bluuebunny/crossref_metadata_2025 huggingface dataset:
PEMANFAATAN LAHAN PEKARANGAN RUMAH DENGAN TANAMAN ORGANIK DAN HIDROPHONIK DI DESA CAPA PALOH KECAMATAN PADANG TIJI KABUPATEN PIDIE
Authors: Mawardiana Mawardiana , Karnilawati Karnilawati
Published: July 2023

Gampong Capa Paloh  merupakan salah satu gampong yang berada di Kecamatan Padang Tiji Kabupaten Pidie, dimana di daerah ini masih banyak terlihat lahan pekarangan yang belum termanfaatkan secara produktif. Hal ini dikarenakan adanya pola pikir di tengah masyarakat yang beranggapan bahwa lahan pekarangan bukanlah tempat untuk budi daya tanaman serta tidak dapat memberikan hasil yang signifikan dalam peningkatan pendapatan keluarga, serta pemahaman masyarakat yang masih kurang dalam budi daya tanaman, begitu juga bahan baku untuk pembuatan pupuk organik ada banyak di sini seperti limbah kulit kakao dan batang pisang dari kebun masyarakat. Pengabdian ini bertujuan meningkatkan produktivitas lahan pekarangan melalui penanaman aneka sayuran secara organic dan juga dengan metode hidrophonik  melalui penyuluhan dan demo pembuatan pupuk organik cair berbahan dasar batang pisang dan limbah kulit kakao dan  dengan melakukan pelatihan tentang bagaimana cara bercocok tanam melalui system hidroponik  Hasil yang dicapai meningkatnya semangat ibu-ibu PKK dalam memanfaatkan pekarangan tinggal untuk usaha produktif  dan mengolah limbah menjadi pupuk organik cair dan bagaimana cara budidaya tanaman dengan hidrophonik dan tanaman obat keluarga dan akhirnya  bisa menghasilkan sayuran  yang berkualitas, beragam, bergizi dan aman untuk keluarga dan berpeluang untuk dipasarkan. Kata kunci:  pupuk organik, pekarangan,hidroponik, sayuran
PENCEGAHAN STUNTING PADA PERIODE GOLDEN AGE MELALUI PENINGKATAN EDUKASI PENTINGNYA MPASI
Authors: Anandita Mella Yuria Rachma , Gustina Irwanti
Published: July 2023

Stunting merupakan masalah gizi nasional dikarenakan berdampak negatif terhadap sumber daya manusia di masa yang akan datang. Hasil Riset Kesehatan Dasar tahun 2018 menunjukan bahwa prevalensi stunting di Indonesia adalah 30,8%. Angka tersebut masih cukup jauh dari target WHO yaitu sebesar 20%. Stunting pada balita salah satunya disebabkan oleh masih minimnya pengetahuan ibu tentang gizi. Stunting akan berdampak pada penurunan kecerdasan dan kerentanan terhadap penyakit. Salah satu upaya pemenuhan gizi yang baik sejak dini adalah dengan pemberian MPASI di usia 6-24 bulan. Hasil wawancara diperoleh informasi bahwa sebagian besar ibu-ibu yang memiliki balita di wilayah Cililitan Kecil Jakarta Timur kurang memahami tentang pengolahan MPASI. Tujuan pengabdian masyarakat ini untuk mengedukasi ibu yang memiliki bayi pada periode golden age mengenai pemberian MPASI yang baik dan benar. Sasaran dalam kegiatan ini adalah 30 orang ibu yang memiliki anak usia 6 bulan – 24 bulan. Metode yang diterapkan pada kegiatan penyuluhan ini mencakup: 1) pengukuran pengetahuan tentang MPASI 2) penyuluhan tentang MPASI; 3) diskusi dan tanya jawab. Kegiatan pengabdian ini dilakukan pada tanggal 31 Mei 2022. Penyuluhan tentang pemberian MPASI secara berkesinambungan dapat meningkatkan pengetahuan para ibu dalam mencegah stunting. Kata kunci: Stunting, Golden Age, Pengetahuan Ibu, MPASI
SOSIALISASI BAHAYA PENGGUNAAN NARKOBA BAGI PELAJAR SMP 1 SIMPANG TIGA SEBAGAI UPAYA MEWUJUDKAN ASA MERAIH CITA TANPA NAPZA BAGI GENERASI MUDA
Authors: Handayani Lia , Nurhayati Nurhayati , Syahputra Faisal , Thaib Azwar , Mardhiah Ainal , Isfanda Isfanda , Kiflah Marzatul , Nazila Dara , Listia Ayu , Muslem Muslem
Published: July 2023

