bluuebunny/crossref_metadata_2025 huggingface dataset:
Mengembangkan Keterampilan Guru PAUD melalui Pelatihan Penulisan Dongeng dan Teknik Penyajian
Authors: Ramdhani Sandy , Alfian Mimi , Nurmayani Eva
Published: November 2020

OSatu dari beberapa permasalahan guru PAUD yang ada di Kabupaten Lombok Timur adalah sulitnya menemukan konten dongeng yang bersifat kontemporer atau kekinian. Keadaan tersebut tentu saja menimbulkan kebingungan pada guru ketika akan menyampaikan cerita atau dongeng yng bersifat kontekstual, sesuai dengan tuntutan model dan materi pembelajaran saat ini. Oleh karena itu, dibutuhkan pelatihan intensif dalam membantu guru menghasilkan sendiri dongeng yang akan disajikan tentunya dengan menggunakan standar penulisan dongeng yang baik. Berdasarkan hasil tinjauan yang dilakukan terhadap keterampilan guru pada saat sebelum mengikuti pelatihan menulis dongeng (pra pelatihan) dan setelah mengikuti pelatihan (pasca pelatihan) ditemukan jika hasil respon guru dan menunjukkan rata-rata nilai 4,408 dan termaasuk pada kategori “baik” atas pelatihan penulisan dongeng yang dilaksanakan
Bentuk Kegiatan Pembelajaran Seni Rupa di Taman Kanak-kanak Mutiara Ananda Padang
Authors: Gusliati Pitria
Published: November 2020

Seni rupa merupakan pembuatan berbagai macam hasil karya yang dapat dilihat, diraba, dan dirasakan dengan memanfaatkan berbagai media. Seni rupa terdiri atas dua macam, yaitu seni rupa murni dan seni rupa terapan. Pada dasarnya semua bentuk seni rupa berkaitan dengan keindahan. Adapun tujuan penulisan artikel ini adalah untuk mengetahui bentuk kegiatan pembelajaran seni rupa di Taman Kanak-kanak Mutiara Ananda Padang. Adapun metode yang digunakan yaitu deskriptif kualitatif dengan pendekatan survey. Alat pengumpulan data yang digunakan adalah wawancara dan observasi. Hasil penelitian menunjukkan bahwa bentuk-bentuk pembelajaran seni rupa yang dilaksanakan di Taman Kanak-kanak Mutiara Ananda Padang berupa kegiatan menjiplak, menggambar, membentuk, finger painting, mencetak, dan kolase. Pembelajaran seni rupa dilaksanakan seusuai tema pembelajaran dan berbagai macam media pembelajaran.
Evaluasi Peserta Didik Menggunakan Kunjungan Rumah/Home Visit
Authors: Permata Sari Nurdiyah , Juniarti Yenti
Published: November 2020

Evaluasi dapat dipandang sebagai proses merencpeserta didikan, memperoleh, dan menyediakan informasi yang diperlukan untuk membuat alternatif-alternatif keputusan. Pengevaluasian dapat dilakukan dengan Kunjungan Rumah/HomeVisit sehingga dapat membangun hubungan yang baik antara pihak sekolah, orangtua siswa, dan masyarakat. Kenyataan yang terjadi di lapangan banyak sekolah paud yang belum melakukan homevisit. Tujuan dari penelitian ini adalah untuk memahami lebih dalam lingkungan peserta didik sehari-hari di rumah, mendiskusikan masalah peserta didik dan membangun hubungan, keluarga, sekolah dan masyarakat. Penelitian ini menggunakan metode kualitatif diamana penelitiannya bersifat deskriptif dan menggunakan analisis. Hasil ini menunjukkan bahwa guru lebih memahami lingkungan peserta didik dan bisa membuat lembaran penilaian, mengetahui dan dapat mengatasi permasalahan-permasalahan peserta didik yang terjadi diluar sekolah, mempererat hubungan pendidik dan keluarga atau orang tua peserta didik. Kesimpulan  dari penelitian ini adalah membantu  guru memahami permasalahan peserta didik, membuat penilaian dan mempererat hubungaan antaraguru dan orangtua peserta didik.
Pengembangan Instrumen Kecerdasan Emosional Usia 5-6 Tahun
Authors: Retno Utami Novianti
Published: November 2020

Tujuan utama dari penelitian ini adalah untuk mengembangkan instrumen kecerdasan emosional untuk anak usia dini. Instrumen ini terdiri dari tiga dimensi dan faktor pembentuknya seperti: dimensi pengetahuan emosi terdiri dari 3 faktor, dimensi ekspresi emosi terdiri dari 3 faktor dan dimensi regulasi emosi terdiri dari 3 dimensi. Populasi dalam penelitian adalah anak usia 5-6 tahun di Kabupaten Magelang, dengan teknik pengambilan sampel multistage random sampling. Jumlah sampel dalam penelitian ini  adalah, 267 sampel dari 5 TK. Validitas isi dilakukan oleh pakar, menghasilkan 15 items pada dimensi pengetahuan emosi, 12 item pada dimensi ekspresi emosi dan 13 item pada regulasi emosi. Perhitungan validitas empirik menggunakan analisis faktor, perhitungan reliabilitas perdimensi menggunakan alpha cronbach dan perhitungan reliabilitas multidimensi menggunakan alpha stratified. Pada uji coba ke dua atau skla besar, menghasilkan:1) 40 item dengan tingkat reliabilitas yang tinggi, 2) reliabilitas dimensi pengetahuan emosi 0.875, dimensi ekspresi emosi 0.714 dan dimensi regulasi emosi 0.807, 3) reliabilitas multidimensi kecerdasan emosional memperoleh 0.779. Peneliti menyimpulkan bahwa instrumen ini cocok digunakan untuk mengukur kecerdasan emosional anak usia 5-6 tahun.
Inside Outside Cyrcle: Metode Pembelajaran untuk Mengembangkan Kemampuan Berbicara Anak
Authors: Shofa Ilhami Baiq , Husni Muhammad , Ramdhani Sandy , Uyun Nurul
Published: November 2020

