bluuebunny/crossref_metadata_2025 huggingface dataset:
PENYULUHAN TENTANG PROTOKOL KESEHATAN BAGI MASYARAKAT UNTUK MENCEGAH TERJADINYA PENYEBARAN VIRUS CORONA DI UPTD PUSKESMAS SYAMTALIRA BAYU KABUPATEN ACEH UTARA
Authors: Subki Subki , Hafsah Us Hafsah Us , Myrna Lestari AB Myrna Lestari AB , Aida Fitriani Aida Fitriani , Sirajus Savina Sirajus Savina , Nurul Akla Nurul Akla
Published: June 2022

Latar Belakang: Peningkatan jumlah kasus Covid-19 berlangsung cukup cepat,dan telah menyebar ke berbagai Negara dalam waktu yang cepat. Sampai dengan 9 Juli 2020, WHO melaporkan 11.840.226 kasus konfirmasi dengan 545.481 kematian di seluruh dunia (Case Fatality Rate/CFR 4,6%). Indonesia pertama kali melaporkan kasusnya pada tanggal 2 Maret 2020. Di Indonesia kasus Covid-19 meningkat dan menyebar dengan cepat di seluruh provinsi, kabupaten/kota diseluruh wilayah Indonesia. Pada tanggal 9 Juli 2020 Kementrian Kesehatan Republik Indonesia melaporkan 70.736 kasus konfirmasi Covid-19 dengan 3.417 kasus meninggal (CFR, 4,8%) (Kemenkes RI, 2020a).

Tujuan :Untuk mencegah terjadinya penularan dalam skala luas dan dapat menimbulkan beban besar terhadap aktifitas pelayan kesehatan seperti halnya puskemas Syamtalira Bayu Aceh Utara

Metode : Metode atau bentuk kegiatan yang digunakan adalah program pendidikan masyarakat melalui Edukasi Protokol kesehatan bagi masayarakat untuk mencegah terjadinya virus-Corona di puskemas Syamtalira Bayu Aceh Utara yang dilakukan 1 hari kegiatan

Hasil: Kegiatan dilakukan di Puskemas Syamtalira Bayu Kabupaten Aceh Utara dengan 60 peserta yang berkunjung dengan hasil sebahagian besar pengetahuan adalahkurang(52,%). Setelah diberikan EdukasiProtokol Kesehatan, pengetahuan peserta meningkat yaitu berpengetahuan baik sebesar 73, %.

Kesimpulan: Setelah diberikanpendidikan melalui Edukasi protokol kesehatan pada masyarakat terjadi peningkatan pengetahuan peserta sebesar 18,%

Kata Kunci : Protokol Kesehatan, Masyarakat, Virus-Corona
PENATALAKSANAAN HIPERTENSI PADA PKK BANJAR PADANG TAWANG CANGGU
Authors: Suantika Putu Inge Ruth , Ni Made Manik Elisa Putri Ni Made Manik Elisa Putri
Published: June 2022

Hasil Riset Kesehatan Dasar (2013) menunjukkan bahwa prevalansi penyakit hipertensi di Indonesia sebesar 26,5%.  Berdasarkan hasil Riset Kesehatan Dasar (RISKESDAS) 2018 prevalansi penyakit hipertensi di Bali sebesar 30% atau provinsi Bali menempati urutan ke 16 sebagai penyumbang hipertensi terbanyak di Indonesia. Semakin meningkatnya umur prevalansi penyakit hipertensi juga meningkat.  Prevalansi hipertensi yang selalu meningkat salah satunya disebabkan oleh gaya hidup yang tidak sehat seperti makanan tinggi lemak dan asin, obesitas, stress, merokok, dan konsumsi alkohol . Salah satu upaya pencegahan komplikasi hipertensi yaitu melakukan kontrol tekanan darah secara berkala , pengaturan diet, manajemen stress dan penggunaan obat-obatan herbal sebagai pendukung faramakologis. Kegiatan pengabdian masyarakat difokuskan pada masyarakat kelompok PKK Banjar Padang Tawang Canggu yang dilaksanakan secara online karena berhubung dengan pandemi corona. Dari hasil penyuluhan didapatkan respon yang positif dari para peserta responden. Hambatan yang dialami selama proses penyuluhan secara online  adalah jaringan internet dan kesibukan serta minat yang masih kurang dari para peserta penyuluhan.
Peningkatan Pemahaman dan Pelaksanaan Protokol Kesehatan Untuk Memutus Rantai Penyebaran Virus Corona di Bank BPD Bali Kantor Cabang Mangupura Tahun 2021
Authors: Wahyuningsih Nita , Susanti NLP Dina
Published: June 2022

Berbagai upaya telah dilakukan pemerintah Indonesia dalam menanggulangi kejadian Covid 19 yang telah mengalami mutasi dengan muculnya varian baru, sehingga lonjakan angka kejadian yang tinggi kembali dialami oleh masyarakat Indonesia. Protocol kesehatan kembali diperketat pada fasilitas public dan sector pelayanan yang tidak bisa menerapkan work form home (WFH). Pemerintah telah memberlakukan pembatasan kegiatan masyarakat guna memutus rantai penyebaran virus Corona dengan beberapa aturan, salah satunya adalah penerapan 100% work from office (WFO) pada sector esensial seperti lembaga keuangan (Bank) dengan penerapan protokol kesehatan yang ketat.

