bluuebunny/crossref_metadata_2025 huggingface dataset:
Tuberculosis infection control measures at health facilities providing tuberculosis services in Nepal
Authors: Adhikari N. , Bhattarai R. , Basnet R. , Joshi L.R.
Published: March 2019

Introduction: Globally there were an estimated 10.6 million new tuberculosis patients and 1.7 million deaths from TB in 2016. There is an evidence of tuberculosis transmission at health care settings where health care workers and patients come in contact with people having tuberculosis. This study aims to explore infection control measures at health facilities in terms of administrative, environmental and personal protective measures needed for infection control.

Methods: This is a cross-sectional study carried out at 79 health facilities across the country. The study continued for three months starting from January 2018 to March 2018. Trained enumerators from health sciences background collected the information using semi-structured questionnaire. Written consent was obtained prior interview.

Results: All the selected health facilities participated in the study. Around 44% of health facilities have infection prevention plan, but very few of them have budgeted for tuberculosis infection control activities. Less than one third of health facilities (24 out of 79 HFs) have provision to separate presumptive tuberculosis patients, however, only 50% (12 HFs) have turned such provision into action. Only 15 HFs (38%) out of 40 HFs having N95 or FPP2 mask for health workers. Around half of the HFs (44%, 35 out of 79) was found to have cross ventilation.

Conclusion: Tuberculosis infection plan needs to be developed and implemented by all the health facilities to strengthen administrative, managerial, and environmental and person protective measures of inaction control to minimize the risk of TB transmission at health facilities.
Une mémoire pour les Invisibles : étude d'un hospice Rûms indigents à Athènes
Authors: Théodoridès Anna
Published: March 2019

« Qui a eu la chance de contempler les gigantesques fresques murales que l'on trouve dans les sierras de San Borja, San Juan, San Francisco et Guadalupe dans le désert de Basse-Californie sait qu 'il a entrevu le fragment d'un autre monde. Ces hommes peints à même la roche, en couleurs rouges et noires, mêlés et superposés à des rennes et des cerfs et recouvrant d'immenses parois de pierre dans des grottes étonnamment conservés, n'ont pas leur place dans I 'histoire du Mexique. Figures peintes à six ou sept mètres du sol, hommes de I à 2 m de haut, les bras levés ; personnages stylisés d'une danse à laquelle nous n'avons pas été invités (Paco Ignacio Taibo Il, À quatre mains, p. 42. Rivages/Noir, 1991)
La magie noire comme méthode thérapeutique dans la première période byzantine : les rapports hagiographiques (4e-7e siècles après J.-C)
Authors: Panagopoulos Spyros P
Published: March 2019

La croyance dans les attaques des démons contre l'humanité, soit de manière spontanée, soit par le biais de la magie noire, avait conduit à l'apparition des guérisons miraculeuses dues à l'intervention de certains saints hommes et à I 'invention de procédés magiques inverses pour combattre la magie maléfique. À l'opposé de la magie noire ou de goeteia (yontE[a), la magie thérapeutique et protectrice couvre une large gamme de formules incantatoires, d'amulettes et autres pratiques, le tout hérité des expériences médico-magiques des anciens Égyptiens et des autres peuples orientaux (Assyriens, Babyloniens, Perses, Juifs) et assorties d'éléments chrétiens. Dans la magie thérapeutique, le christianisme a joué un grand rôle, faisant appel à des exorcistes, à des rituels purgatoires, mais surtout au pouvoir miraculeux des icônes, des reliques, des lieux et obiets sacrés, du signe de la croix et des prières.
Les Espaces de Pèlerinage à Hardine et à Annaya (Mont Liban) au Carrefour D'intérêts Multiples
Authors: Sfeir Christiane
Published: March 2019

Au début du printemps 2008, la béatification d'un nouveau saint, le frère Jacques Haddad, est célébrée au centre-ville de Beyrouth. C'est le quatrième saint maronite qui s'ajoute à la liste des bienheureux libanais canonisés : Charbel Makhlouf, Rafqa ar-Rayes et Nimatullah Kassab al-Hardini. Deux ans plus tard, en juin 2010, le frère Stéphane Nehmeh est béatifié à son tour. Ainsi, en moins d'un siècle, cinq religieux issus de la communauté maronite sont sanctifiés par Rome. Ces béatifications et canonisations de maronites issus du Mont-Liban induisent des pèlerinages organisés par des associations ecclésiastiques et de bienfaisance, d'écoles, ou de groupes sociaux. Messes et processions spectaculaires attirent des foules, et l'espace s 'en trouve souvent profondément affecté. Ainsi, tout phénomène surnaturel serait suivi d'une action humaine qui affecte le lieu de cette manifestation ; les lieux de pèlerinage en seraient l'exemple heuristique. Le déplacement des pèlerins dessinerait alors une nouvelle géographie du fait religieux qui s'exprime par une transformation visible du paysage, car le sacré est toujours lié au religieux et par la suite aux hommes (Frund 1999).
Erfolgsprognose für Produktivitätsmethoden
Authors: Grabner Constantin , Klein Peter , Lödding Hermann
Published: March 2019

Kurzfassung

Spätestens mit Bekanntwerden des Toyota Produktionssystems ist ein methodisches Verbesserungsvorgehen zum Industriestandard geworden. Unternehmen bewerten das Aufwand-Nutzen-Verhältnis der Methoden jedoch teilweise kritisch. Angesichts dieser Beurteilung stellt sich die Frage, wie sich der Erfolg von Produktivitätsmethoden vorhersagen lässt. Dieser Beitrag beschreibt ein Vorgehen, um die Auswirkung von Verbesserungsmethoden auf die Arbeitsproduktivität vorherzusagen.
PRINSIP-PRINSIP NEGARA HUKUM INDONESIADALAM UUD NRI TAHUN 1945
Authors: Astomo Putra
Published: March 2019

