bluuebunny/crossref_metadata_2025 huggingface dataset:
Efektivitas RJP Mekanik dengan Manual terhadap Kejadian Return Of Spontaneous Circulation (ROSC) pada Pasien Henti Jantung di IGD RSUD Pasar Minggu
Authors: Suratinah Suratinah
Published: November 2022

Latar Belakang: Resusitasi Jantung Paru (RJP) merupakan suatu tindakan yang terdiri dari pemberian kompresi dada dan bantuan nafas dengan tujuan untuk mengembalikan dan mempertahankan fungsi organ vital pada korban henti jantung dan henti nafas. Kembali dan bertahannya fungsi organ vital pada korban henti jantung yang diberikan tindakan RJP ditandai dengan terjadinya Return of Spontaneus Circulation (ROSC).
Tujuan: Untuk mengetahui efektifitas antara RJP mekanik dengan RJP manual terhadap kejadian Return of Spontaneous Circulation (ROSC) pada pasienhhenti jantung.
Metode: Penelitian ini menggunakan desain penelitian observatif untuk mengetahui hubungan antara variabel independen (RJP) dengan variabel dependen (ROSC). Populasi pada penelitian ini adalah pasien henti jantung yang telah diberikan intervensi RJP mekanik maupun manual di IGD RSUD Pasar Minggu. Penelitian ini menggunakan total sampling sebagai metode penetapan besar sampel didapatkan sebanyak 60 responden. Instrumen yang digunakan dalam penelitian ini adalah Lembar observasi dan Catatan Rekam Medis responden. Analisis data menggunakan uji T-Paired.
Hasil: Hasil sampel T-test yang membandingkan efektifitas RJP mekanik dan RJP manual terhadap kejadian ROSC didapatkan nilai Sign.(2-tailed) RJP mekanik sebesar 0,001 lebih kecil dibandingkan dengan nilai Sign.(2-tailed) RJP manual sebesar 0.043 dengan taraf signifikansi < 0,05
Kesimpulan: Didapatkan bahwa RJP mekanik lebih efektif dibandingkan dengan RJP manual terhadap kejadian Return of Spontaneous Circulation (ROSC) pada pasienhhenti jantung.
Hubungan Keaktifan, Peran Kader dan Dukungan Keluarga dengan Kepatuhan Ibu Membawa Balita ke Posyandu
Authors: Rusdiana Rusdiana
Published: November 2022

Latar Belakang: Berdasarkan studi pendahuluan, pada Bulan Maret 2021 jumlah rata-rata kunjungan balita di Posyandu wilayah Puskesmas Desa Babakan Kecamatan Dramaga Kabupaten Bogor mencapai 332 orang, namun terjadi penurunan pada bulan April 2021 menjadi 302 orang.
Tujuan: Untuk mengetahui hubungan antara keaktifan, peran kader dan dukungan keluarga terhadap kepatuhan ibu membawa balita ke posyandu Desa Babakan Kecamatan Dramaga Kabupaten Bogor Bulan Februari Tahun 2022.
Metode: Penelitian ini menggunakan metode kuantitatif dengan instrumen pengumpulan data berupa kuisioner. Populasi penelitian ini berjumlah 411 balita, Pengambilan sampel dalam penelitian ini menggunakan teknik random sampling didapatkan sampel berjumlah 200 orang. Uji data menggunakan teknik pengujian validasi dan reliabilitas. Analisis data terdari hasil uji univariat dan bivariat menggunakan teknik chi-square pada aplikasi SPSS.
Hasil: Hasil analisis variabel menunjukan keaktifan (p-value = 0,034), peran kader (p-value = 0,012), dukungan keluarga (p-value = 0,026) terhadap kepatuhan ibu ke posyandu.
Kesimpulan: Terdapat hubungan yang signifikan anatara keaktifan, peran kader, dan dukungan keluarga, terhadap keaktifan ibu ke posyandu di Desa Babakan Kecamatan Dramaga Kabupaten Bogor Bulan Februari Tahun 2022
Efektivitas Senam Dismenore dan Endorphin Massage dalam Menurunkan Rasa Nyeri Dismenore Primer pada Remaja Putri
Authors: Hasrawati Hasrawati
Published: November 2022

Pendahuluan: Menstruasi merupakan pelepasan lapisan endometrium uterus dalam bentuk pendarahan. Banyak wanita yang mengalami nyeri, ketidaknyamanan fisik, atau merasa tersiksa saat menjelang atau selama menstruasi berlangsung. Gangguan fisik yang sangat menonjol pada wanita haid adalah dismenore
Tujuan: Untuk mengetahui efektivitas senam dismenore dan endorphin massage dalam menurunkan rasa nyeri dismenore primer pada remaja putri di Klinik TNI Al Ciangsana Tahun 2022.
Metode: Penelitian ini menggunakan jenis penelitian kuantitatif dengan menggunakan Quasy Experiment dengan pendekatan pretes-posttest, teknik pengambilan      sampel adalah total sampling sebanyak 20 sampel dengann uji analisis Wilcoxon.
Hasil: Terdapat pengaruh senam dismenore terhadap penurunan rasa nyeri dismenore pada remaja putri di Klinik TNI AL Ciangsana Bogor dengan nila p-value 0,005 dan endorphine massage terhadap penurunan nyeri dismenore pada remaja putri di Klinik TNI AL Ciangsana dengan nila p-value 0,004.
Kesimpulan Senam Dismenore dan Endorphin massage efektif menurunkan rasa nyeri dismenore, namun untuk penurunan rasa nyeri yang bisa langsung dirasakan pada saat intervensi diberikan adalah Endorphine massage. Penatalaksanaan endorphin massage lebih efektive digunakan untuk mengatasi dismenore.
Measures Against Disposable Masks: A Potential Source of Environmental and Biological Pollution
Authors: Sheikh Nayab , Maheshwari Chanchal
Published: November 2022

