bluuebunny/crossref_metadata_2025 huggingface dataset:
Efektifitas Terapi Rendam Air Hangat dengan Garam terhadap Skala Nyeri Arthritis Pada Lansia Di Panti Sosial Tresna Werdha Budi Luhur Kota Jambi
Authors: Dewi Mursidah , Sovia Sovia , Adha Putri Dwi
Published: March 2021

The aging factor caused by increace of age, often accompanied by various degenerative diseases. The dominant degenerative disease in elderly patients has the potential to require long-term care. One of the dominant occurrences is Arthritis. Problems that often arise in the elderly with arthritis are pain during activity, tingling, swelling and stiffness in the joints. Arthritis management can be done pharmacologically and non-pharmacologically, one form of non-pharmacological is warm water soaking. This research is a quantitative study, using a pre-experimental design with non-equivalent (pretest and posttest) two group design, aims to determine the effect of warm water and salt therapy on the pain scale of the elderly with Arthritis. This research was conducted at PSTW Budi Luhur Jambi, the research sample was 30 respondents. The results showed a significant difference in the mean pain scale of warm water soak therapy plus salt with warm water soak therapy without salt in the elderly with Arthritis (p-value 0,000 <p α 0,05), furthermore warm water soak therapy with salt was effective given to reduce the pain scale in the elderly with arthritis. Non-pharmacological management in the form of health education can be given to the elderly related to the management of pain. Enhancing the role of nurses as care providers can be done to provide holistic services in implementing nurses' independent actions. The role of educators to provide health education about the management of Arthritis pain, the role of facilitators and motivators in facilitating the elderly and to encourage the elderly to conduct therapy, in addition warm water soak with salt is like economical therapeutic, can be done independently.  As well as the nurse can collaborate with other health teams in the institution to manage  Arthritis pain in the elderly.
Pengaruh Likuiditas, Leverage, Aktivitas, dan Profitabilitas terhadap Nilai Perusahaan pada Sektor Barang Konsumsi yang Terdaftar Di Bursa Efek Indonesia Periode 2015-2018
Authors: Galingging Anju , Aritonang Fery Xaverius , Novita Herlina
Published: March 2021

The purpose of this study is to determine and analyze the effect of Liquidity, Leverage, Activity, and Profitability on Firm Value in the Consumer Goods Sector Listed on the Indonesia Stock Exchange for the period 2015-2018. This study uses a quantitative method with a desciptive type. The population of this study is the Consumer Goods Sector that is listed on the Indonesia Stock Exchange for the 2015-2018 period, as many as 50 companies. Sampling using purposive sampling and obtained a research sample of 60 samples from 15 sectors of consumer goods multiplied by 4 years. This research method uses multiple linear regression. The coefficient test results obtained from the Adjusted R Square value are 3.7%, which means that the variation in the Firm Value variable described by the independent variable is 96.3%. The research results simultaneously show that liquidity, leverage, activity, and profitability have no effect on firm value. Meanwhile, partially it shows that liquidity, leverage, and profitability have no and insignificant effect on firm value, but for the activity variable has a significant effect on firm value.
Evaluasi Pelayanan Kesehatan Jiwa Berbasis Komunitas Di Kota Palembang
Authors: Putri Ririn Noviyanti , Idris Haerawati , Fajar Nur Alam
Published: March 2021

The concept of complete mental health efforts is the handling of health problems and its foundation includes community mental health efforts, supported by basic mental health services and strengthened integrated referral mental health services. Most of ODGJ have not gotten health care. Not yet optimal mental health services indirectly affect the success rate of health development. This research aims to analyse the implementation of community-based mental health services in Palembang. Methods of research with qualitative design, informant in the research is chosen purposive. Data retrieval techniques with in-depth interviews to 12 informant, observation and study of documents. Triangulation is done in the form of triangulation of source, method and data. Results showed that the low public awareness of mental health is still low because of the high level of negative stigma of society and low public knowledge that can impact on the support that will be provided by Family. So the empowerment of community needs to reach people to access mental health services. This research suggests that there is a proactive stance from the public health center to reach people throughout their workforce by reproducing activities outside the public health center, strengthening cross-sector cooperation and empowering community.
Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Pasien Kanker Payudara di RSUD Raden Mattaher Jambi
Authors: Nomiko Debbie
Published: March 2021

Breast cancer is a disease that occurs due to excessive growth or uncontrolled development of cells or breast tissue. Quality of life is an important goal in the treatment of cancer, and concerns about physical, psychological, body image disorders. The purpose of this study is to find out the factors related to the quality of life of breast cancer patients at Raden Mattaher Jambi Hospital in 2019. Research uses a coelative descriptive research design with a cross sectional approach. The research population is breast cancer patients who are treating at Raden Mattaher Jambi Hospital. Sampling is done on a sampling quota. Data collection instruments use the respondent's characteristic data questionnaire, coping mechanism, and quality of life questionnaire using the EORTC-QLQ 30 format. The data was analyzed univariate and bivariate with the Kai-Squared test (CI 95%). The results of the study obtained the average age of respondents was 51.8 years, the majority were elementary and high school educated with a proportion of 35.7%, and most did not work as many as 35 people (62.5%). The results of bivariate analysis that there is a relationship between the length of the cancer and the mechanism of coffee and the quality of life of breast cancer patients in Raden Mattaher Jambi Hospital. It is hoped that hospitals can facilitate the interaction activities of cancer patients through the formation of groups for cancer patients so that they can share experiences and information in terms of improving quality of life. For nursing research, it is hoped that this research can be the basic data in carrying out the next research.
Faktor-Faktor yang Mempengaruhi Terjadinya Kekurangan Energi Kronik pada Ibu Hamil
Authors: Suryani Lilis , Riski Merisa , Sari Rini Gustina , Listiono Heru
Published: March 2021