Human was thinking about law state developed in the various history situation of human culture. Although law state concept viewed as universal concept real have kind characteristic. The kind characteristic became principles which as must built. For example Indonesian State was law state mentioned in Article 1 Clause (3) Constitution 1945 years. After change Constitution 1945 years there are some principles Indonesian Law State include: law enforcement, Human Rights of protection, separation of power by check and balance system, limitation of power in the state, equality before the law, with Court Administration.
ETIKA DAN PRINSIP PERBANKAN SYARIAH DALAM PERSFEKTIF HUKUM EKONOMI ISLAM
Authors: Bombang Saifullah
Published: March 2019

Etika, nilai yang bersumber dari ajaran Islam sumber utama dalam pembentukan prinsip-prinsip perbankan syariah dalam sistem hukum ekonomi Islam. Prinsip yang telah terekonstrumsi menjadi prinsip merupakan suatu kesatuan yang utuh dan tak terpisahkan satu kesatuan prinsip yang memiliki makna yang sama dan berlaku sepanjang masa. Keduanya saling mengikat tidak terpisahkan dan menjadi acuan dalam melaksanakan amal usaha (muamalah). Semua aktivitas dalam ekonomi Islam, termasuk perbankan selalu harus sesuai dengan prinsip-prinsip ajaran islam sehingga terhindar dari praktek perbankan yang penuh dengan pelanggaran terhadap nilai dan norma islam. Pemberlakuan prinsip–prinsip Islam dalam perbankan syariah yang dinormakan dalam hukum ekonomi islam dimaksudkan adalah untuk mengkonsistensikan ajaran Islam dengan praktek perbankan terkaontaminasi dengan sistem lain yang pada umumnya tidak sesuai dengan etika dan prinsip Islam. Islam menawarkan konsep kepada umat manusia yang bersumber dari al-Qur’an dan Sunnah dalam hal melakukan hubungan atau transaksi dengan orang lain, termasuk dalam bidang keuangan sebagai manisfestasi dari ajaran islam dalam bidang perbankan. Etika, Nilai dan prinsip menjadi acuan dan sumber dalam merumuskan norma hukum Islam yang mengatur hubungan hukum dalam bindang perbankan. Semuan transaksi keuangan dalam perbankan seharusnya tunduk pada norma hukum islam dan setiap muslim perlu berhati-hatian dan tidak terjebak dalam sistem transaksi perbankan yang tidak halal (riba dan subhat) sehingga eksistensi perbankan Islam semakin kokoh tumbuh dan kuat demi kemaslahatan umat manusia.
REKONSTRUKSI EPISTEMOLOGI TEORI KEADILAN JOHN RAWLS
Authors: Marilang Marilang
Published: March 2019

Hingga dewasa ini, konsep keadilan belum terkonstruksi secara definitif yang dapat dijadikan pegangan secara universal bagi scientist, disebabkan karena keadilan menjangkau area yang sangat luas. Di samping itu, setiap penstudi ilmu mengkonsepsikan keadilan sesuai paradigma disiplin ilmu yang digelutinya, bahkan sampai kepada sampel yang dijadikan pondasi bangunan teori keadilannya juga berbeda-beda, sehingga dewasa ini muncul varian-varian yang lebih spesifik seperti keadilan Tuhan (theology), keadilan ekonomi, keadilan politik, keadilan transisional, keadilan antar generasi, keadilan individu, keadilan sosial, dan sederetan konsep keadilan lainnya yang terdefinisikan sesuai disiplin ilmu penstudi. Di antara penstudi ilmu yang berhasil mengkonstruksi konsep keadilan adalah John Rawls. Selaku pakar filsafat politik, ia membangun teori keadilan sosial (social justice) di atas struktur dasar masyarakat (keluarga) sebagai sampel pondasi bangunan teori keadilannya. Sampel bangunan teori keadilan sosial John Rawls inilah yang akan dianalisis secara kritis dari sudut pandang filsafat epistemologi hukum.
Pengelolaan Pertambangan dan Energi: Analisis dalam Perspektif Hukum Islam
Authors: - Mispansyah , - Nurunnisa
Published: March 2019

Indonesia termasuk negara yang kaya raya dengan pertambangan dan energy, termasuk pertambangan batubara. Kehadiran Undang-Undang Nomor 4 Tahun 2009 tentang Pertambangan Mineral dan Batubara hendaknya memberi kontribusi kesejahteraan bagi masyarakat. Isu penelitian yang dikaji dalam tulisan ini adalah untuk menganalisis esensi hukum Islam yang terkandung dalam Undang-Undang Nomor 4 Tahun 2009? Bagaimanakah sebenarnya pengelolaan pertambangan dalam perpsektif Hukum Islam? Tujuan dari penulisan ini untuk menemukan nilai-nilai Islam yang terkandung dalam Undang-Undang Nomor 4 Tahun 2009, kemudian untuk mengetahui pengelolaan pertambangan dalam perspektif Hukum Islam. Hasil Pembahasan menggambarkan adanya Nilai Islam dalam Undang-Undang Nomor 4 Tahun 2009 seperti Nilai pemeliharaan, nilai konservasi, nilai harmonisasi antara sumber daya alam, nilai keberlanjutan, nilai kesejahteraan dan nilai keadilan dan keseimbangan. Disamping itu juga ada nilai Liberalisme yang dianut oleh UU ini sehingga saat ini pengelolaan pertambangan dimiliki oleh para pengusaha baik dalam dan luar negeri. Pengelolaan pertambangan dan energy dalam Islam dikelompokkan dalam 3 bagian yaitu pertama, harta yang merupakan fasilitas umum yang jika tidak ada akan terjadi sengketa dalam mencarinya, maka ini merupakan harta bersama yang harus dikelola Negara bukan dikelola individu/kelompok baik swasta dalam dan luar negeri
STUDI KELAYAKAN TEKNIS DAN EKONOMI SIMPANG TAK SEBIDANG KOTA PEKANBARU (Studi Kasus : Persimpangan Jl. Soekarno Hatta – Jl. Riau)
Authors: Islah Mhd
Published: March 2019

