bluuebunny/crossref_metadata_2025 huggingface dataset:
Electrolyte Disturbance with Severity of Dengue Infected Patient. A Study in Jhalawar Medical College & SRG Hospital, Jhalawar, Rajasthan
Authors: Choudhary Dr. Rinku
Published: December 2022

Background: Dengue is considered to be the most rapidly spreading mosquito borne viral disease in the world. The dengue viruses are members of the genus Flavivirus and family Flaviviridae. Electrolyte imbalance is commonly encountered in this disease. There had been only a few worldwide research studies investigated on electrolyte disturbances with severity of dengue infection. Methods: Cross sectional prospective study was carried out in medicine department of Jhalawar Medical College & SRG Hospital, Jhalawar, Rajasthan. All cases of dengue confirmed by detection of either NS1Ag or IgM/IgG by ELISA method during study period will be included in study. This study was conducted to find relation between electrolyte disturbances in patients with dengue fever. Results: Out of 90 patients, majority i.e. 48 (53.3%) patients in total had mild hyponatremia, 37 (41.1%) had normal and 3 (3.33%) and 2(2.22%) patients had moderate, severe hyponatremia respectively. The prevalence of dengue patients with hyponatremia was 58.9 % in the present study. Out of 90,77 Dengue fever patients, 32(41.6%) had normal, 45(58.4%) had mild decrease in sodium level. Out of 90, 50 (55.6%) having normal potassium,32(35.6%) were mild decrease in level,4 cases(4.5%) were moderate and 1(1.1%) were severe and 3(3.3%) had Hyperkalaemia. Conclusion: This study provides an insight regarding Electrolyte Disturbance With Severity Of Dengue Infected Patient. Considering the variations in serum electrolyte levels in patients of dengue and high incidence of dengue in India, it is necessary to have a degree of suspicion in patients of dengue about electrolyte disturbances and treat them accordingly.
A Cross Sectional Study to Assess the Outcomes of Diabetic Foot Ulcer in Government Chengalpattu Medical College and Hospital
Authors: Arasu Dr. V. T. , Kumar Dr. G. Ganesh , Karthik Dr. K.
Published: December 2022

The diabetic foot syndrome is a set of disorders in which tissue breakdown caused by ischaemia, neuropathy, and infection can result in morbidity and even amputation. Diabetes is no longer just a condition of the developed world. It is a cross-sectional study that was carried out for a year at Chengalpattu Medical College to analyse the various conservative and surgical treatment options for various grades of diabetic foot ulcers and to evaluate the outcomes of diabetic foot ulcers based on the severity of diabetes mellitus. One hundred and twenty six diabetic patients with foot lesions were found overall in Govt. Chengalpattu Medical College & Hospital from January 2021 to February 2022, and they were all included in the study. Male patients made up 58% of the total (73), while female patients made up 42%. (53). The patients in this group ranged in age from 20 to 87. In the vast majority of cases, 55% of the patients were between the ages of 50 and 69. In our investigation, the average peak incidence of diabetic foot lesions was sixty years old. Close communication between surgeons, physicians, diabetologists, dieticians, podiatrists, vascular surgeons, and community health care providers is required for the multidisciplinary management of diabetic foot ulcers.
Bilateral Carotid Paraganglioma: Case Report; Successful Surgical Excision, Radiological Image and Review of the Literature
Authors: Duran Yessenia Aguilar , Tualombo Maiwa Chela , Calderon Kiara Poveda , Bermeo, Erika Barba , Vargas Lizeth Aldaz , Rumipamba Victor Pérez , Heredia Macarena Buitrón , Ochoa Dennis Villa
Published: December 2022

Introduction: Carotid body tumors are rare neoplasms that generally present as asymptomatic slow-growing masses in the neck, commonly called cervical paragangliomas, highly vascularized whose cells originate from the embryonic neural crest, carotid glomus tumor is uncommon, representing 1 out of every 30,000 head and neck tumors, they are located in the adventitia of the vessels, they usually grow surrounding the arteries of the carotid bifurcation and the nerves that surround it, in Ecuador the prevalence is at 55 years of age with greater frequency in women [1]. Clinical Case: A 33-year-old female patient with no significant clinical history, presented with a painful hard mass in the right cervical region that progressively increased in size, for the past 6 months. On physical examination, a tumor in the right cervical region of approximately 5 centimeters in diameter was found, with a hard consistency attached to deep planes, for which Eco Doppler and AngioTac of the neck were performed, which reported bilateral carotid paraganglioma. Excision of the glomus was necessary due to its size right carotid artery, surgery using a right cervico-lateral approach, identifying the vascular tumor mass of 4.8 x 2.9 x 2.8 cm in diameter, which was located in the carotid bifurcation. Removal of Shamblin II right carotid body paraganglioma by temporary clamping of the common carotid artery and the digital dissection method, there was no intraoperative massive bleeding or cranial nerve deficits in the postoperative period with favorable evolution, surgical wound in good condition during follow-up in outpatient consultation. Conclusion: Glomus carotid tumors are generally benign and diagnosed late. Imaging studies are essential for its diagnosis and staging.
Ultrasound-Guided Drainage of Breast Abscess
Authors: Siddique Dr. Md. Abu Bakar , Hossain Dr. Mohammad Monjur Morshed , Sattar Dr. Md. Masud , Yasmin Dr. Laila
Published: December 2022

