bluuebunny/crossref_metadata_2025 huggingface dataset:
KNOWLEDGE OF POSTPARTUM MOTHERS ON POSTPARTUM CARE IN HEALTHCARE CENTERS IN KEBUMEN
Authors: Rahmadhani Wulan
Published: May 2021

ABSTRACTMother's knowledge of complications and postpartum care in the postpartum period can help mothers successfully through this critical period such as psychological changes. This study aims to evaluate postpartum care in terms of maternal knowledge in a health center in Kebumen. Cross-sectional was carried on this study with 500 postpartum mothers used multistage sampling method, were taken from 5 healthcare centers in Kebumen.  demographic questionnaire and questionnaire for measuring mothers  knowledge made by researcher was used in this study. Multivariable regression was carried in this study  with p-value <0.05. The results of 500 mothers showed that mothers with poor of knowledge was 64 (12.8%), moderate 396 (79.2%) and good 40 (8.0%). The majority of mothers have knowledge of the four public dimensions of health, breastfeeding and nutrition, contraceptive methods and moderate infant care. Knowledge about public health and contraceptive methods shows the highest and lowest level of knowledge. There was a significant relationship between knowledge with average scores and educational status, employment status and income levels which are included in demographic characteristics (p <0.05). Referring to the results of this study showed that a moderate level of maternal knowledge about postpartum, the implementation of interventions such as educational workshops and special attention must be very important in the health center
PENDIDIKAN KESEHATAN UNTUK MENINGKATKAN PENGETAHUAN DAN SIKAP REMAJA TENTANG KESEHATAN REPRODUKSI DAN PENYAKIT MENULAR SEKSUAL
Authors: Sulastri Eti , Astuti Dyah Puji
Published: May 2021

Latar Belakang: Salah satu masalah utama yang dialami remaja adalah masalah kesehatan reproduksi. SDKI (2012) yang menyatakan secara nasional terjadi peningkatan angka remaja yang melakukan hubungan seksual pranikah yaitu sekitar 9,3% atau sekitar 3,7 %. Hal ini akan berdampak meningkatnya masalah reproduksi remaja misalkan kehamilan yang tidak diinginkan, aborsi, penyakit menular seksual (PMS), serta kekerasan seksual. Hal tersebut disebabkan karena rendahnya pengetahuan dan sikap remaja tentang kesehatan reproduksi. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan dan sikap remaja tentang  kesehatan reproduksi dan penyakit menular seksual. Rancangan penelitian ini menggunakan eksperimen semu (Quasi exsperimen), dengan pendekatan one group pre test – post test design tanpa kelompok control. Populasi pada penelitian ini adalah 105 remaja, Sampel yang digunakan dalam penelitian ini berjumlah 56 orang dengan tehnik pengambilan sampel Purposive Sampling. Hasil penelitian menunjukan hasil uji Wilcoxon didapatkan p-value = 0,000 < 0,05 yang berarti terdapat perbedaan bermakna antara tingkat pengetahuan dan sikap remaja sebelum dan sesudah pemberian pendidikan kesehatan. Kesimpulan bahwa pendidikan kesehatan memberikan pengaruh yang signifikan pada tingkat pengetahuan dan sikap remaja tentang kesehatan reproduksi dan penyakit menular seksual.
HUBUNGAN PENGETAHUAN DAN BUDAYA TERHADAP DUKUNGAN PADA PASIEN STROKE DI RS PKU MUHAMMADIYAH SRUWENG
Authors: Yuda Hendri Tamara , Yuwono Podo Yuwono
Published: May 2021

Latar belakang : Angka kejadian stroke menunjukkan peningkatan insiden yaitu kejadian stroke 12,1 per 1000 penduduk (Riskesdas, 2013). Prevalensi penderita stroke di RS PKU Muhammadiyah Sruweng pada bulan Januari hingga Desember 2017 baik dari rawat inap maupun rawat jalan sebanyak 253 kasus. Oleh karena itu, dukungan keluarga termasuk dalam faktor pendukung (supporting factors) yang dapat mempengaruhi perilaku dan gaya hidup seseorang sehingga berdampak pada status kesehatan dan kualitas hidup penderita stroke (Sinaga, 2014) Tujuan : untuk menganalisis hubungan tingkat pengetahuan dan latar belakang budaya terhadap dukungan pada pasien stroke di RS PKU Muhammadiyah Sruweng.Metode: penelitian ini adalah penelitian kuantitatif dengan pendekatan cross sectional. Sampel sebanyak 109 responden Sampel diambil dengan tehnik total sampling. Analisa data menggunakan chisquare untuk mengetahui hubungan antar variable.Hasil Penelitian: Hasil uji statistik didapatkan nilai p=0,000, maka dapat disimpulkan bahwa terdapat hubungan yang bermakna antara tingkat pengetahuan dengan dukungan keluarga dalam merawat pasien stroke. Hasil uji statistik didapatkan nilai p=0,034, maka dapat disimpulkan bahwa ada hubungan yang bermakna antara latar belakang budaya terhadap dukungan keluarga dalam merawat pasien stroke.Rekomendasi: motivasi kepada semua anggota keluarga untuk meningkatkan dukungan keluarga pada penderita stroke.Kata Kunci : pengetahuan, budaya, dukungan, keluarga
DETERMINAN KEJADIAN PREEKLAMPSIA PADA IBU HAMIL DI WILAYAH KERJA UPTD PUSKESMAS DUKUHWARU SLAWI
Authors: Insani Uswatun , Supriatun Evi
Published: May 2021