Kata Kunci: protokol kesehatan, covid 19
Health Education in Primary Schools: A Difficult Task
Authors: Masson Philippe , Racodon Michael , Porrovecchio Alessandro , Duchateau Guillaume
Published: June 2022

This study was conducted in a medium-sized French city, in a neighbourhood falling into poverty, with children aged from 9 to 10 years old. Its aim is to build an adapted strategy to improve children’s healthy habits. Our study was based on a mixed methods interdisciplinary approach using interviews, questionnaires, sleep diaries and accelerometers. The unemployment rate of the target population is above 40%, and the families have four children on average. The children of the sample (N=29) practice less physical activity than recommended by the institutions in charge of health matters. The parents correctly manage the sleep cycles of their children, and stand firm when they have to go to school the next day. When the next day is a non-school day, children play more video games in the evening, both on their own and with their families. Healthy habits can be improved through cooperation with the various members of the educational community (parents, teachers and structures in charge of the children). Since it is difficult to manage health education solely during PE classes, this process must be continued both inside and outside school by the community, even more so the family.
The Impact of Sport on the Health Related Quality of Life of Primary School Children
Authors: Halasi Szabolcs , Lepes Josip
Published: June 2022

By participating in some organized physical activities, even at school or in a sports association, children will have an impact on their intellectual, emotional and socialization abilities, as well as develop their motor skills and abilities. As a result, an athlete’s health will also be at a higher level and their Healthrelated quality of life (HRQOL) will change. In the survey, we were researching if there is a difference in the results of the HRQOL dimensions of lower-grade athletes and non-athletes at Ferenc Gál University’s Szarvasi Training Primary School and Training Kindergarten. In the cross-sectional study, 89 parents responded to questions in the Kidscreen-27 / proxy questionnaire, which asked about their child’s subjective quality of life and its relationship with sports. Based on the statistically processed data, it can be shown that young athletes have higher HRQOL values compared to their non-athlete counterparts in all dimensions. From this, we can conclude that sport has a positive impact on the health and well-being of athlete students, their relationships with family and friends, and their effectiveness at school.
An In Situ Decarbonation Kinetic Study of Calcite Using Synchrotron Radiation XRD
Authors: Liu Chuanjiang , Han Kenan , Wang Duojun
Published: June 2022

In situ decarbonation kinetics of calcite were investigated at high temperatures, up to 900 °C, using synchrotron radiation powder X-ray diffraction. The sequence of X-ray diffraction spectra reveals that calcite begins to thermally decompose into lime (CaO) and CO2 at 800 °C and ambient pressure. The decarbonation degree gradually increases with temperature, and calcite completely transforms into lime at 900 °C. The kinetic analysis of the isothermal data using an Avrami model involving nucleation and growth yields the values for the decarbonation rate and reaction order. Our results indicate that the decarbonation rate increases from 2.89 × 10–4s–1 to 3.48 × 10–3s–1 with elevated temperature from 840 to 880 °C, showing a positive temperature dependence on the reaction rate. The calculated Avrami exponent (n) values between 1.35 and 2.38 suggest that the thermal decomposition of calcite should be mainly dominated by homogeneous nucleation and CO2 diffusion-controlled growth. In natural carbonate fault rocks, the decarbonation of CaCO3 caused by frictional heating may be strengthened by the action of high shear velocity. In addition, the resulting ultrafine powder and CO2 pressurization can remarkably reduce the friction coefficient between two fault planes, which further leads to carbonate fault weakening. The yielding result will be conductive to better understanding the role of decarbonation of calcite in some active fault zones.
Management of Tibial Plateau Fractures in a Tertiary Care Hospital
Authors: Bhukya Tejkumar
Published: June 2022

Background: The multitude, diversity, and complexity of tibial plateau fractures make them difficult to treat. In theliterature, the indications for non-operative vs operative management differ substantially. Varied surgeons haveadvocated for different treatment procedures, with some advocating for conservative management and others advocatingfor aggressive management.Objectives: To compare the surgical management of tibial plateau fractures with percutaneous CC screw fixation, ORIFwith plating and CC screw fixation and universal mini external fixator.Methods: After the diagnosis of 30 patients has been established, the patient was informed of the fracture and the necessityfor surgery. The consent is obtained, and pre-operative planning is done. The Schatzker classification was used to classifyall Tibial plateau fractures prior to surgery. After a minimum of six months post-surgery, patients were followed upperiodically. The functional outcome of the knee was assessed using the Rasmussen score and the knee society score forall patients who met the inclusion criteria.Results: The average time for tibial plateau fracture union was 18 weeks (range from 18-22 weeks). In majority of thecases, around 50% had union of tibial plateau fracture by 16th weeks, 40% had fracture union by 18th week. 7% had fractureunion by 20th week, 3% had fracture union by 22nd week.Conclusion: PCCS or PF + CC screw fixation can attain near anatomical repair of the articular surface of the tibial plateaufracture. Since they are confined to the pattern of the fracture and its size, each of the three procedures employed to treattibial plateau fractures has its own array of pros and cons.
A Cross Sectional Study to Assess Prevalence, Pattern,Trend and Impact of Substance Abuse among Medical Students
Authors: Dattatraya Dinna Bant  , Sushma H R  , A Akshay Subramanian  , Bushra Jabeen
Published: June 2022

Background: Substance abuse remains a covert yet well known phenomenon among medicos and medical practitionersglobally, and Substance abuse assumes special significance among the medical students as they are the future medicalpractitioners and have a potential role in treating and counselling[4] the patients of substance abuse disorder. Medicaleducation has always been regarded as highly stressful[5]. Although, only the academic minded youth in the society tendto be selected for medical education, the stressful academic environment can exert a negative effect on the psychologicaland physical well being of medical students. The doctors are vulnerable to Substance abuse due to their ready accessibilityto the substance .Methods: A cross sectional study was conducted among 232 medical students of Karnataka Institute Of Medical Sciencesand various other medical colleges of Karnataka with the help of a structural questionnaire .Conclusion: It is observed that majority of the participants have adequate knowledge and practices regarding substanceabuse. But some fraction of them indulged in substance abuse despite knowing their ill effects. They use various substancessuch as alcohol, marijuana, cigarettes in various forms such as powders, inhalants, injections, liquid forms etc. Howevertrend towards increasing proportion of substance abuse was observed among students of medical field.The findingssuggest that substance abuse in medical students frequently precipitates severe lapses in professionalism and too oftenendangers the life of not only the students who are using it but also the life of peers and others they may care for/treatin the future.
Comparison of 0.2% Ropivacaine with 0.25 % Levobupivacaine in Ultrasound Guided Transverse Abdominis plane block for Postoperative Analgesia in LSCS
Authors: Dilshad Kauser  , Sherry Mathew
Published: June 2022