Objective: To assess the efficacy of ultrasound-guided drainage of breast abscesses with special attention to the risk of recurrence and the need for surgical treatment, to avoid postoperative morbidity, to reduce the hospital stay and cost of treatment, to determine the need for termination of breast feeding. Methods: 100 patients with breast were selected conveniently among those who were admitted in Dinajpur Medical College hospital or visited to surgery OPD with breast abscess. They were evaluated by short history, clinical examination and ultrasonogram. After counseling and taking consent they were treated with ultrasound-guided drainage, by needle or pigtail catheter under local anaesthesia. Follow-up punctures were performed at 2 or 3 day intervals until the clinical condition and ultrasound findings had improved. All patients were treated with oral antibiotics. Mammography was performed to search for underlying cancer. Results: Among the 100 cases included in the study, ninety-seven 97% patients with puerperal abscesses and 81% with non-puerperal abscesses recovered after the first round of ultrasound-guided drainage. One patient in each group had recurrence in loco but recovered after further ultrasound-guided drainage. Seven patients, 6 with non-puerperal and 01 with puerperal abscesses, underwent surgical excision of the abscess cavity or fistulas. Breastfeeding continued and 23 patients were treated as outpatients. The median number of follow up examinations in the ultrasound-department was four (range 1–10) for the group of patients with puerperal abscess and three (range 1–7) in the group of patients with non- puerperal abscess. The corresponding figure for the median number of punctures was for both groups one (range 1–6 and 1–4). There were no reports of newly diagnosed breast cancer in the 1-year follow-up period. Conclusion: Treatment of breast abscess with US-guided Percutaneous aspiration or Pigtail catheter drainage both in puerperal and .......
Correlation between Maternal Factors and Risk of Low Birth Weight
Authors: Al-Aziz Dr. S. M. Ahshanul Kabir , Khan Dr. Sumaiya , Haque Dr. A. S. M. Rezbanul , Rashid Dr. S. M. Abdur , Baki Dr. Mohammad Abdul
Published: December 2022

This case control study on correlation between maternal factors and the risk of low birth weight were done at RPMCH, Rangpur from January 2010 to April 2010. This study was carried out on 100 LBW babies irrespective of their gestational age to identify the various risk factors related to LBW. Another 100 normal birth weight babies were studied as control. This study showed that 65% of LBW babies were preterm and 35% were term LBW and the mean weight, length and OFC of LBW babies were 1450 gm, 42cm and 29.05cm respectively. The mean gestational age of LBW babies in this study was 34 weeks. The incidence of male LBW babies were higher. Young mothers (less than 20 years) and primipara were responsible for 37% and 40% deliveries of LBW babies. Maternal body weight (below 40 kg) was responsible for 59% of LBW deliveries in contrast to only 28% in the control group of NBW babies. This difference was highly significant (p<0.001). Maternal height (140-150cm.) of LBW babies were 71%. On the other hand, in the control group maternal height in between 140-150cm. These difference was highly significant (p<0.0001). Therefore, this study also is in conformity with other studies that nutritional status of the mother has influence on birth weight of the babies. Other risk factors of LBW having significant associations with maternal characteristics in this study were upto primary level of education (72%). Housewives (84%), poor socio-economic status (55%), no and irregular antenatal checkup (76%). Impact of the adverse maternal conditions on LBW babies are seen as idiopathic (25%), premature rupture of the membrane (24%), twin gestation (14%), toxaemia of pregnancy (10%), hypertension and APH (12% and 3%) were responsible. This study on 100 LBW babies, has been able to detect the risk factors related to low birth weight in our country. Since this study was conducted on relatively small number of low birth weight babies, the findings in the study may not reflect the overall risk ....
Risk Factors Associated With Blood Hemoglobin Levels in Adolescent Girls in the East Ratahan District, Southeast Minahasa Regency
Authors: Assa Youla Annatje , Bolang Alexander Sam Leonard , Kaseke Martha Marie
Published: December 2022

Anemia is a health problem that is most often found in developing countries, including Indonesia. Adolescents are an age group that is very at risk for the incidence of anemia due to nutritional needs, especially iron and could cause reduced physical, mental capacity, and diminished concentration in work and educational performance, as well as early motherhood in girls. Adolescent girls are a group that need sufficient iron, since they are prone to anemia and malnutrition because of menstruation every month. This study aimed to determine the risk factors associated with blood levels in adolescent girls in the East Ratahan District, Southeast Minahasa Regency. This was quantitative research with a cross-sectional design. 96 adolescents were willing to participate in the research, and only 79 people continued to participate until the study was terminated. The sampling technique was purposive sampling. Data on iron and protein intake was collected using the Food Frequency Semi-Quantitative Form. Hemoglobin (Hb) concentrations were determined on finger-prick blood samples, while the protein intakes were obtained by interviews conducted 24 hours after the food recall. The result shows that there is no connection between hemoglobin levels and nutritional status (weight, height, BMI, LILA, and BMI/U). Most subjects have a good nutritional status. Intake of macronutrient proteins is strongly correlated with female adolescents' hemoglobin levels and anemia status. Most subjects have a normal level of protein adequacy. Iron intake has a strong relationship with hemoglobin levels and anemia status in female adolescents. Furthermore, risk factors associated with hemoglobin levels are protein intake and iron intake in female adolescents.
General Impacts of Coronavirus on Children
Authors: Alrimawi Saher Sharif , Shaban Ahmad Mohammad Ahmad
Published: December 2022