Aspek perkembangan bahasa dan literasi khususnya kemampuan berbicara pada anak usia 5-6 tahun merupakan satu aspek yang menjadi perhatian khusus dalam perkembangan anak. Metode yang digunakan untuk meningkatkan aspek kemampuan berbicara adalah metode inside outside learning. Penelitian yang digunakan adalah penelitian kuantitatif dengan menggunakan jenis penelitian eksperimen dengan teknik analisis data menggunakan paired sampel t-test. Perkembangan Bahasa dan literasi khususnya kemampuan berbicara dengan menggunakan metode inside outside circle didapatkan hasil uji  “t” (Paired T- Sample) ternyata thitung ≥ ttabel  (5,147 > 1,706). Perkembangan kemampuan berbicara yang berkembang dengan menggunakan metode inside outside cyrcle diantaranya kemampuan intonasi Bahasa, kemampuan komunikasi, penguasaan kata-kata sederhana, dan meningkatnya kemampuan menyusun kalimat sederhana
Penggunaan Alat Musik Tradisional Sebagai Media Pengembangan Motorik Kasar dan Kognitif Anak
Authors: Karin ariska  , Naimah Naimah
Published: November 2020

Kaitan antara musik dan pengembangan kecerdasaan anak usia dini telah lama menjadi tema penelitian dan diskusi para ahli pendidikan anak usia dini. Aktivitas musik memberikan berbagai manfaat bagi pengembangan kecerdasaan anak, khususunya kecerdasan motorik dan kognitif. Berbagai implementasi pembelajaran musik yang dilakukan oleh peneliti maupun pendidik asing memfokuskan pada penggunaan alat musik yang berasal dari kebudayaan barat, seperti xylophone, piano, drum, dan lain-lain. Penelitian ini mendukung pemanfaatan musik dalam konteks pendidikan anak usia dini, namun penulis hendak memperlihatkan bahwa berbagai manfaat dari aktivitas musik dicapai melalui penggunaan alat musik tradisonal Indonesia, seperti gamolan dan angklung. Menggunakan metode studi pustaka, artikel ini menelaah penelitian yang tersedia dalam jurnal online sebagai contoh aplikasi alat musik tradisional Indonesia dalam proses pembelajaran Anak Usia Dini. Penelitian ini menunjukkan bahwa alat musik tradisional Indonesia seperti gamolan Lampung dan Angklung Jawa Barat juga dapat menjadi media yang efektif bagi pengembangan kecerdasan motorik dan kognitif anak usia dini.
Pengaruh Permainan Maze Terhadap Kemampuan Bercerita di TK Negeri 1 Padang Baru
Authors: Qalbi Zahratul , Marlina Serli , Febryan Putera Rafhi , Hidayati Isa , Eka Daryati Melia
Published: November 2020

Permasalahan yang melatarbelakangi penelitian di TK N 01 Padang Baru bahwa kemampuan bercerita anak belum berkembang dengan baik. Penyebabnya adalah kurangnya kreatifitas guru dalam menciptakan suatu alat permainan edukatif. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan Maze terhadap Kemampuan Bercerita Anak di TK N 01 Padang. Penelitian ini menggunakan pendekatan Kuantitatif yang berbentuk Quasy Eksperiment. Populasi penelitian adalah anak TK N 01 Padang Baru yang berjumlah 47 orang. Teknik pengambilan sampel yaitu Purposive Sampling, yaitu kelas B3 dan kelas B4 masing-masingnya berjumlah 10 orang anak. Hasil penelitian terlihat bahwa anak pada kelas eksperimen yang  menggunakan Permainan Maze memiliki nilai rata-rata lebih tinggi jika dibandingkan dengan anak pada kelas kontrol yang pembelajarannya menggunakan buku dongeng. Berdasarkan perhitungan t-test diperoleh (3,96) lebih besar dari   (2,10) menunjukkan bahwa terdapat perbedaan yang signifikan antara kedua kelas tersebut.
Meningkatkan Kemampuan Bina Diri Makan Bagi Anak Tunagrahita Sedang
Authors: Erna Juherna  , Ronita Sari Indah , Indirawati Diana , Nurhalimah Sely
Published: November 2020

Penelitian ini bertujuan untuk meningkatkan kemampuan bina diri makan anak tunagrahita sedang. Penelitian ini merupakan penelitian deskriptif kualitatif. Subjek penelitian yaitu dua anak tunagrahita kategori sedang kelas III Sekolah Dasar Luar Biasa di SLB C Perwari Ancaran Kuningan. Metode penelitian menggunakan metode kualitatif. Hasil penelitian menunjukkan bahwa kemampuan bina diri makan pada anak tunagrahita sedang kelas III Sekolah Dasar Luar Biasa di Sekolah Dasar Luar Biasa C Perwari Ancaran Kuningan antara lain, menunjukan hal yang positif, terdapat kemampuan perkembangan sehingga mereka dapat mengikuti intruksi dengan baik.
Efektivitas Permainan Gelas Angka Pada Kemampuan Membilang Angka 1-10 Anak Usia Dini
Authors: Arisna Wahyuni
Published: November 2020