Semakin padat dan ramainya kendaraan di Kota Pekanbaru semakin tak sebanding dengan pelebaran jalan yang dilakukan pemerintah. Alhasil, kemacetan di setiap persimpangan, terus mengancam. Di beberapa ruas jalan seperti Jalan Soekarno-Hatta dan Jalan Riau, hampir setiap pagi dan sore hari selalu terjadi kemacetan panjang. Hal ini tidak dapat dihindari karena kondisi jalan tidak bisa menampung jumlah kendaraan.

Untuk itu persimpangan Jalan Soekarno Hatta – Jalan Riau dijadikan suatu daerah kajian dampak kemacetan terhadap aktifitas kendaraan, karena jalan tersebut saat ini sudah terjadi kemacetan, kecelakaan, antrian, tundaan dan lain sebagainya. Hipotesa awal adalah perencanaan persimpangan Jalan Soekarno Hatta – Jalan Riau yang semula persimpangannya sebidang menjadi persimpangan  tidak sebidang dengan membangun fly over dan juga adanya rencana pemerintah Kota Pekanbaru untuk membangun fly over di beberapa titik persimpangan, salah satunya Jalan Soekarno Hatta – Jalan Riau.

Metodologi penelitian yang dipakai dalam penelitian ini adalah  studi pendahuluan, survey pendahuluan, survey manual dan kompilasi data. Studi pendahuluan adalah menentukan parameter data yang akan disurvey dan juga menentukan metode yang diperlukan untuk mengumpulkan data dimaksud. Survey pendahuluan adalah survey pada skala kecil yang dilakukan sebelum survey besar. Survey manual adalah untuk mendapatkan gambaran mengenai kondisi lalu lintas di persimpangan jalan Soekarno Hatta – jalan Riau dilakukan perhitungan lalu lintas. Kompilasi data adalah suatu proses pengumpulan data dan pengolahan data untuk mendapatkan hasil akhir berupa data setengah matang yang siap untuk diolah pada tahap analisis
Assistência Social e Juventude:
Authors: Vieira Lino Filho Afonso , Machado Fiuza Fialho Lia
Published: March 2019

Este artigo tem como objetivo apresentar o processo de implementação durante os onze anos de debates acerca das políticas de Assistência Social e Juventude no Brasil como política de proteção social. Iremos apresentar a partir dos seus aspectos normativos e conceituais o debate que vem sendo realizado no nestes onze anos de construção, a relevância consiste em contribuir com a produção de pesquisa nas áreas de Assistência Social e Juventude ao desvelar como se efetiva uma política social oferecido para sociedade pelo Estado.
A Ouvidoria Como Mecanismo de Participação na Administração Pública
Authors: Gonçalves Pinho Maria Nazaré , Magalhães Junior Antonio Germano
Published: March 2019

O controle social é o direito que qualquer cidadão tem de participar do planejamento das demandas sociais, de acompanhar as políticas públicas e as ações do governo. É também, a forma mais legítima de garantir que o recurso público seja de fato aplicado no atendimento das necessidades do cidadão. O objeto desta pesquisa é a criação de ouvidorias públicas no Brasil, que se constitui na mais nova forma de controle social, considerando-se que as ouvidorias têm comoobjetivo fundamental a interlocução entre a sociedade e os entes públicos. A ouvidoria é vista como mecanismo que possibilita a inversão de uma relação histórica conservadora entre Estado e cidadão, iniciando a transformação cultural na administração e na prestação dos serviços públicos. O objetivo da pesquisa foi compreender o processo de criação, implantação e desenvolvimento da Ouvidoria Geral no Estado do Ceará, tendo como referência a Ouvidoria Geral da União, no período de 2007/2014. Constatou-se que a Ouvidoria Geral do Estado atua de maneira semelhante ao modelo de atuação da Ouvidoria Geral da União, sob os pontos de vista normativos, tecnológicos e formativos. Sua função de atuar como órgão central de um sistema de ouvidorias é desempenhada também em similaridade com a União.
PEMBELAJARAN PERSPEKTIF AL GHAZALI DAN IBNU MISKAWAIH
Authors: Halim Abdul
Published: March 2019