AbstrakKehamilan dengan resiko tinggi dapat terjadi pada ibu hamil dengan berbagai macam karakteristik. Salah satu resiko tinggi pada kehamilan adalah keadaan ibu dengan peningkatan tekanan darah selama kehamilannya atau yang biasa disesbut dengan preeklampsia atau PIH (Pregnancy Induced Hypertension). Keadaan ini merupakan salah satu bentuk kegawatdaruratan kehamilan yang beresiko tidak hanya kepada ibu dan juga janinnya jika tidak mendapatkan penanganan yang tepat. Keadaan preeklampsia ini bisa terjadi karena faktor dari ibu dan juga faktor bayi yang dikandungnya. Pentingnya memahami penyebab preeklampsia pada ibu hamil akan dapat membantu ibu dan keluarga untuk bisa beradaptasi dengan keadaan kehamilannya. Penelitian ini bertujuan untuk mengetahui karakteristik ibu hamil dengan preeklampsia di sebagai kehamilan dengan resiko tinggi. Penelitian ini menggunakan kualitatif deskriptif dengan pendekatan studi kasus untuk mengidentifikasi terkait penyebab preeklampsia yang dialami oleh ibu hamil. Hasil dari penelitian ini dijumpai faktor yang mempengaruhi terjadinya preeklampsia yaitu usia ibu, jarak kehamilan terlalu dekat dan terlalu jauh, pekerjaan ibu hamil, adanya riwayat keturunan, stressor yang dihadapi ibu hamil dan ibu hamil dengan golongan darah O serta kehamilan gemelli/kembar. Berdasarkan penelitian ini dapat disimpulkan bahwa satu ibu hamil dengan preeklampsia bisa memiliki beberapa faktor resiko penyebab terjadinya preeklampsia, tidak hanya satu faktor penyebab. Pentingnya mengetahui penyebab preeklampsia dan adanya dukungan keterlibatan keluarga sebagai sumber kekuatan bagi ibu hamil dengan preeklapsia memungkinkan adanya perawatan yang lebih baik untuk ibu dan bayinya serta mengurangi akibat lanjut preeklampsia. Kata kunci : penyebab, preeklampsia, ibu hamil
Preparedness prevention of Covid-19 Muhammadiyah residents in Magelang, Indonesia
Authors: Margono Margono , Masithoh Robiul Fitri , Priyo Priyo
Published: May 2021

Corona Virus Disease (Covid-19) is a virus that is still related to the cause of Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) which still has an RNA chain that mutates faster than DNA. World Health Organization (WHO) said that until July 26 2020 the number of people infected with the virus were 15,785,641 people. From the data, Indonesia ranked 24th with 97,286 positive cases and 4,714 people died. The data shows that Indonesia is higher than China as the country of origin of this virus began to be found. Indonesia implemented several policies in the fields of law, health and economics to deal with the Covid-19 outbreak. The Ministry of Health issued a regulation derived from PP21 / 20, namely Minister of Health Regulation No. 9 of 2020 concerning Large Scale Limitation Guidelines (PSBB). Muhammadiyah as a social organization through the One Muhammadiyah One Response (OMOR) program in handling coviders formed the Muhmmadiyah Covid-19 Command Center (MCCC) team to contribute to the prevention of covid-19 transmission that had been formed up to the Regional level. In addition to providing care for Covid-19 patients through Muhamamdiyah and Aisyah hospitals, MCCC also prepared the community to be prepared to face the Covid-19 pandemic. In Magelang regency, up to 27 July, PDP recorded 42 deaths, positive confirmation died 6 people and confirmed 7 people were treated. Therefore the importance of community preparedness to prevent Covid-19 transmission. Method: this research uses a quantitative approach with descriptive type. This research uses a survey method with questionnaire technique. Respondents in this study were 100 people. The results of this study indicate that residents of Muhamamdiyah in Magelang District 89% of respondents have received co-19 prevention information from MCCC, 59% showed understanding of the information provided, applying health protocols with 92% hand washing habits, doing 88% exercise, habit using masks 93 %, keep a distance of 98%, use hand sanitizer 86%, maintain a 96% sneezing ethic, able to manage stress 71%, and consume nutritious food 76%
The COVID-19 Pandemic and the Challenges of E-Assessment of Calculus Courses in Higher Education: A Case Study in Saudi Arabia
Authors: Azmi Fatima M , Khoshaim Heba Bakr
Published: May 2021

The COVID-19 pandemic has affected many aspects of our lives, including education. Due to this unexpected catastrophe, education has shifted to virtual-learning and auto-grading models in most parts of the world. This study explores the validity and appropriateness of auto-grading-assessment for online exams by comparing students’ online exam scores where they are first auto-graded and then manually graded. Furthermore, it investigates whether the mean differences in their scores are statistically significant. The study included two calculus courses taught by the authors, during the spring semester 2019-2020 at a private university in Saudi Arabia. The online exam was performed on the WebAssign platform, which has built-in calculus questions. The sample consisted of fifty-five students who were registered on those calculus courses. The quantitative data was analysed using the SPSS statistical tool. A paired t-test at an alpha level of 0.05 was performed on differences in mean exam scores between auto-graded and manually-graded scores. The statistical analysis results revealed a statistically significant difference in students' mean scores. Our findings illustrate the importance of human intelligence, its role in assessing students' achievements and understanding of mathematical concepts, and the extent to which instructors can currently rely on auto-grading. A careful manual investigation of auto-graded exams revealed different types of mistakes committed by students. Those mistakes were characterized into two categories: non-mathematical mistakes (related to Platform Design) and minor mathematical mistakes, which might deserve partial credit. The study indicated a need to reform the auto-grading system and provided some suggestions to overcome its setbacks.
The Champagne Industry in 2020
Authors: Gilinsky, Jr. Armand , Atkin Tom , Bayar Stephanie
Published: May 2021