Background: Transverse abdominis plane block is effective modality of post operative analgesia for anterior abdominalwall surgeries . Women undergoing LSCS need good pain relief for comfort and early recovery and mobilization.Ultrasound guided transverse abdominis plane block is safe and effective way for postoperative analgesia.Objectives: The primary objective is total duration of postoperative analgesia. The secondary objective is to compare anyside effects.Methods: 80 primigravida ASA 1 status, undergoing LSCS were recruited in this prospective randomized study. Theywere divided into two groups ,group R ropivacaine ,who received 20 ml 0.2% ropivacaine, and group L patients whoreceived 20ml 0.25% of levobupivacaine via TAP block under ultrasound guidance. Postoperative pain was assessedusing the visual analog scale upon arriving at the recovery room ,just prior to being discharge to ward and at 6hrs,12hours,18hrs,and 24hrs postoperatively to compare the effectiveness of analgesia.Results: A total of 80 patients were analyzed . Duration of analgesia was significantly longer in L group 10.94+0.62hrscompared to group R 8.16+0.36hrs(p<000.1),mean consumption of diclofenac was 150.77+14.90mg and 75.88+28.77 mg ingroup R and and L respectively p<0.005).Conclusion : Postoperative analgesia is better with 0.25%levobupivacaine as compared to 0.2% ropivacaine.
Treatise on the Distribution of the use of a Follow-Up Midwife by Academically Educated Mothers Compared to Non-Academically Educated Mothers
Authors: Friederike Harrich
Published: June 2022

In the publication „Guiding principles for complementary feeding of the breastfed child“, the WHO clearly advocates thatexclusive breastfeeding in the first six months after birth is essential for the development of the newborn. Of particularinterest is the possible difference between academic and non-academic women, which has not yet been sufficientlyinvestigated. First, however, there is the question of how children are cared for after birth, when the professional situationof mothers has changed considerably due to a changed image of women in society. Decisions about this are increasinglychanging and subject to strong fluctuations over time. In the context of an emancipated and constantly changing image ofwomen, a new understanding is developing which requires statistical processing.4, 6, 7, 14For this purpose, Dr. med. Friederike Harrich interviewed mothers about their situation and evaluated them in a largescalestudy. This study was compared with two other studies in order to pool the data.1, 2, 3, 4, 6, 7, 8, 9, 10, 11, 12, 13, 14This study, which is part of a larger series of surveys, looks at the distribution of the use of a follow-up midwife by motherswith academic training compared to mothers without academic training and presents the differences and similaritiesdepending on the mother‘s level of education.4, 6, 7
Impact of dental Fluorosis on quality of life of a group of Children in a Rural area in Nubia Region.
Authors: Ghada Tawfik  , Nancy Khattab  , Mohamed A. El-Yazeed  , Ehab M. Radwan  , Marwa Saber Abd El Salam
Published: June 2022

Background: Dental fluorosis is an oral condition caused by the ingestion of fluoride ions present mainly in drinkingwater. High fluoride level in drinking water may cause dental signs and symptoms that may affect the individual’squality of life. Aim: Assess dental fluorosis prevalence among Nubian children and estimate its effect on the quality of lifethrough an oral health related quality of life questionnaire. Methods: The current study was performed on participantswith age range 7-14 years in a rural region in Nubia with number of population 202. Subjects were examined clinicallyfor Dental fluorosis using modified Dean’s Index. Quality of life of children was evaluated using Oral Health relatedQuality of Life questionnaire (OHQoL). Results: it was found that mean fluoride level of water in Nubia was 8 mg/L,mean Fluorosis status in children was 2.31. There was no correlation between DF and OHQoL domains except for; ‘selfconcious’ and ‘difficult to relax’ items which recorded moderate positive significant correlation. Conclusion: OHQoLrevealed that DF had low impact on quality of life of Nubian children.
A Case report of Hypersensitivity Pneumonitis presenting with Pneumomediastinum
Authors: Godbole Manas Shailesh  , Manvi Sharma  , Monika Sharma
Published: June 2022

A 24-year-old woman from the ambala presented to her general practitioner with exertional dyspnoea. There was a delayin diagnosis of the underlying respiratory condition, due to initial investigations being suggestive of cardiac disease.Subsequently, the patient developed clinical symptoms and signs of pneumomediastinum, which was discovered onradiological imaging. Detailed history-taking and further clinical testing confirmed the cause of this to be hypersensitivitypneumonitis due to sensitisation to pet birds. The patient was treated with high dose steroids and went on to make a goodrecovery. The birds were rehomed.
Adrenal Insufficiency due to Total Primary Empty Sella Syndrome
Authors: Monika Sharma  , Yatharth Bansal  , Tejinder Talwar
Published: June 2022

A 64-year-old woman was transported suffering from persistent lower abdominal pain, vomiting, and low-grade fever.Magnetic resonance imaging revealed an empty sella (ES) and hormone tests revealed a disappearance of diurnal variationof cortisol, low cortisol and adrenocorticotropic hormone (ACTH) secretion especially in the morning, and poor ACTHcortisolaxis reaction, as well as normal hypothalamus-pituitary gland-thyroid or adrenal gland axis hormone reaction.The cause of ES remained unclear; however, based on a diagnosis as adrenal insufficiency due to inappropriate ACTHsecretion caused by total primary ES syndrome, we started hydrocortisone (15 mg/day). Afterwards, she immediatelybecame symptom-free and was discharged.
Awareness and Attitude about Nurse Led Clinic (NLC) among Health Care Professionals
Authors: Kavita Bhoknal  , T Sivabalan
Published: June 2022

