutuhkan waktu yang cukup lama, dikarenakan harus membuka (CPU) Central Processing Unit dan melepaskan komponen lainnya agar dapat dijelaskan oleh peserta didik. Tidak efisiennya waktu  dalam membuka dan melepaskan komponen hardware komputer ketika matakuliah berlangsung menjadi permasalahan utama yang akan diselesaikan peneliti dalam penelitian kali ini. Ditambah lagi komponen komputer yang akan dijelaskan cukup kecil, membuat peserta didik tidak dapat melihatnya dengan jelas ketika dalam proses belajar mengajar. Solusi yang ditawarkan, memanfaatkan sebuah teknologi berbasis 3D animasi. Dimana teknologi 3D animasi ini akan memberikan tampilan yang lebih realistis. Metode didalam pengembangan animasi 3D pada penelitian ini menggunakan Metode Reseach and Development (R&D). Simpulan dari penelitian ini, peneliti sudah berhasil membuat sebuah media informasi berbasis animasi 3D tentang pengenalan hardware komputer untuk matakuliah Praktikum Pengantar Teknologi Informasi, dengan proses hasil animasi yang sudah diuji dengan menggunakan blackbox testing. Kata kunci: animasi; hardware; reseach and development.
UMA BREVE ANÁLISE DA NARRATIVIDADE DOS FATOS PASSADOS E PRESENTES ENTRE A COMPREENSÃO EPISTEMOLÓGICA DA HISTÓRIA E DO JORNALISMO
Authors: Germinatti Fernando Tadeu , Souza Tatiane Pereira
Published: February 2021

A presente pesquisa,  busca refletir as aproximações entre História e Jornalismo estudando o percurso teórico epistemológico  de cada uma dessas áreas do conhecimento, tendo em mente as conexões, imbricações e também divergências possíveis de serem apontadas. Ao beberem da narratividade, tanto jornalismo quanto a história impõe em seus relatos objetividade intrínseca ao processo de interpretação dos fatos. Por meio de uma análise qualitativa se buscou em bibliografia física e digital, avaliar como os dois campos ( jornalismo e história ) de modo indireto e as vezes involuntário, dialogam entre si ao fazerem uso da narratividade literária.
Palavras-chave: História. Jornalismo. Narrativa. Discursos.
ABSTRACT
This study research, must see some questions in this language and journalism estudating the routes of the knowledge of the knowledge of knowledge of knowledge, which must not, which must not, which are not, such as counts. To work of the narrative, sensitive journalism in the impact of object in the relatives object in intrainsecation to process of the interpretation of facts. Por meio de uma análise qualitativa é buscado em bibliografia física e digital, avaliando como os dois campos de diálogo e história de modo indireto e as vezes involuntário, dialogam entre si e fazem uso da narratividade literária.
Keywords: Post-modernity. Globalization. Cultural identity.
2-Phenylethyne-1-Sulfonamide Derivatives as New Drugs Candidates for Heat Shock Protein 70 and Doublecortin-like Kinase
Authors: ERGÜL Mustafa , SAYIN Koray , ATASEVEN Hilmi
Published: February 2021

Under physiological conditions HSP70 plays crucial roles in protein homeostasis. This protein is overexpressed in many types of cancer cells and increased levels of HSP70 is closely associated with tumorigenesis and poor clinical outcomes. The present study was designed to evaluate in silico assessment of newly designed 30 different 2-Phenylethyne-1-Sulfonamide derivatives potential heat shock protein 70 inhibitors. The mentioned structures were optimized at B3LYP/6-31+G(d,p) level in water and active sites of them are determined. Then, molecular docking calculations were done between the related structures and 4PO2 and 5JZN. It is found that compound (5), (12) and (20) were found as the better ones than those of compound (1) and (2). Drug likeness studies were performed via pharmacological ADME (absorption, distribution, metabolism, and excretion) properties estimation and the drug properties of (5) and (12) were found as the better than those of compound (1), (2) and (20).
Atenção à saúde de indivíduos com tuberculose: itinerário terapêutico e proposição de fluxograma
Authors: Megier Elisa Rucks , Monteiro Amanda Suélen , Gomes Eduardo da Silva , Oliveira Isabel Cristine , Jerke Luiza Camila , Pereira Maria Eduarda Wendelstein Lopes , Senna Thais Dias de , Silva Laís Mara Caetano da
Published: February 2021

