bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN INDEKS MASSA TUBUH DENGAN KEJADIAN ANEMIA PADA MAHASISWI TINGKAT 1 SARJANA KEPERAWATAN STIKES PEMKAB JOMBANG
Authors: Rodiyah Rodiyah
Published: January 2023

Pendahuluan :.Remaja putri rentan menderita anemia karena banyak kehilangan darah pada saat menstruasi sehingga berisiko mengalami anemia pada saat hamil. Hal ini akan berdampak negatif terhadap pertumbuhan dan perkembangan janin dalam kandungan serta berpotensi menimbulkan komplikasi kehamilan dan persalinan, bahkan menyebabkan kematian ibu dan anak. Tujuan: untuk mengetahui apakah ada hubungan antara Indeks massa tubuh dengan kejadian anemia. Metode: Desain penelitian menggunakan analitik korelasional. Penelitian ini dilakukan pada mahasiswi sarjana keperawatan tingkat 1 Stikes Pemkab Jombang. Pengumpulan data meliputi pengukuran berat badan dan tinggi badan, pengukuran kadar Hb menggunakan Hb meter merek easy touch. Sampel yang digunakan sejumlah 47 sampel dengan menggunakan tehnik total sampling. Hasil: penelitian menunjukkan bahwa sebagian besar (51,1%) mempunyai IMT normal sejumlah 24 responden, hampir seluruhnya (76,6%) tidak anemia sejumlah 36 responden. Hasil uji statistic dengan  Spearman Rank didapatkan  PValue = 0,389 > ? = 0,05 artinya  tidak  ada hubungan antara  Indeks massa tubuh dangan kejadian anemia. Kesimpulan: Diperlukan upaya promotif dan preventif  untuk menanggulangi masalah anemia pada remaja seperti peningkatan konsumsi makanan kaya zat besi, suplementasi tablet tambah darah
HUBUNGAN DIMENSI GAYA HIDUP DAN STRES PADA PASIEN DIABETES MELITUS TIPE 2
Authors: Lainsamputty Ferdy , Sampouw Nancy , Tampa’i Dwi Debi , Fahrul Moh.
Published: January 2023

Pendahuluan : Diabetes melitus (DM) tipe 2 merupakan penyakit gangguan metabolik kronis yang meningkat drastis dari tahun ke tahun. Gaya hidup yang buruk tidak hanya menjadi pemicu terjadi penyakit ini, tetapi juga memperparah keadaan pasien yang berpotensi menimbulkan masalah psikologis termasuk stres. Tujuan: Penelitian ini bertujuan untuk menginvestigasi hubungan antara gaya hidup dan stres pada pasien DM tipe 2. Metode: Desain deskriptif, korelasi, dan potong lintang digunakan dalam penelitian ini di salah satu rumah sakit umum di Sulawesi Tengah, Indonesia. Kuesioner yang digunakan yaitu yaitu Health Promoting Lifestyle (HPLP-II) dan Depression Anxiety Stres Scale-42 (DASS-42). Statistik deskriptif dan korelasi Spearman digunakan untuk mendeskripsikan dan menguji hubungan variabel-variabel major. Hasil: Dimensi aktivitas fisik, nutrisi, pertumbuhan spiritual, hubungan interpersonal dan gaya hidup keseluruhan berkorelasi siginifikan dengan dan stres (r = -0,18 hingga -0,26; p < 0,05). Kesimpulan: Pasien DM tipe 2 yang menerapkan gaya hidup lebih baik, mengalami stres yang lebih renda
IMPLEMENTASI INTERVENSI SPRITUAL GUIDED IMAGERY (SGI) TERHADAP KECEMASAN PADA PASIEN KANKER PAYUDARA YANG MENJALANI KEMOTERAPI: STUDI KASUS DAN STUDI LITERATUR
Authors: Sulistyarini Wahyu Dewi , Suyatmi  , Indra Kusuma Amalia , Dwiyanti Abdullah Ririn Saniah , Mia Siska Efrida
Published: January 2023

Pendahuluan : Kanker dan kemoterapi adalah suatu keadaan yang memicu perasaan gelisah, cemas dan takut akan bayang-bayang proses pengobatan dan perawatan yang panjang serta kematian yang menghantui setiap saat. Salah satu intervensi keperawatan yang dapat dilakukan sebagai penatalksanaan cemas yakni dengan Spiritual Guided Imagery (SGI). Tujuan: penelitian ini adalah untuk mengetahui perbedaan tingkat kecemasan pasien kanker payudara yang menjalani kemoterapi dengan pendekatan intervensi SGI. Metode: studi kasus dengan pendekatan Asuhan Keperawatan dengan melibatkan 2 responden dengan dilengkapi studi literatur dari berbagai database artikel yakni Pubmed, Science Direct, Wiley Online, Proquest dan Google Scholar yang dipublikasikan dari tahun 2015 sampai 2021. Pengumpulan data menggunakan asuhan keperawatan yang meliputi Pengkajian, Diagnosa Keperawatan, Intervensi, Implementasi dan Evaluasi. Instrument pengumpulan data menggunakan format Pengkajian Asuhan Keperawatan Paliatif sesuai ketentuan yang berlaku dan menggunakan kuesioner State- Traite Anxiety Inventory (STAI) untuk mengevaluasi tingkat kecemasan. Terapi yang diberikan adalah SGI dan dievaluasi dalam waktu 3 hari. Hasil: Evaluasi intervensi Keperawatan SGI menunjukkan bahwa terdapat perubahan skala kecemasan dari sedang menjadi ringan. Kesimpulan: SGI dapat mengatasi kecemasan sedang pada pasien kanker payudara. SGI dapat dilakukan sebagai salah satu intervensi keperawatan mandiri dalam menurunkan gejala kecemasan yang dirasakan oleh pasien kanker terutama yang sedang menjalani proses pengobatan kemoterapi
HUBUNGAN DUKUNGAN KELUARGA DENGAN TINGKAT KECEMASAN PADA ANAK PENDERITA KANKER YANG MENJALANI KEMOTERAPI DI IRNA 4 RSUD dr. SAIFUL ANWAR MALANG
Authors: Hermono Tomy , Maria Lilla , Hariyanti Tanti Budhi
Published: January 2023