The purpose of this study was to determine whether or not the coronavirus has an impact on the overall health of young people. Investigations of a wide range of affects, including mental, psychological, and systemic impacts, were carried out. Children, in the majority of reported cases, either did not exhibit any clinical signs at all or just had minimal symptoms. Despite this, severe symptoms could still present themselves. Children are a population that need special consideration in order to accomplish the goal of preventing new coronavirus epidemics.
Extraintestinal Manifestations in Inflammatory Bowel Disease: About an Epidemiological Survey
Authors: Rizkou Jihane , Aouroud Hala , Lairani Fatimaezzahra , Errami Adil Ait , Oubaha Sofia , Samlani Zouhour , Krati Khadija
Published: December 2022

Introduction: Inflammatory bowel disease (IBD) is a systemic disorder primarily targeting the gastrointestinal tract but may affect other organs. Extraintestinal manifestations (EIMs) are common in IBD. We aimed to assess the prevalence of EIMs in IBD patients and to emphasize their epidemiological character. Methods: The study population consisted of IBD patients with EIMs who were followed up in consultation or been hospitalized. Demographic and clinical characteristics of patients were analyzed, and prevalence of different types of EIMs and their respective frequencies were carried out. Results: 190 IBD patients had EIMs, of which 111 were Crohn's disease (CD) and 79 were ulcerative colitis (UC). The mean age of the patients was 30 years. Sex ratio (M/F) was 0.9. Musculoskeletal manifestations were the most common in our study and 29 patients developed EIM before IBD diagnosis. Conclusion: in conclusion, we emphasize that the prevalence of EIMs in IBD patients suggests the need to show more attention, proper treatment and effort towards EIMs in clinical practice.
Pattern of Earlobes Attachment among the Idoma People of Benue State, Nigeria
Authors: Paul John Nwolim , Ochai Joy , Dimkpa Gospel Chimenma , Ogba Amaka Azubuike , Ohanenye Chioma Akunnaya
Published: December 2022

Introduction: In anthropology, certain characteristics may help to distinguish these tribes or races from others. To some extent, it can be used as a method of identification for these people. The earlobes are regarded as a significant anthropological trait on the face. Again, some civilizations use piercing decorations to stretch and enlarge the earlobes in order to create artistic effects and make room for plugs. Materials and Methods: The sample size for the study was 401, recruited via a multistage sampling method. Physical and close examination of the earlobe to determine the type of earlobe attachment present was used to collect data from consenting participants. The research instrument was a self- created; closed-ended questionnaire that was adapted for use based on previous literature on similar studies and was administered by the researcher. The data were grouped into attached or detached categories. Results and Discussions: The result of the study showed that the attached earlobe pattern was most frequent (227, 56.6%), while the detached was 174, 43.4%). The result of the study showed that the males had more attached earlobes (130; 32.4%) and detached earlobes (93; 23.2%), while the females had attached earlobes (95; 23.7%) and detached earlobes (79; 19.7%). The distribution of the earlobe attachment differed significantly (X2 = 13.213, p-value 0.004). The most common marital status was married or cohabiting with an attached earlobe (118, 29.4%) or a detached earlobe (102, 25.4%). Conclusions: The result of the study showed that the attached earlobe pattern was most frequent (227, 56.6%), while the detached was 174, 43.4%). In the general population, for every six detached earlobes seen, there are eight attached earlobes in the same Idoma population. The study has revealed that there are more attached earlobes than detached ones in the Idoma population of Benue State. It further implies that this distribution could be taken as an anthropological feature un
Early Onset Neonatal Sepsis with Premature Rupture of Membranes in Preterm Neonates
Authors: Divya Dr. Buthu , Rao Dr. S. Narasimha , Gorikapudi Dr. Kundan , Dr. Manisha Dr. Manisha
Published: December 2022

Objectives: To determine the frequency of early onset neonatal sepsis with premature rupture of membranes in preterm babies in a tertiary care hospital. Materials and Methods: Neonates of singleton pregnancies complicated by premature rupture of membranes with delivery occurring between 30 and 36 weeks gestation were included in the study. The frequency of neonatal sepsis was assessed based on clinical and laboratory parameters. Incidence of sepsis in relation to gestational age and duration of rupture of membranes was studied. Results: Out of 60 babies, 38(63%) were female and 22(37%) were male. Mean maternal age was 24 years (range 18-35years). Mean gestational age was 34 weeks (30-36weeks). Sepsis was suspected in 26(43%) babies on clinical examination. C-reactive protein raise was observed in 13 (22%) neonates. There was statistically significant difference between clinical versus laboratory diagnosis (p=0.000). Frequency of neonatal sepsis was significantly higher in mothers with longer duration of rupture of membranes (p=0.041). Conclusion: Frequency of neonatal sepsis was observed to be 22% of babies. Frequency also increased with longer duration of rupture of membranes. Incidence of sepsis is more in early preterm. premature rupture of membranes is an important risk factor for early onset neonatal sepsis.
Lemierre's Syndrome in Pediatric Patients: Case Report
Authors: Apolo Md. Paul Alejandro Aldaz , Oviedo Md. Erika Martínez , Maza Md. Pamela Alban , Valladares Md. Lizeth Guamba , Pazmiño Md. Gabriela Valle , Fernandez Md. Jimena Molina , Uvillus Md. Liliana Cadena , Morocho Md. Angie Loaiza
Published: December 2022