Objetivo: compartilhar a experiência do desenvolvimento de itinerário terapêutico na linha de cuidado em tuberculose, com a proposição de fluxograma na atenção à saúde para esses indivíduos. Metodologia: estudo qualitativo, na modalidade relato de experiência, desenvolvido por discentes do Curso de Enfermagem durante as atividades teórico-práticas da disciplina de Vigilância em Saúde na Atenção Primária à Saúde de um município da Região Central do Rio Grande do Sul, no período de março à julho de 2019. Resultados: no percurso percorrido entre os diferentes serviços de saúde de referência na linha de cuidado em tuberculose, observou-se fragilidades e divergências nas orientações oferecidas à pessoa com suspeita ou diagnóstico de tuberculose. A inexistência de protocolo formal para coordenar e direcionar o cuidado à saúde dessa população implicou na construção, sistematização e proposição de um fluxograma para ser utilizado pelos serviços de saúde. Considerações Finais: a experiência contribuiu no processo formativo dos discentes na perspectiva de identificar os obstáculos que permeiam o cuidado a atenção à saúde e desenvolver estratégias para superá-la, como a proposição de um fluxograma.
O atual cenário da produção de energia eólica no Brasil: Uma revisão de literatura
Authors: Sampaio Keila Regina Alves , Batista Valmir
Published: February 2021

O recurso eólico na produção de energia elétrica vem ganhando cada vez mais espaço no Brasil e no mundo, pois além de ser uma energia limpa, ela possui inúmeros benefícios que são de interesse global e econômico. Deste modo o objetivo deste estudo é mostrar dados recentes da evolução da capacidade de energia eólica no Brasil; os impactos da COVID-19 na indústria eólica no setor nacional e demonstrar as questões relacionadas ao atual cenário do setor eólico. Metodologia, é um estudo bibliográfico, de cunho qualitativa. Resultados obtidos: nos últimos anos, a energia eólica cresceu de forma significativa e mesmo com a atual crise econômica mundial, dados mostram que o setor eólico está se expandindo no país e que a geração espera um futuro promissor, pois o Brasil possui um grande potencial em recursos eólicos que ainda precisam ser explorados.
Desafios éticos nas relações entre enfermeiro e transexuais na Atenção Primária de Saúde
Authors: Gomes Denildo de Freitas , Teixeira Enéas Rangel , Sauthier Marta , Gaia Alyson Gomes
Published: February 2021

O objetivo deste estudo foi identificar e discutir os possíveis fatores que dificultam ou fragilizam as relações entre o enfermeiro e o usuário transexual na Atenção Primária de Saúde, com foco direcionado à conduta ética e humanizada, assim como à influência de valores morais e ao autoconhecimento do enfermeiro acerca das suas dificuldades em lidar com esse tema. Trata-se de estudo original, exploratório com abordagem qualitativa. Os dados foram colhidos através de entrevista semiestruturada aplicada a 12 usuários transexuais entre dez/2018 e mar/2019. A coleta de dados ocorreu em um bairro do Município do Rio de Janeiro, tendo sido iniciada após a obediência de todos os aspectos ético-legais e normatizações relativas às investigações com seres humanos de acordo com a resolução n°466 de 12 de dezembro de 2012 do Conselho Nacional de Saúde. Os resultados apontam para uma relação baseada no estigma e no preconceito, interferindo na autorrealização do usuário transexual - que se percebe em um ambiente por vezes hostil com negação de direitos básicos - e promovendo o aumento de vulnerabilidades e sofrimento pessoal advindos do não reconhecimento. Concluiu-se que o autoconhecimento do enfermeiro é fator fundamental para o estabelecimento de uma relação ética e humanizada, que efetive uma assistência direcionada às demandas de saúde dos usuários transexuais.
Avaliação das respostas em frequências naturais de um violão pelo método de excitação por impulso e deconvolução de sinais
Authors: Teixeira Paulo Sérgio , Ferreira Alexandre  Furtado , Feiteira José Flávio Silveira
Published: February 2021