Background : Cancer in children is one of the leading causes of death. Handling cancer in children will go through a series of chemotherapy treatment processes. In the preliminary study at RSUD dr. Saiful Anwar, approximately 80% of pediatric patients undergoing chemotherapy programs, mostly experience the psychological impact of anxiety.

Objective : The design of this study is an observational analytic method with a cross sectional approach which aims to analyze the relationship between the relationship between family support and anxiety levels in children undergoing chemotherapy.

Metodes: The sampling technique used purposive sampling on the parent population of cancer patients. The research instrument is a support questionnaire and an anxiety questionnaire (Zung Self Anxiety Rating Scale). Results : The results of the study obtained high family support as many as 56 respondents (83.6%), and the results showed that most patients with mild anxiety levels were 61 respondents (91%). Based on Spearman's statistical test, the r value of 0.356 (p value <0.05) showed that there was a weak relationship between family support and anxiety levels in cancer children undergoing chemotherapy. Therefore, families must be involved in mentoring during chemotherapy treatment in the hope of being able to have a positive impact during treatment.
PENGARUH KOMBINASI PERENDAMAN KAKI AIR HANGAT DAN TERAPI MUROTTAL AL-QUR'AN UNTUK MENURUNKAN TEKANAN DARAH PADA PENDERITA HIPERTENSI: TINJAUAN SISTEMATIS
Authors: Yuningsih Aneng , Syamsul Anwar  , Dewi Anggraini
Published: January 2023

Pendahuluan: Hipertensi menempati proporsi terbesar dari semua penyakit tidak menular (PTM). Hipertensi diobati dengan dua cara: farmakoterapi dan non-farmakoterapi. Pengobatan non farmakoterapi adalah memberikan terapi komplementer yaitu terapi rendam kaki air hangat yang dikombinasikan dengan terapi murottal Al-Quran.Tujuan: mengetahui efektivitas terapi kombinasi rendam kaki hangat dan murottal Al-Qura’an dalam menurunkan tekanan darah Metode: Metode penulisan tinjauan sistematis ini menggunakan narasi tinjauan sistematis dengan memilih artikel yang diterbitkan melalui enam basis data ilmiah, yaitu PubMed, EMBASE, Cochrane, CINAHL, Scopus, dan Google Scholar menggunakan kata kunci yang sama dan diterbitkan dalam lima tahun terakhir (2018–2022 ). Hasil: Melalui hasil penelitian sebelumnya, tujuan dari tinjauan sistematis ini adalah untuk mendeskripsikan dan menilai Pengaruh Kombinasi Perendaman Kaki Air Hangat dan Terapi Murottal Al-Qur'an Terhadap Penurunan Tekanan Darah. Empat artikel yang relevan diperoleh berdasarkan hasil analisis menggunakan 11 pertanyaan CASP. Kesimpulan: Kombinasi rendam kaki air hangat dan Terapi Murottal Al-Qur'an berhasil menurunkan tekanan darah pada pasien hipertensi, menurut kesimpulan semua artikel. Saran dari hasil penelitian ini antara lain adanya standar operasional prosedur (SOP) terapi agar mendapatkan hasil yang maksimal.
UPAYA PENCEGAHAN STUNTING BERBASIS APLIKASI PERAN PENTING (PERAWAT DAN BIDAN PEDULI STUNTING) DI KABUPATEN JOMBANG
Authors: Andayani Sestu Retno Dwi , Maulidiyah Fadilatul Karomah , Imaningsih Agustin Nur , Fitria Nova Wilujeng
Published: January 2023

Latar Belakang: Pemerintah menargetkan penurunan stunting menjadi 14 % ditahun 2020-2024. Penurunan Stunting menjadi prioritas pemerintah karena sangat mempengaruhi kualitas generasi muda. Diperlukan adanya kepedulian masyarakat untuk mendukung program pemerintah, melalui kader posyandu diharapkan bisa menurunkan stunting dengan bantuan perawat dan bidan dengan memanfaatkan android yang praktis dan mudah diakses oleh para kader posyandu. Tujuan: penelitian ini bertujuan untuk mengetahui pengaruh penggunaan aplikasi PERAN PENTING terhadap pengetahuan kader dalam memantau pertumbuhan dan gizi ibu maupun bayi. Metode: Jenis penelitian ini adalah pre-experiment dengan rancangan One Group Pretest Posttest Design. Variabel dalam penelitian ini adalah pengetahuan (variabel independent) dan aplikasi PERAN PENTING (variabel intervening). Teknik sampling yang digunakan adalah total sampling dengan Jumlah populasi sebanyak 19 jiwa. Analisa data dalam penelitian ini menggunakan uji Wilcoxon. Hasil: Hasil penelitian didapatkan nilai p=0,000 a (0,05), dengan 18 responden mengalami peningkatan. Kesimpulan: Dari data hasil tersebut dapat dikatakan bahwa Penggunaan Aplikasi PERAN PENTING berpengaruh terhadap peningkatan pengetahuan  kader. Diskusi: Aplikasi PERAN PENTING memudahkan kader dalam mengakses informasi tentang stunting. Diperlukan adanya berbagai cara untuk memudahkan masyarakat dalam mencari informasi khususnya tentang Stunting.
Pembentukan Kader Muda Kesehatan Masyarakat dan Gizi di Panti Asuhan Muhammadiyah Tanah Abang I
Authors: Ashari Chica Riska , Linda Ony , Listiowaty Endang
Published: January 2023