Background: Nursing binds human society with a bond of care and affection. Nursing is a calling to care, which offersan oasis of poignant stories and pool of challenges. The scope of nursing practice has expanded and extended to differentsettings other than hospital only.Nurses deal with the most precious thing in this wide world the human life. The presentstudy was undertaken with an aim to determine the awareness and attitude towards Nurse Led Clinic (NLC) amonghealth care professionals.Material and Methods: A descriptive study, was carried out among 105 health care professional (30 Nurses, 30 Physicians,30 Dentistand 15 Physiotherapist of Pravara Rural Hospital Loni Bk to assess awareness and attitude about Nurse ledclinic. The participants was selected by simple random sampling technique, and self prepared and content validatedstructured questionnaire (for awareness) and rating scale (for attitude) was used for data collection. The descriptivestatistics (mean, SD) and inferential statistics (chi square test) was applied wherever required.Results: The overall knowledge scorefor nurse was(7.56±2.06), for physician (8.76±2.96), for dentist (9.0±2.92) and forphysiotherapist the score was (7.52±2.97) which is >50% indicating averagelevel of knowledge on NLC. In line with,overall attitude score for nurse was (85.8±5.0) for physician (76.3±11.6), for dentist (79.1±10.7) and for physiotherapistthe sore was (72.8±7.56) which is >73% indicating average to good attitude on NLC. It was noted that the demographicvariables like age, gender, previous knowledge, work experience had significant association with knowledge and attitudeon NLC at 0.05 level.Conclusion: The study findings showed thathealth care professionals hadaverageknowledge and good attituderegardingthe nurse led clinic. The health care professional’s demographic variables had significantly associated with thestudy variables. There was a weak correlation was observed between the study variables.
A Study to Compare the Effectiveness of Active Release Technique Versus Deep Friction Massage on Pain, Grip Strength and Functional Performance in Patients with Chronic Lateral Epicondylitis
Authors: Priyanka Dabkara  , Jeban Daniel  , Mayuri Sharma  , Arindam Bose
Published: June 2022

Background and Objectives: Lateral epicondylitis is a very common overuse syndrome in the elbow. It is an injury whichinvolves the extensor muscles of the forearm. The most frequent location of the involvement is in the musculotendinousjunction of the extensor carpi radialis brevis muscle. It leads to pain, reduced grip strength and functional impairmentsaffecting individual’s lifestyle. Active release technique and deep friction massage both are effective techniques in thetreatment of lateral epicondylitis. This study focuses on the comparative perspective of these soft tissue techniques alongwith the conventional treatment in terms of relief to the patients suffering from lateral epicondylitis.Study Design: Experimental design comparative in nature.Method: This study was done on 30 subjects who were divided equally into two groups. Group A received active releasetechnique along with the conventional treatment for lateral epicondylitis and group B received deep friction massagealong with the conventional treatment. Each patient was assessed on 1st, 11th and 21st day using Numeric Pain Rating Scale(NPRS), hand dynamometer and Patient Rated Tennis Elbow Evaluation (PRTEE) questionnaire.Result: Statistical analysis of the data revealed that both the therapies produced improvement in pain, grip strength andfunctional activity status among patients with chronic lateral epicondylitis but according to independent t-test there washighly significant difference between active release technique and deep friction massage groups. The study confirmedthat the effect of therapy in group B is more effective rather than group A by NPRS scores but on PRTEE and gripstrength effect of therapy in group A (ART) was more effective rather than group B (DFM). And by paired sample test therewas statistically significant difference between before and after program in group A and group B among chronic lateralepicondylitis patients.Conclusion: The study concluded that active release technique and deep friction massage both are effective treatments ifdone along with the conventional treatment. Active release technique demonstrated better improvement than the deepfriction massage in the management of lateral epicondylitis.
Neutrophil - Lymphocyte ratio as a predictive marker for Early Stage Diabetic Nephropathy
Authors: Raghavendar Reddy Gundepalli  , Veeda Mohan Kumar  , A. Raghuram Bhargavi
Published: June 2022

Background: Diabetic nephropathy is a diabetic microvascular complication. An increase in urine albumin excretion isthe clinical manifestation. Total white blood cell count is a basic but sensitive measure of inflammation that has beenevaluated as an inflammatory marker in a variety of cardiac and noncardiac ailments such as stroke, acute myocardialinfarction , and heart failure.Objective: To analyze Neutrophil-lymphocyte ratio as a predictive marker for early stage diabetic retinopathy.Methods: The research enrolled 230 individuals, with 115 of them having type 2 diabetes and 69 having Early Stage DN.The control group consisted of 115 healthy volunteers of similar age and gender. All of the patients’ samples was collectedand tested for HBA1c, CBC, FBS, PPBS, RFT, Urine microalbumin, and Urine albumin creatinine ratio. The Mogensen DNdiagnostic criteria and the American Diabetes Association was usedResults: This research had a total of 230 participants. Diabetic nephropathy patients and non-diabetic nephropathy patientswere divided into two groups. NLR was shown to have a substantial relationship with neutrophil and lymphocyte counts.In the DN group, mean neutrophil counts increased while mean lymphocyte levels decreased, resulting in a substantiallyhigher NLR value in the patient group than in the control group. The patient group’s mean NLR values were considerablyhigher than the control group’s (P 0001), and the NLR values of patients with early stage DN were significantly higherthan those of patients without early stage DN (P 0001). The results reveal that DN was associated with NLR, Creatinine,and Insulin Resistance.Conclusion: NLR might be used as a predictor and predictive risk factor for early-stage diabetic nephropathy. This testis affordable, routinely performed, and easy to compute. NLR can be a cost-effective alternative marker as a predictor ofDiabetic Nephropathy in a setting with constrained laboratory resources.
Effects of Prolonged Use of Face Masks among Healthcare Workers Working in a Tertiary level Hospital in Kathmandu, Nepal
Authors: Rajesh Karki  , Asmita Lamicchane  , Aarati Timsina
Published: June 2022