Penelitian ini bertujuan untuk dapat memperoleh gambaran mengenai bagaimana efektivitas membilang angka 1–10 melalui metode permainan gelas angka pada anak kelompok A di TK Tunas Mekar Banjarmasin.  Penelitian ini menggunakan metode eksperimen semu (quasi experimental design) dengan desain Nonequivalent Control Group Design . Sampel penelitian adalah kelompok A1 yang menggunakan permainan angka pada membilang 1-10 dan kelompok A2 tanpa menggunakan permainan gelas angka pada membilang angka. Teknik pengumpulan data yang digunakan adalah tes, wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan bahwa hasil belajar di kelas Eksperimen memilik nilai rata-rata sebesar 76,41 dan di kelas Kontrol memiliki nilai rata-rata sebesar 65,47 dengan selisih antara dua kelompok sebesar 10,47, yang berarti bahwa ada terjadinya peningkatan di kelas ekseperimen ketika menggunakan  metode  permainan gelas angka, maka penggunaan metode permainan gelas angka efektif digunakan pada kemampuan membilang angka 1-10 anak usia dini kelompok A di TK Tunas Mekar Banjarmasin.
Model Pembelajaran Berbasis Kearifan Lokal (Local Wisdom) pada Usia Kanak-kanak Awal
Authors: Fajriati Ruliana , Na’imah
Published: November 2020

Penelitian ini bertujuan untuk mengetahui implementasi model pembelajaran berbasis kearifan lokal (local wisdom). Dalam penelitian ini penulis menggunakan metode penelitian deskriptif kuantitatif. Rumusan masalah penelitian ini yaitu bagaimana implementasi model pengembangan pembelajaran berbasis kearifan local (local wisdom) pada usia kanak-kanak awal? Penelitian ini dilaksanakan di TK Nasyithatun Nisa. Masa kanak-kanak awal berada pada rentang usia 2 hingga 6 tahun yang merupakan masa penutup masa bayi dimana pada usia tersebut ketergantungan secara praktis sudah terlewati, diganti dengan tumbuhnya kemandirian dan berakhir disekitar usia sekolah dasar. Begitu juga dengan tugas-tugas perkembangan anak di usia ini perlu di stimulus agar mencapai kemandirian anak  pada tahap usia selanjutnya. Sekolah juga perlu melaksanakan pengembangan pembelajaran sebagai bentuk mengoptimalkan pendidikan pada anak usia dini salah satunya dengan mengembangkan pembelajaran berbasis kearifan budaya lokal. Adapun dari hasil penelitian ini yaitu TK Nasyithatun Nisa telah memperkenalkan unsur budaya yaitu pakaian adat, lagu-lagu, tarian dan makanan khas Melayu Riau.
Implementasi Penilaian Berbasis Portofolio di PAUD Laismanekat Nasipanaf
Authors: Krisnadina Lopo Retno Jeki , Masitoh Siti , Hariastuti Retno Tri
Published: November 2020

Penelitian ini bertujuan untuk mendeskripsikan dan mengevaluasi implementasi/penerapan penilaian berbasis portofolio di PAUD Laismanekat Nasipanaf Kupang. Berdasarkan hasil analisis data, disimpulkan bahwa dalam penerapan penilaian berbasis portofolio di PAUD Laismanekat Nasipanaf Kupang meliputi empat hal, yaitu (1) Konteks: penilaian yang dilakukan sesuai dengan pedoman penilaian PAUD Permendikbud RI No 146 Tahun 2014, (2) Input: Masukan dalam penelitian ini, adalah latar belakang pendidik, sarana prasarana yang tersedia cukup menunjang, dan peran guru pada penilaian portofolio mendukung, (3) Proses pelaksanaan penilaian berbasis portofolio sesuai dilakukan berdasarkan langkah-langkah penilaian portofolio menurut Supranata dan Hatta, (4) Produk atau hasil penilaian berbasis portofolio yang dilakukan yaitu berupa dokumen semua perkembangan anak yang sudah dikumpulkan selama satu semester yaitu satu bendel map dengan menuliskan nama dari masing-masing anak serta raport anak. Kesimpulan dari keseluruhan evaluasi implementasi penilaian berbasis portofolio sudah cukup baik namun masih diperlukan pembenahan dalam penggunaan pedoman penilaian yang ada.
Wisata Edukasi Kampung Coklat Sebagai Sarana Deteksi Kecerdasan Anak Usia Dini Berdasarkan Teori Kecerdasan Ganda
Authors: Mijil Purwana Novyta , Setyo Yanurtuti
Published: November 2020

Sarana deteksi kecerdasan dapat dilakukan dengan berbagai cara antara lain melalui kegiatan wisata edukasi. Maka dari itu, penelitian ini akan membahas mengenai penggunaan wisata edukasi sebagai sarana analisis potensi kecerdasan peserta didik anak usia dini (AUD). Hal ini bertujuan untuk mengetahui potensi siswa dalam menentukan proses penanganan terhadap permasalahasn belajar. Penelitian ini menggunakan pendekatan deskriptif kualitatif, pengambilan data melalui pengamatan dan wawancara, serta analisis data menggunakan teori Kecerdasan Ganda. Objek penelitian ada di Kampung Coklat Kabupaten Blitar dengan subjek peserta didik TK Al Khoiriyah Kabupaten Tulungagung. Aktivitas wisata edukasi di Kampung Coklat merangsang masing-masing anak untuk mengeluarkan potensi kecerdasan mereka, menurut 9 kecerdasan yang dikemukakan Howard Gardener, sehingga guru dapat memiliki wawasan tentang karakter kecerdasan peserta didik.
Implementasi Strategi Branding PAUD dalam Meningkatkan Image Sekolah
Authors: Meyda Setyana Hutami
Published: November 2020

Penelitian ini bertujuan untuk menganalisis implementasi branding strategi di TK ABA Kalangan Bantul Yogyakarta. Branding merupakan sebuah kumpulan kegiatan yang dilakukan oleh lembaga pendidkan untuk membangun dan membesarkan brand. Bagi lembaga pendidikan brand merupakan aset penting sekaligus yang menjadi pembeda dengan lembaga lain. Penelitian ini menggunakan model penelitian kualitatif dengan pendekatan fenomenologi. Pengambilan dan pengumpulan data dilakukan melalui observasi dan wawancara. Adapun hasil penelitian tentang implementasi strategi branding di TK ABA Kalangan yaitu pertama strategi branding,  kedua brand assosiasi dan ketiga brand equity.
Pattern of Musculoskeletal Disorders in Adult Diabetics patient
Authors: Sharmin Shaila , Newaz Fatema , Ahmed Syed Mozaffor , Shahin Abu , Hasan Md Israt , Rahman Hasan Habibur , Sadeque Zafar , Siddique Nadia
Published: November 2020

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to find out the direct relation with metabolic control. This study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for five years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically significant (p<0.05) but other musculoskeletal disorders were not statistically significant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. This study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more benefited.