Salah satu permasalahan yang terjadi di kalangan remaja adalah penyalah gunaan narkoba. Penyalahgunaan narkoba yang berawal dari coba pakai tertinggi berada di kalangan pelajar. Penyalahgunaan narkoba di kalangan pelajar atau mahasiswa akan berpengaruh negatif terhadap kelangsungan pembangunan nasional. Salah satu hal yang menyebabkan pelajar menyalahgunakan narkoba adalah kurangnya informasi tentang bahaya narkoba serta umur yang masih rentan dengan pengaruh luar atau labil dalam berpikir. Salah satu upaya yang dilakukan untuk memberikan informasi tentang bahaya narkoba adalah melalui penyuluhan dengan metode ceramah. Kegiatan penyuluhan di laksanakan di SMP N 1 Simpang Tiga dengan harapan dapat menambah kesadaran pelajar akan bahaya penyalahgunaan obat-obatan terlarang. Mindset menjadi genereasi pembangun bangsa yang memerangi narkoba perlu ditumbuhkan sejak dini secara stimultan. Kegiatan penyuluhan yang dilakukan secara konsisten akan lebih memiliki dampak yang signifikan.
EDUKASI DAN PEMIJAHAN IKAN HIAS TERHADAP ANAK-ANAK DI DESA BLANG PREH KECAMATAN SIMPANG TIGA KABUPATEN ACEH BESAR
Authors: Nurhayati Nurhayati , Handayani Lia , Thaib Azwar , Syahputra Faisal , Nazlia Suraiya , Razi Fakhrul
Published: July 2023

Pada umumnya masyarakat melakukan kegiatan budidaya ikan hanya sekedar hobi apalagi ikan hias. budidaya ikan ini dapat meningkatkan pendapatan apabila ditekuni. Tidak hanya orang dewasa, anak – anak juga tertarik dengan ikan hias namun mereka belum mengenali jenis-jenisnya sehingga perlu diberikan edukasi. Pengabdian ini bertujuan untuk mengenali jenis – jenis ikan hias dan mampu melakukan budidaya ikan hias ketika mereka beranjak dewasa. Kegiatan pengabdian ini dilaksanakan di desa Blang Preh Kecamatan Simpang Tiga Kabupaten Aceh Besar. Metode yang digunakan adalah penyuluhan dan demontrasi. Dari hasil pengabdian diperoleh kesimpulan bahwa edukasi ikan hias dan pemijahan ikan dapat meningkatkan daya tarik peserta terhadap ikan hias dengan harapan mereka mampu menjadi entrepreneur kelak mereka dewasa.Kata kunci: anak – anak, edukasi, ikan hias
PENYULUHAN HUKUM POLA PENYELESAIAN SENGKETA ADAT ACEH DALAM PESPEKTIF QANUN NOMOR 9 TAHUN 2008 DI GAMPONG MESJID DIJIEM KECAMATAN INDRAJAYA
Authors: Muttaqien Al , Mahdi Umar , Suhaibah Suhaibah , Qasthary Auzan
Published: July 2023