Human as educational beings (homo educandum) has never been separated from the process of education. Therefore, they can be an object or subject of education. the educational process carried out by humans will coincide with the learning process. learning is the process of interaction between individuals (students) and other individuals (teachers) or with their environment that is intended to change a person's behavior permanently both intellectual, emotional or spiritual aspect through experience. Generally,  theories of learning are behaviorist, cognitive and humanistic theory  that lead to self's change through their learning experience based on purpose. According to Ghazali and Ibn Miskawaih's perspective, the purpose of learning is a positive moral change towards what is done by a teacher.  al Ghazali points that parent is a first educator in the individual life. According to Ibnu Miskawaih, materials for the learning is developed by using Islam epistemology.  and the other hand, al Ghazali declare a material of learning is developed by sufistic values  approach.Manusia mempunyai julukan sebagai homo educanum. Hal ini nampak pada proses kehidupan manusia dimana ia tidak akan pernah lepas dari proses pendidikan. Disatu sisi ia dapat menjadi obyek sekaligus subyek pendidikan. Pembelajaran adalah proses interaksi yang dilakukan oleh peserta didik dan guru atau lingkungannya yang ditujukan untuk merubah perilaku seseorang secara permanen baik aspek intelektual, emosi atau spiritual melalui pengalaman. Pada umumnya teori belajar behaviorisme, kognitif dan humanistik menginginkan adanya perubahan pada diri seseorang sesuai dengan yang ditujukan melalui pengalaman belajarnya. Dalam perspektif tasawuf sebagaimana diungkapkan oleh al Ghazali dan Ibnu Miskawaih bahwa tujuan pembelajaran adalah perubahan akhlak (perilaku) seseorang kepada yang baik yang dilakukan oleh seorang guru dimana menurut pandangan tasawuf bahwa pendidik pertama tersebut adalah orang tua sedangkan materi yang digunakan adalah materi-materi yang secara epistimologis dibangun secara islami sedangkan menurut al Ghazali materi tersebut juga perlu dibangun dengan pendekatan nilai sufistik.
DIAGNOSTIC AND THERAPEUTIC CHARACTERISTICS IN THE APPROACH OF DIABETIC FOOT IN THE ELDERLY.
Authors: Mancilla William Andrés Prada , Espinosa Claudia Marcela Ramírez , Ardila Ingrid Carolina Guayan , Vernot Patricia Pardo , Garzón Gustavo Antonio Salas
Published: March 2019

This article systematically evaluates the most used diagnostic measures for the management of diabetic foot in the elderly, the decision making in the surgical approach, the tertiary prevention of the disease and the microbiological behavior. The initial diagnostic study for musculoskeletal infections and alterations is conventional radiography (sensitivity 40-75%, specificity 60-90%), computed tomography is more useful in the approach to chronic infection, assessing bone abductions and deformities. Magnetic resonance (sensitivity 100%, specificity 40%) is useful to assess the formation of abscesses and bone compromises.Decision-making in the surgical approach is due to sensory, motor or mixed neuropathy; which predispose to ulcers, fractures, deformities and fissures of the skin; lesions that are overinfected and must be operated on. Infections in elderly people with diabetic foot show that Staphylococcus Aureus is the main pathogen causing osteomyelitis. Beta-hemolytic Streptococci / S. Aureus, in patients with cellulitis, without open cutaneous wound, except in repeated mono microbial cultures, immunosuppressed patients or ulcers that do not respond to treatments. The diagnosis and treatment of diabetic foot continues to be a challenge for the health system; it is important that health institutions form interdisciplinary groups aimed at improving patient conditions, who must perform timely, adequate treatment, with routine monitoring and follow-up; using diagnostic methods throughout the course of the disease in order to reduce the need for amputations of the extremities.Keywords: Therapeutic approach, Diabetic Foot, osteomyelitis.
Evidence Based Patient-Centered Care: Are We Ready?
Authors: Baziad Ali
Published: March 2019

N/A
Serum Adiponectin Level is Lower in Patients with Endometriotic Cyst
Authors: Fahdiansyah Fahdiansyah , Anwar Ruswana , Irianti Setyorini
Published: March 2019

Objectives: To analyse the difference of serum adiponectin level between patients with endometriotic cyst and those with non-endometriotic cyst, and its difference between endometriosis stages. Methods: This is a cross-sectional comparative analytical study involving 25 women with endometriotic cyst and 25 women with nonendometriotic cyst, which had undergone laparoscopy or laparotomy surgery. Blood samples were withdrawn and checked for serum adiponectin level in PRODIA laboratory in Jakarta. Serum adiponectin level of both groups were then measured and compared. The study was conducted in Dr. Hasan Sadikin Hospital in September- December 2012. Results: Shows no significant difference in subjects’ characteristic which are age (p = 0.994) and BMI (p = 0.267). There is a significant difference (p < 0.0001) between serum adiponectin level in endometriosis group (mean = 3.91 ± 1.976) with level of which in nonendometriosis group (mean = 8.59 ± 1.977). There is no significant difference (p = 0.384) of serum adiponectin level between stage III endometriosis (mean = 4.24 ± 1.8168) and stage IV endometriosis (mean = 3.54 ± 2.1531). Conclusion: Serum adiponectin level in patients with endometriotic cyst is significantly lower compared to level of which in patients with non-endometriotic cyst. There is no significant difference of serum adiponectin level between endometriosis stages. [Indones J Obstet Gynecol 2013; 1-3: 119-23] Keywords: adiponectin, endometriotic cyst, non-endometriotic cyst, endometriosis stage
Ki-67 Expression is Correlated with Cyst Size and Stage of Endometriosis
Authors: Alif Muhammad , Anwar Ruswana , Pribadi Adhi
Published: March 2019

Objectives: To analyze the association between Ki-67 expression with the cyst size and stage of endometriosis, and the correlation strength between them. Methods: A cross-sectional analytic observational study involving 56 paraffin blocks from subjects diagnosed with endometriosis, who had undergone laparotomy or laparoscopic surgery. The study is conducted in Dr. Hasan Sadikin Hospital in September-November 2012. Results: Shows a significant association between Ki-67 expression and the size of endometriotic cyst (p < 0.0001), also with a strong correlation (r = 0.55) according to Guilford criteria. There is also a significant association between Ki-67 expression and the endometriosis stage (p < 0.0001), with a strong correlation (r = 0.564) according to Guilford criteria. Conclusion: Ki-67 expression is correlated with the cyst size and stage of endometriosis. [Indones J Obstet Gynecol 2013; 1-3: 124-8] Keywords: endometriosis stage, endometriotic cyst size, Ki-67
Total Testosterone Level is Lower in Women Consuming Combined Oral Contraception with Impaired Sexual Function
Authors: Amra Yuniarty , Tumeida Joseph L , Hartono Edi
Published: March 2019