One of the pillars of public health is nutrition which is an essential part of the growth and development of children. Nutrition has a close relationship with intelligence and health. Good and correct nutritional intake is needed so that children grow and develop optimally. This activity aims to form young community health and nutrition cadres at the Tanah Abang 1 Orphanage. The method used in this activity is the delivery of material, and then knowledge is measured before and after the children are given the material. The results of the Statistical Paired-Samples T-Test on the participants' pre and post-test results, the p-value was 0.005 (p-value <0.05), meaning that there was a significant difference between participants' knowledge before and after being given the material. In conclusion, this activity can increase knowledge about becoming a cadre of public health and nutrition.
Pelatihan Khusus Ibu Rumah Tangga untuk Bayi dan Anak yang Sakit atau Tersedak
Authors: Maryani Nova , Puspita Gina
Published: January 2023

Choking is one of the most common emergencies experienced by babies and children that must handled quickly. Handling of choking needs attention to prevent complications that can lead to death. The need for proper handling in cases of choking required to be given to the community, including housewives in Pakualaman. This training activity aims to increase public skill, especially among housewives, in recognizing sick or choking babies and children; besides that, they are also expected to provide appropriate treatment if they find cases of sick or choking babies and children. Training activities are implemented through counseling and direct practice, while evaluation is obtained by distributing questionnaires before and after training activities. The evaluation results indicated an increase in the trainees' knowledge in recognizing sick or choking infants and children and managing them at home.
Optimalisasi Kemampuan Perawat Community Mental Health Nursing dalam Manajemen Asuhan Keperawatan Psikososial pada Masa Pandemi COVID-19 di Kabupaten Sumedang
Authors: Nuryani Reni , Lindasari Sri Wulan , Sopiah Popi , Rahmat Delli Yuliana , Nurhuda Puspa Madya
Published: January 2023

The COVID-19 pandemic has a significant impact on mental health conditions, such as experiencing psychosocial problems marked by emotional reaction’s changes, e.g. anxiety, fear of transmission, depression, stigma and social discrimination against people who are confirmed positive for COVID-19. The results of a survey in one village in Sumedang Regency show us that they have mental-emotional disorders with an average Self Reporting Questionnaire score of 14, so efforts are needed to overcome them by CMHN nurses as mental health service providers in the community. Therefore, further efforts are needed to optimize the ability of CMHN nurses in the management of psychosocial nursing care. This community service activity aims to increase the knowledge and ability of CMHN nurses in providing psychosocial nursing care to overcome psychosocial problems in the community during the COVID-19 pandemic. The methodology used is training and mentoring with an Intermediate Course Community Mental Health Nursing (IC-CMHN) model approach. Evaluation of this activity was carried by pretest and posttest also using the Behavioral Health Care Competency Survey instrument. The results obtained in the CMHN training and mentoring activities for nurses in primary health service are an increase in nurse’s knowledge which was originally worth 71 to 95 and shows changes in the level of nurse readiness mostly from low to moderate levels.
Realidad virtual, ente cibersocial emergente. De la paleoinmersión al metaverso
Authors: Martín Ramallal Pablo
Published: January 2023

La realidad virtual (RV) se constituye como un ente cibersocial a estudio, ya que es un discurso maduro que gana protagonismo en contextos relevantes como la prensa o las redes sociales. El artículo explora los puntos que constituyen su devenir desde sus albores hasta el metaverso. Con carácter multidisciplinar, se ejecuta una aproximación diacrónica con el objetivo de fijar las etapas del fenómeno RV como ente comunicativo, hasta llegar a la fase actual de incipiente consolidación social. El documento aporta una mirada holística hasta llegar al momento que Facebook comienza la carrera hacia el metaverso (2012), pues de entiende que es cuando el fenómeno comienza a cristalizarse y no cuando Zuckerberg da un giro corporativo hacia Meta. Se pretende ampliar la perspectiva de este relato lejos de los estereotipos extendidos por los medios. Se ha realizado una revisión de la bibliografía existente desde un enfoque hermenéutico y crítico. Se asume una visión divulgativa pues existe confusión en todo lo que concierne a la realidad virtual y a los metaversos. Como conclusión, se asume que la RV dispone de los condicionantes para implantarse como agente cibercultural, proceso que ya ha comenzado y que debería culminar en el medio plazo en la consolidación del metaverso
Moda de lujo, contenidos de marca y metaverso: el caso de Gucci y la generación Z
Authors: Castelló Martínez Araceli , Plaza-Chica Sofía
Published: January 2023