Bangladesh Med J. 2019 Jan; 48 (1): 5-12
Clinical Presentations and Outcome of Acute Glomerulonephritis in Children
Authors: Akteruzzaman Mohammad , Paul Shanjoy Kumar , Parveen Shaman , Sarker Nihar Ranjan , Ahmed Shafi , Habib Rahat Bin , Kabir ARM Luthful
Published: November 2020

Acute post streptococcal glomerulonephritis (APSGN) is the most common type of acute glomerulonephritis (AGN) in childhood. It has not been studied well in Bangladesh. To evaluate the clinical characteristics, complications and outcome of Acute post streptococcal glomerulonephritis (AGN). the department of Pediatric Nephrology at Sir Salimullah Medical College and Mitford Hospital, Dhaka. A prospective study from April 2011 to March 2012 were conducted among the patients diagnosed as AGN in outdoor and indoor department. Hospital records of all 34 children who had been admitted to Sir Salimullah Medical College and Mitford Hospital were reviewed. All demographic, clinical, paraclinical data and consumed medications were obtained. Among 34 cases female and male ratio were 2.4:1; mean age of was 8.76 yrs. ± 2.5 SD and peak age 7.6. Etiology of AGN was post infectious glomerulonephritis (PIGN) 85.3%, ASO titer was raised in 88.2%, 41.2% had raised blood urea, and 32.4%raised serum creatinine level. All children presented with microscopic hematuria (100%), hypertension (100%), and edema (100%), other findings are fever (55.9%), oliguria (94.1%), abdominal pain (52.9%). History of sore throat and pyoderma was present in 41.2% and 44.1% cases respectively. Complications like hypertensive encephalopathy three (8.8%), urinary tract infection (UTI) one (2.9%) total seven (20%) were heart failure two (5.9%) and Acute kidney injury (AKI) one (2.9%), total seven (20%) were expired. Majority of cases manifest typically with edema, oliguria and hematuria. It usually has an uneventful course.

Bangladesh Med J. 2019 Jan; 48 (1): 13-17
Evaluation of Psychiatric Disorders among Admitted Burn Patients in Burn Unit of Dhaka Medical College and Hospital, Dhaka
Authors: Haque Md Rashidul , Mamun Abdullah Al , Rabbani Md Golam
Published: November 2020

Burn causes both the physical and psychological trauma of the victims. Most of the cases, physical trauma of burn are highlighted and managed but psychological impacts of burn are ignored. The psychological aspects of burn injury have been researched in different parts of world producing different outcomes. A very few number of study regarding psychological aspect of burn has been conducted in our country till now. To assess the psychiatric morbidity among the burn patients admitted in burn unit of Dhaka Medical College Hospital. This was a descriptive and analytical study. The study was conducted in the Burn and Plastic Surgery Unit of Dhaka Medical College Hospital, Dhaka, Bangladesh and the duration of the study was 6 (six) months (July 2010 - December 2010). Burned patients fulfilling the inclusion criteria. 124 patients were selected on non-probability purposive sampling techniques who were GHQ (General Health Questionnaire) positive. Then a semi-structured questionnaire containing socio-demographic characteristics and SCID-I (Structured Clinical Interview for DSM-IV Axis-I disorder) was used. Finally DSM-IV-TR criteria were used among burn patients clinically. Different types of psychiatric morbidity in post burn patients and different burn related factors affecting psychiatric outcomes were assessed. The psychiatric morbidity among the burn patients was 47.6%. Regarding patterns of psychiatric morbidities, the highest number of patients were anxiety disorder (54%) followed by depressive disorder 36%, acute stress disorder (ASD) 3%, post traumatic stress disorder (PTSD) 5% and 2% psychotic disorder.The burned patients of  low socioeconomic condition, less education, unmarried, suicidal attempted and larger total body surface area (TBSA) were found their multiple sites of burn injuries (like head, neck and face) developed psychiatric disorders. This study highlights the importance of the simultaneous evaluation and management of psychiatric disorders in burn injured patients. Management of phychiatric and phychological problems of burned patients would bring better outcome.

Bangladesh Med J. 2019 Jan; 48 (1): 18-25
Treatment of Short Segment Anterior Urethral Stricture: Optical Internal Urethrotomy (OIU) Alone and OIU with Triamcinolone
Authors: Bhuiyun Mohammad Humayun Kabir , Mamun Abu Masud Al , Belal Towhid , Rabbani Rezawanul Haque , Islam Md Khairul , Md Jabed - , Hossain Faruk
Published: November 2020