Objectives: The aim of this research was to assess the relationship between total testosterone level and female sexual function based on Female Sexual Function Index (FSFI) among the acceptors of combined oral contraceptive pill. Methods: The research was conducted in BLU of Dr. Wahidin Sudirohusodo Hospital and several teaching hospitals in obstetrics and gynecology sections of Medical faculty, Hasanuddin University from October to December 2012. This study assessed sexual function among 60 women as the acceptors of combined oral contraceptive pill. Sexual function was assessed using FSFI questionnaire which had been validated in several countries. This research used cross sectional design and the sample was selected using consecutive sampling method. The data were processed using SPSS with independent t test of the significant level of 0.05. Results: The results of the research reveal that total testosterone level among the acceptors of combined oral contraceptive pill who have impaired sexual function is low. The result of the correlation test between testosterone level and FSFI score indicates a significant level (p<0.05) with a correlation coefficient of (r) = 0.737. The testosterone level of female who have impaired sexual function is significantly different (p<0.05) from women who have normal sexual function. The cut off testosterone level that could indicate the occurrence of sexual dysfunction is 12.4 ng/dl. Conclusion: The total testosterone level among the acceptors of combined oral contraceptive pill who have impaired sexual function is lower than others who have no impaired sexual function. [Indones J Obstet Gynecol 2013; 1-3: 129-33] Keywords: combined oral contraceptive pill, FSFI, sexual function, total testosterone level
Levels of Thyroid Peroxidase Antibodies is Higher in Threatened Abortion
Authors: Sanjaya I Nyoman A. , Hidayat Syarif T
Published: March 2019

Objective: To assess the relationship between the incidence of threatened abortion with serum levels of TPO antibodies. Methods: This was cross-sectional study involving subjects 40 cases and 40 controls. The study was conducted September 2012 to November 2012. The difference in the levels of thyroid peroxidase antibody was tested by Mann-Whitney test. Result: In this study, hypothyroidism was found only in the abortion group, as many as 6 subjects (15%) and subclinical hypothyroidism was more prevalent in threatened abortion group, found in 2 people (5%), compared to normal pregnant group, found in only 1 person (2.5%). This study revealed a significant difference in the mean levels of TPO antibodies in the threatened abortion and normal pregnancy group. The mean levels of TPO antibodies in threatened abortion group was 91.76 ± 133.18 IU/ml with the lowest level of 14.41 IU/ml and the highest levels of 534.47 IU/ml while in the normal pregnancy group found an average 12.97 ± 3.91 IU/ml with the lowest value 2.02 IU/ml and the highest value of 20.78 IU/ml. In this study, subjects with TPO antibody levels ≥ 125 IU/ml, all of them experienced threatened abortion (n = 7) and found the risk of miscarriage by 2.212-fold compared with subjects with TPO levels < 125 IU/ml. Conclusion: There are differences in the levels of TPO antibodies in patients with threatened abortion and in normal pregnancies, with average levels of TPO antibodies in imminent abortion group is higher than normal pregnancy group. There is a relationship between TPO antibody levels ≥ 125 IU/ml with the incidence of threatened abortion, with the risk of threatened abortion increasing 2.212 times. [Indones J Obstet Gynecol 2013; 1-3: 134-8] Keywords: threatened abortion, thyroid peroxidase antibody (TPO)
Total Serum Level of Calcium and Ion Calcium is Lower in Hypotonic Uterine Inertia
Authors: Wattimury Josef , Permadi Wiryawan , Armawan Edwin
Published: March 2019

Objectives: To know the correlation between total and ion serum calcium level with the uterine contractility of laboring patient. Methods: This is a cross-sectional analytic correlative study measuring the strength of correlation of total and ion calcium serum level between groups with hypotonic uterine inertia - and normal labor. Each group consists of 20 subjects who met inclusion criteria and presented to Dr. Hasan Sadikin Hospital in August - September 2012. Statistical analysis was performed by using Eta (η) coefficient. Results: Mean total calcium serum level on hypotonic uterine inertia is 6.66 mg/dl, while mean of total calcium serum level on normal labor is 8.56 mg/dl, with Eta (η) correlation coefficient 0.721. Mean ion calcium serum level on hypotonic uterine inertia is 4.14 mg/dl, while mean of total calcium serum level on normal labor is 4.92 mg/dl, with Eta (η) correlation coefficient 0.802. Conclusion: Total serum level of calcium and ion calcium in hypotonic uterine inertia is lower than the level of which in normal labor. There is a strong correlation between total and ion serum calcium level with uterine contractility, the Eta (η) correlation coefficient are 0.721 and 0.802 respectively. [Indones J Obstet Gynecol 2013; 1-3: 145-8] Keywords: hypotonic uterine inertia, ion serum calcium level, normal labor, total serum calcium level
Risanto’s Formulas is more Accurate in Determining Estimated Fetal Weight Based on Maternal Fundal Height
Authors: Titisar Hanifah I , Siswosudarmo Risanto
Published: March 2019