Contaminated disposable masks are potential hazards to the hygiene and environment. There is increased demand, and in turn, the production of PPEs and masks has also scaled up. But due to the lack of awareness and integrated strategy for the proper disposal of these masks they might be a cause of rising health and environmental issues in the upcoming time. People lack awareness regarding the number of times each mask can be used, how to sanitize and reuse the mask, and the proper disposal of a contaminated mask. In addition, the concerned authorities lack efficient strategies to diminish the use of non-biodegradable material to minimize plastic waste, creating awareness among people to dispose of the masks properly and design efficient strategies to cope with the plastic waste. Due to which these COVID-19 masks can be a potential source of the spread of the virus and increase of plastic waste. This is a review article pertaining to details from the recent researches and articles in regards to the prevalent issues and solutions in respect of the current pandemic. The best approach is to educate the masses to reduce contaminated waste along with proper decontamination and disposal of dreg.
Impacts of Starvation and War Conflicts in Yemen During COVID-19 Pandemic
Authors: Tawfik ALsanabani Nusaibah , Mohammed Abujledan Haya , Ayman Abdullah Ibrahim , Bassiony Mahmoud
Published: November 2022

After only a few months of the first outbreak in Wuhan where scientists identified (SARS-CoV-2) the novel respiratory syndrome coronavirus-2, the world health organization (WHO) declared Coronavirus (COVID-19) an international public health emergency case and a worldwide pandemic on March 11, 2020. This pandemic eventually reached Yemen, with the first laboratory-confirmed case announced on 10 April 2020, in Hadhramaut, the southern province of Yemen in a 60-years old patient.1 The World Health Organization (WHO) recorded 6981 active cases, and 1368 deaths by 19 July 2021. Before the international crises resulting from COVID-19, Yemen was subjected to a number of various internal and external issues. A decade of economic and political crisis and over five years of war has extremely devastated the country. Furthermore, a hotspot Integrated Food Security Phase Classification analysis issued in July 2019 showed 1.2 million people in the 29 analyzed districts were in severe acute food shortages.2 According to the United Nations (UN) an estimated number of about 24 million people, almost 80% of the population needs all kinds of aid in Yemen. Humanitarian aid from countries has become the basis of survival for hundreds of thousands of Yemenis after the threat of famine. COVID-19 has contributed to an increased risk of the existing famine threat and with the ongoing war; little can be done to prevent contraction of the virus. Although the official COVID-19 cases in Yemen are, considered low compared to other Middle East countries, this is due to many non-operational airports and transportations networks in Yemen because of the civil war.3
Tackling COVID-19 in Resource-Constrained Settings: Experiences from India and Vietnam
Authors: Vu Linh
Published: November 2022

SARS-CoV-2 is a novel strain of the large family of respiratory coronaviruses. It gives rise to a highly contagious disease (COVID-19) transmitted via droplets and close contact. First discovered in Wuhan, China, it rapidly spread across continents and was soon declared a global pandemic. Though majority of people do not develop critical symptoms, many have experienced severe diseases that resulted in hospitalization and death. The millions of COVID-19 cases worldwide means that even a small percentage of critical patients still makes for a large number, potentially placing healthcare systems on the brink of collapse. Consequently, countries began implementing various preventive strategies, prior to the availability of vaccines, to reduce transmission rates. These are categorized into three stages: testing, containment, and mitigation. Testing allows for identification of infections, containment aims to effectively trace and isolate those infected, and mitigation is to slow wider spread of the virus. This paper will discuss the initial COVID-19 responses of India and Vietnam based on these stages as well as how their domestic contexts may have influenced their outcomes. Both are low-resource Asian countries predicted to be amongst the hardest-hit. Nonetheless, despite having similar interventions, while Vietnam became one of the most successful at controlling the pandemic, India’s efforts fell short, resulting in substantial shortages and massive human tragedies. This highlights how pandemic response is a multi-faceted and context-specific process. Hence, examining public health responses in the context of India and Vietnam will contribute to and improve global knowledge of infection control in diverse settings.
An Opportunity for Cross-jurisdictional Learning: COVID Response Virtual Learning Cafes
Authors: Siegler Anne , Tessema Hanna
Published: November 2022

As the COVID-19 pandemic unfolded, over 3,000 local health departments (LHDs) in cities and counties across the US were tasked with developing and implementing COVID-19 prevention and response initiatives. While formal trainings and webinars were available, the opportunity for local health departments to informally learn, promote promising practices and strategize around effective COVID-19 response across jurisdictions was limited. Often, cities and counties facing similar challenges in the COVID-19 response were creating solutions independently and in a vacuum, without the benefit of learning from shared experiences. To address this gap, Resolve to Save Lives, as part of its United States COVID-19 Response program, began hosting monthly “COVID-19 Response Virtual Cafés” in October 2020. The cafés were designed for LHD staff to share promising COVID-19 response practices and jointly strategize around common challenges in a non-threatening, collaborative environment. A regularly occurring informal venue for LHDs to candidly discuss and share promising practices has been a valuable addition to health departments’ learning opportunities and ultimately their COVID-19 response. As the pandemic rapidly evolves, opportunities for continued learning and real-time dissemination across jurisdictions play an important role in COVID-19 control.
Bilingual Free Clinics: A Win-Win for Students and Patients or an Ethical Quandary?
Authors: Caroline Tosi Amanda , Watt Payton
Published: November 2022