Penyuluhan Hukum Pola Penyelesaian Sengketa Secara Adat Aceh Dalam Pespektif Qanun Aceh Nomor 9 Tahun 2008 di Gampong Mesjid Dijiem Kec. Indrajaya merupakan kegiatan pengabdian masyarakat. Prodi Ilmu Hukum Universitas Jabal Gahfur, Tujuan kegiatan ini berkaitan dengan peran gampong dan mekanisme  serta kewenangan dalam penyelesaian sengketa adat istiadat dalam masyarakat gampong. Penyelesaian sengketa adat istiadat di gampong Mesjid Dijiem belum terlaksana secara efektif dimana sebagai besar sengketa atau perselisiahan di gampong masih dilaporkan ke polisi. Masih kuranganya pengetahuan aparatur gampong terkait mekanisme dan pola penyelesaian sengketa adat istiadat di gampong menjadi penyebab utama tidak berjalannya peleksanaan penyelesaian senketa adai istiadat di gampong. Pelaksanaan penyuluhan hukum dimulai dengan penyampaian materi terkait Qanun Aceh nomor 9 tahun 2008 dilanjutkan dengan sesi tanya jawab. Hasil penyuluhan hukum di Gampong Mesjid dijiem Kecamatan Indrajaya memberikan pengetahuan bagi apartur gampong terkait terkait pola penyelesaian senketa adat aceh sehingga nantinya peran aparatur gampong dapat efektif dan berkomitmen dalam rangka penyelesaian berbagai sengketa atau perselisiahan adat istiadat dalam masayarakat gampong sebagaimana diatur dalam Qanun Aceh Aceh Nomor 9 Tahun 2008.
EDUKASI PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) “AYO SIKAT GIGIMU” DI TK NURUL HIKMAH CIPAYUNG TAHUN 2022
Authors: Gustina Irwanti , Yuria Mella
Published: July 2023

Setiap Anak perlu mendapatkan edukasi perilaku hidup bersih dan sehat sejak dini agar terbentuk pribadi yang sadar akan pentingnya menjaga kesehatan individu secara mandiri. Penyakit gigi dan mulut yang paling banyak ditemukan dimasyarakat luas yaitu karies gigi, karies tidak hanya terjadi pada orang dewasa tetapi dapat pula terjadi pada anak.  Tujuan dilakukan Edukasi tentang sikat gigi ini  agar anak memahami cara menyikat gigi yang baik dan benar secara mandiri. Peserta kegiatan pengabdian masyarakat ini adalah seluruh siswa taman kanak-kanak Nurul Huda Cipayung Jakarta Timur yang berjumlah 25 siswa. Metode kegiatan yang diberikan berupa edukasi dalam bentuk video sikat gigi dan diskusi.  Hasil dari kegiatan  beberapa siswa menjawab pertanyaan yang diajukan  dalam diskusi kegiatan dan terdapat  dokumentai kegiatan. Adapun kesimpulan dari kegiatan Edukasi yang dilaksanakan berjalan dengan baik, siswa kegiatan tampak antusias dalam mengikuti kegiatan penyuluhan gosok gigi. Adapun saran dari kegiatan penyuluhan dapat dilakukan lebih sering agar siswa lebih mengetahui bagaimana cara menyikat gigi yang benar
PENTINGNYA PEMBERIAN OBAT CACING PADA ANAK SECARA BERKALA DALAM UPAYA PENCEGAHAN STUNTING DIDESA LAMJAMEE DAYAH KECAMATAN SIMPANG TIGA KABUPATEN ACEH BESAR
Authors: Zuhkrina Yuli , Martina Martina
Published: July 2023

Desa Lamjamee Dayah terletak di kecamatan Simpang Tiga yang merupakan wilayah kesatuan dari kabupaten Aceh Besar yang terletak di Provinsi Aceh, Indonesia dengan jumlah penduduk sebanyak 854 jiwa tahun 2022. Daerah ini merupakan daerah yang tepat untuk diberikan edukasi kesehatan karena terdapat anak yang stunting yang diseabkan oleh cacingan. Kecacingan dapat menyebabkan berbagai masalah kesehatan, termasuk sakit perut, diare, kehilangan darah dan protein, prolaps rektum, dan keterbelakangan pertumbuhan fisik dan kognitif. Dampak yang terjadi jika anak terinfeksi cacing, maka infeksi tersebut dapat berkontribusi pada anemia, defisiensi vitamin A, penyumbatan usus, keterlambatan perkembangan, kekurangan gizi dan gangguan pertumbuhan. Stunting merupakan salah satu contoh gangguan pertumbuhan yang terjadi pada anak, untuk itu perlu diberikan edukasi kesehatan. Terjadi peningkatan pengetahuan responden yang dimulai dari Pre Test sampai pada akhir kegiatan yaitu Post Test melalui penyebaran kuesioner pada 64 responden.Kata kunci: Edukasi, Kecacingan, stunting
PENTINGNYA IMUNISASI DASAR LENGKAP PADA ANAK DI DESA NYA KECAMATAN SIMPANG TIGA KABUPATEN ACEH BESAR TAHUN 2022
Authors: Martina Martina , Zuhkrina Yuli
Published: July 2023