Chronic Energy Deficiency in pregnant women is a condition of the mother's lack of protein and energy intake during pregnancy which can cause health problems for the mother and the fetus. The purpose of this study was to determine the factors that influence the occurrence of chronic energy deficiency in pregnant women. This research is an analytical survey with a cross sectional research design, the study was conducted in June - August 2020 at the Pegayut Public Health Center, Pemulutan District, Ogan Ilir Regency, South Sumatra. The population in this study were all pregnant women who carried out ANC examinations at Pegayut Health Center in 2019 which totaled 369 people and the sample used in this study was the entire population of 369 people, data analysis used univariate (proportion), bivariate (chi square test) and multivariate (logistic regression) analysis. The analysis showed that maternal age at intervals of pregnancy (p value: 0,000) and parity (p vaue: 0,000) had a significant relationship with chronic energy deficiency, while the age of pregnant women (p value: 0.147) had no significant relationship with the occurrence of energy deficiency. chronicles. Based on the final model of multivariate analysis, the variable that has the greatest effect on chronic energy deficiency is the pregnancy interval variable. It is hoped that pregnant women should carry out routine pregnancy checks at least 4 times during pregnancy to monitor the health of the mother and baby so as to prevent complications of pregnancy and childbirth.
Pelaksanaan Jaminan Hak Keperdataan Subyek Hukum Manusia Atas Perubahan Atau Penambahan Nama Dalam Hukum Positif Indonesia Di Serang Banten
Authors: Agus Dede , Dewi Lia Riesta
Published: March 2021

In accordance with the right to naming the rights of each subject human law, the change or  addition of names are also the same. Therefore, this research aims to describe how the guarantee and implementation of civil rights for the change or addition of names in positive law and the legal consequences for population documents and other legal documents. This research method, normative juridical based on secondary data and much supported primary data, and finally were analysed qualitative descriptive. The research result shows that the change or addition of names in population documents and civil registries has been guaranteed implicitly and explicitly by the Law No. 23 of 2006 on Population Administration and Law No.24 of 2013 on the amendments law, and it implementation regulations. Likewise, the implementation of civil rights for changes or additions to names in population documents and civil registries, as well as other documents has been in practice. Due to law arising, such as: must obtain a district court decisions, a request for a changes to the population and civil registries, margin notes on the deed register, change the  name of other population identity on a documents, as well as sanctions had been imposed on population administration in according to the population administration Law.
Efektivitas Akupresur dan Minuman Jahe terhadap Pengurangan Intensitas Nyeri Haid/Dismenore Pada Remaja Putri
Authors: Sari Indah Dewi , Listiarini Utary Dwi
Published: March 2021

Half of the women in Indonesia experience menstrual pain / dysmenorrhoea, 54.89%, experience various disorders including abdominal pain, cramps and back pain. The purpose of this study was to determine the effectiveness of acupressure, ginger drink and the difference in giving acupressure and ginger drink to reducing the intensity of menstrual pain / dysmenorrhea in young women at SMK Swasta PAB 5 Klambir Lima 2020. The design of this study used a quasi-experimental pre and post test with a sample of 30 students who were divided into two groups. Each group was given acupressure and ginger drink in the morning and evening during menstruation from day one to day two. Respondents were assessed for pain before and after the intervention was given. The results of the Shapiro-Wilk normality test contained Sig data (p <0.05). The Wilcoxon test has a p-value of 0.002 (p <0.05), which means that acupressure is effective in reducing the intensity of menstrual pain / dysmenorrhea, there is a p-value of 0.001 (p <0.05) which means that ginger is effective against reducing pain intensity. menstruation / dysmenorrhea, there is a p-value of 0.034 (p <0.05), which means that there is a difference in the effectiveness of acupressure and ginger drink in reducing the intensity of menstrual pain / dysmenorrhea. There is an effectiveness of giving acupressure, ginger drink, and there is a difference in giving acupressure and ginger drink on the intensity of menstrual pain / dysmenorrhea on young women. It is hoped that the school will provide ginger drinks and acupressure measures to young women who experience menstrual pain / dysmenorrhea so that they can participate in learning activities at school.
Pengaruh Aplikasi Kelas Bk (Bimbingan Konseling) terhadap Peningkatan Pengetahuan Remajatentang HIV-AIDS di Wilayah Kerja Puskesmas Talang Banjar Kota Jambi
Authors: Lismawati Lismawati , Septiwiyarsih Septiwiyarsih
Published: March 2021