Optical urethrotomy has been considered standard therapy for anterior urethral stricture since its introduction in 1976. Now optical internal urethrotomy (OIU) with intralesional triamcinolone injection is a safe and effective, minimally invasive therapeutic modality. The aim of the study is to compare the outcome of OIU alone and OIU with intralesional triamcinolone injection in the treatment of anterior urethral stricture. This Quasi Experimental study was carried out among 50 male patients with bulbar urethral stricture in the Department of Urology, Dhaka Medical College Hospital, Dhaka, over a period of six months. The age range of the patients were 32-46 years and patients were divided equally into two groups, OIU with and without intralesional triamcinolone acetonide injection as Group- A (experimental group, 25 patients) and Group- B (control group, 25 patients). Post-operative evaluation was done on the basis of history and uroflowmetry. Retrograde urethrography and micturating cystourethrography were done only in patient who developed obstructive voiding problems or flow rate below 10 ml/second. Follow up was done at regular interval on 7th day, 3rd month and 6th month. Post-operative outcomes were compared between two groups. Post-operative infection was significantly higher among those OIU with intralesional Triamcinolone acetonide injection (8%) than patients without intralesional Triamcinolone acetonide injection (4%). Per operative extravasations of urine were significantly higher among those without intralesional Triamcinolone acetonide injection (4%) than subjects with intralesional Triamcinolone acetonide injection. Extravasation not influenced by steroid but this patient subsequently suffered recurrence of stricture. In Group-A, pre and post-operative Q-max were 10.25±2.21 and 22.11±2.96 ml/sec respectively. In Group-B, pre and post-operative follow up Q-max were 10.37±2.55 and 19.54±2.65 mi/sec respectively. In Group-A, pre and post-operative voiding time was 85.20±4.20 and 27.10±3.36 sec respectively. In Group-B, pre and post-operative follow up voiding time were 86.37±4.55 and 31.45±2.55 sec respectively. Post-operative recurrences of stricture were significantly higher among those without intralesional Triamcinolone acetonide injection (24%) than subjects with intralesional Triamcinolone acetonide injection (12%). Post-operative it seems that triamcinolone injection after OIU is safe method to prevent the recurrence of urethral stricture

Bangladesh Med J. 2019 Jan; 48 (1): 31-38
Surgical Outcome of Hundred Vesico Vaginal Fistula Patients in National Fistula Centre
Authors: Akhter Shamima , Mst Mahbuba - , Yusuf Nusrat Ara , Munirunnessa - , Rosy Nasrin
Published: November 2020

Vesico-vaginal fistula (VVF) is still a major global health problem.This study was performed to detect the surgical outcome of 100 VVF patients in National Fistula Centre. A descriptive cross sectional study was carried out among 100 VVF patients fulfilling the inclusion criteria admitted in the National Fistula Centre under the department of Obstetrics and Gynaecology during the study period of April, 2017 to September, 2017. During the period, 100 patients presented for surgical repair at a mean age of 28.7 years (SD7.1). Majority of them (49%) had a parity of one and 57% were less than 20 years old at the time of their first pregnancy. About 83% of women developed VVF following prolonged obstructed labour. Most of the fistula (95%) repaired through vaginal route by flap splitting technique and 73% repaired at 1st time. Recovery of most of the patient (75%) was uneventful. Inadequate post-operative care (26.9%) was the major causes of unsuccessful repair. Obstetric fistula is one of the tragedies of third world countries and it would be better solved by providing surgical procedure and easy access of all women to competent obstetrical care, irrespective of their social and economic  status during pregnancy and delivery.

Bangladesh Med J. 2019 Jan; 48 (1): 39-43
Aspartate Aminotransferase (AST) is a good Predictor of NAFLD Activity Score (NAS) for Diagnosing Non- alcoholic Steatohepatitis (NASH)
Authors: Alam Sheikh Mohammad Noor E , Das Dulal Chandra , Alam Md Shahinul , Mohsena Masuda , Mahtab Mamun Al
Published: November 2020

Nonalcoholic fatty liver disease (NAFLD) is a metabolic disorder characterized by excessive triglyceride accumulation in hepatocytes. NAFLD has a multifactorial etiology and a combination of environmental, genetic and metabolic factors play a role in the development of advanced disease. NAFLD consists of a wide spectrum of conditions, ranging from simple steatosis to nonalcoholic steatohepatitis (NASH) which can progress to cirrhosis and hepatocellular carcinoma (HCC). Despite the high prevalence and severity of hepatic illness, NAFLD remains underdiagnosed, because of few symptoms, lack of accurate laboratory markers. The accurate diagnosis of NASH remains dependent on specific histological parameters in liver biopsy. Although liver biopsy remains the ‘gold standard’, there are practical limitations, including costs and risks. There is an increasing requirement for simple, less invasive, highly accurate and affordable screening tools. Aspartate aminotransferase (AST) has been proposed as a noninvasive and available marker for assessment of NASH. A hospital based observational study was carried out for a period of two years in the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Data were analyzed by SPSS version 16. Qualitative and quantitative data were analyzed by Chi-square test and student’s t-test respectively. Fifty (50) patients were analysed. Twenty five were NASH and twenty five were non- NASH. AST in NASH group were 55.2 ± 30.1 IU/L and in Non-NASH group were 33.6± 20 IU/L. In NASH group significantly higher percentage of raised AST had NASH compared with normal AST (68% vs.32%).There was significant difference in the NAFLD activity score for diagnosing NASH between elevated and normal AST (P value 0.004). Higher AST values correlated with higher specificity. By multivariate analysis AST were found to be significant. Thus Aspartate aminotransferase (AST) is a good predictor for diagnosing non- alcoholic steatohepatitis (NASH).

Bangladesh Med J. 2019 Jan; 48 (1): 44-49
Obituary News January-2019
Authors: Halim Kazi Shafiqul
Published: November 2020

Abstract Not Available

Bangladesh Med J. 2019 Jan; 48 (1): 59
Sintomas associados a transtornos mentais comuns no contexto universitário
Authors: Cruz Neto João , Feitosa Emanuel Messias Silva , Sidrim Antonio Coelho , Morais Jacieliton Martins Teles da Silva , Oliveira Cleide Correia de
Published: November 2020