Desa Nya adalah salah satu gampoeng dari 18 gampoeng yang ada di Kecamatan Simpang Tiga Kabupaten Aceh Besar. Desa Nya terletak sekitar ±45 KM dari pusat pemerintahan Kabupaten Aceh Besar yaitu Jantho. Luas wilayah Desa Nya yaitu  ±250 hektar. Desa Nya berbatasan dengan 3 gampong lainnya. Pada sisi sebelah barat berbatasan dengan Desa Batee Linteung, pada sisi sebelah timur berbatasan dengan Desa Lam bate dan sisi sebelah utara berbatasan dengan Desa Kreung Mak. Desa Nya terdiri dari dua dusun dan 283 jiwa, serta terdapat 5 anak usia 0-11 bulan yang tidak mendapat imunisasi dasar lengkap karena tidak ada ijin dari suami. Menurunnya angka imunisasi semenjak masa pandemi covid-19 karena menyebarnya berbagai berita hoax tentang vaksin dan kurangnya edukasi tentang imunisasi sehingga masyarakat di Desa Nya enggan untuk memberikan imunisasiKata kunci: Imunisasi Dasar Lengkap, Pengetahuan, Vaksin
LEGALITAS PENGGUNAAN BUKTI ELEKTRONIK DALAM HUKUM ACARA PERDATA
Authors: Qasthary Auzan , Muttaqien Al , Saputra T. Yasman
Published: July 2023

ABSTRACTIn the increasingly advanced digital era, the development of information technology has changed various aspects of life, including the legal system. The use of electronic evidence in legal proceedings has become commonplace, especially in the context of civil procedural law. Electronic evidence such as electronic documents, e-mails, text messages, audio recordings, and video recordings has become an integral part of many legal cases. This study aims to examine the legality of using electronic evidence in civil procedural law. In today's digital era, the use of electronic technology in legal proceedings has become a common phenomenon. However, there is still debate about the legality and strength of electronic evidence in the context of civil procedural law. This study uses a normative legal research method by examining laws and regulations related to the use of electronic evidence in civil procedural law. The results of this study indicate that, although there are challenges to the use of electronic evidence, its legality has been recognized and regulated in laws and regulations. Thus, the use of electronic evidence can be an efficient and effective alternative to meeting the evidentiary needs in civil procedural law.Keywords : Legality, Electronic Evidence, Civil Procedure Code ABSTRAKDalam era digital yang semakin maju, perkembangan teknologi informasi telah mengubah berbagai aspek kehidupan, termasuk dalam sistem hukum. Penggunaan bukti elektronik dalam proses hukum telah menjadi hal yang umum, terutama dalam konteks hukum acara perdata. Bukti elektronik seperti dokumen elektronik, email, pesan teks, rekaman suara, dan rekaman video telah menjadi bagian integral dari banyak kasus hukum. Penelitian ini bertujuan untuk mengkaji legalitas penggunaan bukti elektronik dalam hukum acara perdata. Dalam era digital saat ini, penggunaan teknologi elektronik dalam proses hukum telah menjadi fenomena yang umum. Akan tetapi, masih terdapat perdebatan mengenai legalitas dan kekuatan bukti elektronik dalam konteks hukum acara perdata. Penelitian ini menggunakan metode penelitian hukum normatif dengan mengkaji peraturan perundang-undangan yang terkait dengan penggunaan bukti elektronik dalam hukum acara perdata. Hasil penelitian ini menunjukkan bahwa meskipun terdapat tantangan dalam penggunaan bukti elektronik, legalitasnya telah diakui dan diatur dalam peraturan perundang-undangan. Sehingga, penggunaan bukti elektronik dapat menjadi alternatif yang efisien dan efektif dalam memenuhi kebutuhan pembuktian dalam hukum acara perdata.Kata kunci: Legalitas, Bukti Elektronik, Hukum Acara Perdata
HUBUNGAN MOTIVASI, FASILITAS DAN KEMANDIRIAN BELAJAR MATEMATIKA DENGAN HASIL BELAJAR SISWA
Authors: Hagai Tilukay Juan Agung , Sulangi Victor R. , Manurung Ontang
Published: July 2023