Based on World Health Organization (WHO), in 2011 there are 3,5 million people with HIV/AIDS in Southeast Asia. The trend of death caused by AIDS between 2001 and 2010 are different in every country side. In eastern Europe and central Asia, the number of people died from AIDS increased from 7.800 to 90.000, in Middle East and the North Africa increased from 22.000 to 35.000, in East Asia also increased from 24.000 to 56.000. According to WHO, 430.000 newborn child infected with HIV, in 2008, more than 90% infected by mother to child transmission. The purpose of this research is to determine the effect of the CG (Counseling guidance) class application to increasing in adolescent knowledge about HIV – AID. This research using pre experimental research design method with one group pretest posttest project,  this design used without using any control group and made the first observation (pretest)  which allows researchers to test the changes that occur on the experiment.  This study was conducted from 12 August – 12 September, with 30 respondent as a sample, the research data ware univariately and bivariately analysis through the t test with a = 0.05. The result of univariate analyzed shows 4.53 are the average pretest knowledge, while 11.87 are the average posttest knowledge, on the other way by bivariate analysis obtained 0.001 p-value, so it can be concluded that CG (Counseling guidance) class application affect on improving adolescent knowledge about HIV-AID in Puskesmas Talang Banjar before and after given CG class Application.Keyword:
Pengaruh Debt To Asset Ratio, Inventory dan Earning Per Share terhadap Harga Saham pada Industri Subsektor Farmasi yang Terdaftar di BEI
Authors: Nst Umar Hamdan , Syamsurizal Syamsurizal , Zahri Cut
Published: March 2021

This research understands the impact of Debt to Assets Ratio, Inventory Turnover and Earning Per Share on Share Prices in pharmaceutical subsector companies listed on the Indonesia Stock Exchange for the 2015-2019 period. The research population used was 9 issuers and a total sample size of 45 samples. Statistical research methods use quantitative. The assumption data analysis method is the classical assumption test. Hypothesis test with regression test, t-test, and f-test. Based on the results of the partial test (t), DAR and ITO have no effect on stock prices but EPS has an effect on stock prices. Meanwhile, the simultaneous test results (f) of DAR, ITO and EPS have no impact on stock prices. The result of the Adjusted R Square (R2) hypothesis test is 21%, it can be said that the Debt to Assets Ratio (X1), Inventory Turnover (X2) and Earning Per Share (X3) variables have an effect on stock prices by 21% and the rest is 79%. audits by other variables not included in this research
Penerapan Metode Istihsan Pada Bidang Muâmalah Mâliyyah (Hukum Ekonomi Syariah)
Authors: Adam Panji
Published: March 2021

Istihsan is one of the ijtihad methods disputed by the scholars ushul fiqh, although in reality, all scholars use it practically. The establishment of the law by istihsan method is widely carried out by scholars among the Hanafiyyah and Malikiyyah so that in the history of ushul fiqh, the Hanafiyyah are known as the group that uses istihsan as one of the methods of istinbâth al-ahkâm (determination of the law). Imam Shafi'i is a cleric who rejects istihsan as a method of determining Islamic law. But in practice Imam Shafi'i also uses istihsan as a method of determining Islamic law. The science of ushul fikih has a significant role in contributing to the existence of Islamic law, especially in the field of Sharia economic law. Research method conducted based on normative juridical approach, The specification of research used is analytical descriptive, The type of data used in this research, namely secondary data, data collection method used is literature study and analysis of secondary data that is qualitative. The results showed that istihsan is one of the methods of istinbâth al-ahkâm, which can be used as an argument and a proof of syara' and serves in determining the validity of an agreement / transaction in the field of Sharia economic law.
Pengaruh Faktor Internal Perusahaan terhadap Kebijakan Dividen Pada Perusahaan LQ45
Authors: Handayani Mita , Wijayanti Anita , Suhendro Suhendro
Published: March 2021

Expecting income or return from the company is the general target of investors in investing. Dividends are one of the incomes that investors want. This study aims to analyze the influence of profitability, liquidity, company size, sales growth and IOS on dividend policy. For this research was taken in LQ45 companies listed on the Indonesia Stock Exchange for the period 2015 to 2019. Through purposive sampling selected 18 companies that meet the research criteria, so that the sample is 90 observations. Data testing method through multiple linear regression. The results of the study based on the F test showed that all independent variables in the study had a simultaneous effect on dividend payout ratio, while based on t-test resulting in profitability, company size and IOS had no effect on dividend payout ratio, but liquidity had an effect on dividend payout ratio and sales growth negatively affected dividend payout ratio.
Implementasi Kebijakan Transaksi Non Tunai Pemerintah Daerah di Indonesia
Authors: Herlen Astri Tania , Putriana Vima Tista , Yohana Denny
Published: March 2021

Non cash transactions are a new paradigm in the management of government finance. Non cash transactions are implemented in line with the issuance of the Minister of Home Affairs circular No. 910/1866 in 2017 concerning the implementation of non cash transactions in local governments. This is in accordance with the provisions of Presidential Instruction No. 10 in 2016. The purpose of this study is to investigate the application of non cash transactions by local governments in Indonesia. The results showed that the implementation varies across local governments in Indonesia in terms of when local governments under studied began to implement the system, minimum amount or threshold for the cash transactions allowed by the local governments under studied and types of transactions that have been done under non-cash transactions. The implementation of the non cash system is carried out in accordance with the principles of good governance. This non cash transaction system provides several benefits and constraints in implementing it in local governments
Identifikasi Kesulitan Belajar Mahasiswa pada Mata Kuliah Statistika Selama Masa Pandemi Covid-I9
Authors: Ririen Deci , Hartika Dewi
Published: March 2021