There are 152 Student-Run Free Clinics (SRFCs) in the United States today, most of which are operated by medical students (Society of SRFCs, 2021). As the number of SRFCs has grown to encompass immigrant Hispanic patients, so have the ethical implications of providing bilingual care for this vulnerable population. Nonetheless, advocates argue that SRFCs provide a “win-win” situation in which students gain clinical skills and a better understanding of Social Determinants of Health (SDOH). At the same time, patients receive medical care that would otherwise be unavailable. In this piece we discuss benefits and challenges facing SRFCs that serve the Hispanic community. We then offer recommendations that strive to better address the healthcare inequities illustrated.
COMPARISON OF HEALTH ANXIETY IN PSYCHIATRY AND NEUROLOGY SETTINGS
Authors: AMJAD N , IKRAM-UL-HAQ M , MAZHAR N , MUSSADIQ K , SAJIDA I , MALIK AA
Published: November 2022

The aim of this study is to assess clinical correlates and prevalence of health anxiety in psychiatry and neurology outpatient clinic. A Prospective study was carried out at Neurology and psychiatry Department of Nishtar Medical Hospital from July 2020 to July 2021. Demographic data, clinical symptoms, comorbidities and diagnosis was recorded. Patients were given general hypochondriasis subscale of Illness Behavior Questionnaire and Short Health Anxiety Inventory (SHAI). Epi-info 7.013 was used for data entry and Stata 12.14 was used for data analysis. The prevalence of health anxiety in neurology and psychiatry was 18% and 26%, and overall prevalence was 21%. Higher health anxiety was reported in subjects with higher education, it may be due to increased awareness about illness. Health anxiety was higher in skilled workers as compared to semi skilled. The health anxiety was higher in subjects with more than one diagnosis as compared to those with single diagnosis Health anxiety is common in neurology and psychiatry settings. Further evaluation is needed to evaluate its effects on health consultation.
GENETIC STUDIES OF F2 POPULATION FOR FIBER AND YIELD RELATED ATTRIBUTES IN GOSSYPIUM HIRSUTUM
Authors: FATIMA A , SAEED A , KHALID MN , IMAM MMF , RAFIQUE MA , SHARIF MS , IQBAL N , TIPU ALK , AMJAD I
Published: November 2022

Cotton (Gossypium hirsutum L.)is grown as a commercial crop throughout the world and it maintains the national economy of Pakistan. Genetic variation is ultimate necessity of plant breeder for the utilization of high yielding varieties to minimize the gap between production and demand. An experiment was conducted for the estimation of correlation, path coefficient analysis, principal component analysis and cluster analysis for yield components in cotton (Gossypium hirsutum L.). Four genotypes and twelve F2 hybrids planted in field by using the randomized complete block design with two replications.Collected Data was subjected to analysis of variance (ANOVA) to observed difference for all traits which showed significant differences among studied traits. Correlation studies revealed that boll weightand number of bolls per plantshowedstrong and positive correlation with seed cotton yield. Path coefficient analysis revealed that boll weight and number of bolls per plant had positive direct effects on seed cotton yield. Based on biplot analysis it was identified that FH-342 × FH-458 and AGC-501×VH-363 performed best for the boll weight,number of bolls per plant andseed cotton yieldattributes. Dendrogram revealed genotypes under study were grouped in three clusters. Hence, selection for these characters will help in selecting genotypes with high yield and traits which contribute directly in cotton yield enhancement.
Resource utilization pattern of fuel wood in oak - pine forest zone of central Himalaya
Authors: Pandey Jagdish
Published: November 2022

The present study deals with the consumption of fuel wood in a area of Central Himalaya. The study have been done in three villages, viz. Shitlakhet, Deolikhan and Dhamas. In each selected villages, 10 families were randomly selected and divided into four groups, according to the size of the family (viz. FA, FB, FC and FD). Fuel wood consumption varies from 23.14 qtl.y-1 for FA to 65.34 qtl.y-1 FD (Village-I), between 22.45 qtl.y-1 in FA and 59.50 qtl.y-1 in FD (Village-II), while these values ranged between 20.84 qtl.y-1 in FA and 55.44 qtl.y-1 in FD in Village-III. Average Per Capita Fuel wood Consumption (PCFC) in different villages ranged between 7.14 qtl.y-1 to 8.00 qtl.y-1. The PCFC was decreased from FA to FD, across all the villages. PCFC during study year was maximum in FA, which was approximately 36 to 37 percent, while the minimum (17-19% approximately) was in FD across the Village. The average fuel wood consumption across the season varies from 27.99 percent at Village –I to 41.54 percent at Village - II.
Effect of fertiliser amendment on biomass yield of Heteropogon contortus seeded on coal mine spoil
Authors: Singh Arvind
Published: November 2022

The effect of fertiliser amendment was studied on biomass yield of grass Heteropogon contortus seeded on coal mine spoil. Two different doses of NPK fertiliser treatments were used along with control. The biomass production was significantly greater in fertilised plots compared to control plots. The response to fertilisation was comparatively greater for shoot biomass than root biomass. The root/shoot ratio was significantly greater in control plots in comparison to fertiliser amended plots.
A Multi-level Features Fusion Model for Network Communication based on Machine Learning
Authors:   Faculty of Artificial Intelligence, Egyptian Russian University (ERU), Cairo, Egypt, Zaher Mahmoud A. ,   Department of Computer and Information Systems, Sadat Academy for Management Sciences, Cairo, Egypt, Eldakhly Nabil M.
Published: November 2022