COVID-19 is a pandemic threat that affects every aspect of life on the planet. Hundreds of thousands of cases werediagnosed around the world in a short period of time. Health workers are critical to the health-care system and play acritical role during global pandemics. They are also a high-risk group that must wear a face mask for extended periodsof time. The purpose of this study was to determine the effects of prolonged facemask use on healthcare workers. Adescriptive cross-sectional study was conducted at Shahid Gangalal National Heart Centre, Kathmandu, Nepal. Theinformation from 335 healthcare personnel was collected using a self-administered questionnaire technique. This studyincluded all of the hospital’s healthcare workers from various departments. The descriptive analysis was carried out usingSPSS statistical software, version 26. Out of 355 respondents, the majority of responders (69.9%) were under 30 years old,with a mean age of 29.03 (± 4.7) years. Regarding the effects of wearing a face mask for a longer length of time, 99.70 % ofthe health workers experienced some sort of effect. The most prevalent effects were pain behind the ear (84.2%), difficultduring exertion (71.0%), headache (57.6%), and the least common was alteration in sense of smell (15.2 %). According tothe findings, almost all of the participants experienced some form of effect from wearing a face mask, hence necessaryaction by concerned authorities and participants is required to minimize these effects.
Recurrence Rate after Marginal Excision of Lipomas
Authors: Ramesh Chhaganbhai Badhiya  , R. M Jitia  , Haresh B. Vala
Published: June 2022

Background and Aim: Lipoma is a benign tumor composed of mature adipocytes. This study was performed on patientswith histologically diagnosed and confirmed lipomas to evaluate clinical outcome after marginal excision of the tumorsand to determine whether local recurrence had any correlation with patient age and sex, or tumor size and location.Materials & Methods: The present is the retrospective analysis that examined the 100 patients diagnosed with lipomas. Thetumor in all the patients was found to be deeply seated and ultrasounded guided biopsy was performed preoperatively.The margins of soft tissue resections of the tumor specimens were defined as (1) intralesional, (2) marginal and (3) wide.The margins were marginal in all cases; none of the patients had any treatment other than surgery.Results: It was found that Lipomas had an equal predilection for upper and lower extremities. The results of the studyshowed that none of the patients had any local recurrence. No patient had experienced metastasis at the time of this study.Local recurrence did not correlate with patient age or sex for patients with lipomas, neither with size or location of thetumors.Conclusion: The present study shows that histological analysis provides for accurate diagnosis of lipomas. The recurrencesrate in the patients with tumor was not found in any of the above patients where marginal excision was planned. Therewas no relationship seen in patient age, sex, sie and location of the tumor. However to overcome the limitation of thestudy, the long term follow up is recommended for the further studies.
To Assess the Practices of Nurses Towards Catheter Care for Prevention of Catheter Associated Urinary Tract Infection Among Patients Admitted in Tertiary Care Hospital Bathinda (Punjab)
Authors: Simaranjit Kaur  , Rajwant Kaur Randhawa  , Deepika R Singh
Published: June 2022

Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committedto provide care to sick peoples and strive for the, protection and promotion of health and prevention against diseases andhelps to minimize the risk and risk related injuries .Thus the present Study was planned to assess the practices of staffnurses towards catheter care to prevent CAUTI among Patients Admitted in Tertiary Care Hospital, Bathinda (Punjab)
Objectives 1.To assess the Practices of nurses towards catheter care for prevention of CAUTI among patients 2.To findout the association between practices of nurses towards catheter care for prevention of CAUTI among patients withtheir socio demographic variables. Descriptive survey design was used. A Quantitative Non experimental Approach wasadopted to conduct the Study. 200 staff nurses were selected using Non Probability convenience Sampling Technique .The present study included staff nurses working in intensive care units, cardiac care unit, surgery, medical, orthopaedic and gynaecological and obstetrical wards. A prevalidated tool comprising Socio demographic variables and Self structured practice checklist were used to collect the data.
Do adolescent girls of Coastal Karnataka, India have Knowledge of Integrated Child Development Services (ICDS) Scheme? What is their perception and utilization rate? – A cross sectional study
Authors: Sivanesan S  , Kumar A  , Kulkarni M M  , Kamath A
Published: June 2022

Background: Adolescence is a critical phase in the life of woman. At this stage, she would stand at the beginning ofadulthood. This stage is in midway between childhood and womanhood and it is the most eventful for mental, emotional,social and psychological health and well-being. The life-cycle approach for holistic development of a child remainsunaddressed if adolescent girls are excluded from the nutritional and developmental programmes.Aims/Objectives: To study the awareness, utilization and perception of ICDS scheme by adolescent girls in coastalKarnataka.Methodology: A community based cross sectional study was conducted among 66 adolescent girls in the field practicearea of a tertiary care Hospital in South India.Results: All the adolescent girls were registered. But only 2 beneficiaries were given services in rotation basis for theperiod of 6 months. Among the study subjects, larger proportion were aware of Supplementary Nutrition SN (97%)followed by Iron & Folic Acid supplementation IFA (43.9%) and Nutrition & Health Education NHED (25.8%). Majoritywere utilizing SN (97%) followed by IFA supplementation (30.3%) and NHED (25.8%). SN food of good quality (60.9%)followed by average quality (37.5%) and of adequate quantity (93.8%). It was also found that 92.4% adolescent girls weresatisfied with SN.Conclusions: It is vital to register all the adolescent girls, and ensure that they all avail the ICDS services regularly toimprove the nutritional status. There is a necessity to improve the quality and quantity of food provided as per the hopeof mothers to ensure better utilization.
Personality profile of patients with alcohol related disorders: A cross sectional study in a Medical College of Eastern India
Authors: Sulagna Saha  , Somsubhra Chattopadhyay  , Subhendu Datta  , Ningomban Heramani Singh
Published: June 2022