This industry note includes data covering the French Champagne industry, as well as major global competitors, consumers, and some artisanal Champagne producers. This note is suitable for exposing students to the French Champagne industry, comparing and contrasting the Champagne brand with sparkling wines from other countries and wine-growing regions, and introducing the concepts of industry attractiveness, competitive force analysis, and industry dynamics.
Small California Wine Producers in 2019: An Industry Note
Authors: Peyrefitte Joseph
Published: May 2021

After 25 years of rising wine sales, 2019 revealed that growth was slowing. An oversupply of grapes and finished products, coupled with diminishing sales volumes and shifting buyer preferences, were impacting smaller California wine producers. Additionally, wine marketing in the U.S. focused primarily on the Baby Boomers, the large and affluent generation that has been the main wine consuming cohort over the last 25 years. But, as the Baby Boomers hit retirement age, their wine purchasing is moderating in both price and volume.

Can winemakers shift their selling strategies from the Baby Boomer to the Gen X, and subsequently, the Millennial generations? The product-focused approach that led to success with the Baby Boomers might not be enough to cater to the likes of Gen Xers or the Millennials, as the younger generations have very different consumption patterns, preferences, and values. Branding is likely to remain important, but the tactics to attract and appeal to younger buyers is changing. How will wine producers appeal to the three different cohorts as they move through their respective life stages?
O papel dos serviços autônomos para o desenvolvimento da formação profissional e da educação de jovens e adultos
Authors: Emile Abi-Abib Maron
Published: May 2021

Neste artigo, sustenta-se que o sindicalismo patronal brasileiro traz a seu cargo, por via de leis, decretos e portarias, a responsabilidade de coadjuvar o Estado no desenvolvimento da formação profissional e da educação de jovens e adultos. Sustenta-se também que as instituições CNC, CNI, CNA e CNT têm o encargo de estruturar e operar seus serviços autônomos – Sesc, Senac, Senai, Sesi, Senar, Sest e Senat – para esses propósitos. As referidas entidades, segundo o autor, cumprem essas missões, entre outras tantas, sempre com rigor e atualidade conceitual, tecnológica e operacional. Compõem, por conseguinte, um braço do empresariado nacional na coautoria pela implementação do Estado de bem-estar social. O artigo conclui sugerindo que o fim último dessa aliança é combate ao desemprego estrutural e a paz social.
Educação profissional: ingresso de adultos na área de alimentação
Authors: Viegas Vianna Camila , Penatti Pipitone Maria Angélica
Published: May 2021

O adulto que procura a Educação Profissional traz uma vivência que causa comportamentos peculiares. Para melhor acolher esse público, foi aplicado um questionário abrangendo vários aspectos de cursos técnicos na área de Alimentação. A análise dos resultados fornece subsídios para o melhor planejamento das decisões pedagógicas de docentes e coordenadores e aponta elementos que auxiliam os gestores na elaboração de um novo itinerário formativo para os cursos na área.
Colaboração interprofissional na atenção primária à saúde: realidade de um município goiano
Authors: Ricaldoni Giviziez Christiane , Duarte dos Santos Jeniffer Dayane , Guimarães da Costa Webster Leonardo , Colmanetti Dias Mayara , Franco Luz Nina , Grego Maia Ludmila , Alves Ribeiro Aridiane
Published: May 2021

Este estudo tem como objetivo avaliar os fatores associados a atitudes de colaboração interprofissional entre profissionais de saúde lotados em equipes da Saúde da Família. Participaram da pesquisa 91 profissionais. Os dados foram coletados por meio da Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional. Os resultados sugerem que os profissionais com nível superior, especialização e menor tempo de atuação na Estratégia Saúde da Família apresentam maior disposição para atitudes colaborativas.
Educação de qualidade
Authors: Novelino Barato Jarbas
Published: May 2021

Resenhas das obrasGARDNER, Howard. The disciplined mind: beyond facts and standardized tests K-12 education that every child deserves. New York, Penguin Books, 2000.

MORAES, Francisco de. Ensino excelente: anotações e comentários para estudantes, pais e educadores. SãoPaulo: Editora Senac São Paulo, 2020.

¿Cómo puede ser la escuela para el mañana? Granada: Parque de las Ciencias de Granada, 20 fev. 2012. 1 vídeo(80 min.). Disponível em: https://www.youtube.com/watch?v=caS8XeuCPFA. Acesso em: 10 dez. 2020.
A Uniform Heating Technique for Cavity in Volatile Organic Compound (VOC) Removal System Using Slotted Waveguide Array
Authors: Yu Taewoo , Lee Hyunwook , Park Sang-Jun , Nam Sangwook
Published: May 2021

In this study, two types of slotted waveguide are designed in the frequency of 2.45 GHz to improve the microwave heating uniformity of a quadrangular prism-shaped cavity in a volatile organic compound (VOC) removal system. Both types adopt the equivalent circuit approach used for a waveguide slot array antenna. The difference between the two types is the slot impedance extraction method of the waveguide slot array: one calculates the impedance taking the cavity structure into account and the other finds it in free space. Both methods show that the heating uniformity is improved by 52% compared with that of the conventional horn-type feeding structure system according to the simulation results. Even though there is no difference in the heating uniformity between the two models, it is confirmed that the slotted waveguide array feeding model designed by using the impedance data of the slot incorporating the cavity (SAWFMcavity) has about 6.35 dB better impedance matching characteristics than the other model designed by extracting the impedance data of the slot in free space (SAWFMfree). Also, it is found that the SAWFMcavity shows more stable impedance characteristics with respect to the loading condition than the SAWFMfree. Therefore, it is concluded that the impedance of the slot should be extracted taking the cavity into account for the design of the slotted waveguide feeding structure since it improves the reflection characteristic as well as the heating uniformity compared with the horn-type feeding structure.
Sea Clutter Covariance Matrix Estimation and Its Application to Whitening Filter
Authors: Choi Sanghyun , Yang Hoongee , Song Jimin , Jeon Hyeonmu , Kim Jongmann , Chung Yongseek
Published: May 2021