Objetivo: identificar sintomas associados a transtornos menores psicóticos em estudantes universitários de uma Instituição de Ensino Superior (IES) pública do interior cearense. Metodologia: Trata-se de um estudo descritivo, transversal e abordagem quantitativa, desenvolvido de abril a maio de 2019 com 75 estudantes de graduação utilizando a adaptação do questionário de identificação de transtornos mentais comuns (TMC). Resultados: A prevalência de TMC na população foi de (49%), entre 18 a 23 anos (84%), com sintomas somáticos em (32%) da população e decréscimo de energia (29%) além de depressão e/ou humor ansioso com prevalência nos primeiros semestres da graduação (39%). Conclusão: Os TMC são problemas importantes para indivíduos jovens e que estão no ensino superior. Ressalta-se a necessidade de intervenções na comunidade acadêmica, por parte da gestão, funcionários, profissionais e estudantes com foco no empoderamento e tratamento das causas base dos transtornos.
Organizando a pesquisa acadêmica: A importância da celeridade nos cuidados de enfermagem para identificação precoce da sepse
Authors: Silva Fabio Teixeira da , Costa Rayane de Oliveira , Oliveira Daniele , Guimarães Thainá Vitória , Silva Priscila Cristina Pereira Oliveira da , Pereira França Helena Elias , Ribeiro Antonio da Silva
Published: November 2020

Introdução: A sepse é uma doença de início silencioso, tem grande potencial de agravo, por isso, necessita de identificação precoce e intervenção rápida a fim de anular e/ou minimizar o risco de mortalidade hospitalar dos pacientes internados em unidade de terapia intensiva. Objetivo de demonstrar a importância da enfermagem como ator capaz de identificar e intervir precocemente nas alterações sistêmicas relacionadas a sepse nas UTIs possibilitando assim a chance de sobrevida dos pacientes internados. Para tanto, pesquisas bibliográficas, qualitativa, descritiva, que demonstra o papel da enfermagem como principal instrumento para identificação precoce de pacientes acometidos pela sepse, além de descrever as principais intervenções de enfermagem dispensadas no cuidado aos pacientes sépticos. Com o estudo, concluiu-se que percebe-se a importância do enfermeiro no processo de reconhecimento precoce da sepse, o conhecimento técnico científico deste profissional aliado ao uso de protocolos proporciona ações rápidas de enfrentamento a doença sendo um diferencial no cuidado ao paciente séptico e pode ajudar a garantir desfechos positivos.  O enfermeiro consegue identificar o início da sepse e atuam de acordo com o protocolo institucional, embora demonstrem dificuldade na execução deste instrumento.
Secagem de tijolos cerâmicos argilosos industriais: uma investigação teórica usando modelos concentrados
Authors: Nascimento Lucas Pereira Castanheira , Silva Stephane Katherine Barbosa Moura da , Lima Elisiane Santana de , Magalhães Hortência Luma Fernandes , Lima Wanderson Magno Paiva Barbosa de , Gomez Ricardo Soares , Porto Túlio Rafael Nascimento , Lima Antonio Gilson Barbosa de
Published: November 2020

Este trabalho apresenta um estudo teórico da transferência de calor e massa durante a secagem de tijolos cerâmicos industriais em estufa. Foram propostos modelos matemáticos para descrever as cinéticas de secagem e aquecimento do tijolo em função do tempo de processo, considerando a existência das áreas superficiais interna e a externa e variações dimensionais do tijolo. Foram propostos modelos empíricos para predizer o comportamento do teor de umidade, temperatura superficial, volume e áreas superficiais interna e externa do produto. O estudo foi conduzido em diferentes condições operacionais do ar de secagem (50 a 100°C). Toda a modelagem foi ajustada a dados experimentais do teor de umidade médio, temperatura na superfície e dimensões médias do tijolo durante a secagem, em cada condição experimental, obtendo-se um bom ajuste e elevado coeficiente de determinação, evidenciando sua confiabilidade para ser usada na predição do problema físico. Da comparação, estimou-se o volume, as áreas superficiais interna e externa e os parâmetros de transferência de calor e de massa do tijolo.
Influência da incorporação da farinha de resíduo de gergelim na qualidade do pão
Authors: Silva Débora Rafaelly Soares , Pessoa Taciano , Gurjão Flávio Farias , Mata Mario Eduardo Rangel Moreira Cavalcanti , Duarte Maria Elita Martins
Published: November 2020

A farinha de resíduo de gergelim pode ser destinada a produção de alimentos, em função de suas propriedades nutricionais, sendo considerada uma alternativa para a melhoria da qualidade nutricional de produtos alimentícios.  O objetivo deste estudo foi avaliar a influência da incorporação da farinha de resíduo de gergelim nas características físicas, físico-químicas e o perfil de textura dos pães. A farinha de resíduo de gergelim (FRG) foi obtida a partir do resíduo (torta) gerado durante o processo de extração do óleo de gergelim. Para o preparo dos pães foram utilizadas quatro formulações: a formulação padrão (testemunha), produzido apenas com farinha de trigo, e as formulações com farinha de trigo e FRG incorporada nas proporções de 5, 10 e 15%. Os dados experimentais da caracterização física e físico-química dos pães quanto aos parâmetros: teor de água, cor, atividade de água, acidez titulável, lipídeos e pH, foram submetidos à análise de variância e as médias de tratamentos comparadas pelo teste de Tukey, a nível de 5% de probabilidade, utilizando-se o programa ASSISTAT. Os parâmetros de textura determinados foram: firmeza, coesividade, elasticidade, mastigabilidade e a resistência, para cada formulação foram utilizadas seis amostras, obtendo-se a média final. A substituição parcial da farinha de trigo pela farinha de resíduo de gergelim nas formulações dos pães, resultou em alterações das características avaliadas, entretanto, mantiveram-se nos padrões desejáveis de consumo, podendo ser considerada uma alternativa viável para o enriquecimento de alimentos.
Índice de Desenvolvimento da Família (IDF) dos produtores rurais que desenvolvem a silvicultura no Município de Peçanha, Minas Gerais, Brasil
Authors: Barbosa Rodney Alves , Braga Gustavo Bastos , Valverde Sebastião Renato , Vilela Katia de Fatima , Olher Bruno Silva , Andrade Marco Paulo , Vieira João Paulo Louzada
Published: November 2020