Today's societies couldn't function without elaborate networks of communication. Many problems remain unresolved, but novel approaches to these problems are constantly being offered. Many of the problems plaguing existing works, such as high characteristic design cost, challenging feature selection, poor real-time performance, etc., stem from their focus on a wide range of characteristics. Worse still, the difficulty in training models due to data imbalance results in a poor detection rate for aberrant samples. To achieve a more effective and robust model, we present a multi-level feature fusion (MFFusion) model that utilizes a combination of data temporal, byte, and statistical characteristics to extract relevant information from different angles. Too far, MFFusion has outperformed the state-of-the-art on several real-world network datasets in terms of prediction performance and false alarm rate. We also use MFFusion for anomaly detection in an IoT network, using the most recent IoT malicious traffic information. The experimental results demonstrate the adaptability of MFFusion and its suitability for identifying network anomalies in an IoT context with system performance.
The Implementation of Project Based Learning in Designing Ecotourism Learning Media
Authors: Aboe Roswita M. , Jusnita Naniek
Published: November 2022

The purpose of this study is to describe the implementation of project-based learning in designing  Ecotourism learning media and to asses students perception in project based learning application. The study involves 24 respondents of the 6th semester students of English Education Study Program, Khairun University.  This study administered questionnaires and evaluation test of writing and speaking as the instrument to collect the data. To analyze the data, this research employed mixed method of quantitative and qualitative descriptive analysis. The result of the analysis of students’ perceptions was described with a likert scale, while students’ achievement from the implementation of Project Based Learning was evaluated by their presentation test.  The result of the study showed that 24 respondents obtained 84.72 in their evaluation of writing and speaking test. It is in the category of very good; while from students’ understanding on learning process of a project were 95.14. The suitability of the content in the English for ecotourism course is also in line with project-based learning where there is conformity in the teaching and learning process and was followed by a value of 82.92; while 64.58 score by participants that acknowledge the project based learning increased their skills, motivation and mastery of the material and fostered their learning. In terms of the implementation, students obtained 83.00 of their overall score from presentation test.
Efl Students’ Engagement in Authentic Materials-Based Online Jigsaw Reading Activity
Authors: Budiharti Silvya , Saefullah Hilmansyah , Mobit Mobit
Published: November 2022

Though many previous studies have examined about authentic materials or jigsaw activity for reading classroom, it is still lack of study about integrating the authentic materials in a virtual reading classroom context. To fill this gap, this case study investigated about English as a Foreign Language (EFL) students’ engagement in virtual jigsaw reading with authentic texts. Drawing data from the observation and interview of four volunteer of secondary students, it was found that the students participated and interacted with others during the activity. In addition, the students performed self regulation as they divided the duties in the group. Finally, the students showed their enjoyment and interests in the reading activity.
Pengaruh Transformational Leadership, Workplace Spirituality dan Sense of Community terhadap Organizational Commitment
Authors: Putri Irene , Sudibjo Niko
Published: November 2022

Tujuan penelitian ini adalah untuk mengetahui pengaruh transformational leadership terhadap komitmen organisasi dengan workplace sirituality dan sense of community sebagai variabel mediasi. Penelitian ini menggunakan pendekatan kuantitatif dan pengumpulan data dilakukan menggunakan kuisioner dengan subjek penelitian guru dan staf tetap sekolah XYZ berjumlah 54. Metode pengolahan data dilakukan dengan menggunakan PLS-SEM dan statistik deskriptif. Hasil penelitian yang diperoleh menunjukkan bahwa transformational leadership memengaruhi organizational commitment secara positif, transformational leadership memengaruhi workplace spirituality secara positif, transformational leadership meemngaruhi sense of community secara positif, workplace spirituity memengaruhi organizationl commitment secara positif, sense of community memengaruhi organizational commitment secara positif, transformational leadership memengaruhi organizational commitment melalui workplace spirituality secara positif, transformational leadership memengaruhi organizational commitment melalui sense of community secara positif.
Efektivitas Media Pembelajaran Visual untuk Meningkatkan Motivasi Belajar Mata Pelajaran IPS di Kelas IV SD
Authors: Lanmai Stefen Res , Hardini Agustina Tyas Asri
Published: November 2022

Penelitian ini bertujuan untuk mengetahui efektivitas media visual untuk meningkatkan motivasi belajar siswa pada pembelajaran IPS di kelas IV SD Negeri Kebondowo 02. Penelitian ini adalah kuantitatif jenis eksperimen, metode penelitian ini adalah pre-eksperimental design dengan desain one-goup pretest-posttest. Yang dilakukan pada kelas ekseperimen dan kelas Kontrol Subjek dalam penelitian ini adalah seluruh siswa kelas IV SD Negeri Kebondowo 02 Banyubiru sebanyak 23 siswa yang meliputi 8 siswa putar 16 siswa putri. Pengumpulan data dalam penelitian ini adalah penyebaran angket, Uji Validitas dan Reliabilitas, Uji Normalitas, Uji Homoginetis, dan Uji Hipotesis dengan menggunakan bantuan SPSS. Hasil penelitian telah menunjukan bahwa terdapat perbedaan motivasi belajar IPS. Maka dari itu pembelajaran dengan menggunakan media visual ini memudahkan guru dalam menyampaikan materi pembelajaran sehingga materi yang diinginkan bisa tercapai dan juga pembelajaran menggunakan media visual ini dirancang dengan menarik sehingga siswa punya daya tarik tersendiri, yang dimana siswa akan terlihat aktif dan suasana kelas pun terlihat menyenangkan sehingga pembelajaran pun berlajan efektif sehingga nampak adanya peningkatan motivasi berlajar siswa.
Perbedaan Pengetahuan Siswa terhadap Penggunaan Plastik di Sekolah Adiwiyata dan Non Adiwiyata (Studi Kasus: SMP Negeri 1 Kabanjahe dan SMP RK Budi Murni Lau Baleng)
Authors: Auliani Restu , Maha Jenita Hati Br , Apsari Desy Ari , Tanjung Nelson , Rusli Mustar , Syaputri Deli , Tarigan Kristina Br , Girsang Julietta Br
Published: November 2022