Hubungan antara motivasi, keterlibatan, dan agensi siswa di kelas matematika. Gedung ini menampung Departemen Matematika Fakultas Ilmu Alam dan Bumi. Universitas Negeri Manado. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana motivasi, kepercayaan diri, dan inisiatif matematika siswa kelas VIII mempengaruhi nilai mereka di SMP Negeri 3 Tondano. Metode kuantitatif termasuk analisis korelasi dan regresi digunakan dalam penelitian ini. Penelitian ini bertujuan untuk menguji empat rangkaian korelasi: (1) pengaruh motivasi belajar siswa terhadap hasil belajar matematika; (2) pengaruh lingkungan belajar terhadap hasil belajar matematika; (3) pengaruh kemandirian belajar siswa terhadap hasil belajar matematika; dan (4) pengaruh ketiganya terhadap hasil belajar matematika. Lima puluh enam siswa dari SMP Negeri 3 Tondano ambil bagian. Data dikumpulkan dari berbagai sumber, termasuk survei, evaluasi penyelesaian kursus, dan laporan tertulis. Signifikansi statistik dari masing-masing korelasi dan regresi ditentukan dengan menggunakan cutoff 0,05. Hasil penelitian menunjukkan bahwa (3) kemampuan siswa untuk belajar mandiri berhubungan dengan kinerja mereka, bahwa (1) hasil belajar dipengaruhi oleh motivasi siswa, dan bahwa ( 2) fasilitas tidak berpengaruh terhadap prestasi belajar siswa.Kata kunci : Hubungan Motivasi belajar, Fasilitas belajar, Kemandiriaan Belajar dan Hasil   Belajar Siswa.
PENGEMBANGAN DESAIN PEMBELAJARAN PERSAMAAN GARIS LURUS DENGAN MODEL DISCOVERY LEARNING BERBANTUAN DISCORD
Authors: Gerung Lettycia Claudya , Sulangi Victor R. , Monoarfa Jorry
Published: July 2023

Tujuan utama dari penyusunan penelitian ini yaitu mengembangakan desain pembelajaran matematika pada materi persamaan garis lurus dengan model discovery learning yang dengan bantuan aplikasi Discord yang memenuhi kriteria valid, efektif, dan priktis. Dengan menggunakan penelitian pengembangan research and development (RD) yang berfokus pada tahapan model pengembangan ADDIE : Analyze (Analisis), Design (Desain), Development (Pengembangan), Implementation (Penerapan) and Evaluation (Evaluasi). Penelitian ini dilaksanakan di SMP Negeri 3 Tondano dengan subjek penelitian siswa-siswi kelas VIII B. Instrument penelitian yang digunakan yaitu pedoman wawancara, lembar validasi ahli, serta angket respon peserta didik. Penelitian ini mengasilkan desain pembelajaran yang memenuhi kriteria valid dengan presentase (RPP) 93,97%, (LKPD) 94,64% dan (THB) 94,07% . Memenuhi kriteria efektif dengan presentase 83,3% untuk tes hasil belajar siswa yang memenuhi KKM dan memenuhi kriteria praktis dengan presentase 83,8% berdasarkan angket respon siswa.Kata kunci: Desain Pembelajaran, Persamaan Garis Lurus, Discovery Learning, Discord
Tingkat Pemahaman Aparatur Gampong tentang Anggaran terhadap efektifitas penggunaan dana desa di Kecamatan Delima
Authors: Maisur Maisur , Umar Nyak
Published: July 2023