Introduction: Lemierre's syndrome is a severe and extremely rare septic thromboembolic event of an infection usually located in the neck and head. It is a rapidly progressive disease that can cause fatal consequences when there is no timely treatment. Clinical Case: A 6-year 5-month old female patient was evaluated due to a clinical picture of a continuous burning pain in the left anterior cervical region of moderate intensity of 3 weeks of evolution that worsens with a sudden mass growth at the mentioned level. Physical examination revealed an asymmetric neck with limited mobility due to the presence of an oval mass of approximately 6 cm in diameter located in the left anterior cervical quadrant. A CT scan showed an invasive process in the left infrahyoid region that is enhanced with the use of intravenous contrast medium, measuring 4.7 cm x 3.8 cm x 4.2 cm, with an approximate volume of 39 ml. In addition, a hypodense image is observed in the left internal jugular vein suggesting thrombosis. Drainage of a cervical abscess is performed, revealing a mass in the left external segment. The result of the study of the collected purulent fluid reports isolation of two types of germs: Bacteroides fragilis and Peptococus species. Considering also the radiological finding of the internal jugular vein thrombosis, anticoagulation with low molecular weight heparins was started. Patient with good evolution of clinical picture. Conclusions: Lemierre's Syndrome is a disease in which early diagnosis and treatment can reduce morbidity and mortality, especially in pediatric patients, where its incidence is extremely rare. However, specific clinical data can guide us to its diagnosis.
Duodenal Adenocarcinoma: a Case Report of an Uncommon Tumor and a Brief Review of the Literature
Authors: Rizkou Jihane , Aouroud Hala , Aboutarik Fatimaezzahra , Krati Khadija
Published: December 2022

Duodenal adenocarcinoma is very rare. It represents 0.3 to 1% of all gastrointestinal malignancies. The symptoms are non-specific and vague, and the diagnosis is often delayed at an advanced stage. We report a case of duodenal adenocarcinoma in a 54-year-old female who was admitted to our hospital with chronic epigastric pain. Upper gastrointestinal endoscopy revealed a thickening narrowing the lumen in the second duodenal portion, which was diagnosed, using endoscopic biopsy. The computed abdominal tomography scan showed no lymph node or distant metastases, and cephalic pancreaticoduodenectomy was performed.
Primary Squamous Cell Carcinoma of Stomach: A Rare Entity – Case Report
Authors: Kaur Dr. Sukhpal , Kaur Dr. Mohanvir , Kundal Dr. Ramesh Kumar
Published: December 2022

Primary squamous cell carcinoma is rare malignancy as far as stomach is concerned. Less than 100 cases were reported in the literature. Patient presented in advanced stages so, in most of these cases, the prognosis is generally poor. Because stomach is lined by glandular epithelium, most common carcinoma is adenocarcinoma in stomach and squamous carcinoma is not commonly seen. There are several theories regarding the development of this tumor but pathogenesis remains unclear. In this study we confirmed a case of primary gastric squamous cell carcinoma which is rare entity. We present case of 48 yr old female with ulcerative growth at fundus of stomach.
Shifted Global BiCG-Type Methods for Solving the Large Stein Equation X + AXB = C
Authors: Zhang Ting , Li Sheng-Kun , Liu Gang
Published: December 2022

The Stein matrix equation plays an essential role in control and communications theory, linear algebra, image restoration, and so on. In this paper, we propose two shifted variants of global BiCG-type methods to solve the large Stein matrix equation which make full use of the shifted structure of the matrix equation. These modifications will not add more matrix-matrix multiplications and inner products. Finally, numerical examples are given to illustrate the effectiveness of the presented methods.
Evaluasi Program Keterampilan Anak Berkebutuhan Khusus Di SLB ABC Taman Pendidikan Islam (TPI) Medan
Authors: Fauziah Ade Triana , Putri Malida , Lubis Mia Aulina
Published: December 2022

In education at special schools, one form of teaching is the provision of skills programs that aim to improve the skillful soul of students with special needs as their provision to live independently in the community later. This research was conducted at SLB ABC Taman Pendidikan Islam (TPI) Medan which aims to evaluate the skills program that is run at SLB ABC TPI Medan, which consists of 7 programs, namely catering, making accessories, delivering events, make-up, carpentry, sewing, dancing and making flower boards for students with visual impairments, hearing impairments, mental retardation and autism. The key informants of this study were the Principal of the ABC Special School Taman Pendidikan Islam Medan, the main informants were three SLB skill teachers who became mentors in the skills program, and additional informants were three parents of students who participated in the skills program. This study uses a qualitative approach with descriptive research methods, then the theory used is the CIPP program evaluation theory (context, input, process, product) by Stufflebeam. The results of this study are that in the four evaluation points, context evaluation and input evaluation were not successful, namely at the opportunity point in meeting needs and procedural design. Overall, however, the skills program was continued because it had fulfilled the objectives of meeting the needs of children with special needs who participated in the skills program.
Konstruksi Realitas Petani Kelapa Sawit Dalam Film Naga Naga Naga: Analisis Semiotika Charles S. Peirce
Authors: Husni Mochamad , Putranto Algooth
Published: December 2022