El sector de la moda de lujo está marcado por la entrada al mercado de la generación Z. Estos jóvenes están redefiniendo la industria, reclamando a las marcas la aportación de valor a la sociedad. Una de las firmas destacadas en este sector es Gucci, cuya estrategia comunicativa es una muestra de la reorientación hacia este nuevo target. El objetivo de este trabajo es analizar la interrelación entre los recientes contenidos de marca de Gucci y las preferencias de la generación Z como consumidores, investigando, entre otros contenidos, las acciones de advergaming de Gucci en el metaverso. A través de un análisis cualitativo con una muestra de doce casos, se estudia a Gucci desde las perspectivas de persona, producto, organización y símbolo, siguiendo el modelo de identidad de marca de Aaker (2002). Los resultados ilustran la conexión de estos cuatro aspectos presentes en los contenidos de marca de Gucci con valores de la generación Z como la diversidad o la innovación. La marca se dirige al consumidor de la generación Z en su comunicación mediante embajadores de marca, colaboraciones con otras marcas y plataformas del metaverso. Gucci ha sabido adaptarse al ambiente cambiante del sector de la moda de lujo actual, dando respuesta a las preocupaciones de un nuevo perfil de público y apostando por lo digital y la innovación.
Determinación de Cuellos de Botella en los sectores industriales del Ecuador. Un estudio basado en el Valor Actual Bruto
Authors: Reyes Mayra Lucía
Published: January 2023

El presente trabajo investigativo tiene como objetivo analizar el valor agregado bruto VAB del Ecuador por Industria para el periodo 2017-2021, que permita la descripción de las Industrias con menor actividad económica y su impacto en el PIB Total para determinar los Cuellos de Botella que afectan al crecimiento económico del país. Para tal efecto se empleó una metodología de investigación de tipo cuantitativo y cualitativo, utilizando fuentes primarias del Banco Central del Ecuador para la recopilación de información con el objetivo de analizar las variables objeto de estudio. Los resultados del análisis evidencian que el VAB en Ecuador por Industria en los últimos 5 años ha crecido a una tasa promedio de 7.72% sin embargo existieron industrias que decrecieron durante este periodo Servicio Doméstico en 25.56%, Construcción en 22.89%, Petróleo y minas en 16.52%, Suministro de electricidad y agua en 4.08%. mientras que el PIB Total creció en apenas 1.79% en el mismo periodo. A lo largo de los 5 años las Industrias que mantienen un comportamiento sin mayor impacto en el PIB son Servicio doméstico, Pesca (excepto camarón), Acuicultura y pesca de camarón, Refinación de Petróleo, Suministro de electricidad y agua, Correo y Comunicaciones, Alojamiento y servicios de comida, Actividades de servicios financieros. El 2021 es el año con mayor crecimiento del PIB Anual de las industrias con el 6.92%.
Predatory efficiency of dragonfly nymphs, Crocothemis servilia and Rhyothemis variegata against the mosquito, Culex quinquefasciatus Say
Authors: Rahman Khondoker Md Zulfiker , Rahman Md Ashikur , Sharif Md Jillur , Mia Md Shohag , Kamal Md Mostafa , Razzak Mohammad Abdur , Bashar Kabirul
Published: January 2023

This study compared the predatory potential of nymphs of two dragonfly species viz. Crocothemis servilia (Drury, 1773) and Rhyothemis variegata (Linnaeus, 1763) using the different larval instars and pupae of Cx. quinquefasciatus (Say, 1823) as preys in normal laboratory settings. Field-collected fed and 24 h starved nymphs of C. servilia and R. variegata were offered 1st, 2nd, 3rd and 4th instar larvae and pupae of Cx. quinquefasciatus to monitor the rate of predation. A 24 h starved nymph of C. servilia showed the highest predation on the 2nd instar larvae (92.00±4.06%) followed by the 3rd (83.00±5.61%), 4th (80±6.89%) and 1st (76.00±4.85%) instar larvae and the pupae (26.00±2.91), respectively, whereas, that of R. variegata exhibited the highest consumption of the 1st instar larvae (90.00±3.54 %) followed by the  2nd (88.00±5.61 %), 3rd (82.00±3.74 %), 4th (70.00±7.91 %)  larval instar and the pupae (23.00±4.63), respectively within 24 h exposure. In the same period, the fed nymphs of C. servilia showed maximum consumption of the 2nd instar larvae (77.00±3.54%) followed by the 3rd (76.00±4.58%), 4th (64.00±4.00%) and 1st instar (55.00±3.53%) larvae and the pupae (24.00±3.67), respectively, whereas, that of R. variegata exhibited highest consumption of the 1st instar larvae (67.00±5.38 %) followed by the 2nd (65.00±10.12 %), 3rd (58.00±8.46 %) and 4th (53.00±4.06 %) instar larvae and the pupae (21.00±2.92), respectively. The rate of predation was significant on all the larval instars and the pupae compared to their control counterparts (p<0.05) and the starved larvae and nymphs of both the dragonfly species showed higher predation compared to the fed nymphs. The aforementioned findings suggest that nymphs of both of the dragonfly species exhibited considerable predation potential against the immature stages of the Cx. quinquefasciatus mosquito. The present study recommends assessing the feasibility of using these species in large-scale mosquito control programs.
Recent trends and scenario of antibiotic use in veterinary practices for livestock production in Bangladesh: a review
Authors: Hosain Md Zahangir , Islam SM Shariful , Kamal Md Mostofa , Kabir SM Lutful
Published: January 2023