The accurate estimation of clutter covariance matrix (CCM) is essential in designing a radar detector/filter to suppress sea clutter. This estimation might not be easily accomplished because of the scarcity of valid training vectors adjacent to the range cell under test (CUT). We propose a new CCM estimation algorithm that is derived by modeling time-series clutter returns into a clutter Doppler spectrum in the frequency domain and exploiting mutual independence among spectral components. To justify its excellence over the conventional sample covariance matrix (SCM) algorithm, we design two filters—a maximum signal-to-interference-plus-noise ratio (SINR)-based filter and a whitening filter—that use the estimated CCMs and compare their performance in a numerically simulated sea clutter scenario. Comparisons are made by showing the eigenvector spectra of the estimated CCMs and the frequency responses and outputs of the filters. Moreover, SINRs at the target Doppler bin are examined and compared with a theoretical, analytically derived SINR.
Four-Array Printed Monopole Yagi-Uda Antenna Mounted on a Small Missile Warhead
Authors: Choi Dong-Su , Choi Yoon-Seon , Jeong Jae-Yeop , Jung Tae-Hwan , Woo Jong-Myung
Published: May 2021

In this study, the structure of a circular four-array antenna was designed for a monopulse radar attached to a conical small missile warhead with a diameter of 29 mm and a lateral length of 63 mm. A printed monopole Yagi-Uda antenna was adopted as the basic model for the antenna to decrease production cost and reduce weight. The director structure of the printed monopole Yagi-Uda antenna that we proposed was modified to λ/2 to improve the beam direction. Unlike the existing structure, the proposed director was made to be separated from the ground, so that it could act as a director. The antenna was expanded to a four-array structure for the detection of vertical and horizontal planes. As a result of the design, the S11 had excellent matching characteristics at the center frequency of 9.375 GHz, and the beam pattern also had directivity in the same direction as the missile travel direction. In the case of gain, it showed more than 6 dBi performance. Finally, the proposed four-array structure antenna was fabricated to verify that the S11 and radiation patterns were maintained.
Distances between Rats in Reverberation Chambers Used for Large-Scale Experiments
Authors: Jeon Sangbong , Jang Wook , Lee Ae-Kyoung , Choi Hyung-Do , Pack Jeong-Ki , Wang Jianqing , Kim Dongho
Published: May 2021

We investigate the whole-body average specific absorption rate (WBA-SAR) of rats under various plane wave exposure characteristics, including different polarizations, incidence angles, distances between rats, and total number of rats. Unlike many other studies, we start our SAR analysis from one rat and expand it to 27 rats facing random directions in a three-dimensional area. In a one-rat analysis, we examine how the incidence direction and polarization affect the SAR of a single rat. Moreover, we look into how various incidence polarizations behave differently after they are transmited through a rat, the information of which is then used to analyze the effect of spacing among 27 randomly arranged rats. Next, we analyze the effect on spacing of the 27 rats deployed under a 52-plane-wave exposure, which is introduced to mimic a realistic reverberation chamber (RC) environment. We show the deviation in WBA-SAR according to the distance between rats, which provides guidelines for selecting the appropriate rat distance based on the number of animals and the exposure deviation within a limited working volume in an RC for large-scale experiments.
Experimental Characterization of 2 × 2 Electronically Reconfigurable 1 Bit Unit Cells for a Beamforming Transmitarray at X Band
Authors: Rana Biswarup , Lee In-Gon , Hong Ic-Pyo
Published: May 2021

This paper proposes a reconfigurable unit cell for a transmitarray operating at the X band. The unit cell consists of an active patch, a passive patch, and a phase shifter. The active patch has two PIN diodes that change the phase of 180° of the transmitted waves. The passive and active patches both have circular slots to enhance the bandwidth of the transmitted wave. We also propose a new type of experimental characterization technique to measure the performance of the unit cells at the X band without fabricating the entire transmitarray. Instead of a 1 unit cell as described in the literature, we propose 2 × 2 unit cells to measure the performance of unit cells using the X band waveguide. The waveguide consists of a WR-90 section and a rectangular to square waveguide transition section that can be fit to our proposed structure. A good agreement between simulated and measured results was found.
Theoretical Minimum Detection Range for a Rapidly Moving Target and an Experimental Evaluation
Authors: Kim Ilkyu , Kim Hyun , Lee Jeong-Hae
Published: May 2021

There have been considerable challenges with radar systems for detecting high-speed projectiles at a short range. This necessitates the presentation of a guideline for the minimum detection range that will guarantee detection of a target. In this letter, the detection range for a rapidly flying target is studied based on the characteristics of the target, such as speed and launch angle, and radar parameters such as pulse repetition interval, dwell time, beamwidth, and so on. The derived equation was applied to parametric studies for different characteristics of targets in order to investigate the influential parameters that affect the minimum detection range. A field test using the radar system’s prototype was performed to evaluate the validity of the proposed equation.
Case series of four re-infections with a SARS-CoV-2 B.1.351 variant, Luxembourg, February 2021
Authors: Staub Thérèse , Arendt Vic , Lasso de la Vega Esther Calvo , Braquet Pierre , Michaux Christian , Kohnen Michel , Tsobo Chantal , Abdelrahman Tamir , Wienecke-Baldacchino Anke , Francois Jean-Hugues
Published: May 2021