As partes que compõem o violão são feitas dos mais variados materiais para atender as necessidades referentes a cada componente, conforme suas funções específicas a serem desempenhadas no instrumento. Um dos importantes aspectos da pesquisa atual em acústica musical consiste na conexão das propriedades físicas mensuráveis de um instrumento musical e sua qualidade sonora ou tonal. O processamento de sinais acústicos de um instrumento de corda, por exemplo, pode correlacionar os sinais ou sons do violão com uma operação matemática de convolução ou deconvolução estabelecendo relações com suas propriedades físicas. Outra técnica utilizada é a obtenção de respostas em termos de frequência de vibração ou domínio do tempo e a técnica de excitação por impulso. No presente trabalho objetiva-se avaliar através da separação do sinal referente à resposta em frequência do violão através da deconvolução do sinal sonoro gerado ao tocar o instrumento pelo sinal das cordas gravado separadamente. Busca-se também estabelecer as relações com as respostas obtidas através da técnica de excitação por impulso.  E os resultados mostram que essas duas técnicas podem representar importantes técnicas de caracterização de materiais usados em instrumentos de corda como o violão.
Adaptação de cultivares de soja irrigada em solos arenosos
Authors: Rodrigues Kessiley Aparecido , Gava Ricardo , Cotrim Mayara Fávero , Silva Leonardo Bezerra da , Lopes Adriano da Silva , Nascimento Maiane Rodrigues do , Guerra Filho Plinio Antonio , Oliveira Job Teixeira de
Published: February 2021

Com a irrigação os produtores podem explorar áreas antes não agricultáveis, e maximizar a sua produtividade. Com a hipótese de adaptação de cultivares de soja em condições sub-ótimas de água no solo, objetivou-se avaliar as diferentes variedades de soja (Glycine max (L.)) em solos arenosos em condição de sequeiro e irrigado. O delineamento utilizado foi o de blocos Casualizados em esquema de faixas constituídas pelas cultivares DM 80I79 IPRO, BONUS IPRO, Maracaí IPRO, DM 75I76, Foco IPRO e Aporé IPRO sob duas condições de água no solo (sequeiro e irrigado) com 4 repetições por tratamento, totalizando 48 parcelas avaliadas. Foram analisadas altura de plantas, altura de inserção vagem, número de plantas, número de vagens por planta, número de grãos por planta e número de ramos e número de nós, massa de cem grãos e produtividade de grãos. Em solos arenosos, a variedade DM 80I79 IPRO quando submetida a irrigação apresenta incremento na produtividade. Quando as cultivares foram submetidas à irrigação, todas expressaram incremento na produtividade, fato este comprovado pela não diferenciação estatística entre cultivares, conseguindo equilibrar seu potencial produtivo, variando somente devido a características de resistência a déficit hídrico, causando variabilidade produtiva entre as mesmas.
Developing Christology in the Javanese farmer communities
Authors: Supriyadi Agustinus , Listijabudi Daniel K
Published: February 2021

Christology is the effort to find the answer on Christ illustration of human life which always experiences a development. Christology should build based on the inter-textual and intercultural. With noticing the cultural context, so Christology can develop itself widely and always up to date, the literary quality aimed to find the dynamics of the development of Christology in the Javanese farmer community context. The Research obtains the important findings about Christology. Learn from Christological thinking which always develops according to the times, it might be developed the Christological thinking in the Javanese farmer communities’ context. The myth regarding Dewi Sri (and Sadono) and Ratu Adil, which has become ingrained in the Javanese farmer community, can be appointed the development of a distinctive Christology for Javanese farmer community. The developed Christology should describe that Christ as the incarnate form of Allah can be found in the realm of agriculture. Christ presents in nature (Panentheism) becomes increasingly context for Javanese farmer community, Christology which emphasize Jesus as incarnation form, Jesus is the compassion of God, Jesus is the political act of God's love which experienced by Javanese farmer community. This finding has benefit for the efforts to develop the Church in the context of agricultural society in Java.