Antibiotics are used for the treatment and control of diseases as well as a growth promoter in livestock production in Bangladesh. The frequent use of these antibiotics in veterinary practices may lead to residue and creates some potential problems not only in livestock but also in public health issues. The presence of residues of antibiotics in animal-derived foodstuffs may induce carcinogenic and mutagenic effects and leads to the condition of an allergic reaction, and the development of antibiotic resistance in human gut bacteria. Although misuse of antibiotics in human medicine is the principal cause of the problems, some antibiotic-resistant bacteria originating in animals may also be the contributory factors to the resistance. However, some of the antibiotic resistance problems can be attributed to the transfer of resistant bacteria from animals to humans and resistance genes from animal pathogens and commensal bacteria to human pathogens. Even though the antibiotics and their residues in feed and food products of animal origin cause serious public health problems but little is known by society due to the lack of proper information. So, this is important to review the uses of antibiotics in food animals and insight their public health significance in Bangladesh. However, the safety levels of animal feeds and food of animal origin must be strictly observed and the antibiotics should be used in accordance with the labeled directions public awareness should be developed about the indiscriminate use of antibiotics in animals and their hazardous residual impacts on the human body. Therefore, the present review focuses on the aspects of antibiotic use in the livestock production of Bangladesh.
Asian Australas. J. Biosci. Biotechnol. 2022, 7 (3), 90-106
Exploring the glass ceiling phenomenon among the recent female medical graduate of Bangladesh
Authors: Chowdhury Nadia Ireen , H Murshed , N Yasmen
Published: January 2023

This was a descriptive type of cross sectional study conducted with an objective to find out the unacknowledged barrier to the advancement in medical profession of the recent female medical graduates of Bangladesh. The “glass ceiling” is a metaphor to convey the undefined obstacles that women and minorities face in the workplace.  In this study, a self-administered, semi-structured questionnaire was used for data collection and also In-depth interviews were conducted to gain insight about the cause of drop out and to identify the barrier in academic progression and employment opportunities; along with the possible solution to overcome those obstacles.  In this study, it was revealed that among the (817)recent female medical graduates only 12% were satisfied with their overall employment status while, majority (33.4%) were dissatisfied with their overall employment status. Of which extended work hour happens to main cause (68.8%) of their dissatisfaction. Regarding the Adequacy on the opportunity to enroll for post-graduation majority (47.9%) consider it to be inadequate. And also majorities (36.7%) are dissatisfied with their overall academic progression.  Study has revealed many ways by which employment status can be improvised and can be made more female friendly, by starting ‘Day-care’ services in every working institute. Also by improving work environment and living environment at peripheral areas, ensuring more safety and security. Academic engagement can be improved by making exam center more accessible and by providing wide range of training scope.
Bangladesh Journal of Medical Education Vol.14(1) January 2023: 17-25
Pharmacology Written Questions of One Decade: Evaluation of Curricular Objectives and Content Coverage
Authors: Johora Fatema , Abbasy Asma Akter , Mahboob Sabiha , Jeenia Fatiha Tasmin , Ferdoush Jannatul , Rahman Md Sayedur
Published: January 2023

Undergraduate pharmacology education has always been a topic of intense excitement and debate. This descriptive cross-sectional study was conducted to analyze the pharmacology written question papers (SAQ) of MBBS curriculum in last 10 years (January 2010 to November 2019). Total 131 question papers were collected, and reflection of curricular objectives and content coverage of pharmacotherapy of diseases of high burden were evaluated. Objective regarding factual knowledge (pharmacological effects, mechanisms of action, pharmacokinetic characteristics and adverse reactions of drugs) occupied about 80 percent of the questions throughout the last decade. Medicines used in diseases of high burden received very little weightage, which is consistent throughout the decade.
Bangladesh Journal of Medical Education Vol.14(1) January 2023: 43-49
Learning Skills Using Simulated Teaching Materials by Students and Interns: Teachers’, Students’ and Interns’ Views
Authors: Lopa Nelufa Yasmen , Alam Kazi Khairul
Published: January 2023

This is a cross sectional study was conducted to find out views of teachers, students and interns on learning some common skills using simulated teaching materials by students and interns at undergraduate education in Bangladesh. The study was conducted from 1st January 2021 to 31st December 2021. One self-administered structured questionnaire was used to collect data from conveniently selected 100 medical teachers, 150 undergraduate students and 150 intern doctors by online Google format or in some cases face to face. It was found that out of five point Likert scales (ranging 1 to 5) the mean scores of the views of the respondents were more than 3.5 regarding the different common skills that should be learned by the students and interns using simulated materials before performing on real patient. It was also found that the teachers, students and interns statistically differ highly in their opinions regarding most of the issues. It can be concluded that some important skills can be learn by students and interns at the undergraduate medical course using simulated teaching materials before performing on real patient.
Bangladesh Journal of Medical Education Vol.14(1) January 2023: 50-55
The art of writing a “Title” for an original research paper
Authors: Khan Md Abdul Wohab
Published: January 2023

This article is a short description on the ‘art of writing a title’ for an original research paper. Readers will get the ‘first impression’ with the title and decide to go further in. In searching journal article and thesis or dissertation, all users use the title as the main source of information. The “title” should not be misleading but be interesting, concise and unique. It is important to include the target terms (the “keywords”) in the title for appropriate indexing and retrieval from the search engines and scientific databases. One must adhere to the style and number of words in the title; suggested for the authors by the target journal or institutional authority. A strong title pulls the reader’s attention and encourage them to read the manuscript. Therefore, drafting a correct title needs careful and meticulous effort.
Bangladesh Journal of Medical Education Vol.14(1) January 2023: 70-77
Fish Diversity of Chalan Beel in Relation to Fish Sanctuary
Authors: Khanom DA , Shikha S , Hossain MD , Joadder AR
Published: January 2023