O presente artigo tem como objetivo apresentar o Índice de Desenvolvimento da Família (IDF) dos produtores rurais que trabalham com silvicultura no município de Peçanha, Minas Gerais. O enfoque foi dado a dois grupos de produtores identificados na pesquisa, classificados como produtores fomentados e produtores independentes. O primeiro grupo destaca-se pela parceria estabelecida com a indústria de celulose, por meio do programa de fomento florestal para produção de madeira, e o segundo, por atuar de forma independente, cuja madeira é destinada para produção de carvão vegetal, sem vínculo com a indústria de celulose. Para cumprir com as demandas do trabalho, foram realizadas pesquisas bibliográficas e documentais e foi feita uma incursão ao campo. Para validar os dados, foram utilizados testes estatísticos para compreender as diferenças encontradas nos dois grupos de produtores. O IDF foi a ferramenta empregada para conhecer a realidade das famílias dos produtores entrevistados. Os resultados apontaram que os produtores fomentados apresentam um IDF melhor que o dos produtores independentes, ou seja, que o fomento florestal tem contribuído para a melhoria da qualidade de vida dos produtores, possibilitando melhores condições de saúde e educação para os membros de sua família.  Por meio da distribuição do IDF dos produtores nos dois grupos, verifica-se a influência do tamanho da propriedade, da área de silvicultura e da área de fomento no nível de desenvolvimento de cada produtor.
Bioactive compounds and antioxidant activity in tomatoes (Lycopersicon esculentum L.) cultivars in natura and after thermal processing
Authors: Souza Angela Vacaro de , Mello Jéssica Marques de , Fávaro Vitória Ferreira da Silva , Silva Victória Farias da , Sartori Diogo de Lucca , Putti Fernando Ferrari
Published: November 2020

The aim of the study was to evaluate the impact of processing by cooking in natura fruits on the content of bioactive compounds - vitamin C and ascorbic acid, phenolic compounds, flavonoids, carotenoids and anthocyanins, lycopene and β-carotene - and on antioxidant activity - DPPH and FRAP - of 9 varieties of commercial and non-commercial tomatoes. The fruits were harvested when they reached the point of physiological maturation, selected and evaluated in natura, and after grinding and cooking for 30 minutes. At the end of the experiment it was found that all bioactive compounds analyzed showed quantitative reductions when the fruits were processed, with cherry cultivars - 7, 8 and 9 - those that showed superior results compared to different bioactive compounds evaluated, proving to be interesting to be better explored. Regarding the antioxidant activities, the processed fruits of these cultivars showed less losses showing potential to be submitted to processing.
Perfil microbiológico do leite das raças bovinas Curraleiro Pé-Duro e Pantaneiro
Authors: Sola Marília Cristina , Feistel Janaína Costa , Alves Fernanda Antunha de Freitas , Fioravanti Maria Clorinda Soares , Juliano Raquel Soares , Rezende Cíntia Silva Minafra e
Published: November 2020

A qualidade microbiológica do leite cru pode ser influenciada diretamente pela sanidade dos animais, procedimentos de higiene realizados durante a ordenha e condições de armazenamento do produto. Diante da necessidade de caracterizar os aspectos microbiológicos relacionados à produção de leite dos rebanhos bovinos das raças Curraleiro Pé-Duro e Pantaneiro, foram avaliadas 333 amostras de leite cru à partir da contagem de microrganismos aeróbios mesófilos, psicrotróficos, Staphylococus coagulase positiva bem como a determinação do número mais provável de coliformes a 30°C e a 45°C. Os resultados obtidos mostraram baixos níveis de contaminação das amostras de leite por mesófilos (7,5x101 - 8,7x103 UFC/ml – Curraleiro Pé-Duro/1,8x102 -  8,6x102 UFC/ml- Pantaneiro), psicrotróficos (2 - 1,4x102 UFC/ml / 2,6x101 - 1,4x102 UFC/ml), Staphylococcus coagulase positiva (4 - 5,2x102 UFC/ml/ 1,1x102 - 7,6 x102 UFC/ml), coliformes a 30°C( 2,0 - 40,2 NMP/ml / 0,6 - 21,9 NMP/ml) e coliformes a 45°C (0,9-14,8 NMP/ml / 0,4- 20,3 NMP/ml). Estes resultados demonstram as potencialidades que os rebanhos bovinos das raças Curraleiro Pé-Duro e Pantaneiro apresentam quanto a qualidade microbiológica do leite, adequação do produto às legislações sanitárias bem como a viabilidade tecnológica desta matriz alimentar na produção de derivados lácteos.
As possíveis consequências da exposição a agrotóxicos: uma revisão sistemática
Authors: Barbosa Rodrigo Santos , Souza Jaciara Pinheiro de , Almeida David Jesus de , Santos Josevania Batista dos , Paiva Walterney dos Santos , Porto Murilo de Jesus
Published: November 2020

Os agrotóxicos ou agroquímicos são grupos de substâncias que agem no meio ambiente agrícola, a fim de controlar distintos elementos que prejudiquem o cultivo das plantações. O Brasil é um dos maiores consumidores de agrotóxicos do mundo, o que preocupa os distintos setores de vigilância em saúde. O presente trabalho tem como objetivo geral identificar e conhecer as consequências fisiopatológicas da exposição humana a resíduos agrotóxicos. Quanto a metodologia trata-se de uma revisão sistemática simples, que foi realizada no mês de agosto do ano de 2020, com um levantamento bibliográfico através de busca eletrônica de artigos indexados no Scientific Eletronic Library – Scielo, Biblioteca Digital de Teses e Dissertações da USP e Google Acadêmico, a partir de palavras–chaves: agrotóxicos; exposição a agrotóxicos; efeitos dos agrotóxicos nas alterações fisiológicas das células;  classificação dos agrotóxicos, sendo  encontrados trinta e dois trabalhos para a publicação. Os resultados obtidos mostraram que os agrotóxicos são substâncias químicas com características biocidas, as quais são empregadas para o controle de pragas e de distintas doenças; ocasionam inúmeras intoxicações  que culminam  em distintas alterações no mecanismo fisiológico das células, sendo elas por via digestiva, respiratória, dérmica e/ou por contato ocular, acarretando um conjuntos de sinais e sintomas com características agudas, subagudas ou crônicas. A intoxicação por agrotóxicos pode ser aguda e crônica, sendo que a aguda se manifesta, geralmente, de forma mais leve ou moderada, podendo chegar a casos graves, já a crônica ocasiona efeitos da mutagenicidade, carcinogenicidade e toxicidade reprodutiva humana e em animais.
Análise da produção científica e tecnológica acerca da Ciência Forense Digital
Authors: Silva Wanderson de Vasconcelos Rodrigues da , Adelino Mariana Araujo , Silva Mayllon Veras da , Silva Fabrício Carvalho da , Silva-Mann Renata
Published: November 2020