Pemaahaman perangkat desa tentang kebijakan pemerintah dan pemahaman tentang pengelolaan anggaran dana desa sangat menentukan terhadap efektifitas pengunaannya. Sampel dala penelitian ini sebanyak 100 perangkat desa yang berada di Kecamatan Delima. Teknik penentuan sampel menggunakan rumusan slovin. Hasil penelitian menunjukkan bahwa tingkat pemahaman aparatur desa dan pemahaman dalam pengelolaan anggaran berpengaruh positif terhadap efektifitas penggunaan dana desaKata kunci: Pemahaman, anggaran, desa
PENGARUH KEPEMIMPINAN KEUCHIK TERHADAP EFEKTIFITAS PELAYANAN MASYARAKAT GAMPONG KAMBUEK PAYAPI KUNYET KECAMATAN PADANG TIJI
Authors: Halimah Halimah , Jayus Zuliaden , Hansyar Ricky Muliawan , Munawir Munawir
Published: July 2023

Effectiveness is a very important element of organizational activities in achievingpredetermined goals or objectives. When viewed from the aspect of the success of achieving goals, effectiveness is focusing on the level of achievement of organizational goals. Furthermore, in terms of timeliness, effectiveness is the achievement of various goals that have been determined on time by using certain references that have been allocated to carry out various activities. Community Service is one of the main things that must be considered by a Keuchik / village head in leading the progress of the village in the future. Assessment of the influence of leadership on the effectiveness of services to the people of Gampong Kambuek Payapi Kunyet, Padang Tiji District was carried out by conducting direct interviews with the people of Gampong Kambuek Payapi Kunyet, Padang Tiji District. The research sampling was carried out by purposive sampling, which means that not all populations were sampled. The number of respondents sampled as a whole amounted to 137 people. Primary data is obtained by interviewing respondents and using a list of questions that have been prepared on a questionnaire. Analysis of the assessment of the influence of leadership on the effectiveness of services to the people of Gampong Kambuek Payapi Kunyet, Padang Tiji District is carried out on the effectiveness of services in the field ofcorrespondence, in the field of infrastructure development, in the field of Islamic law enforcement, and in the field of dispute resolution. From the results of the interview, it was found that the influence of the leadership of the village head on the effectiveness of community services in Gampong Kambuek Payapi Kunyet, Padang Tiji District is in the field of correspondence services, the majority of the community rated it as good (70%), inthe field of infrastructure development services, the majority of the community rated it as very good (31%), in the field of Islamic sharia implementation services, the majority of the  community rated it as quite good (33%), and in the field of dispute resolution services, the majority of the community rated it as good (35%).Keywords: Influence, Leadership, Village Head, Effectiveness of Community Services
ASPEK PERLINDUNGAN HUKUM TERHADAP KESELAMATAN DAN KESEHATAN KERJA PETUGAS PEMASYARAKATAN DI RUMAH TAHANAN NEGARA KELAS II B SIGLI
Authors: Armiwal Armiwal , Suhaibah Suhaibah
Published: July 2023