Background: In India, one of the most common substance for which people seek treatment is alcohol. 17.1% of adultpopulation consume alcohol in India with male to female ratio being 17:1. Various factors have been associated with theonset and maintenance of substance use disorders, for example, family history, getting involved with deviant peer group,presence of other psychiatric comorbidities and personality factors.Methods: 70 people with alcohol related disorders diagnosed by DSM 5 were interviewed with SADQ and NEO FFI3 toassess severity of alcohol related disorders and personality of those patients.Results: The study shows that most of the AUD patients were male. Mean age of AUD patients was 40.96±8.319. Majorityof the AUD patients belonged to rural background. Patients with mild physical dependency had high conscientiousness(40.33±4.73) followed by agreeableness (38.00±5.57) and openness to experience (35.00±3.46). Patients with severe alcoholdependence had high neuroticism (32.25±4.22) and high extraversion (31.50±3.94). Discussion: Previous studies showedagreeableness and conscientiousness were high in alcohol related disorders. Our findings are also in the same way butopenness to experience was neutral in our study. Hence, there was significant association between the personality profilefactors and alcohol dependence and severity of alcohol dependence.
Clinicohematological profile of patients with Pancytopenia
Authors: Vineet Chaturvedi  , Jasvinder Kumar  , Roopak Aggawal  , Granth Kumar  , Pinki Pandey
Published: June 2022

Background: Pancytopenia is common and important clinico-hematological problem encountered in our daily clinicalpractice. The pattern of diseases leading to Pancytopenia is expected to varying in different population groups withdifference in age pattern, nutritional status, and prevalence of infective disorders. The severity of pancytopenia and theunderlying pathology determine the management and prognosisObjectives: To study the etiology and clinic-hematological profile in patients of peripheral blood pancytopeniaMaterials and Methods: This was a prospective study conducted at Uttar Pradesh University of medical sciences, Saifai,Etawah during the period of January 2019 to June 2021.Results: A total of 202 patients (108 males and 94 females) were diagnosed to have pancytopenia. Most of the patientspresented with generalized weakness and fever. The commonest physical finding was pallor, followed by spleenomegaly.The various causes of pancytopenia included infections(n=138), megaloblastic anaemia (MA)(n=44), drugs, aplasticanaemia and subleukaemic leukaemia. We found a significant association between megaloblastic anaemia andpancytopeniaConclusion: The present study concluded that infection and megaloblastic anaemia are the most common cause ofpancytopenia.
EDITORIAL
Authors: Calle Martínez Cristina
Published: June 2022

This volume covers three main areas of interest: first, language learning at university settings is in focus; next, new approaches to enhance Spanish and second language learning in secondary education are presented. Finally, the last section concentrates on CLIL in Primary Education.
DYNAMIC SYSTEMS THEORY APPLIED TO EFL: THE CASE OF NON-BILINGUAL SECTIONS OF 1st OF COMPULSORY SECONDARY EDUCATION STUDENTS IN A HIGH SCHOOL IN MADRID
Authors: Martín González Daniel
Published: June 2022

The present study analyzes some possible applications of Dynamic Systems Theory to the context of English as a Foreign Language in High school students of Madrid. Following this theory, tenets such as implicit teaching, real language, and crossmodal input have been applied to the teaching of one group of 1st of Compulsory Secondary Education students for a two-week training period followed by two more weeks of treatment. The results show that students in the experimental group obtained higher academic results in a given unit of the course in comparison with students who simply followed the traditional teaching methodology. This little study thus calls for further research on more innovative teaching methods based on the dynamic nature of foreign language acquisition.
ON THE MOVE: MUSIC AND ENGLISH TOGETHER LEAD TO EFFECTIVE CLIL
Authors: De la Cruz Cabanillas Isabel , San Emeterio Bedia Carlotta
Published: June 2022

The present article reports on a study carried out with Primary Education students over a period of two consecutive years at a Bilingual state school in the Madrid Autonomous Community with a brief extension study in the third year. Our hypothesis was that the introduction of music in a CLIL context, where English was used, would enhance students’ motivation and performance. The project design and its implementation included the composition of musical material with lyrics related to Natural and Social Sciences in English, the use of different research techniques and the measure of the results with several assessment instruments. The findings clearly validate the hypothesis, since learners not only improved their marks in the subjects taught in English, but their perceptions towards the teaching areas also got better as a consequence of the introduction of real songs especially composed to help learning the contents that were introduced on a regular basis during the intervention period.
TWO Caranx caninus (CARANGIDAE, PERCIFORMES) SPECIMENS WITH PUG-HEADED, EXOPHTHALMOS, OPERCLE, AND ANAL FIN ABNORMALITIES; FIRST RECORD FOR THE EASTERN PACIFIC
Authors: Ehenmann Nicolas Roberto
Published: June 2022

The Pacific crevalle jack, Caranx caninus Günther, 1867, is a marine pelagic migratory fish species that usually inhabit shallow coastal water, including brackish and estuarine areas. The “pug-headed” abnormality in teleost fishes is characterized by an abnormal skeletal formation of the head, affected by an anteroposterior compression of the upper jaw, resulting in an abnormally shorter upper jaw concerning its lower jaw. In October 2016, an artisanal fisherman from Puerto Chale (Eastern Pacific, Mexico) captured a shoal of Pacific crevalle jack, where two of them presented morphological anomalies of pug-head, exophthalmos, opercle and anal fin. Both specimens’ size and weight were 69.9 and 59.3 cm fork length and 3200 and 2550 g, respectively. One of the individuals was a six-year-old female. A list of 58 cases of pug-headed marine fishes worldwide is provided and reviewed in this article. This study is the first report for the Eastern Pacific and also for wild specimens of Carangidae species. The causes of this abnormality remain uncertain and the main hypotheses were reviewed in this study. However, factors such as temperature, nutrition, salinity, oxygen dissolved, pressure, unspecified pollutants are not discarded. More studies in the future, including new techniques, must be done to clarify the causes of this abnormality.
Güncel Genel Cerrahi Çalışmaları
Authors: Öğütmen Koç Deniz , Gönültaş Fatih , Aydın Feray , Uzunoğlu Hakan , Kutlutürk Koray , Kanlıöz Murat , Özozan Ömer Vefik , Tantoğlu Utku , Duran Yasin , Öztürk Tuncer , Çetinkaya Hasan Basri
Published: June 2022