The length of the online learning period in tertiary institutions that has lasted for approximately 10 months has made students uneasy, because the majority of students consider statistics courses to be difficult to understand, especially with the Covid-19 pandemic conditions. The purpose of this study was to determine the factors that caused student learning difficulties in the Statistics course during the Covid-19 pandemic and to determine the dominant factors causing student learning difficulties in the Statistics course during the Covid-19 pandemic. The research subjects were STIE-Indragiri students taking Statistics courses. Instruments of the research method through questionnaires and interviews with research subjects. The results obtained were the factors that made learning difficulties for students in the statistics course during the Covid-19 pandemic, namely the factors themselves, lecturers' factors, environmental factors / parents as well as facilities and infrastructure factors. The most dominant factor affecting student learning difficulties in statistics courses during the Covid-19 pandemic was the infrastructure factor with a TCR value of 64.38%.
Analisis Determinan Cadangan Devisa di Indonesia
Authors: Adhitya Bagus
Published: March 2021

This study aims to analyze the effect of exports, imports and inflation rates on foreign exchange reserves in Indonesia. This type of research is quantitative. This research method uses multiple linear regression with the Ordinary Least Square model. The results showed that exports had a positive and significant effect on foreign exchange reserves in Indonesia at 2011-2018. Imports have a negative and significant effect on foreign exchange reserves in Indonesia at 2011-2018. The inflation rate has no positive effect on foreign exchange reserves in Indonesia in 2011-2018. This finding implies that the government must increase exports abroad to suppress imports of foreign products.
Strategi Peningkatan Kinerja Guru
Authors: Muspawi Mohamad
Published: March 2021

Teacher performance is an effort and the ability of teachers to carry out their duties and responsibilities at school during learning activities and can provide encouragement and influence to students with the aim that learning objectives can be achieved and run well and as expected which is shown in appearance, actions , and his work performance. Teacher performance is determined by four factors, namely: (1) environment; (2) individual characteristics; (3) organizational characteristics; and (4) job characteristics. Some of the efforts that the principal can make to improve teacher performance are: (1) Teacher performance guidance, (2) Supervision of teacher performance, (3). Providing motivation, (4). Evaluating teacher performance.
Deskripsi Pola Asuh Orang Tua Yang Menyebabkan Temper Tantrum Di Taman Kanak-Kanak Pembina Kota Pekanbaru
Authors: Gasril Pratiwi , Yarnita Yeni
Published: March 2021

Kids’ future and development will really depend on the experience they obtained, included education and various parenting patterns consisting of democratic parenting, permissive parenting, and authoritarian parenting. The purpose of this research is to find out the description of parenting pattern which causes temper tantrum at Pembina Kindegarten Pekanbaru City. The method of this research was descriptive study to find out the description of parenting pattern which causes temper tantrum in pre school age with total samples were 109 respondents. The research results show that democratic parenting is 41 (37,6%), permissive parenting is 63 (57,8%), while authoritarian parenting is 5 (4,6%) and the result of temper tantrum obtains heavy temper tantrum in the amount of 2 children (1,8%), medium temper tantrum in the amount of 33 people (30,3%), and light temper tantrum in the amount of 74 people (67,9%). These results show that the majority of parenting pattern at Pembina Kindegarten Pekanbaru City is permissive and the majority occurance is light temper tantrum.
Analisis Kebijakan Implementasi Upaya Khusus Sapi induk Wajib Bunting (UPSUS SIWAB) di Kota Jambi
Authors: Jaya Budi , Firmansyah Firmansyah , Hoesni Fachroerrozi
Published: March 2021

This study aims to determine the influence of communication factors, resources, disposition and bureaucracy on the implementation of the Upsus siwab program in Jambi City. This research was conducted on November 9, 2020 to December 5, 2020. The objects observed in this study were all officials and officers involved in the implementation of Upsus Siwab. The data obtained from this study are primary data and secondary data. Data were analyzed using path analysis. The results of the path analysis prove that the factors of communication, resources, disposition and bureaucracy have a significant effect on the implementation of Upsus Siwab in Jambi City.  Resource factor is the factor that has the greatest influence on the implementation of Upsus Siwab in Jambi City, followed respectively by the disposition, bureaucracy and communication factors. All factors have a positive influence, meaning that the increase in the quality and quantity of resource factors, disposition factors, bureaucratic factors and communication factors will be followed by a positive increase from the implementation of Upsus Siwab in Jambi City. All factors interact with each other so that efforts to increase the implementation of Upsus Siwab in Jambi City are carried out by increasing resource factors, disposition factors, bureaucratic factors and communication factors. Based on this research, it can be concluded that the factors of communication, resources, disposition and bureaucracy affect the implementation of Upsus Siwab in Jambi City.
Studi Perbandingan Pengajaran Reaksi Reduksi Oksidasi Antara Cara Perubahan Bilangan Oksidasi dengan Cara Setengah Reaksi terhadap Hasil Belajar Siswa Kelas XII IPA 1 dan XII IPA 2
Authors: Fauziah Fauziah
Published: March 2021