We describe four SARS-CoV-2 re-infections with a B.1.351 variant in 2021, in healthcare workers (HCWs) previously infected in 2020, before detection of this variant in Europe. Cases live in France, near the border with Luxembourg, where variants B.1.351 and B.1.1.7 circulated. All work in the same hospital unit where a cluster of COVID 19 with B1.351 variant occurred, affecting patients and HCWs. Before the cluster onset, HCWs used surgical masks, as per recommendations. After cluster onset, HCWs used FFP2 masks.
In-service teachers’ perceptions of technology integration and practices in a Japanese university context
Authors: Wang Yijen
Published: May 2021

To understand in-service language teachers’ intrinsic barriers to technology integration in higher education contexts, this in-depth study investigated four teachers teaching Chinese as a foreign language (CFL) at a private university in Japan. The researcher trained the four teachers with varied digital literacy how to create and utilise online materials in a dedicated Moodle site, and the teachers’ training processes, as well as actual classroom practices, were then observed. Qualitative and quantitative data were collected over three semesters, including: (1) a pilot survey before Moodle integration to access the teachers’ attitudes and expectation of educational technology use; (2) classroom observations to investigate how the participants use technology in their CFL classroom; (3) audio recordings and field notes collected in a workshop and interviews to explore reasons behind behaviours; and (4) access logs in Moodle to determine the participants’ engagement through online materials inside and outside the classroom. The findings’ implications in terms of teachers’ experiences, emotions, competences, beliefs, motivations, and sociocultural factors affecting their determinations of technology integration in CFL classrooms in a Japanese higher-education setting are presented. Future considerations and ongoing challenges are discussed to highlight the implications for research, policymakers, teacher educators, and stakeholders.
SOSIALISASI BERSAHABAT DENGAN BENCANA ALAM GEMPA BUMI DAN TSUNAMI DI DESA PEMENANG BARAT KECAMATAN PEMENANG KABUPATEN LOMBOK UTARA
Authors: Budianto Muh Bagus , Yasa I Wayan , Setiawan Ery , Widianty Desi , Yuniarti Ratna
Published: May 2021

Gempa bumi merupakan salah satu bencana alam yang sering terjadi di Indonesia, karena letak Indonesia yang berada pada gugusan gunung api (ring of fire) dunia dan dilewati tiga lempeng tektonik, yaitu Indo-Australia, Pasifik dan Eurasia. Sejak akhir bulan Juli hingga akhir tahun 2018 telah terjadi gempa bumi di Lombok. Gempa tersebut mengakibatkan kerusakan lingkungan, terjadinya tanah longsor, runtuhnya bangunan rumah, tempat ibadah, perkantoran dan jatuhnya korban jiwa maupun yang luka-luka. Kabupaten Lombok Utara merupakan wilayah terparah yang terkena dampak gempa Lombok, karena wilayah ini sangat dekat dengan pusat gempa. Banyaknya korban dan rusaknya infrastruktur akibat gempa harus menjadi pembelajaran bagi pemerintah dan masyarakat, agar ke depan dapat disusun kebijakan yang lebih ramah terhadap gempa. Selain itu di masyarakat juga perlu dilatih dan dibangkitkan budaya sadar bencana alam termasuk gempa bumi dan tsunami melalui penyuluhan. Hasil kegiatan meningkatnya kapasitas pengetahuan masyarakat tentang gempa bumi dan meningkatnya kesadaran masyarakat memitigasi gempa bumi dan tsunami, sehingga bila terjadi gempa lagi masyarakat telah siap dan dapat hidup harmonis dengan keadaan alam.
Outcome of Text messaging on glycemic control in children with type 1 diabetes mellitus: A Single Group Pre and Post intervention Study.
Authors: Khan Waqas Imran , Khurshid Asim , Anjum Sidra
Published: May 2021

Objectives: The objective of this study is to find the outcome of text messaging on glycemic control in children with type1 DM. Study Design: Prospective Single Group Pre- and Post-intervention study. Setting: Diabetic Clinic of Department of Pediatric Endocrinology at The Children hospital and the Institute of Child Health, (CH & ICH) Multan. Period: October 2019 to December 2019. Material & Methods: Forty nine children and adolescents of 10-15 years old with T1DM were included in this study after taking informed consent from patient or their caregivers. Text messages were sent 5 times per week to patients/parents in simple Urdu language about diabetes education and Interactive message was sent weekly about blood sugar monitoring and insulin dose modification. To make sure patients are receiving text messages, phone calls were made regularly. Results: Among diabetic children 24 (49%) were males. The age ranged from 10-15 years and mean age was 12.6 ± 1.8 years. Mean duration of diabetes was 4.7± 2.8 years. Before intervention fasting and post prandial blood glucose levels per month were 160.4 mg/dl and 190 mg/dl respectively. After 12 weeks of text messaging fasting and post prandial blood glucose levels significantly (p-value < 0.001) dropped to 135.2 mg/dl and 170 mg/dl respectively.  Similarly, HbA1C level decreased from 10% to 9% after intervention with p value of <0.001. Similar significant improvement was seen in frequency of hypoglycemic/hyperglycemic episode, missed insulin doses and frequency of hospital admissions. Conclusion: Our study showed a significant improvement in glycemic control and diabetes case management by diabetic educational and interactive text messages.
Maternal and fetal outcome in pregnant patients with diabetes.
Authors: Shahzad Uzma Hassan , Manzoor Uzma , Aslam Irum , Bano Saadia
Published: May 2021