The national palm oil industry is increasingly becoming the government's attention. In the midst of opinions about the dominance of big companies and the weak image of smallholder oil palm plantations, demonstrations triggered by the scarcity of cooking oil show the figure of Indonesian oil palm farmers. This study wants to explore how the media constructs the reality of oil palm farmers. The theory used is the social constructions of reality Peter L. Berger and Thomas Luckmann. While the descriptive qualitative research approach uses the semiotic analysis method of Charles Sanders Peirce. The data analysis technique used non-participant observation and secondary documents. The results of the research on the Naga Naga Naga film with the main character Nagabonar concluded that there is a semion with an interpretation of oil palm farmers. With the triangle of meaning method, oil palm farmers are constructed as people who are economically prosperous, have high nationalism, and have intelligent thoughts even though they are not formally educated. This study is also a reflection on the reality that occurs in the community.
Semiotika Makna Pesan Cover Album PErmission to Dance Boyband BTS
Authors: Megawati Eka , Yuniastarani Nandha Dwi
Published: December 2022

The purpose of this study was to understand the Semiotics of the Meaning of the Album Cover “Permission to Dance” by Boyband BTS. The theory used is Charles Sanders Peirce's Theory of Semiotics. As for Research methods used on this research is Semiotic Analysis with qualitative approach. The results of the study found that each visible sign on the album cover has a deep meaning, not only does it show the bright colors such as orange, purple, black, blue, and even the writing font, the shapes, they were an icon that symbolize meaning which could be interpret differently, depending on who, whom or whose see and read the meaning behind. BTS tried to send message through their album, not just the music, even the cover of the album is full of symbols with meanings.
Pengaruh Citra Band Koes Plus Terhadap Loyalitas Penggemar Di Bandung Koes Plus Community
Authors: Sumirat Pepen
Published: December 2022

Koes Plus was founded in 1969, previously known as Koes Brothers, is a band whose songs are often heard. Even though it is classified as “old school”, its existence is still felt by looking at the loyalty of fans from the young to the elderly. It can be proven by the establishment of successor bands to the formed community. Also the songs have been re-sung by today's singers. Koes Plus proves that it can maintain its image until now. The purpose of this study was to measure the influence of the image of the Koes Plus band on fan loyalty in Bandung Koes Plus Community in 2019.This study uses a quantitative approach, survey method with simple random sampling technique in 95 respondents as a sample. SPSS 25.0 is software used in data analysis techniques. The results of this study prove that there is a significant positive effect of Koes Plus Band Image on Fan Loyalty in Bandung Koes Plus Community (BKPC) by 51% (Coefficient of Determination)
Peran Konten Misteri Dalam Pembentukan Personal Branding Youtuber
Authors: Leasfita Ade , Elysa Refani
Published: December 2022

Youtube is one of society's digital platforms with this digital media era making it easy for anyone to create messages and spread messages, finally the term youtuber also appears. One of the people who can be said to be a youtuber is Andi SS, he is a youtuber with mystery-themed content, conspiracy theories, and discusses news that is viral among the world. This study uses a qualitative research type. Research data were collected through interviews and observations. The theory used in this research is informative. The results of this study indicate that mystery content has a role in the formation of personal branding. Content has a big role in delivering messages, ideas, and ideas, message topics, and in easy-to-understand language. In distributing this content, YouTuber AndinSS utilizes digital media, namely YouTuber
HEALTH PROMOTION MEDIA TO INCREASE COMMUNITY’S POSITIVE PERCEPTION ABOUT COVID-19 VACCINATION IN KENDARI CITY
Authors: Insani Tassya Enggartini , Tasnim Tasnim , Jayadipraja Erwin Azizi
Published: December 2022

Background: The achievement of Covid-19 vaccination in Southeast Sulawesi Province until June 15, 2021 is 15.5%, while the City of Kendari has achieved Covid-19 vaccination reached 22%. The lack of information and public perception about the Covid-19 vaccine has led to low public acceptance of the Covid-19 vaccine. Therefore, this study aims to increase the community 's positive perception of the Covid-19 vaccination in Kendari City through  the most effective health promotion media.
Methods: This quantative  study  uses a quasi-experimental design with pretest-posttest nonequivalent control group design. The population is 345,107 people, 396 respondents are sampled. This study uses a sampling technique by random cluster sampling. The hypothesis test used is the Wilcoxon signed ranks test and the Kruskal Wallis H test.
Result: The results of the Wilcoxon test show that there is a significant difference between perceptions before and after health promotion using booklet media (Asymp. Sig. = 0.000); There is a significant difference between perceptions before and after health promotion using video media (Asymp. Sig. = 0.000); There is a significant difference between perceptions before and after health promotion through the development WhatsApp messages (Asymp. Sig. = 0.000). Based on the Kruskal Wallis H test, the mean rank of health promotion using booklets is the highest (217.59). There was no significant difference between the three media (Asymp. sig 0.156 > 0.05).
Conclusion: The booklet is the most effective media in health promotion to increase the positive perception of the community towards the covid-19 vaccination in the city of Kendari, but there is no significant difference between the three promotional media used.
RELATIONSHIP BETWEEN HUMAN RESOURCES AND PLANNING WITH MINIMUM COVERAGE OF HEALTH CARE SERVICES IN KONAWE REGENCY
Authors: Daslan Daslan , Saafi La Ode , Tasnim Tasnim
Published: December 2022