Oxidation-Reduction Reactions (Redox) are one of the hardest reactions to equalize, this means that it is hard to determine the suitable Reaction Coefficient. An easier and more logical train of thought is to remember that a Reduction and an Oxidation reaction happens simultaneously. A Redox Reaction has two methods in order to equalize, that which is by using the “Change in Oxidation Number” method or the “Half-Reaction (Ion-Electron)” method. The students’ skills in completing a Redox Reaction can be observed in the grades that they have achieved. This observation is intended to find out if there is a difference in students’ grades if you were to teach them about the equalization of Redox Reactions using either of these two methods (the “Change in Oxidation Number” method and the “Half-Reaction” method).  The population in this observation consists of the students of Class XII IPA 1 and Class XII IPA 2 of SMAS PERTIWI Jambi that are studying Oxidation-Reduction Reactions. Sample members consist of the students of Class XII IPA 1 and the students of Class XII IPA 3 of SMAS Pertiwi Jambi. The measuring instrument used is a test that has fulfilled standards. Normality tests and Homogeneity tests of the sample in question has been done before the Hypothetical test was implemented.  The average grades of students using the “Change in Oxidation Number” method and the “Half-Reaction” method is 11.75 and 10.8 respectively. The T-value of calculations is approximately 1.81 while the T-value of tables is approximately 2.00. With the Level of Significance being 0.05.  From the data provided above, it can be concluded that there is no difference in student grades whether the “Change in Oxidation Numbers” method or the “Half-Reaction” method is used to equalize Redox Reactions in applicative aspects.
Hubungan Stres Akademik dengan Kualitas Tidur Mahasiswa Keperawatan Tingkat Akhir Program Alih Jenjang
Authors: Maisa Esthika Ariany , Andrial Andrial , Murni Dewi , Sidaria Sidaria
Published: March 2021

Sleep is a basic human need. Poor sleep quality can have an impact on students' health and academic performance. Nursing students at the end of the level transfer program have the risk of poor sleep quality due to the high academic task load coupled with other assignments besides lectures that can take up student break time. One of the factors that affect the quality of sleep is stress, and among students it is called academic stress. The purpose of this study was to determine the relationship between academic stress and sleep quality in the final year students of a level transfer program. The study was conducted at one of the campuses in the city of Padang using a correlation analytic research design with a cross sectional approach. The sample in this study amounted to 64 students at the end of the level transfer program with the total sampling technique. This research was conducted from October to November 2019. Data was collected using the Pittsburh Sleep Quality Index and Student Academic Stress Scale research instruments. The results of this study indicate that nursing students at the end of the level transfer program experience poor sleep quality with high academic stress. Correlation analysis provides a linear and positive pattern of relationship between academic stress and sleep quality of nursing students at the end of a level tansfer program, with a very strong correlation strength level, which means that the higher the student's academic stress, the worse the quality of sleep.. It is expected that students can manage academic stress with stress management and time management, so as not to have an impact on the quality of student sleep.
Efektivitas Penerapan Telemental Konseling terhadap Penurunan Kecemasan Remaja Akibat Paparan Informasi Covid 19 di Kota Padang
Authors: Freska Windy , Sarfika Rika , Refnandes Randy
Published: March 2021

The Coronavirus disease 2019 (COVID-19) epidemic in China is a global health threat, which causes fear, anxiety in receiving the right information according to the mental health needs of society. Teenagers are included in the group who experience the psychological impact of Covid 19 who experience anxiety. Adolescents are more receptive to the use of smartphone applications, health authorities may consider providing psychoeducation and online or smartphone-based psychological interventions. This study aims to determine the effectiveness of implementing Telemental Counseling in Padang city adolescents in 2020. The design used in this study was a Quasi experimental design with a pre and post control group design approach. The sampling technique was Simple Random Sampling with a total sample of 44 people, 22 people in the intervention group and 22 from the control group. This study used the Revised Children's Manifest Anxiety Scale (RCMS) questionnaire. Data analysis was performed using Paired T-Test. The results of this study showed a decrease in the level of anxiety in adolescents in the intervention group, namely the average score of anxiety before being given the application of Telemental counseling in the experimental group was 21.18 and 17.32 afterwards. The results of this statistical test show that there is an effect of providing telemental counseling in the intervention group on reducing anxiety in adolescents in Padang City. The statistical test results obtained p-value = 0.000 (p <0.05).
El desarrollo de la tecnocracia en Chile y su impacto en las políticas de Estado, durante la primera mitad del Siglo XX
Authors: Durán Diego
Published: March 2021

El presente texto, analiza el devenir histórico de la consolidación del aparato público estatal chileno durante la primera mitad del siglo XX, principalmente en base al accionar de los tecnócratas, como el grupo de profesionales que pudieron construir las bases de la administración pública nacional actual, a través de la implementación de sus mecanismos racionales de gestión, en el contexto de una disputa con los grupos tradicionales de poder.
Lo anterior se tradujo en cambios fundamentales en la forma de entender la razón de ser del Estado y en el cómo a través de principios de la tecnocracia, se pudieron realizar transformaciones importantes en las diferentes áreas de la gestión pública, dotando a la nación durante décadas de un proyecto nacional e institucional común, el cual tenía como finalidad última generar cambios fundamentales en la calidad de vida de sus ciudadanos.
Influence of Organic Manures on Drought Stress at Different Growth Stages of Wheat
Authors: Amin AKMR , Baque MA
Published: March 2021