A era da informação trouxe mais praticidade na forma de lidar com os dados, aumentando o uso de recursos tecnológicos. Esse novo contexto levou ao surgimento de novas atividades ilegais como os crimes digitais. Visando combater os cibercrimes, a Ciência Forense evoluiu, com adesão de conhecimentos da Computação e criação da então Ciência Forense Digital. Para ter êxito nessa missão, é indispensável que a Forense Digital esteja sempre em evolução e atualização das técnicas por meio de pesquisas e desenvolvimento de ferramentas tecnológicas. Com este trabalho se teve o objetivo de prospectar o atual estágio de desenvolvimento científico e tecnológico da Forense Digital, mediante o mapeamento da produção de artigos e dos depósitos de patentes na área. As bases Web of Science e Derwent Innovations Index foram utilizadas para coleta dos dados científicos e tecnológicos, os quais foram analisados, atribuindo-lhes significados mais amplos, vinculados à fundamentação teórica. Com os resultados aponta-se que as pesquisas têm aumentado na última década com publicações em vários países. No entanto, ainda existem dificuldades com as tecnologias, sendo desenvolvidas principalmente por pessoas físicas e empresas. Dessa forma, acredita-se que é essencial a aproximação entre a ciência e a tecnologia para maiores avanços nessa área.
The composition of sacarine substrates for ethanol production and the fermentative capacity Saccharomyces cerevisiae Pedra-2
Authors: Silva Rebeca Fasioli , Santos Maria do Socorro Mascarenhas , Mueller Larissa Pires , Cardoso Claudia Andrea Lima , Batistote Margareth
Published: November 2020

The production of ethanol in Brazil is based on sugarcane juice, however other biomasses can be used for this process, such as sweet sorghum. However, some nutrients can interfere with fermentation, such as the presence of metals, carbon and nitrogen sources, which can affect the fermentation capacity of yeasts. Thus, this study aims to analyze the presence of fundamental nutrients present in saccharine substrates, as well as their assimilation and conversion of ethanol by the yeast Pedra-2. Samples of sugarcane and sorghum juice were obtained, in which analysis of the presence of metals was carried out using acid digestion and the levels determined by atomic flame absorption spectroscopy. The amino acid analysis was performed on the saccharine substrates at a concentration of 22 ºBrix, before and after fermentation, and analyzed by high-performance liquid chromatography and the concentration of ethanol by gas chromatography. The sorghum broth showed higher amounts of available amino acid metals. The yeast Pedra-2 showed better fermentative performance in the sorghum broth. We can conclude that the sorghum broth represents an important substrate to be used to increase the sustainability and production of ethanol in Brazil.
Toxic directions and their impacts on health organizations
Authors: Alves Joemar Braga
Published: November 2020

This article intends to open space for future research on the development of more effective leaders in Health Organizations, in the sense that when the health professional realizes that the actions of their leader are abusive, they can signal and even protect themselves from the effects that such actions can affect your performance and organizational well-being. Private health organizations (HO), like all profitable organizations, need to survive in the business world, not only offering quality services, but guaranteeing profits for the functioning of their activities. And in this scenario of great competition, modern questions arise about the possible styles or types of leadership that would be more appropriate to make health organizations achieve their goals, that is, it would be necessary to make organizations achieve their goals that the directions of the Health Organizations apply abusive supervision, because what has been observed, today, is that in the eagerness to earn profits, or to reach their goals, some HO leaders are very inclined to exercise abusive leadership. Therefore, the key point of the research will be to analyze the impacts of an abusive coordination on the performance of health professionals at work with a focus on “service provision”; such a study is of great relevance to the organizational world and, mainly, to health organizations (HO), as these are the main responsible for “excellence in the provision of health services to society”.
A dialética da segurança pública e os desafios ao combate à criminalidade transnacional no âmbito das guerras irregulares
Authors: Sobral Neto Rivaldo Ribeiro , Barbosa Murilo Jacques
Published: November 2020

O estudo a seguir tem como objetivo avaliar a perspectiva do crime transnacional como um desafio para a segurança pública em um contexto de novas táticas de combate utilizadas pelas organizações criminosas. O papel das Forças Armadas e sua utilização para tal empreitada é questionado por extrapolar o real atributo do Exército nacional como garantidor do respeito ao sistema internacional com base na soberania westfaliana. Os planos estratégicos adotados pelo Estado brasileiro em particular, não vêm surtindo efeito, principalmente ao combate ao tráfico de drogas, no qual o Brasil se estabelece como segundo maior consumidor de cocaína. O fator da extensão territorial, amplas fronteiras e muitos pontos de saída pelo oceano Atlântico são fatores que prejudicam a eficácia ao combate de tal atividade. A metodologia adotada é a empírica-analítica, através de métodos qualitativos, com o fim de demonstrar os novos desafios contemporâneos por conta dos novos paradigmas de ação criminal no Brasil e no mundo. Chega-se à conclusão que o problema remete a uma questão socioeconômica mundial, e que a tratativa deste combate terá êxito caso ainda se insista em tratar os efeitos ao invés das causas.