Tujuan dari penelitian ini adalah untuk mengetahui perbedaan pengetahuan siswa terhadap penggunaan plastik disekolah Adiwiyata Smp Negeri 1 Kabanjahe Dengan Siswa Yang Bersekolah Di Sekolah Non Adiwiyata Smp Swasta Rk Budi Murni Lau Baleng. Jenis penelitian ini adalah survey yang bersifat analitik yang dilakukan di sekolah adiwiyata Smp Negeri 1 Kabanjahe dan sekolah non adiwiyata Smp Swata Rk Budi Murni Lau Baleng. Populasi dalam penelitian ini adalah siswa di dua sekolah tersebut dengan jumlah keseluruhan sample banyak 50 responden. Data yang di dapat akan diolah menggunkan uji T-Test.  Siswa adiwiyata yang berpengetahuan baik sebanyak 68% dan siswa yang berpengetahuan kurang sebanyak 38% dan siswa non adiwiyata berpengetahuan baik sebanyak 48% dan berpengetahuan kurang 56%. Dapat disimpulkan pengetahuan siswa terhadap penggunaan plastik yang bersekolah pada progran adiwiyata, lebih baik dari pada siswa yang bersekolah pada sekolah non adiwiyata. Hasil penelitian diperoleh bahwa independent sample T-Test bernilai sig.(2-tailed) 0.004 < 0,05 maka perbedaan bermakna secara statistik atau signifikan pada probabilitas 0,05. Dapat disimpulkan bahwa terdapat perbedaan pengetahuan yang sifnifikan antara siswa adiwiyata dengan siswa non adiwiyata tentang penggunaan plastik. Dengan demikian siswa yang memiliki  pengetahuan penggunaan plastik lebih baik terdapat pada siswa yang bersekolah pada program awidiyata.
Membongkar Mitos Akselerasi Pembelajaran Dampak dari Kehilangan Pembelajaran Era Covid 2019
Authors: Slameto Slameto
Published: November 2022

Pandemi COVID-19 telah mengganggu sekolah secara global, dengan konsekuensi jangka panjang yang berpotensi menghancurkan bagi hasil belajar dan kehidupan anak-anak. Penutupan sekolah telah membatasi kegiatan belajar di rumah masing-masing, sementara infrastruktur digital yang terbatas dan kurangnya pengalaman orang tua dalam mendukung pembelajaran anak-anak hampir pasti akan mengakibatkan hilangnya pembelajaran. Gangguan ini telah mengakibatkan kerugian pembelajaran yang substansial di seluruh dunia. Dengan menggunakan perangkat negara yang baru dikembangkan Bank Dunia untuk mensimulasikan dampak COVID-19 pada hasil belajar dan sekolah dari survei indikator penyediaan layanan pendidikan Indonesia diperkirakan bahwa anak-anak Indonesia telah kehilangan 11 poin pada skala membaca program untuk penilaian siswa internasional (PISA) karena periode penutupan empat bulan dari 24 Maret hingga akhir Juli 2020. Secara khusus, untuk menghindari dampak permanen pada akumulasi sumber daya manusia generasi ini, negara perlu: (1) fokus untuk membalikkan kerugian tersebut, dan (2) akselerasi/ mempercepat pembelajaran. Akselerasi pembelajaran adalah proses yang baik menyetel instruktur tradisional dengan penerapan penyampaian teknologi pembelajaran; Pikiran alami dirancang untuk akselerasi pembelajaran. Sayangnya, akselerasi pembelajaran ini dilingkupi mitos yang berbahaya, maka perlu dibongkar, berbasis fakta - realitas yang ada. Studi literature review ini telah berhasil mengidentifikasi 36 mitos dengan Model Empat Tahap Analisis; 5 mitos teratas berhasil dibongkar; Pada akhirnya dikembangkan (inovasi) 4 model akselerasi pembelajaran yang dapat dipilih menjadi alat yang sangat diperlukan sekolah.
Analysis of Community-Based Awareness Regarding Schizophrenia: A Cross-Sectional Study from Pakistan
Authors: Mohsin Hareem , Aslam Muhammad Kamran , Fatima Kaneez , Asif Azka , Fiaz Amal , Ahmad Bushra , Khalid Afeefa , Fatima Warda
Published: November 2022