A pot experiment was conducted in the net house of the Agronomy department, Sher-e-Bangla Agricultural University, Dhaka during the period from November, 2018 to March, 2019 to evaluate the suitable organic source to mitigate the drought stress impact on wheat. The experiment comprised two factors viz. factor A: Three levels of organic manures, i)  O0 = Control (Without organic manure),       ii) O1 = Cowdung (10 t/ha), iii) O2 = Poultry litter (5 t/ha), and factor B:  four levels of drought i) D0 =  Control (without drought), ii) D1 =  Crown root initiation stage (at 20-29 DAS), iii) D2 =  Booting stage (at 45-54 DAS), iv) D3 = Anthesis stage (at 55-64 DAS). The experiment was laid out in a completely randomized design (factorial) with three replications. Organic manure showed positive impact on yield and cowdung (O1) gave the highest grain yield (4.06 g plant-1). This may be attributed to the highest number of effective tillers plant-1 (3.21), spike length (9.53 cm), spikelet spike-1 (17.31), grains spikelet-1 (2.31) and 1000-grain weight (44.61 g) of wheat in this treatment. In respect of drought imposition treatments, grain yield was found higher in control treatment (without imposition of drought) which was statistically similar with drought imposition at booting stage treatment (D2). These two treatments also showed highest number of effective tillers plant-1, spikelets spike-1, grains spike-1 and 1000-grain weight. Regarding the interaction of organic manure and drought, cowdung without drought imposition (O1D0) and cowdung with drought imposition at booting stage (O1D2) were highest yielder among the other interactions which was attributed to higher 1000-seed weight, number of effective tillers plant-1, spikelets spike-1 and grains spike-1. Results revealed that application of organic manure could reduce the impact of drought on wheat irrespective of growth stages. However, application of cowdung (10 t ha-1) was found more effective to combat drought impact at booting stage of wheat compared to other growth stages.

Bangladesh Agron. J. 2020, 23(2): 81-86
Yield and Physiological Indices of Lentil Genotypes Against Drought Stress
Authors: Ahmed B , Mitu AS , Sultana M , Tasnim N , Talukder AHMMR
Published: March 2021

Four lentil genotypes/varieties BLX-010014-9, ILI-5143, BARI Mosur-3 and BARI Mosur-2 were given irrigation regimes (with and without irrigation) to evaluate the physiological indices of genotypes against drought stress. The experiment was conducted during rabi (winter) season of 2017-18 under pot culture at the Plant Physiology Division of Bangladesh Agricultural Research Institute (BARI). The experimental design was randomized completed block (RCBD) with six replications. Irrespective of genotypes/varieties, physiological parameters as well as seed yield were greatly affected due to irrigation regimes. Based on physiological parameters like accumulation of chlorophyll, enzymatic and non-enzymatic antioxidantthe genotype BLX-010014-9 was found to be drought tolerant due to its higher and lower values of enzymatic and non-enzymatic antioxidant indices (greater CAT, POD, APX and lower MDA) across the irrigation levels treatment. This genotype may be further explored to characterize its genes and mechanisms against drought stress for increased lentil production and way to developing the drought tolerant variety/varieties.

Bangladesh Agron. J. 2020, 23(2): 97-102
Phosphorus and Boron Effects on Nodulation and Yield of Soybean Under Non-Saline Agro-Ecosystem of Patuakhali
Authors: Shabnam S , Ahmed S , Mia S
Published: March 2021

The field experiment was conducted at Agronomy Field of Patuakhali Science and Technology University, Patuakhali during the period from December 2019 to May 2020 to evaluate the effect  of phosphorus (P0 = 0 kg P ha-1, P1 = 30 kg P ha-1, P2 = 60 kg P ha-1, P3 = 90 kg P ha-1) and boron (B0 = 0 kg B ha-1, B1 = 4 kg B ha-1, B2 = 6 kg B ha-1) and their combinations on nodulation and yield attributes of soybean. Number of nodules plant-1, number of pods plant-1, number of seeds pod, 1000-seed weight, seed yield, stover yield, biological yield and harvest index increased significantly up to 60 kg P ha-1. On the other hand, number of nodules plant-1, number pods plants-1, number of seeds pod-1, 1000-seed weight, seed yield, stover yield, biological yield and harvest index of soybean were enhanced significantly up to 4 kg B ha-1. The combination of 60 kg P ha-1 and 4 kg B ha-1 depicted the highest number of nodules (177.8), plant height (75.60 cm), number of pods plant-1 (92.72), number of seeds pod-1 (2.92), weight of 1000-seed (155.3 g) seed yield (1.91 t ha-1), stover yield (2.98 t ha-1), biological yield (4.89 t ha-1) and harvest index (39.06%). Thus, the combined application of 60 kg P ha-1 and 4 kg B ha-1 could be the optimum for getting maximum yield of soybean.