The impact of a fish sanctuary on fisheries diversity was studied for two years in Chalan Beel, Tarash Upazila, Sirajganj district, where the sanctuary was established at the end of the first year. Seine net (Berjal) was used to collect data on a monthly basis. There were 42 species recorded from 8 orders and 18 families, including two exotic species, Cyprinus carpiro and Oreochromis mossambicus. Puntius puntio was the most common species (18.38%), followed by Colisa fasciata (9.73%) and Chanda nama (9.28%). The order Cypriniformes (16 species) was discovered to be the dominant order, accounting for 47.78% of the total order, followed by Perciformes (22.85%) and Siluriformes (21.40%). The Shannon-Weaver diversity index (H) ranged between 2.26 and 2.66. The average value was higher (2.53) after the sanctuary was established than before (2.39). The impact of the fish sanctuary may have resulted in an increase in the biodiversity index and total catch. As a result, sanctuary establishment can be expanded to address the gradual improvement of fisheries diversity.
J Bio-Sci. 30(1): 61-68, 2022 (June)
Serum Creatinine as Predictor Of Outcome in Hospitalized Patients After Acute Stroke
Authors: Ahmed Mohiuddin , Saha Rajesh , Alam Iftikher , Islam Muhammad Fakhrul , Ahmed Nur Faysal , Siddique MA Bakar
Published: January 2023

Background/Aims: Acute stroke is one of the leading causes of mortality and morbidity worldwide. The adverse outcome following acute stroke depends not only on severity of the neurological defects but also on other co-morbidities. Associated renal impairment has been found to be a major predictor of different outcome following acute stroke in several studies. The aim of this study was to evaluate the impact of the serum creatinine on the outcome of hospitalized patients after acute stroke.
Methods: This was a Prospective cohort study conducted on 100 consecutive adult patients who were admitted in the Neurology department of Dhaka Medical College Hospital following acute stroke during January 2018 to December 2019.The patients were followed up for two weeks after the incident stroke.
Results: Among the 100 patients with acute stroke 57(57%) were ischaemic and 43(43%) were haemorrhagic stroke. Mean age(SD) was 60.4(10.6) years. Patients with ischaemic stroke were older compared to haemorrhagic stroke (61.1(9.6); 53.8(9.4) years respectively; p<0.05). The mean (SD) serum creatinine on admission in patients with both types of stroke, who deteriorated or died, were significantly higher than in those who survived. Others predictors of mortality and morbidity in both types of acute stroke were age, gender, hypertension, diabetes mellitus, ischemic heart disease, dyslipidaemia.
Conclusions: Patients with impaired renal function had worse outcome after hospitalization in both types of acute stroke. Haemorrhagic stroke, older age, high baseline serum creatinine, hypertension were significantly associated with increased mortality and morbidity following acute stroke. Appropriate measures should be taken to patients with impaired renal function to reduce the mortality and morbidity following acute stroke.
J Dhaka Med Coll. 2021; 29(1): 16-23
Sturge-Weber Syndrome (Sws) With Occipital Epilepsy: Two Cases Presented In A Tertiary Care Hospital
Authors: Mahmud Reaz
Published: January 2023

Sturge-Weber syndrome is a rare sporadic, neurocutaneous syndrome. In most instances, the patients present with seizures other than the port-wine stain and ipsilateral leptomeningeal angiomata. The documentation of seizures’ semiology in the current literature is scarce. Here we reported two cases who presented with visual hallucination as an ictal phenomenon and associated ictal headache and vomiting. The phenomenology was very close to migraine with aura. A careful history, associated seizure, and EEG findings helped in differentiation. Both the cases responded well with carbamazepine.
J Dhaka Med Coll. 2021; 29(1): 118-222
The Use of A Digital Multimodal Textbook to Foster Students’ English Proficiency
Authors: Aisyah Sitti , Nuraeni Nuraeni
Published: January 2023

This research aimed to determine students’ English language proficiency after conducting an experiment. A method that was implemented was the use of a digital multimodal textbook application called Book Creator. This method focused on teaching students the English language using a digital textbook that promoted multimodality. In the test book, some modes were applied (teacher’s voice recorded, videos from the internet, and pictures). This research was a pre-experimental method that used one group sample. The research data was collected to measure the effectiveness of the method using pre-and post-test as the research instrument. From the data, it was found that the use of a digital multimodal textbook gave improvement to most of the student's English language proficiency. However, a few students only experienced a little improvement. The data shows that there was a significant difference in students’ scores between the pre-and post-test. The mean score in the pre-test was 47.81with the minimum score being 26 before the treatment. Meanwhile, after the application of the digital multimodal textbook, the mean score of the post-test encountered improvement to 65.50 and the minimum score was 40. From the data, it was revealed that even though most of the students gained a better understanding after the treatment. However, a few students still had difficulty upgrading their English language proficiency.
Folklore as Local Culture-Based Material for Improving Students' Reading Comprehension of Narrative Text
Authors: Fatmawaty Riryn , Faridah Fita , Aquariza Novi Rahmania , Nurahmada Alfiyah
Published: January 2023

The study aims to describe the use of folklore in the classroom to improve students’ reading comprehension and to ascertain the reactions of the students to this approach. 22 students in 9th Grade B at SMPN 1 Sugio are the subjects of the study, which employs the classroom action research methodology. Participation of the students to improve their reading comprehension is the theme of all the key phrases. The teacher needs to inspire the students more, though. Utilizing interviews, observations, and questionnaires, data is gathered. 14.28.% of students met the minimal mastery level criterion, according to their preliminary test results (KKM). The initial cycle was deemed ineffective. Students who attained the bare minimum mastery in The first cycle was deemed a failure. The percentage of students who met the minimal mastery level criterion (KKM) was only 53.57% or 15 students. The second cycle is regarded as a success. It was because 26 students, or 92.85% of the test participants, met the minimal mastery level criterion (KKM). The percentage of students who got up increased with each cycle, and the findings suggested that reading folklore could improve students' reading comprehension. Reading folklore in the classroom raises students' enthusiasm, enjoyment, and participation. Reading the narrative text through folklore can improve students' reading comprehension.
Immunomodulation: Basic Concepts and Clinical Application
Authors: Legg Ewen
Published: January 2023