Schizophrenia is a serious mental disorder and general public usually show unfavorable attitudes towards the patients. Objective: The study assesses the extent of public knowledge about Schizophrenia, a mental illness, among Pakistan's educated population and to recommend ways to create a better society for the patients and caretakers. Methods: 500 participants voluntarily took part in the study. A questionnaire was developed and a cross-sectional survey was conducted among the respondents. Participants were asked questions related to general, medical, socioeconomic, and treatment information of schizophrenia. Data analysis was done using SPSS software via T/F tests and Chi-square analysis. Results: It was revealed that overall females were more aware of mental illness as compared to males. The age groups of 18-22, 23-27 and 33-37 and participants with graduate and post-graduate degrees were having more knowledge regarding general, medical, socioeconomic, and treatment categories. Upon analysis via chi-square using SPSS, null hypotheses were accepted. Conclusions: Despite of the people having knowledge regarding schizophrenia, there is a significant percentage of populace which is not aware. Seminars, workshops, and campaigns must be conducted to enhance the knowledge of the general public to put an end to this stigma from society which will help in giving better care to the patients.
Factors Influencing Malnutrition Among Under 5 Year Children of District Gwadar, A Cross-Sectional Community Based Study
Authors: Hussain Mujahid , Ans Muhammad , Shahid Sara , Bibi Asima , Sultan Muhammad
Published: November 2022

Malnutrition is one of the major causes in low and middle-income families’ children’s deaths under the age of 5 years. Nine times as many children with severe acute malnutrition (SAM) will pass away than healthy youngsters. In Pakistan, 17.7% of children under five are wasted, and 4 out of 10 infants under five are stunted. With almost 1/3 children (28.9%) underweight, the double burden of malnutrition is increasing. Objectives: To assess and identify the factors influencing malnutrition among under five years children of district Gwadar. Methods: A community-based cross-sectional research was carried out in randomly chosen clusters in several union councils in the Pakistani district of Gwadar. Mothers and other caregivers of children under five were interviewed as part of the house-to-house survey, using a practical sample approach. Results: The children age mean was 11.56 ± 12.4 months and the mean age of mothers was 27.29 ± 6.31 years. Overall stunting prevalence of severe acute malnutrition (SAM) cases was 21.2% and moderate acute malnutrition (MAM) cases were 46.2%. Conclusions: According to the study's results, under the age of five the malnutrition was widespread. The three types of nutritional outcomes were all strongly correlated with household income. Particularly in Baluchistan's underdeveloped regions, more labor and studies are needed
Perceived Social Support as a Predictor of General Health in HIV+ Patients: Moderating Role of Gender
Authors: Ehsan Saima , Shahida Batool Syeda
Published: November 2022

Human Immunodeficiency Virus (HIV) affects the functioning of the human immune system (HIS). Objectives: To evaluate the predictive role of social support in general health among HIV+ patients, and the moderating role of gender between social support and general health. Methods: Cross-sectional study was carried out at the Jinnah Hospital Lahore, Pakistan Institute of Medical Sciences (PIMS), Association of people living with HIV and AIDS Islamabad, and New Light AIDS control program (NGO) Rawalpindi from February 2019 to March 2020. Berlin Social Support Scale and General Health Questionnaire were used to assess perceived social support and general health among HIV patients. Results: Social support significantly predicted general health components (p < .001), and significant moderating effect of gender (β= -.32, t = 2.49, p<.05) was found between social support and general health among HIV patients. Conclusions: Social support emerged as a protective factor of general health in HIV+ patients in Pakistan that helped them to manage stress and fight with their illness. The high level of social support system tends to decrease general health problems among HIV + patients; however relationship between perceived social support and general health was stronger among women as compared to men.
A Comparison of Canal Width Changes in Simulated Curved Canals prepared with Profile and Protaper Rotary Systems
Authors: Faisal Aisha , Farid Huma , Ghafoor Robia
Published: November 2022

With advancement in the endodontic technology there is a quest to introduce root canal instruments showing superior performance by removing minimum amount of sound root dentine and retaining the original shape of the root canal. Objective: To compare the changes in the width of simulated curved canals prepared with ProFile and ProTaper rotary system. Methods: This in-vitro, Quasi Experimental study was carried out in the Dental section of The Aga Khan University Hospital. Pre and post instrumentation photographs (images) of sixty resin blocks prepared with ProFile and ProTaper rotary instruments respectively (with 1:10 magnification) were superimposed using software Adobe Photoshop 6.0. Measurements were done on print out of composite images. Measurements of change in width (resin removed) were recorded along the length of canal at 12 points. Results: Two rotary system showed statistically significant difference in simulated curved canals width after preparation. ProTaper rotary instruments showed more resin removal at the inner walls of the canal at 1, 8-12mm from the apex and more resin removal at outer wall of canal at 9-12 mm from apex. Conclusions: ProFile and ProTaper rotary files showed statistically significant difference in canal width after instrumentation. ProTaper rotary files showed more resin removal in canals towards the inner wall and coronal part of the outer wall.
The Zingiber Officinale Roscoe Combat Helicobacter Pylori Infection in Human Gastrointestinal Tract Diagnosis and Treatment
Authors: Ahmad Waqar
Published: November 2022

Twenty years after the initial culture of HP, there has been a substantial change in the finding and treatment of upper gastroduodenal disease. A growing number of stomach cancers are caused by Helicobacter pylori infection, and researchers are also looking into how this infection affects other upper gastric tract inflammation. There has been significant progress in our understanding of the pathogenesis of this infection. Although there are powerful anti-microbial medications on the market, there is still no perfect treatment and the therapeutic indications are constantly evolving. Following the discovery of an HP infection, the clinician assesses the patient's clinical condition to determine whether therapy is necessary. Typically, HP eradication is suggested for the treatment and prevention of the infection. The microorganism that is introduced into the human stomach cancer that develops in the gastrointestinal tract causes the HP disease. In addition to gastrointestinal issues like belching, bloating, vomiting, indigestion, and constipation, it has been used for a long time to treat a variety of disorders. The purpose of the current study's findings was to assess how supplementing with ginger powder affected patients who had the HP infection's eradication and the relief of their dyspeptic symptoms.
Causes and management of blunt liver trauma in a tertiary care hospital in Peshawar
Authors: Khan Asad Ullah , Ahmad Kamran , Jehanzeb Khan Abeer , Bakhtiar Nasir , Arsalan Tahir Ahmad , Harris Muhammad , Jehangir Khan Muhammad , Haris Sobia , Deeba Farah
Published: November 2022