Objectives: To compare the accuracy of Johnson’s and Risanto’s formulas in determining estimated fetal weight based on maternal fundal height (FH). Methods: This was a cross sectional study, consisting of 655 pregnant women from Dr. Sardjito Hospital and affiliated hospital sat 37-42 weeks of gestation. Fundal height was measured from the symphisis to the top of uterine fundus, using inverted unelastic flexible tape. EFW based on Johnson’s and Risanto’s formulas were compared with the actualbirth weight. Wilcox on analysis was used for statistical analysis. Results: Mean EFW of Johnson’s formula was 3136 ± 392.2 grams and EFW of Risanto’s formula was 3056 ± 322.5 grams and mean actual birth weight was 3021 ± 341.1 grams. The mean difference between EFW of Johnson’s formula and the actual birth weight was 156.1 ± 107.3 grams, and mean difference between EFW of Risanto’s formula and the actual birth weight was 100.8 ± 86.1 grams. Those two differences was statistically significant (p=0.001). Conclusion: This study showed that Risanto’s formula was more accurate than Johnson’s in predicting birth weight based on the maternal’s fundal height. [Indones J Obstet Gynecol 2013; 1-3: 149-51] Keywords: actual birth weight, fundal height, Johnson’s formula, Risanto’s formula
Caspase-3 can not be Used to Predict the Response to Neoadjuvant Chemotherapy Regiment PVB in Cervical Cancer Stage IB-IIA
Authors: Ambari Ediwibowo , Winarto Hariyono , Sutrisna Bambang , Siregar Budiningsih
Published: March 2019

Objectives: To determine the factors that may be used as the prognostic parameter for the therapeutic efficacy of neoadjuvant chemotherapy, which can be used to revising the management of early stage cervical cancer patients with large lesions. Methods: This was a retrospective cohort study. The study was conducted in the Dr. Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia. The subjects were 15 cervical cancer stage IB2 and IIA patients with lesions’ size of > 4 cm, who would be treated with neoadjuvant chemotherapy, consisted of cisplatin 50 mg/m2, vincristine 2 mg/m2 and bleomycin 15 mg regiment. The patients’ response would be evaluated after completing 3 series of chemotherapy. Data was retrieved from medical records and cervical biopsy paraffin blocks and examined histopathologically using IHC staining to see expression of caspase-3 with histoscore assessment score. Data was analyzed by univariate, bivariate analysis. Results: Response to PVB neoadjuvant chemotherapy was found in 5 out of 15 patients. None of the clinicopathology variables can be used to predict response to therapy. Expression of caspase-3 as a marker of apoptosis, can not predict the response of the therapy before administrating neoadjuvant chemotherapy either. There is a significant difference between the levels of caspase-3 in epidermoid carcinoma with adenocarcinoma, with p value of 0.02 (RR 6;95% CI 1.69-21.26). Conclusion: Clinicopathologic factors and the expression of caspase-3 before getting chemotherapy neoadjuvant can not predict the succeed of the therapy. [Indones J Obstet Gynecol 2013; 1-3: 156-60] Keywords: caspase -3, clinicopathologic, early-stage cervical cancer lession in large, neoadjuvant chemotherapy response to therapy
Management of Pseudomyxoma Peritonei Syndrome during Pregnancy
Authors: Aditanzil Hanny , Mahendra Bayu , Suwiyoga Ketut
Published: March 2019

Objectives: To improve skill in making a diagnosis and management of pseudomyxoma peritoneum originating borderline mucinous ovarian tumor during pregnancy. Methods: Case report. Conclusion: Diagnosis of pseudomyxoma peritoneum during pregnancy is difficult before surgery. Management is based on grade of malignancy and gestational age of pregnancy. [Indones J Obstet Gynecol 2013; 1-3: 161-5] Keywords: mucinous tumor, pregnancy, pseudomyxoma peritoneum
Management of Abnormal Cervical Cytology: Atypical Squamous Cells of Undetermined Significance (ASC-US) and Atypical Squamous Cells cannot exclude High Grade Intraepithelial Lesion (ASC-H)
Authors: Kusuma Fitriyadi , Liedapraja Mediana S.
Published: March 2019

Objective: To review for the management of abnormal cervical cytology: atypical squamous cells of undetermined significance (ASCUS) and atypical squamous cells cannot exclude high-grade intraepithelial lesion (ASC-H) as a treatment of cervical precancerous lesions in order to avoidexcessive treatment, reduce of unnecessary examinations and to provide cost effectively. Method: Literature study on published literatures and studies about the management of cervical cytology. Conclusion: The results of ASC-US cervical cytology and ASC-H is aninitial screening to detect precancerous cervical lesions. Definitive therapy should be done when finding a low-grade lesions (LSIL) and high degree of lesion(HSIL) squamous intraepithelial. A clinician expected to understand the natural history of HPV infection and the management of precancerous cervical lesions properly. [Indones J Obstet Gynecol 2013; 37-3: 166-170] Keywords: ASC-H, ASC-US, cervical cytology abnormalities, cervical precancerous lesion.
Motivation is the Strongest Influence in Choosing Delivery Place
Authors: Astuti Indria
Published: March 2019

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District.

Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture,

educational), contextual (income, transportation, distance,

availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple

logistic regression was used to determine the strongest correlating factors.

Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35-

19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < 0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72).

Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to

the mothers’ decision to deliver at public health center.

[Indones J Obstet Gynecol 2013; 1-4:173-8]

Keywords: characteristics of demand, contextual, delivery place, socio-demographic
Contraceptive User’s Profile
Authors: Gunardi Eka R
Published: March 2019

Objective: To obtain informations regarding the profile of contraceptive users in Raden Saleh Clinic, Jakarta.