The third Encuentro Latinoamericano de Infecciones Respiratorias Recurrentes (ELAIR) took place in Mexico City, Mexico, on 11th−12th May 2017. ELAIR brought together experts from across Latin America and further afield, continuing an extraordinary didactic exercise on the cutting-edge advances of respiratory medicine. Impressive progress has been made in the past 15 years, with new treatments available to manage and prevent airway infections. It remains to be seen how this might affect the related conditions of wheezing and asthma in predisposed and sensitised subjects. However, early data suggest that lower respiratory infection rates may reduce the development of the above conditions which are closely related to viral infections. Immunomodulators that both prime the immune system to fight infection and reduce inflammation are likely to play a major role in secondary and even potentially primary prevention of atopic diseases.
Facing the Worldwide Threat of Antimicrobial Resistance
Authors: Legg Ewen
Published: January 2023

The third Encuentro Latinoamericano de Infecciones Respiratorias Recurrentes (ELAIR) took place in Mexico City, Mexico, on 11th−12th May 2017. ELAIR brought together experts from across Latin America and further afield, continuing an extraordinary didactic exercise on the cutting-edge advances of respiratory medicine. Impressive progress has been made in the past 15 years, with new treatments available to manage and prevent airway infections. It remains to be seen how this might affect the related conditions of wheezing and asthma in predisposed and sensitised subjects. However, early data suggest that lower respiratory infection rates may reduce the development of the above conditions which are closely related to viral infections. Immunomodulators that both prime the immune system to fight infection and reduce inflammation are likely to play a major role in secondary and even potentially primary prevention of atopic diseases.
Wheezing and Infection-Triggered Asthma Exacerbation: Is Prevention in Early Childhood Possible?
Authors: Legg Ewen
Published: January 2023

The third Encuentro Latinoamericano de Infecciones Respiratorias Recurrentes (ELAIR) took place in Mexico City, Mexico, on 11th−12th May 2017. ELAIR brought together experts from across Latin America and further afield, continuing an extraordinary didactic exercise on the cutting-edge advances of respiratory medicine. Impressive progress has been made in the past 15 years, with new treatments available to manage and prevent airway infections. It remains to be seen how this might affect the related conditions of wheezing and asthma in predisposed and sensitised subjects. However, early data suggest that lower respiratory infection rates may reduce the development of the above conditions which are closely related to viral infections. Immunomodulators that both prime the immune system to fight infection and reduce inflammation are likely to play a major role in secondary and even potentially primary prevention of atopic diseases.
Optimising Patient Management in Rheumatoid Arthritis: Can We Live Up to Patient Expectations?
Authors: Barker Michael , Ali Rugina
Published: January 2023

In a highly interactive symposium, a multidisciplinary faculty from across Europe assembled to discuss how best to meet the expectations of patients with rheumatoid arthritis (RA) in an increasingly complex therapeutic landscape. The introduction of biologic therapies and, subsequently, their biosimilars have been of great importance in improving treatment outcomes and have had a considerable impact on many healthcare economies. As more biosimilars are approved, the expert panel discussed how patients with RA can be treated more effectively during the early window of opportunity, which may lead to sustained remission, prevention of structural damage to bones and joints, and provision of more quality-adjusted life years to patients while simultaneously offering major savings for healthcare systems.
Caught on the Hop: Politico-philosophical Writing of the ‘Leap’
Authors: Wortham Simon
Published: January 2023

This essay reads Derrida’s Geschlecht III: Sex, Race, Nation, Humanity in the context of the philosophical and political legacies associated with the motif of leaping. Surveying the philosophical and textual ‘politics’ of this figure of the leap in the work of Kierkegaard, Hegel, Marx, Freud, Heidegger and others, the essay tracks its connection to the question of philosophical nationalism (and associated images of place, ground and gathering) explored by Derrida in Geschlecht III, speculating on the ambivalent resonances that ‘leap’ across the political spectrum.
Role of AGTR1 gene polymorphism in progression and development of complications of atrial fibrillation in combination with hypertension disease
Authors: Khidirova L. D. , Osmieva Z. M.
Published: January 2023

Aim. To study the role of the rs5186 polymorphism of the AGTR1 gene in the progression and development of complications of atrial fibrillation in combination with hypertension.Methods. A prospective cohort study included 86 patients with paroxysmal and persistent AF and stage II hypertension, grade I–II hypertension, with Echocardiography signs of LVH, without significant comorbidity, without coronary artery disease. All patients were followed up for 12 months to assess the development of complications such as AF recurrence, cardioembolism, hospitalization and chronic heart failure (CHF). The mean age of the studied patients was 53.3 ± 7.1 years.Results. During the observation period, out of 86 patients, 16 people developed a recurrence of AF. Cases of cardioembolism were recorded in 17 people. Of the 86 observed patients, 43 were rehospitalized. When evaluating the association of the rs5186 polymorphism of the AGTR1 gene with the risk of readmission within a year, it was found that the CT genotype of the rs5186 polymorphism of the AGTR1 gene (RR = 2.28; p = 0.004) and the CC genotype (RR = 0.44; p = 0.005) significantly increase the risk of hospitalization. CHF was registered in 26 (30.2 %) patients out of 86 observed. Thus, the study of the role of the rs5186 polymorphism of the AGTR1 gene in the progression and development of complications of atrial fibrillation in combination with hypertension, according to the present study, does not make it possible to determine a significant predictor of AF progression, however, a predictor of the risk of hospitalization ACTR1/CT was identified (2.28 [1.30; 4.05], p < 0.004; 2.45 [1.33; 4.61], p < 0.004; 2.61 [1.44; 4.81], p < 0.002) in all models of the logical regression is statistically significant.
Early onset of veno-venous hemodiafiltration in treatment of severe combined trauma (clinical observation)
Authors: Lonchinsky P. A. , Cherpakov R. A. , Loginov M. A. , Suryakhin V. S. , Salikov A. V.
Published: January 2023