Objective: To observe maternal and fetal outcome in pregnant patients with diabetes. Aim of my study is to access the poor fetal maternal outcome with diabetes so that we can focus more on early and proper disease and have fair management throughout the pregnancy. Study Design: Descriptive study. Setting: Independent University Hospital Faisalabad. Period: January 2017 to January 2019. Material & Methods: It is descriptive study, 200 patients were selected who were pregnant with diabetes. The patients included who were newly diagnosed by glucose challenge test (GCT) or by glucose tolerance test (GTT) or who already had elevated HbA1c. The study was started after acquiring permission from ethical committee. Result: The above study concluded that the adverse outcome with diabetes is increased in terms of congenital malformation, miscarriage, preterm labour, pre eclampsia and postpartum haemorrhage. There is dire need to concentrate more on early diagnosis and timely management of diabetes with pregnancy. The tenet of management is to maintain euglycemic state throughout pregnancy. Conclusion: Prepregnancy care was associated with improved glycemic control in early pregnancy and significant reductions in adverse pregnancy outcome (malformation, stillbirth, and neonatal death) and very premature delivery. However, prepregnancy care failed to have an impact on glycemic control in later pregnancy or to reduce the risk of macrosomia and preeclampsia.
To determine the outcome of isolated hemorrhagic TBI in a large tertiary care center in Karachi, Pakistan.
Authors: Hashmi Syed Maroof , Raza Arif , Gauri Shiraz Ahmed , Kumar Ramesh , Younus Syed Muneeb
Published: May 2021

Objective: To assess the outcome of mild traumatic brain injury patients who have isolated intracranial hemorrhages. Study Design: Cross-sectional, Setting: Department of Neurosurgery, Abbasi Shaheed Hospital, Karachi. Period: 1st January 2018 to 31st January 2020. Material & Methods: The inclusion criteria were that all the patients have to be above the age of 18 years, presented to us with mild TBI cases and had observable intracranial hemorrhage on computer tomography (CT) scan. Patient demographics and the various types of interventions were recorded. Results: A total of n= 300 patients were included in the study, The average age was 50.5 +/- 20.6 years. There were n= 180 males and n= 120 females. We performed a total of n= 45 (15%) neurosurgical interventions, the most common intervention being craniotomies performed in n= 31 (68.66%) patients. Of all the patients who underwent an intervention 64.44% had immediate intervention 20% had planned intervention as non-emergency cases, and 15.55% had delayed intervention. A one point increment in the GCS score is associated with 50% lower odds of surgical intervention having a p value of <0.001. The mortality rate in our study population was 6%.  Conclusion: We found that the length of stay and mortality are associated with an increased age and lower GCS score of the patients, care should be taken when evaluating the patients as some cases require delayed intervention hence monitoring is of prime importance.
Advances in medical education; comparing the perceptions of the faculty and the students towards e-learning vs. traditional learning in a public sector medical college in Pakistan.
Authors: Kamal Zahid , Jamil Ahmad Zeeshan , Waseem Muhammad , Iqbal Muhammad Junaid , Aziz Nauman , Afzal Hafiza Swaiba
Published: May 2021

Objective: E-learning is a growing need of modern day education generally and of medical universities particularly. This study is targeted to compare and assess different perceptions of the faculty and the students towards e-learning at a public sector medical college. Study Design: Cross-sectional study. Setting: Department of Medical Education, Sahiwal Medical College, Sahiwal. Period: 1st May 2020 to 31st May 2020. Material & Methods: The questionnaire was sent to all the participants by Whatsapp because of COVID-19 pandemic. MBBS students of 4th year and final year MBBS and all the faculty members of clinical and basic medical sciences were included in the study. The participants had to choose among options of ‘agreed, neutral and disagreed‘. Results: The response rate of faculty members was 91.66% and that of undergraduate students was 91%. Among faculty members, 34 (51.50%) were males while 32 (48.50%) were females. Female students were having majority of participation (60.40%). Most of the faculty and students were disagreed with the fact that ‘E-learning is a suitable means of education for students in Pakistan’. Though there was an overwhelming agreement of students (80%) and staff (88%) with agreement on the point that ‘information and communication technologies (ICT) play an effective role in promoting education’. Fifty three percent of students and 67% of the faculty members agreed that ‘E-learning systems can fulfill the challenging needs of present times’. Conclusion: Our study concludes that there are some reservations of both students and the faculty regarding usage of e-learning over traditional learning at public sector medical college. In our study while comparing, the majority of both the groups were having almost same opinions related to implementation of e-learning methodology.
Potential use of azithromycin alone and in combination with ivermectin in fighting against the symptoms of COVID-19.
Authors: Faisal Rizwan , Shah Syed Furqan Ali , Hussain Mazhar
Published: May 2021