Method: A cross-sectional study was conducted in June 2012, at Raden Saleh Clinic, Jakarta. The study population was the patient who came to Raden Saleh Clinic from 2008 until 2011.

Results: The mean age of the contraception users was 34.06 and the mean of their husband’s age was 38.91 years old. Most of the patients were graduated from senior high school (43.2%) and university (37.9%). More than half of the patients (55.2%) were not working

and more than a half of their husband (53.2%) were private employee. Almost all (92.6%) of the patient were married. Most of the patient (38.8%) came with no prior contraception. After consultation, all patients had chosen their preferred contraceptive methods, namely IUD (61.4%), injectable contraception (20.9%), pill (13.7%),

sterilization (3.4%), and implant (0.6%).

Conclusion: Family planning reduces maternal mortality and the best method is different for each patient because of the difference in their own condition and the consideration of the cost and benefit.

[Indones J Obstet Gynecol 2013; 1-4:179-82]

Keywords: contraception, contraceptive users profile
Probiotic Supplements do not Increase the Effectiveness of Antibiotics in the Treatment of Bacterial Vaginosis
Authors: Hamid Ratnah
Published: March 2019

Objective : This study aims to assess the effect of the addition of probiotic supplement to the standard therapy on the recovery of Bacterial vaginosis infection.

Methods: The research was conducted by taking samples from Obstetrics and Gynecology Department in several teaching hospitals of Faculty of Medicine, Hasanuddin University. This study was an experimental study. Consecutive sampling was conducted on 50 samples,

which were then divided into two groups. Group 1 received

Metronidazol therapy 2 times a day for 7 days, while group 2 received Metronidazol therapy 2 times a day supplemented with oral Probiotic of once a day for 7 days. The data were analysed by using the chi-square test.

Results: There is no significant difference in the recovery of bacterial vaginosis infection between the group that received the probiotic supplementation and the group that did not.

Conclusion: The addition of probiotic supplement to the standard therapy of BV infection does not show any signifcant effect.

[Indones J Obstet Gynecol 2013; 1-4: 194-8]

Keyword: bacterial vaginosis, probiotic supplement, recovery, standard therapy
Expression of Tenascin in the Uterosacral Ligament is Stronger in Women with Pelvic Organ Prolapse
Authors: Lusiadewi Eny
Published: March 2019

Objective: This study aimed to compare the expression of tenascin uterosacral ligament in women with and without pelvic organ prolapsen (POP).

Methods: The research was carried out in Dr. Wahidin Sudirohusodo Hospital and other educational hospitals of obstetrics and gynecology division UNHAS Faculty of Medicine, which began on January 1st, 2011 until April 2012. This study assessed the expression of tenascin in 35 women with POP levels III and IV, and the controls

were 35 women without POP. Tenascin expression was assessed by immunohistochemical examination using tenascin antibody staining (mouse monoclonal antibody Novacastra tenascin C, code NCL-Tenas C). The research was carried out cross sectional. Sampling was done by consecutive sampling. Data processed by the chi-square. The significance level used was 0.05.

Results: The results showed that the characteristics of research subjects based on age, education, parity, labor history, history of big babies, not statistically significant. This indicates that the variable does not affect the calculation of the research data. While the characteristics

of menopausal status and body mass index (BMI), from the

analysis of risk factors for POP is associated significantly with a higher intensity of tenascin in post-menopausal status and BMI> 25 (overweight) (p
Elastin Expression is the Strongest Risk Factor for Developing Pelvic Organ Prolapse
Authors: Cessaria Djusiana
Published: March 2019

Objective: To compare elastin expression in the anterior vaginal wall of women with and with no pelvic prolapse.

Methods: The research was conducted in RS Dr. Wahidin Sudirohusodo and other network hospitals of Obstetrics and Gynecology Department of Hasanuddin University, Makassar. Full-thickness specimens were obtained from the anterior vaginal wall of women having a large prolapse repaired (stage III or IV; prolapse group, 34) and the same location in patients with no prolapse having abdominal and vaginal hysterectomy (control group, 35). The expression of elastin was measured by immunohistochemistry on tissue sectioned. The examiner was unaware of sample identity and the patients’ clinical history. The result then analyzed with p 4000 gr weight (p=0.572); age, parity, menopausal status, and body mass index were significantly different between the groups (0.001; 0.035; 0.011; 0.002; respectively). Immunohistochemical staining indicated that elastin expression in the prolapse group was lower (p=0.009). Elastin expression appeared to be stable with increasing of age, parity, menopausal status, history of bearing baby 4000 gr. weight and Body mass Index in the prolapse

group. But multiple logistic regression revealed that elastin have the highest influence to prolapse among the risk factors mentioned (Exp.B =6.252).

Conclusion: In this case-control study, the elastin expression were significantly lower in the vaginal wall of patients with a large prolapse. Instead of influence by other risk factors, elastin is the strongest risk factor for developing prolapse among other risk factors. This

result is expected to be able to give explanation for the development of prolapse in women without risk factors such is young women and nullipara.

[Indones J Obstet Gynecol 2013; 1-4: 204-8]

Keywords: elastin, prolapse, women
HE4 has a High Diagnostic Value to Detect Epithelial Ovarian Cancer
Authors: Laihad Bismarck J.
Published: March 2019

Objective: To find out the diagnostic value of CA125 and HE4 as a tumor marker, and also RMI and ROMA as a malignancy predictor in patients with ovarian tumors.