Akademisyen Yayınevi yöneticileri, yaklaşık 30 yıllık yayın tecrübesini, kendi tüzel kişiliklerine aktararak uzun zamandan beri, ticarî faaliyetlerini sürdürmektedir. Anılan süre içinde, başta sağlık ve sosyal bilimler, kültürel ve sanatsal konular dahil 1000 kitabı yayımlamanın gururu içindedir. Uluslararası yayınevi olmanın alt yapısını tamamlayan Akademisyen, Türkçe ve yabancı dillerde yayın yapmanın yanında, küresel bir marka yaratmanın peşindedir. Bilimsel ve düşünsel çalışmaların kalıcı belgeleri sayılan kitaplar, bilgi kayıt ortamı olarak yüzlerce yılın tanıklarıdır. Matbaanın icadıyla varoluşunu sağlam temellere oturtan kitabın geleceği, her ne kadar yeni buluşların yörüngesine taşınmış olsa da, daha uzun süre hayatımızda yer edineceği muhakkaktır.
FAKTOR-FAKTOR YANG MEMPENGARUHI KUNJUNGAN K4 IBU HAMIL DI WILAYAH KERJA PUSKESMAS PAGAR GADING
Authors: SARI LIYA LUGITA
Published: June 2022

Percepatan penurunan Angka Kematian Ibu dapat dilakukan dengan mengakses pelayanan kesehatan ibu yang berkualitas dengan melakukan pemeriksaan antenatal care baik K1 dan K4. Tujuan dalam penelitian ini adalah Untuk mengetahui faktor-faktor yang mempengaruhi kunjungan K4 ibu hamil di wilayah kerja Puskesmas Pagar Gading Kabupaten Bengkulu Selatan. Metode Penelitian ini jenis kuantitatif non eksperimental dengan menggunakan pendekatan korelasi (cross Sectional). Populasi yang digunakan dalam penelitian ini adalah seluruh ibu hamil trimester III di wilayah kerja Puskesmas Pagar Gading Kabupaten Bengkulu Selatan bulan Januari 2021 sebanyak 45 orang dengan sampel diambil secara total sampling. Analisa data dilakukan secara univariat dan bivariat dengan dengan menggunakan uji  chi square. Didapatkan Sebagian besar ibu hamil dengan pengetahuan baik (42.2%), tidak terpapar media (64.4%), suami yang tidak mendukung (57.8%) dan kunjungan K4 tidak lengkap (57.8%). Hasil Uji chi square untuk variabel pengetahuan diperoleh nilai X2 hitung (19.2) dan ρ(0,000), untuk variabel keterpaparan media nilai X2 hitung (5.5) dan ρ(0,01) dan untuk variabel dukungan suami nilai X2 hitung (4.5) dan ρ(0,03). Terdapat hubungan yang bermakna antara pengetahuan tentang antenatal care, keterpaparan media dan dukungan suami dengan kunjungan K4 di wilayah kerja Puskesmas Pagar Gading Kabupaten Bengkulu Selatan. Perlu dilakukan penyuluhan mengenai pentingnya Pemeriksaan Antenatal K4 untuk meningkatkan pengetahuan serta peningkatan kunjungan K4.
EFEKTIVITAS BIRTH BALL UNTUK MENGURANGI NYERI PERSALINAN PADA IBU BERSALIN NY.Y KALA I FASE AKTIF DI KLINIK MAHABBAH PRIMA MEDIKA KOTA SERANG
Authors: SUBAGIO SRI UTAMI
Published: June 2022

Latar Belakang manajemen nyeri secara non farmakologi lebih efektif dibanding dengan metode farmakologi yaitu bersifat murah, simpel efektif, dan tanpa efek yang merugikan. Asuhan sayang ibu dalam kala I juga harus diberikan, salah satunya adalah memberikan teknik relaksasi pada kala I yaitu dengan pernapasan, posisi ibu dan pijat. Tujuan efektivitas  penggunaan birth ball untuk mengurangi nyeri persalinan. Metode Penelitian ini merupakan jenis penelitian deskriptif dengan pendekatan studi kasus. Sampel sejumlah 1 orang ibu bersalin kala I fase aktif dengan penggunaan birthball untuk mengurangi nyeri persalinan pada kala I fase aktif. Dengan menggunakan lembar observasi pengukuran skala nyeri menggunakan numeric rating scale (NRS). Hasil metode birthball pada ibu bersalin setelah dilakukan ibu mengalami pengurangan nyeri pada saat melakukan terapi birthball selama 30 menit pertama dengan hasil penurunan tingkat nyeri ada pada pain score 6, setelah 30 menit kedua hasil penurunan tingkat nyeri pada pain score 4. Kesimpulan Birthball efektif dalam penurunan nyeri persalinan kala I fase aktif.
HUBUNGAN ANTARA KESIAPAN KEHAMILAN DENGAN ANEMIA PADA IBU HAMIL PADA WILAYAH KECAMATAN KAMPUNG MELAYU KOTA BENGKULU
Authors: MIZAWATI AFRINA
Published: June 2022