Objectives: To compare efficacy of azithromycin alone and in combination with ivermectin against the duration of novel corona virus symptoms. Study Design: Cross-sectional study. Setting: Shah Care Hospital, Peshawar. Period: April 5, 2020 to May 30, 2020. Material & Methods: Total patients included in the study were 100. Patients were divided into two groups by systematic random sampling: Group A: who received AZM (500mg once a day for 5 days), Group B: who received Ivermectin (12mg once a day for 5 days) and AZM (500mg once a day for 5 days). All the participants were informed to revisit hospital as soon as symptoms (at least two of the mentioned symptoms) like fever, fatigue, sore throat, cough, body aches/myalgia, anosmia/hyposmia, ageusia/hypogeusia and diarrhea disappears at least for 3 days (the actual day on which symptom(s) disappeared was noted). They were also advised to revisit hospital if they feel any inconvenience with the treatment or they notice worsening of the symptoms. The efficacy of the two regimens was based on the duration of disappearance of symptoms. RT-PCR was repeated after 15 days of the diagnosis and on day 21 who came positive on day 15. Results: In group A, the symptoms of 34% patients started to disappear during 3-5 days (mean±SD, 4.86 ± 0.42 days) following therapy, it disappeared during 6-8 days (7.18 ± 0.37) in 28% patients, 22% were symptom free during 9-10 days (10.12 ± 0.12), and 16% took ˃10 days to become symptom free (12 ± 0.26). Similarly, 52% of group B patient were relieved during 3-5 days (4.01 ± 0.32) of therapy, 36% were symptom free during 6-8 days (6.32 ± 0.14), symptoms of 8% disappeared during 9-10days (9.06 ± 0.25), and 4% took ˃10 days (11 ± 0.0) to become symptom free. Conclusion: Combination of ivermectin and azithromycin was more effective in making patients symptom free than azithromycin alone.
Comparison of montelukast versus montelukast plus inhaled corticosteroid (Budesonide) in children with mild persistent asthma.
Authors: Rai Versha , Chohan Muhammad Nadeem , - Nazimuddin , Bux Khuda , Chacher Saadullah
Published: May 2021

Objective: To compare therapeutic response between Montelukast versus Montelukast plus inhaled corticosteroid (Budesonide) in children having mild persistent asthma. Study Design: Randomized Controlled Trial. Setting: Department of Pediatrics Medicine, National Institute of Child Health, Karachi. Period: 1st April 2016 to 30th September 2016. Material & Methods: Children aged 2 years to 14 years having mild persistent asthma for more than 6 months were included. After treatment Good response was considered when, forced expiratory volume in first second (FEV1) became >7.5% from baseline. Group A was given montelukast as monotherapy once daily and Group B was given Montelukast along with inhaled corticosteroid (Budesonide.  At 6 weeks followup change in FEV1 was recorded. Result: Mean age of the patients in montelukast alone (Group A) was 6.77+/-2.16 years while in montelukast with Inhaled Corticosteroid (Group B) was 6.97+/-2.17 years. Duration of disease in Group A was 18.32+/-6.12 months while in montelukast with ICS group was 18.50 +/-6.08 months. Baseline FEV1 in Group A was 81.83+/-0.85% while in Group B was 82.05 +/-0.63%. Males were higher with 131 (61.8%). Family history was positive in 82 (38.70%) patients. After 6 weeks mean FEV1 was 89.49 +/-0.87% in Group A while in Group B was 89.53+/-0.86%. Overall good responses were found in 21 (9.09%) patients. In Group A, good response was found in 5 (4.7%) patients while in Group B was in 16 (15.1%) with significant p-value. Conclusion: In our study montelukast along with inhaled steroids had better response than montelukast alone in mild persistent asthma.
Deviated nasal septum in covid-19 patients: A case control study in DHQ Teaching Hospital, Mirpur, Azad Jammu and Kashmir Pakistan.
Authors: Kaleeem M. , Aslam Sidra , Ahmed Ejaz , Zeb M. Aurang , Bashir Faisal , Iqbal Syed Manzoor
Published: May 2021

Objective: The following study aimed to correlate the prevalence of COVID-19 and the rhino pathological conditions simultaneously in the population visiting the hospital of Mirpur, Azad Jammu and Kashmir. Study Design: Case Control Study. Setting: DHQ Teaching Hospital, Mirpur, Azad Jammu and Kashmir. Period: April to July 2020. Material & Methods: Patients visiting the DHQ teaching hospital, Mirpur, Azad Jammu and Kashmir for their COVID-19 related symptoms were included in the study. Demographic data was obtained. Prevalence of DNS was recorded for further statistical analysis of the symptoms in the population. Results: The results demonstrated that these rhino pathological conditions exists with the prevailing COVID-19 or may even aggravate the situation. Although DNS is not among the typical symptoms of the COVID-19 but it may add to the results of PCR testing following swab testing. Conclusion: Rhino pathological conditions may alter or obstruct the airway passages hence making the test for COVID-19 by swab difficult and unapproachable.
Influence of high frequency rotating magnetic field on the effect of heating magnetic fluid
Authors: Andrzej Skumiel
Published: May 2021

The article describes the necessary conditions for the phenomenon of thermal energy release in a magnetic fluid placed in a high-frequency rotating magnetic field. The minimum amplitude of the magnetic field was calculated and the thermal power released (by the rotating spherical nanoparticles in the viscous medium) was estimated. The estimations were based on the assumption that the magnetic relaxation times (τN and τB) and the magnetic field rotation period (τrot) meet the condition: τN>>τrot>>τB. The principle of operation and construction of the device generating a high-frequency rotating magnetic field is described. Preliminary experimental studies were carried out using a magnetic fluid with magnetite nanoparticles that indicated magnetic relaxation as the cause of the released heat. The value of the absorption rate in the experiment and its dependence on the strength of the magnetic field were determined.
Tunable induced transparency and Fano-resonance in double cavity optomechanical system
Authors: Anjan Samanta , Kousik Mukherjee , Paresh Chandra Jana
Published: May 2021

We analyze optomechanically induced Transparency and asymmetric Fano-line shape Profile in a two-mode cavity system, coupling at weak and strong coupling regimes. The model system consists of one mechanical mode and two optical modes. The transmission shows nonreciprocal behavior. Both the forward transmission and backward reflection for the system are analyzed for both optic-optic and mechanical-optic cavities by considering various system parameters. The output spectra lead to sharp asymmetric Fano-resonance and tunable transparency. Double line-shape profile is observed in the output Spectrum. Our proposal provides a new platform for application in quantum telecommunications and a photonic device like optical Switches.
Medical History Taking Using Electronic Medical Records: A Systematic Review
Authors: Lino Luis , Martins Henrique
Published: May 2021

ABSTRACT

Background:

The relationship between digital tools and medical history taking (classically referred to as anamnesis) in clinical settings is problematic. We explored the medical history taking context, how data is managed by physicians and patients and which tools are used, particularly electronic health record, to gather, organize and record patient’s medical history and related health data.