Penelitian ini merupakan jenis penelitian yuridis emperis. Pengumpulan data dilakukan untuk data sekunder dengan cara mempelajari buku-buku, jurnal, peraturan perundang-undangan, dan karya ilmiah yang terkait dan untuk data primer dengan cara menwawancarai responden dan informan. Hasil penelitian menunjukkan bahwa aspek perlindungan hukum terhadap Keselamatan  dan  Kesehatan  Kerja (K3)  petugas  pemasyarakatan  di  Rumah Tahanan Negara Kelas II B Sigli berupa perlindungan teknis sebagai suatu jenis perlindungan yang berkaitan dengan usaha-usaha untuk menjaga agar pekerja terhindar dari bahaya kecelakaan yang dapat ditimbulkan saat bekerja, perlindungan sosial sebagai bentuk perlindungan sosial untuk menjamin seluruh rakyat agar memenuhi kebutuhan dasar hidupnya yang  layak, adanya jaminan kecelakaan kerja, jaminan kematian, jaminan hari tua dan jaminan pemeliharaan kesehatan serta perlindungan ekonomis sebagai upaya berkaitan dengan usaha untuk memberikan kepada pegawaisuatu penghasilan yang cukup guna memenuhi keperluan sehari-hari baginya dan keluarganya. Faktor yang mempengaruhi perlindungan    hukum    terhadap    Keselamatan    dan    Kesehatan    Kerja (K3) dipengaruhi oleh faktor internal diantaranya kekuatan atau Kemampuan Petugas Pemasyarakatan di Rumah Tahanan Negara, psikologis Petugas Pemasyarakatan di Rumah Tahanan Negara sedangkan faktor eksternal adalah segala faktor dari luar diri Petugas Pemasyarakatan di Rumah Tahanan Negara, diantaranya adanya Undang-Undang  Keselamatan Kerja,  meningkatnya angka kriminal   atau  over kapasitas warga binaan, masih kurangnya jumlah petugas pemasyarakatan di Rumah Tahanan Negara  dan sarana dan prasarana  masih terbatas atau  belum memadai.   Dasar   hukum   perlindungan   hukum   terhadap   Keselamatan   dan Kesehatan Kerja (K3) petugas pemasyarakatan di RUTAN sebagaimana Undang- Undang Nomor 13 Tahun 2003 Tentang Ketenagakerjaan. Dalam Pasal 86 menegaskan hak pekerja untuk memperoleh perlindungan atas keselamatan dan kesehatan kerja dan peraturan Menteri Ketenagakerjaan Nomor 5 Tahun 2018 tentang Kesehatan dan Kesehatan Kerja (K3) Lingkungan Kerja.Kata kunci: Faktor, Kesehatan dan Keselamatan Kerja, Lembaga Pemasyarakatan
Isolated Tubercular Liver Abscess: A Rare Case Report
Authors: Mohshin MA  , Hezbullah M  , Foez SA
Published: July 2023

Background: Tuberculosis (TB) continues to be a global public health problem, particularly in the developing countries [1]. It usually involves organs like lungs and/or gastrointestinal (GI) tract [2]. Hepatic involvement is usually associated with miliary tuberculosis which is one of the most characteristic manifestations of tuberculosis. Isolated liver abscess without any primary infection is a rare clinical entity. It is more difficult for a clinician to diagnose as in most cases it is frequently confused with pyogenic or amoebic liver abscess or a hepatoma [3]. Only a few cases have been reported in Bangladesh till date [4-7]. Recently we came across tubercular liver abscess in an immunocompromised patient without any primary foci of infection which was really a diagnostic challenge for us.

Objectives: The objective of reporting this case is to aware clinicians about the uncommon presentation of a common disease like tuberculosis. This will be an eye-opening experience for clinicians and help in formulating differentials in the workup of patient with pyrexia due to non-resolving liver abscess.
A 2-year-old boy with Glucose-6-Phosphate Dehydrogenase Deficiency Following Naphthalene Ingestion: a Case Report
Authors: Ruhul A  , Rashedul H  , Shamima SS  , Tanjia M
Published: July 2023

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common hereditary enzyme disorder in the world and more than 400 million people have a deficiency in this enzyme. G6PD deficiency is an X-linked disorder, and one of its important signs is the presence of hemolytic anemia. It is a worldwide important cause of neonatal jaundice and causes life threatening hemolytic crisis in childhood. Here a 2- year- old boy was admitted into department of pediatrics of Sylhet Women’s Medical College Hospital with fever for 2 days & passage of dark color urine for 1 day. There was history of accidental naphthalene ingestion present prior to develop symptoms. The boy was clinically febrile, severely pale, anicteric. No organomegaly was present. It was confirmed by G6PD level assay. Symptomatic & supportive treatment was given with packed cell volume transfusion and avoidance of triggering factors was advised. Genetic counseling was also done.
Wilson's disease
Authors: Chowdhury DP  , Keya SD  , Islam A.T.M R  , Brishti MA  , Sumaiya FI  , Sonam NF  , Saha M
Published: July 2023