Bangladesh Agron. J. 2020, 23(2): 127-133
Racial differences in percentage of Hysterectomy for Common Uterine Conditions among the Hospitalized Women in the US
Authors: Kabir Azad A , Steinmann William C , Herrera Eduardo A , Rice Janet C , Khan M Mahmud
Published: March 2021

Background: Hysterectomy is the second most frequently performed operation in the United States, after cesarean section. Approximately 588,000 hysterectomies are performed annually.

Objectives: To find out the racial differences in percentage of Hysterectomy for Common Uterine Conditions among the Hospitalized Women in the US.

Methods: The 2001 National Inpatient Sample data was used to estimate the racial differences in the rate of the five most common uterine conditions among the hospitalized women; the same data was also used to estimate the racial differences in the percentage of those who received a hysterectomy. All hospitalized women who had a diagnosis of uterine fibroids, endometriosis, abnormal genital bleeding, genital prolapse and genital malignancy were included. The difference between rate and the percentage was calculated using Z test.

Results: Of the five, the most common diagnosis, for all hospitalized women regardless of race, was uterine fibroids. But the rate of uterine fibroid diagnosis for hospitalized blacks was nearly two and onehalf times the rate for hospitalized whites (p <0.05). For all single uterine diagnoses except genital prolapse, higher percentage of hospitalized whites had hysterectomy than hospitalized blacks (p <0.05).

Conclusion: Racial differences exist in the hospitalization and management of different uterine conditions. Whites are more likely to receive hysterectomy for most of the common uterine diagnoses compared to that of blacks. Because blacks have higher rates of uterine fibroid diagnosis and of abnormal genital bleeding, however, the overall hysterectomy rate for hospitalized blacks is similar to that for hospitalized whites.

Journal of Surgical Sciences (2020) Vol. 24 (1) : 5-10
Transabdominal Pre-Peritoneal (TAPP) Laparoscopic Inguinal Hernia Repair: Our Experience with 40 Cases
Authors: Rahman Md Mamunur , Jahan Nelema , Hoque Md Mozammel , Islam Md Saiful , Alam Mohammad Shahidul , Roy Suman Chandra , Ahmed Taslima Nasreen
Published: March 2021

Background: Groin hernias are the most common surgical conditions all over the world. Laparoscopic (TAPP) approach has been achieved as the best technique of inguinal hernia repair due to less postoperative pain, earlier return to activity and fewer wound complications.

Objectives: To share our experience with Transabdominal preperitoneal (TAPP) hernia repair and its outcome.

Methods: This prospective study was performed in Shaheed Suhrawardy Medical College Hospital between January 2016 to December 2017. Forty male patients with inguinal hernia were included in this study. Data was collected in a proforma regarding demographic and baseline characteristics, operative time, outcome of patients and were analyzed in tabulated form.

Results: Total 40 patients were included in our study. Age ranged from 20-60 years (mean age ± SD 38.88±10.92 years). The maximum duration of TAPP hernia repair ranged from 100-120 minutes s(mean ± SD 109±16.3 minutes). Post-operative complications were severe pain (10%), infection (5%), scrotal oedema (5%).

Conclusion: Laparoscopic TAPP hernia repair is associated with satisfactory short- and long-term results.

Journal of Surgical Sciences (2020) Vol. 24 (1) : 11-14
Carcinoma of the Rectum: A Clinicopathological Evaluation of Patients in Tertiary Care Hospitals
Authors: Hossain Mohammad Arif , Bhuiyan Md Jahangir Kabir , Talukdar Tutul , Quader Feroze
Published: March 2021

Background: Colorectal carcinoma is the fourth most commonly diagnosed cancer and the third leading cause of cancer deaths worldwide. The rectum is the most frequent site involved. The disease is no less common in our country in comparison to western world. The aim of this study was to determine the incidence and to review the clinicopathological aspects of carcinoma rectum in different ages in our country.

Methods: This is a prospective observational study which includes 50 cases of carcinoma rectum which were admitted under different surgical units of Dhaka Medical College Hospital and Bangabandhu Sheikh Mujib Medical University during the period of November 2007 to December 2008.

Results: The present study showed maximum incidence of carcinoma rectum in the age group 21-30 years. Next common age group was 31-40 years. Incidence declined after 60 years. Majority of victims were male giving a male to female ratio of 1.17:1. As regards the mode of clinical presentation, most patients presented with bleeding per rectum. Majority of patients in this study was moderately anaemic. Curative resection was possible in 54% cases, palliative resection in 38% and palliative end colostomy was done in 4% cases. Only 2% mortality was reported in this study. Histopathological grading showed that poorly differentiated adenocarcinoma of rectum was more common in younger age group.

Conclusion: Younger patients with carcinoma rectum have several distinct clinicopathological features. Since early diagnosis is essential to improve the cure rate for carcinoma rectum, all known procedure tools must be used to detect carcinoma of the rectum in an early stage, in addition to periodic selective investigations of high-risk group.