Trauma is the principal reason of deaths in kids and young adults globally. Objective: To determine the causes and management of blunt liver trauma in a tertiary care hospital in Peshawar. Methods: The present investigation observed a total of 150 individuals through non-probability consecutive sampling to determine the mean hospital stay in patients presented with blunt liver trauma. Results: In this study, age distribution among 150 patients was analyzed as n= 10-20 Years 51 34.0%), 21-30 Years 35 (23.3%), 31-40 Years 16 (10.7%), 41-50 Years 23 (15.3%), 51-60 Years 25 (16.7%). Mean age was 41.56±5.357 years. Gender wise Distribution among 150 Patients was analyzed as Male were 94 (62.7%) and female were 56 (37.3%) Distribution of BMI among 150 patients were analyzed as n=Below 18.5 Underweight 76 (50.7%), 18.5–24.9 Normal weight 35 (23.3%), 25.0–29.9 pre-obesity 21 (14.0%), 30.0–34.9 Obesity class 18 (12.0%). Distribution Mechanism of Injury among 150 patients were analyzed as n= RTA was 57 (38.0%), fall from height was 52 (34.7%), Sport's injury was 18 (12.0%), physical assault was 23 (15.3%). Successful Conservative Management among 150 patients were analyzed as n= Yes was 106 (70.7%) and No was 44 (29.3%), Distribution of Mortality among 150 patients were analyzed as n= Yes was found 66 (44.0%) and No was found 84 (56.0%). Conclusions: The severity of liver damage and concomitant intra-abdominal injuries demonstrated a strong association with the chance of success with conservative therapy. The restricted hospital facilities and lack of agreement on traditional therapy had a detrimental influence on success.
Frequency of Placental Abruption in Preterm Premature Rupture of Membranes (PPROM)
Authors: Rani Nadia , Iqbal Nilofar , Waris Tasmia , Gul Sanila , Izhar Muhammad
Published: November 2022

Placental abruption is the premature separation of normally placed placenta. Its incidence is 1% worldwide in all pregnancies and 7% in Pakistan. Objective: To determine frequency of placental abruption in preterm premature rupture of membranes. Methods: This study was conducted in Department of obstetrics and gynecology DHQ Hospital Topi Swabi from 1st March 2021 to 31st October 2022. Total of 276 patients were recruited. Routine clinical examination was done for the confirmation of preterm PROM. All the patients were followed till delivery and placental abruption was diagnosed. All the mentioned information obtained were noted on a pre designed proforma. Results: Mean age was 33 ±2.17 years. Primi para and multi para were 40% and 60% respectively. Forty-two % patients were primi gravida, 58% patients were multi gravida. 33% mothers had gestational period of age range from 28-32 weeks while 67% patients had POG range 33-37 weeks. More over the frequency of placental abruption in preterm premature rupture of membranes was 5%. Conclusions: On the basis of results, it was concluded that active expectant management strategy and strict follow up minimizes the risk of occurrence of perinatal asphyxia, and neonatal morbidity and mortality
Impact of Diabetes on the Clinical outcome of COVID 19 Patients admitted in Tertiary Care Hospital of Khyber Pakhtunkhwa, Pakistan
Authors: Salman Aamir Muhammad , Liaqat Huma , Ali Muhammad , Afzal Sabina , Karam Alvina , Nazir Hamza , Aamir Mashal
Published: November 2022

In November 2019, a virus emerged in Wuhan City of China, named as novel coronavirus. Objective: To evaluate the impact of Diabetes on the clinical outcome of COVID 19 patients admitted in Isolation Units at Hayatabad Medical Complex Peshawar. Methods: This was a 6 months’ prospective longitudinal observational study. Diagnosis was made on the basis of positive PCR nasal and / or pharyngeal swabs, following the provisional guidelines of the World Health Organization. Diagnoses of diabetes was confirmed by medical history of the patient. Data regarding socio demographic aspects, comorbidities, hematological and biochemical findings, chest radiographic images, complications, length of stay, treatments and outcomes were collected from the hospital charts. All known Type 2 Diabetics above 40 years of age with positive PCR for COVID 19 infections were included regardless of gender. Type 1 diabetics and those with prior complications were excluded from the study. Results: The ANOVA table showed the overall model was statistically significant predictor ((Duration of diabetes, gender, education and age) of the outcome variable (length of stay in COVID isolation unit) with P value 0.004 reflecting that diabetes has significant impact on the outcome of COVID 19 patients. There was also significant association (chi-square P value .005) between complications developed and HbA1C levels of the admitted patients. Conclusions: Diabetes has significant impact on clinical outcome of Covid 19 patients in terms of complications, length of stay and mortality. The complex nature of both the diseases leaves the patient with high risk of developing complications and mortality.
Paediatric Circumcision with Bipolar Diathermy: Our Experience of 200 Cases, Assessment of Health Benefits and Risks
Authors: Haider Naveed Haider , Shahbaz Ferheen , Varda Komal , Saleem Javeria , Khizir Ubaid Ur Rehman , Yasir Sultan Muhammad
Published: November 2022