Background: The preliminary study  revealed that there were main problems in the implementation of the 2020 Health Development Program related to Minimum health service standard. These problems such as the availability of human resources that greatly contribute to service management at the public health centre in the form of planning, mobilizing and implementing in achieving goals, in this case related to the quality and equitable distribution of health workers as the spearhead of program implementation which is the supervision and assessment of the public health centre so that it will influential in the process of service implementation management according to minimum service standars. This study aims to analyseThe relationship between human resourcesand planning with minimum coverage of health care services in Konawe Regency.
Methods: This study uses a quantitative research design with a approachcross sectional study.The population is the entire person in charge of the minimum service standars of each public health centre in the working area of Konawe Regency, namely 42 respondents. The number of samples using the Slovin formula is 38 respondents with a sampling technique using simple random sampling.
Result: There is a strong relationship between human resources, planning to the coverage of minimum service standards.
Conclusion: Monitoring the minimum service standards and providing feedback on the results, conducting training and increasing the availability of health service facilities and infrastructure.
RELATIONSHIP BETWEEN HUSBAND SUPPORT AND MASS MEDIA ON THE USEGE OF CONTRACEPTIVE TOOLS IN LANGARA PUBLIC HEALTH CENTER, ISLAND KONAWE DISTRICT
Authors: Chandra Irfan , Tasnim Tasnim , Fatmawaty Fatmawaty
Published: December 2022

Background: Based on an initial survey  in Langara communities showed that from 15 communities in Langara Health Center, their husband gave  les support to use a contraceptive tool. Then the mothers said that because of the lack of support from their families with the reason that their husbands complained during sexual intercourse, the husbands were afraid of the side effects of contraception used by their wives. Some of the mothers said they had an unpleasant experience due to weight changes. In addition, the Langara community still lacks knowledge about contraceptives, health facilities are still far from residents' homes. The use of contraceptives plays an important role as the main decision maker regarding the choice of contraception.This study aims to analyse the relationship between husband support and mass media on the usage of contraceptive tools in Langara Public Health Centre in Island Konawe District.
Methods: Type of quantitative research with cross sectional approach. The population in this study were all families who were in the working area of the Langara Health Center as many as 2,007 families. A sample of 331 people with sampling using the Lemeshow formula.
Results: The results of the statistical test of the husband's support variable show the value of X2 count = 18.21 > X2 table = 3.841 and the value of Phi (Φ) = 0.354 and the mass media variable X2 count = 16,426 > X2 table = 3.841 and the value of Phi (Φ) = 0.522.
Conclusion: There is a relationship between husband's support and mass media with the use of contraceptives in the work area of the Langara Health Center, Konawe Islands Regency.
INFLUENCE OF PERSONAL HYGIENE AND THE USE OF DRINKING WATER ON DIARRHEA PREVENTION EFFORT IN CHILDREN IN SOROPIA HEALTH CENTRE, KONAWE REGENCY
Authors: Sari Riyani Kartika Puspa , Supodo Timbul , Sunarsih Sunarsih
Published: December 2022

Background: The preliminary survey in   Soropia Health Center on 10 (ten) mothers who had toddlers, there were   8 (eight) people (80%) lacking personal hygiene and 2 (two) people (20%) having sufficient personal hygiene, and then 6 (six) people ( 60%) environmental sanitation is sufficient and 4 (four) people (40%) were  lacking. In terms of food processing, there were  7 (seven) people (70) food processing in the poor category and 3 (three) people (30%) food management is adequate , then 4 (four) people (40%) who used drinking water in the less category and 6 (six) people (60%) used drinking water in the sufficient category, the survey also show that the knowledge of mothers who had  toddlers was mostly 7 ( seven) people (70%) in the poor category and 3 (three) people (30%) in the sufficient category.
Methods: This type of research is quantitative with Quasy experimental design. The population in this study were all toddlers aged 0-59 months who experienced diarrhea in the work area of the Soropia Health Center, Konawe Regency in 2020 as many as 79 people. The sample size is 66 respondents which are divided into two, namely 33 respondents in the intervention group and 33 in the control group. The sampling technique of treatment and control used simple random sampling and control.
Result: This researchfound a p value of 0.000 < 0.05 for personal hygiene, and the use of drinking water.
Conclusion: There is an effect of personal hygiene and use of drinking water on efforts to prevent diarrhea in children under five in Soropia Health Center, Konawe Regency.
RELATIONSHIP BETWEEN SUPPORT OF HUSBAND AND HEALTH OFFICERS AND HIV TESTING IN PREGNANT MOTHERS IN KENDARI CITY HEALTH CENTRE
Authors: Dewi Asri , Supodo Timbul , Kartini Kartini
Published: December 2022