Methods: This study was a diagnostic study using cross-sectional design.This study was performed in Jakarta from November 2010 to May 2011. One hundred and twenty eight serum samples of patients diagnosed with ovarian tumors were collected before undergoing surgery in Dr. Cipto Mangunkusumo General Hospital. The CA125 and HE4 levels were then examined. The histopathological examination of tissue specimens were performed in Department of Pathology Anatomy in RSCM. For statistical analysis, we used a 2x2 table to produce ROC-AUC curve.

Results: The median value of HE4 and CA125 serum concentrations was higher and more significant on patients with ovarian malignancy than patients with benign ovarian tumor (p
Managing Gallstone during Pregnancy
Authors: Lalisang Toar JM
Published: March 2019

Transient physiological changes in the biliary system during pregnancy increased the risk of gallbladder diseases. Nonoperative management of symptomatic cholelithiasis increases the risk of complications of biliary lithiasis, such as cholecystitis and empyema, while obstruction common bile duct stones with or without cholangitisb and biliary pancreatitis raise maternal mortality. Delay in definitive surgical treatment of biliary diseases during pregnancy increases the likelihood acute biliary pancreatitis which impact on preterm delivery until fetal lost. Laparoscopic cholesystectomy during pregnancy

has advantages for the mother in that it speeds up her recovery, giving her less pain and facilitated natural birth without a cesarean section. On the fetus side, laparoscopic cholecystectomy is safe since it does not induce preterm delivery or abortion. Identification of gallbladder stone during pregnancy warrant a preventive laparoscopic cholesystectomy or endoscopic CBD exploration, both of which promise good outcomes.

[Indones J Obstet Gynecol 2013; 1-4: 219-21]

Keywords: adult choledochal cyst, biliary cyst, biliary dilatation, mixed type
On Some Bivariate Gauss-Weierstrass Operators
Authors: Krech Grazyna , Krech Ireneusz
Published: March 2019

The aim of the paper is to investigate the approximation properties of bivariate generalization of Gauss-Weierstrass operators associated with the Riemann-Liouville operator. In particular, the approximation error will be estimated by these operators in the space of functions defined and continuous in the half-plane $(0, \infty) \times \mathbb{R}$, and bounded by certain exponential functions.
Prevalence and Clinical Profile of Chiari network in Bangladeshi subjects: Analysis of 1832 subjects by Echocardiography
Authors: Islam AKM Monwarul , Gupta Rakesh , Majumder Abdullah AS , Rahman Mohammad Arifur , Rahman Md Toufiqur , Ullah Mohammad , Ahmed Mohsin
Published: March 2019

Background: The Chiari network is mobile, serpentine, filament-like structures occasionally seen in right atrium near the opening of inferior vena cava and coronary sinus. Sometimes it may cause diagnostic confusion with right atrial pathologies.

Methods: This was a cross sectional study conducted from September 2017 to August 2018 in a private consultation center in Dhaka. All patients who underwent transthoracic echocardiography were included. Chiari network was diagnosed and any relevant clinical condition was recorded.

Results: Out of 1832 echo studies, Chiari network was found in 90 subjects giving a prevalence of 4.91%. More than half (55.6%) had otherwise normal heart, 20% had ischaemic heart disease, 7.8% had cardiomyopathy, 6.7% congenital heart disease, while 3.3% had valvular heart disease.

Conclusion: The Chiari network is often an incidental diagnosis, though it may not be so rare. Clinicians should be aware of it to avoid diagnostic dilemma and to overcome difficulties while performing cardiovascular interventions.

Cardiovasc. j. 2019; 11(2): 93-97
Prevention of Rheumatic Fever and Rheumatic Heart Diseases in Bangladesh
Authors: Haque KMHS Sirajul
Published: March 2019

Abstract not available

Cardiovasc. j. 2019; 11(2): 91-92
Comparison of In-Hospital Outcomes of ST Elevation Myocardial Infarction in Patients Undergoing Transradial and Transfemoral Primary Percutaneous Coronary Intervention
Authors: Afroz Fahdia , Uddin Mir Jamal , Khalquzzaman Md , Ullah Mohammad , Siddiqui Mohammad Khalilur Rahman , Ahmed Shakur , Khair Abul , Islam Md Rezawanul , Arefin Md Minhaj , Cader Fathima Aaysha , Rahman Mohammad Arifur
Published: March 2019

Background: Primary percutaneous coronary intervention (PPCI) has been performed traditionally by using femoral approach. Transradial approach has become increasingly popular as it is likely to be less complicating, more comfortable and relatively cost effective having mortality and morbidity benefits. The aim of the study was to compare the in-hospital outcomes of transradial PPCI with that of transfemoral route.

Methods: A total of 80 patients with ST elevation myocardial infarction (STEMI) who underwent PPCI were enrolled in the study. Patients were divided in two groups. Group-I: transradial PPCI; and Group-II: transfemoral PPCI. All patients were followed up during the period of hospital stay and adverse outcomes were observed and compared between the groups.

Results: The result showed that bleeding took place in 2.5% patient of Group-I and 15% patients of Group- II. Vascular complications occurred in 2.5% and 12.5% patients of Group-I and Group-II, respectively. In Group-II, 7.5% patients died with none in Group-I. In Group-II, 37.5% patients experienced some sort of adverse outcomes whereas only 15% of the patients of Group-I did have such experiences (p<0.05). Bleeding and vascular complications were significantly more in Group-II (p<0.05). The mean hospital stay time was significantly lower in Group-I (p<0.001).

Conclusions: Transradial PPCI is safer than transfemoral approach in respect of procedural and post procedural complications including bleeding, vascular complications and mortality. So, transradial approach may be an attractive alternative to conventional transfemoral approach and can be practiced routinely for PPCI.

Cardiovasc. j. 2019; 11(2): 98-104