Journal of Surgical Sciences (2020) Vol. 24 (1) : 15-20
Large Incisional Hernia Repair: Abdominal Wall Component Separation & Transversus Abdominis Release
Authors: Alam AHM Shamsul
Published: March 2021

Abstract not available

Journal of Surgical Sciences (2020) Vol. 24 (1) : 32-37
From the Desk of Editor in Chief Vol 24(1)
Authors: Siddique Md Ibrahim
Published: March 2021

Abstract not available

Journal of Surgical Sciences (2020) Vol. 24 (1) : 38
Radical Surgical Excision and Use of Axillary Flap for Intractable Axillary Hidradenitis Suppurativa
Authors: Momotaz Munny , Kalam Abul , Khondoker Md Sazzad , Sumi Sharmin Akter
Published: March 2021

Background: Current treatments for hidradenitis suppurativa (HS) include prolonged courses of antibiotics, retinoids, immunosuppressants, and biologics. Severe cases that are resistant to prolonged medical treatment pose a therapeutic challenge. We propose radical excision and reconstruction with axillary flap as a treatment option for such cases.

Objectives: The purpose of the study was to see the outcome after radical surgical excision and coverage with axillary flap for intractable Hidradenitis suppurativa.

Methods: This prospective observational study was carried out from July, 2014 to June,2016. Patients admitted at the Plastic Surgery Department of Dhaka Medical College Hospital with intractable Hydradenitis suppurativa were included the study population.

Result:Among 20 cases, 12 cases were female and 8 cases were male. Maximum dimension of the soft tissue defect was 15x6.5 cm2 = (97.5 cm2). Maximum dimension of the flap was 17x7 cm2 = (119 cm2).Flap survived completely with minimum donor site morbidity. Result of reconstruction of 90% of the patients exhibited excellent outcome. In 10% patient’s outcome was considered good.

Conclusion:With a suitable flap coverage option, the management paradigm of intractable Hydradenitis Suppurativa should shift from prolonged medical treatment to allowdecisive radical excision, which will improve the quality of life for patients. Axilary flap is the flap of choice to cover the defect.

Journal of Surgical Sciences (2020) Vol. 24 (2) : 51-56
Comparison of Onlay versus Sublay Mesh Repair in Ventral Hernia : Our Experience in a Peripheral Hospital
Authors: Pervin Mst Shahnaj , Md Nuruzzaman Hasan Shahriar , Sultana Eliza , Ahmad Anis Uddin
Published: March 2021

Background: Mesh repair is the standard procedure of choice for the ventral hernia repair. The common techniques for this surgery are onlay and sublay repair. But the superior technique between the two is yet to be established objectives.

Objectives: We conducted this study to compare the results of Onlay with Sublay mesh repair for the treatment of ventral hernia.

Methods: This comparative study was conducted at the department of Surgery, Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur from April 2018 to April 2019. 20 patients withclinically diagnosed ventral hernia were randomized into two groups. The patients in group A had onlay mesh repair while those of group B hadsublay mesh repair. Comparison between the two methods were made in terms of operative time, technical ease, early post operative events specially drain & complication, hospital stay, recurrence.

Result: Twenty patients between 20 to 70 years of age among whom 6 are male and 14 are female with different types of ventral hernia including paraumbilical, umbilical, epigastric and incisional, except with defect more than 15 cm were studied. The sublay repair took significantly longer operative time (p = .023). Onlay repair group had more seroma formation, wound infection and recurrence, though not statistically significant. Patients who underwent sublay repair had early removal of drains (3.7 ± .823 days vs 6 ± .738 days) which was significant (p= .000). At the same time sublay repair group had significantly shorter hospital stay than the onlay group (4.5 ± 1.900 days vs 6 ± 1.354 days, p= .023).

Conclusion: Sublay repair seems to be a better alternative than onlay repair of Ventral hernia. Randomised controlled trial with larger case numbers is needed to validate the result.

Journal of Surgical Sciences (2020) Vol. 24 (2) : 61-65
Nipple Skin Sparing Mastectomy and Immediate Reconstruction with implant using Acellular Dermal Matrix (ADM)in a Patient with TP53 mutation - First Experience in Bangladesh
Authors: Ahmed SK Farid , Nafisa Ali , Priam Samanta Meharin , Ferdous Hasnatul , Rahman ASM Tanjilur , Khan Md Salim , Riad Mahedi Hassan
Published: March 2021

A 28-year-old lady presented with 3.5 cm lump in her right breast and normal axilla. Histopathologically the lump revealed as invasive duct cell cancer (IDC), Grade II with ER negative, PR positive and HER2 equivocal. On genetic testing, BRCA1 & BRCA2were found negative but p53 was positive with pathogenic variant. She received neoadjuvant chemotherapy while waiting for genetic testing. As she had TP53 mutation and considered high risk for developing contralateral breast cancer, bilateral mastectomy and immediate reconstruction with implant using acellular dermal matrix was performed on 9th of March,2020 at our Breast Unit during 2nd live surgery & workshop on oncoplastic breast surgery, organized by Breast Care Unit and Research Centre, Department of Surgery, Anwer Khan Modern Medical college. This is the first reported case of a breast cancer patient with TP53 mutation who has undergone nipple skin sparing mastectomy with immediate implant/ADM reconstruction and creates a milestone in the history of modern breast cancer management in Bangladesh.

Journal of Surgical Sciences (2020) Vol. 24 (2) : 77-82
Society News Vol 24(2)
Authors: Siddique Md Ibrahim
Published: March 2021

Abstract not available

Journal of Surgical Sciences (2020) Vol. 24 (2) : 84