Severe combined trauma is characterized by high mortality both among young people (above 20 %) and among the older age group (about 45 %). Correction of metabolic disorders is the most difficult task, especially in the first hours after injury.Objective. To demonstrate the effectiveness of early initiation of veno-venous hemodiafiltration on the example of successful treatment of a patient with severe combined trauma (ISS is 57 points).Clinical observation. Patient A., 19 years old, was taken to the surgical intensive care unit by an ambulance team with a directional diagnosis of ‘severe combined injury’ as a result of falling from a height of the 6th floor in a state of alcoholic intoxication. Considering the impossibility of correcting waterelectrolyte and metabolic disorders by conservative methods, it was decided to start extracorporeal treatment early in the volume of prolonged venovenous hemodiafiltration with citrate-calcium anticoagulation (Ci-Ca CVVHD). In addition, the patient received therapy within the framework of the current recommendations for the treatment of severe combined trauma. Against the background of the ongoing treatment, there was a distinct positive trend. Vasopressor support was discontinued on day 3, and on day 15 the patient was transferred to independent breathing. In total, one CVVHD session was conducted, with a total duration of 62 hours. The patient’s stay in the intensive care unit was 29 days, in the profile distance – 4 days with subsequent discharge.Conclusions. The use of the CVVHD method in a patient with severe combined trauma in the early period without the phenomena of acute kidney injury contributed to the relief of metabolic disorders with the stabilization of the homeostasis system. However, in order to form conclusions and expand indications for the use of extracorporeal detoxification methods in patients with severe combined trauma, further study of this issue is necessary.
Polypharmacy as risk factor of interdrug interactions and possible cause of pharmacotherapy complications in multidisciplinary pediatric hospital
Authors: Postnikov S. S. , Kostyleva M. N. , Strok A. B. , Gratzianskaya A. N. , Teplova N. V. , Ermilin A. E.
Published: January 2023

Drug interactions are a critical problem in clinical pharmacology and daily clinical practice. Physicians often face the need to prescribe a combination of two or more drugs (polypharmacy), especially when treating patients with several comorbidities. In some combinations, drugs, being chemically active substances, can enter into multi-drug interactions often with clinically significant adverse effects and/or reduction of therapy effectiveness, increasing the cost of treatment. Potential multi-drug interaction refers to the possibility of changing the pharmacological effect of one or more drugs when they are prescribed simultaneously or sequentially. Depending on the final result, the interaction may be synergistic (with increasing effect) or antagonistic (weakening or blockage of the effect).
Heart rate variability in patients with obstructive sleep apnea and comorbid pathology
Authors: Tertyshnaya N. M. , Goldobin V. V. , Klocheva E. G.
Published: January 2023

Aim. To study the features of heart rate variability in patients with obstructive sleep apnea (OSA) and comorbid pathology.

Materials and methods. Polysomnography and registration of heart rate variability (HRV) were performed in 98 patients who applied to a neurologist.

Results. Most of the HRV indicators in patients with OSA were significantly lower compared to the control group with orthostatic loading. The most notable of these were: TP (ms2), SDNN (ms), CV (%), HF (ms2), RMSSD (ms), DX (ms), LF (ms2). There were higher CI at rest (3.29 (1.53; 6.10), p = 0.034) and IVR (455.45 (286.95; 704.87), p = 0.014) during exercise in patients with OSA in comparison with the control group (1.73 (0.79; 3.93) and 344.00 (171.57; 440.87), respectively). It was found that arterial hypertension (94.6 %), chronic cerebral ischemia (80.4 %), and acute cerebrovascular accident (10.7 %) were significantly more common in patients with OSA than those examined without apnea (71.4 %, 42.9 % and 0.0 % respectively).

Conclusions. BMI, neck volume, saturation level, and desaturation index can be considered as criteria for referring patients for HRV registration in order to assess the state of adaptive reserves. In patients with OSA, according to HRV indicators, a shift in the autonomic balance was found, which is expressed by a weakening of vagal influences and the degree of participation of the autonomic circuit in the regulation of heart rate with an increase in sympathetic orientation and central control mechanisms, a decrease in the body's adaptive resources. Work should be continued to clarify the contribution of comorbid pathology in patients with OSA to the development of autonomic dysfunction.
Un estudio cualitativo sobre la creación de vínculos erótico-afectivos en parejas migrantes
Authors: Oliver de la Cruz Laura Gabriela
Published: January 2023

The objective of the study was to understand the creation and transformation of the erotic-affective bonds of Latin American migrantcouples. The research was conducted with couples who use the Spanish Red Cross migration center. The qualitative design of the study is based on Gadamer’s hermeneutic phenomenology; in-depth interviews and focus groups were conducted to collect information. The four resulting topics (migratory experience, erotic dimension, affective dimension, and strengthening affective relationships in the destination country) add to the understanding of the migratory phenomenon from a little-studied perspective, integrating sensitive experiences. It is concluded that affective expressions, along with erotic expressions, are indispensable for adaptation during the migration project. The bond builds on joint experiences during migration and is strengthened while strategiesand adaptation skills are created. The number of interviewslimited the representativeness of the sample, in addition to the lack of time to delve into sexuality.