Latar belakang: Anemia merupakan masalah nasional karena mencerminkan nilai kesejahteraan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Kejadian anemia sekitar (38%) pada wanita hamil 32 juta wanita hamil di dunia (WHO, 2015). Kesiapan Kehamilan penting dilakukan pada pasangan suami isteri yang telah menikah untuk mempersiapkan kehamilan yang sehat. Tujuan penelitian ini untuk mengetahui hubungan antara kesiapan kehamilan dengan anemia pada ibu hamil. Tujuan Penelitian: Penelitian ini bertujuan mengetahui hubungan antara kesiapan kehamilan dengan anemia pada ibu hamil pada wilayah Kecamatan Kampung Melayu Kota Bengkulu Tahun 2019. Metode Penelitian: Jenis penelitian ini adalah penelitian analitik. Penelitian ini menggunakan pendekatan kuantitatif rancangan cross sectional. Populasi pada penelitian ini adalah ibu hamil di wilayah Kecamatan Kampung Melayu Kota Bengkulu. Sampel penelitian yaitu seluruh ibu hamil dengan anemia maupun tidak anemia di wilayah Kecamatan Kampung Melayu Kota Bengkulu. Hasil Penelitian: Hasil penelitian menunjukkan bahwa dari 44 orang ibu hamil yang kesiapan kehamilan tidak siap dimana hampir sebagian 21 (47,7%) responden anemia dan sebagian besar 23 (52,3%) responden tidak anemia dengan hasil uji chi square didapat p=0,000 < 0,05. Kesimpulan dan Saran: Ada hubungan yang bermakna antara kesiapan kehamilan, pengetahuan, dan jarak kehamilan dengan kejadian anemia pada ibu hamil, diharapkan dapat hal ini dapat memberikan gambaran prevalensi anemia ibu hamil yang tanpa melakukan Kesiapan kehamilan dan sehingga dapat digunakan sebagai salah satu bahan informasi dalam rangka penyusunan perencanaan penanggulangan anemia khususnya pada ibu hamil.
HUBUNGAN PEMBERIAN AROMATERAPI SEBAGAI TERAPI KELUHAN MUAL MUNTAH IBU HAMIL DI BPM KARLIZA, AMD.KEB
Authors: ANISSA KINTAN , ROSITA TAUFIANIE , SARI LEZI YOVITA
Published: June 2022

Pendahuluan: Mual dan muntah merupakan masalah yang terjadi pada trimester I dengan frekuensi muntah kurang dari 5 kali sehari selama kehamilan. Mual dan muntah terjadi pada 60-80% ibu hamil pertama (primigravida) dan 40-60% pada ibu multigravida. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian aromaterapi sebagai terapi keluhan mual muntah ibu hamil,  Metode: desain penelitian yang digunakan adalah desain penelitian korelasi yang bersifat analitik cross sectional yaitu suatu penelitian dimana variabel-variabel yang termasuk faktor resiko dan efek diobservasi sekaligus pada waktu yang sama. Sedangkan analisa data yang digunakan adalah analisa korelasi bivariate dengan taraf signifikan 5% dengan menggunakan rumus Spearman Corelation. Hasil dan Pembahasan :Dari penelitian ini didapatkan sebagian besar responden yang tidak diberikan aromaterapi sebesar 35,9% dan frekuensi ibu hamil yang mengalami mual muntah sebesar 51,3%, kemudian didapatkan hasil ibu hamil yang mengalami mual muntah dan diberikan aromaterapi sehingga keluhannya berkurang sebesar 76,9%. Sedangkan dengan uji bivariate didapatkan hubungan yang signifikan antara pemberian aromaterapi dengan keluhan mual muntah dengan nilai P < 0,013. Kesimpulan dari penelitian ini adalah ada hubungan pemberian aromaterapi sebagai terapi keluhan mual muntah ibu hamil.
COST BENEFIT ANALYSIS DALAM PENINGKATAN METODE LANDFILLING TEMPAT PEMROSESAN AKHIR SAMPAH STUDI KASUS: TPA AIR SEBAKUL KOTA BENGKULU
Authors: ERMAYENDRI DEFI , REFLIS REFLIS , UTAMA SATRIA PUTRA , RAMDHON MUSTOPA , INDARWANTO INDARWANTO
Published: June 2022

Penanganan Sampah Rumah Tangga dan Sampah Sejenis Sampah Rumah Tangga sebagaimana dimaksud dilakukan melalui: pemilahan sampai pemrosesan akhir. Penyingkiran limbah ke dalam tanah (land disposal) merupakan cara yang paling sering dalam pengelolaan limbah..Penelitian ini bertujuan untuk menganalisis metode final disposal sebagai tujuan akhir teknis operasional pengolahan sampah. Menggunakan metode CBA, yaitu menghitung total biaya yang dibutuhkan dan total manfaat yang didapat. Analisis ini untuk mengetahui nilai BCR dari kondisi aktual operasional dan infrastruktur fasilitas tempat pemrosesan akhir sampah pengelolahan sampah dengan membandingkan nilai manfaat dan biaya dari 3 metode landfilling dengan 2 skenario.Skenario A, berupa peningkatan sistem pemrosesan akhir sampah dari metode open dumping ke metode control landfill. Skenario B, berupa peningkatan sistem pemrosesan akhir sampah dari metodeopen dumping (Semi control landfill)ke metode Controll landfill. Manfaat lebih banyak disumbangkan oleh pengurangan emisi CO2 dari sampah  yang dikelola di tempat pemrosesan akhir. Masing – masing skenario metode memberikan besaran manfaat yang berbeda. Perlakuan pengurugan sampah baik secara control landfill maupun dengan sanitary landfill memberi dampak yang berbeda. Metode open dumping TPA(aktual) menunjukkan bahwa nilai total manfaat lebih kecil dibandingkan total biaya investasi yang dikeluarkan. Total nilai manfaat menjadi semakin besar ketika dilakukan perubahan metode dari open dumping ke metode control landfill (Skenario A). Peningkatan sistem pemrosesan akhir sampah dari metode open dumping ke metode sanitary landfill sebagai Skenario “B” mampu mereduksi emisi GRK sebesar 94%.Keuntungan terbesar berasal dari manfaat tidak langsung berupa social cost atas gas rumah kaca yang tidak terlepas diudara.