Background: A preliminary survey conducted by interviewing 10 (ten) pregnant women at Kendari City Health Center found that as many as 6 (six) people did a pregnancy check but did not take the human immunodeficiency test at the health centre  on the grounds that the mother could not be infected with HIV and AIDS because they have sexual relations only with their husbands and 4 (four) pregnant women take an HIV test because it is recommended by the midwife to do an HIV test. HIV.
Methods: This  quantitative research used cross sectional study design. The population is 703 pregnant women, with the determination of the sample usingLemeshow formula so that the number of samples is 85 pregnant women.
Result: Statistical test showed that the value (X2hits)= 12,117 > X2tabs=3,841, for the relationship between husband's support and examination of human immunodeficiency virus in pregnant women and (X2hits)= 14,859> X2tabs=3,841, for the relationship between the support of health workers and the examination of human immunodeficiency virus in pregnant women in the Kendari City Health Center Work Area.
Conclusion: There is a relationship between husband's support and health workers with examination of human immunodeficiency virus in pregnant women in the Kendari City Health Center Working Area
HAZARDOUS AND TOXIC WASTE MANAGEMENT IN THE COVID-19 REFERRAL HOSPITAL IN KENDARI CITY
Authors: Tahmar Tahmar , Jayadipraja Erwin Azizi , Surya Ridwan Adi
Published: December 2022

Background: Management of medical B3 waste during the COVID-19 pandemic is still very limited.At the Kendari City Regional General Hospital. B3 waste generation has increased from 24.324 kg in 2019 to 32.123 kg in 2020.  In April 2021, the amount of B3 waste generation has reached 11,402 kg.There were  several factors that affect the management of B3 waste. This study aims to determine the factors related to the management of hazardous and toxic waste (B3) at the Covid-19 Referral Hospital in Kendari City.
Methods: This  research used  a cross sectional study design, conducted from August to September 2021. The samples in this study were 79 respondents taken by purposive sampling.
Results: The statistical test suggests  the value of X2count is 19,417 > X2 table is 3,841 and the value of the closeness relationship is Ф= 0,496.
Conclusion: There is a moderate relationship between monitoring of management of hazardous and toxic waste (B3) at the Kendari City Covid-19 Referral Hospital.
EFFECT OF HEALTH PROMOTION USING BOOKLET MEDIA ON THE LEVEL OF PUBLIC KNOWLEDGE ABOUT SEWERAGE WASTE WATER IN COASTAL AREAS SAMAJAYA VILLAGE
Authors: Tasnim Tasnim , Saputra Ade
Published: December 2022

Background: The availability of sewerage was still a problem for people living in the coastal area of Samajaya Village. Where, the sewerage that met the requirements is only 58.33% in Samajaya village. The purpose of this study was to determine the effect of health promotion using booklet media on the level of public knowledge about sewerage in the coastal area of Samajaya village.
Methods: This study used the pre-experimental method with One Group Pre-test and Post-test Design. The population in this study were 131 heads of families in the village of Samajaya. Where, the sample size  were 99 heads of families taken by simple random sampling. Data analysis used the Wilcoxon Sign Rank Test.
Results: The results of this study showed that there were 9 respondents with less knowledge 9.1%, and 90.9% sufficient during pre-test and post-test there were 13.1% with less knowledge and 86.9% with sufficient knowledge. The average value of respondents' knowledge was 7.44% ± SD.1.327. After being given a health promotion with a booklet about sewerage drainage, his knowledge increased on average 8.81% ± SD.1.639. The results of this study indicated that there were  significant effect of health promotion with booklets on knowledge about sewerage in Samajaya village (p<0.0001).
Conclusion: health promotion with booklets is very effective in increasing community knowledge in Samanjaya village. Increasing public knowledge about sewerage  is hoped that it will influence attitudes and actions to improve the sewerage according to health standards.
PSYCHOLOGICAL DYNAMICS OF WOMEN WITH THE FIRST PREGNANCY WORKING IN WANDER
Authors: Pati Wisnu Catur Bayu , Yuliatin Sri , Yani Dian Mardi
Published: December 2022

Background: Pregnancy is one of the important phases that will be later by women in general. The presence of prospective children also brings up feelings of happiness especially if always accompanied by family. However different things happen when pregnant women have to work and wander. The goal of the study was to understand the psychological dynamics in women with first pregnancies and work in wander.
Methods: This study used qualitative methods with phenomenological approaches. Participants in this study were 2 women with the first pregnancy who worked in wander. The data collection techniques used are in-depth observations and interviews.
Result:. This study produced 7 major themes including: 1) Physical and psychological conditions when positively pregnant; 2) Problems during pregnancy; 3) Work environment; 4). Relationships with family; 5) Relationship with husband; 6) Coping during pregnancy; 7) Hope during pregnancy and welcome the birth of the first child.
Conclusion:Psychologically pregnant women feel anxiety, worry and stress. Physically there are changes from easily tired, nausea, changes in body shape and sleep disorders appear. Socially, there has been no significant change.
RELATIONSHIP BETWEEN DIET PATTERNS AND HYPERTENSION EVENTS IN POLARA PUBLIC HEALTH CENTER IN KONAWE ISLANDS DISTRICT
Authors: Buton La Djabo , Fadmi Fitri
Published: December 2022