Ritual circumcision is the most commonly used procedure for males. Circumcision operations are routine procedures, which are done using various techniques. Objective: To elaborate on the advanced techniques for bipolar diathermy by describing this surgical procedure in terms of incidence of postoperative complications, bleeding, and occurrence of infections or complications.  All these findings were recorded in quantitative terms and a comparative analysis was made.   Methods: A descriptive observational study was conducted on children of age 1 week to 8 years. The method was to observe readings for children undergoing circumcision procedures of bipolar diathermy. The p-value was calculated for postoperative complications. Results: We selected the target population of 200 children. There was a very reduced incidence of bleeding was recorded in children undergoing circumcision by bipolar diathermy. There were no infection rates recorded and very less post-operative complications. Conclusions: Bipolar diathermy method is more efficient with a decrease incidence of morbidities.
Effects of Bobath and Neurodevelopmental Treatment in A 3.5 Years Old Child with Lacunar Pure Motor Stroke Following Ventricular Septal Defect Repair
Authors: Khuram Nayab , Afzal Binash , Nasir Rida , Mushtaq Hafza
Published: November 2022

Lacunar pure motor stroke happens when an artery leading to the deep section of the brain, which contains the organs like the thalamus or basal ganglia is obstructed. Small and occurring outside of the cortex, lacunar strokes are a subtype of ischemic stroke. Lacunar strokes mostly affect patient’s memory, judgmental skills and language. On the basis of symptoms, lacunar stroke is categorized as pure motor hemiparesis (45% cases), pure sensory stroke (7% cases) and ataxic hemiparesis (17-18% cases). We reported a case of 3.5 years old male patient with pure motor lacunar stroke following ventricular septal defect repair who was effectively treated with bobath therapy and neurodevelopmental therapy as bobath is a generally accepted theory in the rehabilitation of hemiparetic stroke victims worldwide. On examination, the patient had a total pure motor based right sided hemiparesis. The lower extremity movements were more compromised than upper extremity, strength of mainly antigravity or postural muscles was compromised and lower extremity muscles were scoring 1/5 on Manual Muscle Testing (MMT) and scored 1 on Modified Ashworth Scale (MAS). As such there was no spasticity factor in the upper or lower limb muscles but there was weakness (right sided hemiparesis), so the treatment plan was given and thoroughly explained to the patient’s caretaker. There was no major cognitive and sensory deficit, as lacunar stroke has a better prognosis than other types of stroke, so, the recovery was good within 3 to 4 months by NDT and bobath therapy. Bobath therapy mainly improves the motor function with postural balance and stability.
Science of Dental Materials as Subject’s Perception, Understanding, And Learning by BDS Students
Authors: Munir Nadia , Inayat Naveed , Shafqat Zahra , Qaiser Aneela , Yaasir Zenab , Wahad Khan Mahvish
Published: November 2022

A better understanding of the Science of Dental materials as a subject depends upon theoretical knowledge and its clinical application. The multitude of teaching methodologies in the dental curriculum has been incorporated to determine learning outcomes. Objective: This study aimed   to found the perception of BDS second-year students toward the subject of dental materials and evaluate the difficulty in learning and acquisition of concepts in this preclinical year. Methods: This cross sectional study was conducted among 130 students of BDS second year registered with University of Health Sciences, Lahore. Pre-designed questionnaire was used as research tool to determine the students’ perceptions towards teaching methodologies and understanding of dental Materials. Results: Only 53.7% of the students reported DM as an interesting subject. Satisfaction with content was 90% and delivery and pace of the lectures were reported at 79.3%. Majority of the student (86.8%) reported lecture materials easy to understand. The most useful method for learning and understanding this subject is group discussion 76.15%, followed by PowerPoint presentation 73.85%. The favored mode of assessment was MCQs (80%) followed by practical lab 66.93%. To improve learning 82.3% of the students recommended group discussion and integrated teaching method (77.6%). Conclusions: The majority of students found Dental material a difficult subject. A better understanding of this subject needs improvement in already applied teaching methodologies with an integrated teaching mode
Diabetic Foot Ulcers: Prevalence and Associated Risk Factors Among Diabetic Patients
Authors: Hussain Fizza , Shabbir Momina , Bunyad Salma , Arshad Feryal , Kashif Muhammad , Siddique Jaweria
Published: November 2022

Diabetes Mellitus, a complex disease, chronic in nature; requires uninterrupted care to reduce various risk factors beyond glycemic control. Objective: To find out prevalence of foot ulcers among diabetic patients and identification of risk factors that can lead to the development of ulcers among diabetic patients attending the tertiary care centers of Faisalabad. Methods: A cross sectional survey was conducted on 500 diabetic patients attending the diabetic clinics. Subjects were identified using non-probable convenient sampling and data was collected by using structured questionnaire. Associated risk factors of diabetic foot ulcers were all assessed. Using SPSS version 23.0 for windows software, data were managed and analyzed. Results: There were n=239 males and n=261 females. Most of the patients were in the age group of 61-70. Major population belonged to middle socio-economic status (46.2%). Diabetic foot ulcer prevalence was 10.4%. There was significant association between ulcer and age (p=.036), gender (p<.001), lifestyle of patient (p=.003), BMI of Patient (p=.001), smoking habits (p<.001), duration of diabetes (p<.001), and family history of diabetes (p<.001). Conclusions: The study concluded that 10.4% of diabetic patients had foot ulcers. Diabetic foot ulceration was significantly related with male gender. It is thus recommended that diabetic care providers can reduce the prevalence of diabetic foot ulcers by increasing understanding of the disease and foot care examination among those having sensory loss.