Materials and methods:

Systematic review of the literature following PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analysis) guidelines, using published studies in English-language available from PubMed and Cochrane databases, using a combination of Medical Subject Headings and keywords. Our search yielded 162 citations of which 18 corresponded to our criteria and were included, regardless of study design, sample size or measurement type as a variety of perspectives and methodologies was deemed useful for an exploratory review and under a socio-technical research epistemology. The small number of publications related to the topic conditioned our analysis.

Discussion:

This review shows the paucity of relevant studies in the area of interest. Even thought it was possible to evaluate context changes in history taking that relate to EHR implementation and usage. Also, multiple challenges, benefits, risks and workflow adaptations have impacts on medical history taking. A potentially useful workflow adaptation is the access to the EHR previously or during the patient encounter with him or her.

Conclusion:

With the ever-increasing adoption of EHRs and its varying influence in clinical practice, physician’s adaptability was strained. Multiple workflow challenges and necessary changes regarding EHR use have been identified. Improving anamnesis practice is possible through better documentation, EHR templates and tools. Yet a new aspect of anamnesis – Digital anamnesis – benefits from better conceptualization and integration with classic anamnesis still taught in traditional medical schools. This study points to implications for medical schools and medical education in general.

Highlights:
Analisis Tingkat Risiko Bahaya K3 pada Pengelolaan Apartemen Menggunakan Metode Hazard Operability Study (HAZOPS)
Authors: Bastuti Sofian
Published: May 2021

Perusahaan pengelolaan apartemen ini beralamat di Jalan Marsekal Suyadarma No. 1 Tangerang adalah salah satu perusahaan yang bergerak dibidang pengelolaan gedung (Property Management) yang mempunyai enam divisi. Setiap divisi mempunyai potensi bahaya sebagai indikasinya adalah terjadi 18 kasus kecelakaan dalam kurun waktu 2014 sampai 2017. Riset ini bertujuan untuk mengidentifikasi potensi bahaya yang menyebabkan kecelakaan kerja. Dalam riset ini upaya untuk pencegahan terjadinya kecelakaan kerja akan dilakukan menggunakan metode Hazard Operability Study (HAZOPS). Hasil dari penelitian ini adalah terdapat 45 potensi bahaya kecelakaan kerja yang ada di enam divisi yaitu divisi Staff management building 31%, Divisi Engineering 18%, Divisi Parking 9%, Divisi Housekeeping 24%, Security 2%, Vendor/Subcon 16%. Divisi yang mempunyai jumlah potensi bahaya terbanyak yaitu divisi Staff management building 31%. Kemudian untuk tingkat risiko Tinggi 33%, tingkat risiko Sedang 51%, tingkat risiko rendah 16%. Jadi potensi bahaya yang tingkat risiko ekstrim tidak ada. Perbaikan dilakukan dengan mengacu ke hirarki pengendalian potensi bahaya: eliminasi, substitusi, rekayasa engineering, pengendalian administratif dan alat pelindung diri (APD).
Evaluasi Kondisi Kerja pada UMKM Percetakan Menggunakan Work Improvement in Small Enterprises (WISE)
Authors: Sari Novi Devita , Iftadi Irwan , Suletra I Wayan
Published: May 2021

Percetakan XYZ merupakan salah satu UMKM yang memproduksi tulisan atau gambar untuk kepentingan periklanan, salah satunya adalah spanduk. Percetakan tersebut mempunyai beberapa permasalahan terkait kondisi kerja serta belum adanya kesadaran dalam menerapkan Keselamatan dan Kesehatan Kerja (K3) di tempat kerja. Tujuan penelitian ini adalah melakukan evaluasi kondisi kerja serta merancang usulan perbaikan untuk kondisi kerja yang lebih produktif dan sesuai dengan pedoman K3 di percetakan XYZ. Program Work Improvement in Small Enterprises (WISE) dengan pendekatan Participatory Action Oriented Training (PAOT) dilakukan dengan melibatkan partisipasi aktif dari pemilik usaha serta pekerja dalam melakukan evaluasi kondisi kerja, pembuatan rencana aksi perbaikan serta implementasi usulan perbaikan. Hasil evaluasi kondisi kerja menggunakan daftar periksa WISE, menunjukkan terdapat 13 elemen periksa yang membutuhkan suatu usulan perbaikan. Melalui metode focus group discussion (FGD) didapatkan hasil bahwa perbaikan yang akan diprioritaskan untuk diimplementasikan dalam waktu dekat adalah 4 elemen periksa karena mempertimbangkan faktor biaya, waktu, dan sumber daya manusia di lapangan. Perbaikan pertama adalah pembuatan jadwal rutin untuk pemeriksaan mesin serta jaringan kabel listrik dengan penerapan 5R. Perbaikan kedua adalah pembuatan tanda bahaya pencegahan kebakaran. Perbaikan ketiga adalah pembuatan tanda himbauan pemakaian pelindung diri masker dan sarung tangan. Perbaikan keempat adalah pembuatan label untuk menuliskan identitas produk sehingga memudahkan pekerja mengenali produk yang berada di area penyimpanan. Evaluasi serta usulan perbaikan kondisi kerja tersebut dapat membantu UMKM dalam meningkatkan kesadaran akan K3 dan mengurangi risiko terjadinya kecelakaan kerja.