Background: Hypertension is a non-communicable disease that is still a health problem in the work area of the Polara Health Center since 2018 until now in 2020. Hypertension has increased in cases in the last three years. In 2018 8 146 cases of hypertension then increased to 154 cases in 2019 and decreased in 2020. The results of the initial survey showed that 70% of hypertensive patients had unhealthy eating patterns such as consuming fast food containing preservatives, too high salt content in food, excess fat consumption. This study aims to determine the relationship between diet and the incidence of hypertension in the Polara Health Center Work Area ,Konawe Islands Regency.
Methods: This research uses analytical research method with Cross Sectional Study approach. The population in this study were all outpatients seeking treatment at the Polara Public Health Center for the period January to February 2021 totaling 268 people, with a total sample of 73 people selected by simple random sampling technique.
Results: The results showed that 43.8% of respondents who have a poor diet and have hypertension ,9.6% who do not have hypertension. Then there are 13.7% of respondents who have a good diet but have hypertension ,32.9% who do not have hypertension. The results of statistical tests using the chi square test obtained a p-value of 0.000 and a coefficient of Phi (φ) = 0.531, so the null hypothesis was rejected, meaning that there was a moderate relationship between diet and the incidence of hypertension at Polara Health Center, Konawe Islands Regency.
Conclusions: diet has significant impact to hypertension at Polara Health Center, Konawe Islands Regency.
Utilization Of Antibiotics In Patients With Urinary Tract Infections
Authors: Panta Usha
Published: December 2022

Objectives: This study aims to investigate the utilization of antibiotics among the patients attending in Silverline Hospital, Lekhnath Marg, Balaju, Kathmandu-44600, Nepal.
Methods: A hospital based cross sectional study was conducted in between June to September, 2022. A standard questionnaire was prepared, to conduct the survey based on patient’s demographic data such as which utilization of drug, age, gender, therapy and medication.
Results: Out of 111 patients, antibiotics Levofloxacin is highly prescribed to the patients. It is prescribed to 92 (82.90%) people. Cefixime is prescribed for 37 (41.07%) people, Ciprofloxacin is prescribed for 29 (26.12%) patients, Ofloxacin is prescribed for 5 (4.5%) and Nitrofurantoin is prescribed for least for number of people and it is prescribed for 4 (3.6%) patients.
Conclusion: Fluroquinolones and Cephalosporins were the most commonly prescribed antibiotics in this study. Culture sensitivity test was carried out only in a limited number of cases, and present findings together with previous ones are suggestive of the need for periodic monitoring of antibiotic sensitivity pattern of the bacterial isolates to provide effective treatment and thereby to make it more cost effective particularly in the developing countries like Nepal. The continuous monitoring and reporting of prescribing pattern of antibiotics will surely help the physicians for effective treatment.
Relationship between Perception and Community Willingness in COVID-19 Vaccination in the Working Area in the Nambo Health Center, Kendari City
Authors: Noviati Noviati , Surianto S Toto , Buton La Djabo , Mudatsir Ahmad
Published: December 2022

Objectives: The implementation of vaccination is followed by the issuance of various vaccination policies to optimize the achievement of vaccination targets at the national, provincial, and district or city levels. At Nambo Health Center, the number of vaccinations on March 30, 2022, has been recorded as many as 586 people, or 78.13% of the total 1st, 2nd, and 3rd vaccinations. This shows that vaccination achievements are still far from the vaccination target.
Methods: As many as 750 people, this condition is due to controversy in the community regarding vaccinations, both related to safety, side effects, and the halalness of vaccines, as well as misinformation obtained by the public, resulting in negative perceptions of the COVID-19 vaccine, which makes them hesitant when they are vaccinated against COVID-19. This type of research is descriptive analytic with a cross-sectional study design. The population in this study was 8,327 people, with a total sample of 99 people using the Cluster Random Sampling technique. Data was analyzed using the chi-square test.
Results: The results of the study found that there was a relationship between perception and public willingness to vaccinate against COVID-19 in the working area of the Nambo Health Center, X2 value = 8.523.
Conclusion : There is a fairly strong relationship between family support and vaccine availability and there is a weak relationship between public perception and vaccine availability in the working area of the Nambo Health Center. It is hoped that health workers in the working area of the Nambo Health Center Will continue to explain to the public that it is important to follow the COVID-19 vaccination. The dose of COVID-19 vaccination has been properly regulated to form an immune system for every community.
Sanitation And Temperature Factors Related To Existence Of Cockroach And Rats Vectors On Passenger Ship In Kendari City Port
Authors: Marhanto Eka Dharma , Depu Anry Hariadhin
Published: December 2022

Objectives: Ship arrival and departure activities have an important influence on the transmission of various vectors which have the potential to infect the ship's crew and passengers. This study aims to determine the factors associated with the presence of vectors on passenger ships.
Methods: This type of research is observational. The population is a local passenger ship that anchors at 4 ports in Kendari City, with a population of 44 ships and a sample of 40 ships.with the sampling technique is systematic random sampling.
Results: The results of the study used the Chi Square test between sanitary conditions and the presence of cockroaches (15.708>3.841), there was a relationship between sanitary conditions and the presence of rats (14.249>3.841), there was a relationship between temperature and the presence of cockroaches (9.724>3.841), there was a relationship between temperature and the presence of rats (7.901>3.841).
Conclusion: There were relationship between sanitary conditions and temperature with the presence of cockroach and rat vectors on passenger ships mooring at the Port of Kendari City. Therefore it is necessary to increase the sanitary conditions and temperature in the room.