Wilson’s disease is a disorder of copper metabolism leading to accumulation of the metal in different organ. Hepatic manifestation tend to occurs in the first decade and neurological symptoms in the third decade. Neurological manifestation are said to worsen with chelation therapy.
A -2- month old child with Spinal Muscular Atrophy Type 1 with Pneumonia: A case report
Authors: Ruhul A  , Rashedul H  , Shamima SS  , Shahab U
Published: July 2023

Spinal muscular atrophy (SMA) is a autosomal recessive disease characterized by muscular weakness, hypotonia and atrophy. SMA is caused by mutation or deletion of the survivor motor neuron gene (SMN1), which is located in the telomere region of chromosome 5q13. Incidence of the disease is 1:6000-10000 newborn. Confirmatory diagnosis can be established by molecular genetic analysis. Here a 2- month- old female baby was admitted into the department of pediatrics of Sylhet Women’s Medical College Hospital with because of less movement of whole body for 1 month and repeated cough with respiratory distress for same duration. Baby was dyspneic, chest in drawing and crepitation was present over both lung fields. Signs of lower motor neuron lesions were present. It was confirmed by Polymerase chain reaction (PCR) for SMN gene. Final diagnosis was Spinal muscular atrophy with pneumonia. Symptomatic, Supportive and antibiotic treatment were given. Genetic counseling, regular respiratory follow up was advised.
A Hypertensive Early-Middle-Aged Man with Loss of Vision: a Rare Case of Primary Empty Sella Syndrome and Central Retinal Vein Occlusion
Authors: Salam MU  , Sakib MA  , Ahmad MM  , Dhar P  , Bhuiyan MI  , Bristy FA  , Jumon HK  , Chowdhury NB  , Ahmed R  , Alam S
Published: July 2023

Primary empty sella (PES) syndrome is a rare and benign condition usually with no symptoms, and, often revealed incidentally. But at times the syndrome manifests with a wide and variable range of ocular and endocrine features. Central retinal vein occlusion (CRVO) is in and of itself a rare cause of blindness, and its presence in the context of primary empty sella is even rarer. In this article, the authors report a case of a hypertensive man in his late thirties presenting to the medicine inpatient with headache and blindness of the left eye. Investigations came up with the diagnosis of PES syndrome with CRVO with macular edema. However, this patient had no overt endocrine problems.
Comparison Between Open and Closed Methods of Establishing Pneumoperitoneum for Laparoscopic Cholecystectomy
Authors: Patwary MAH  , Nashrin R  , Rahman SMG  , Azad MAS
Published: July 2023

Background: The initial phase in laparoscopic surgery, including cholecystectomy, is pneumoperitoneum. There are two widely utilized procedures to produce pneumoperitoneum closed and open techniques. Both have advantages and disadvantages.

Aims: Comparing open and closed techniques of creating a pneumoperitoneum for laparoscopic cholecystectomy is the goal.

Methods: The Surgery Department of Sylhet MAG Osmani Medical College Hospital conducted this prospective comparative observational study from September 2018 to August 2019. This study comprised a total of 138 hospitalized patients, of whom had symptomatic gallstone disease and required cholecystectomy. The patients were split into two groups; 69 were chosen for the closed approach and were referred to as Group A, while the remaining 69 were chosen for the open method and were referred to as Group B.

Results: The average age was 44.88 ±12.61 in Group A and 47.12 ±11.62 in Group B. In groups A and B, the male-to-female ratio was 1:2.3 and 1:1.6, respectively. The difference between the two groups was statistically insignificant (p>0.05). The average access time was 7.43 minutes for Group A and 3.14 minutes for Group B. The average access time was substantially longer in group A (p <0.05). 27 patients (39.1%) in group A and 38 patients (55.1%) in group B had gas leaking. The difference was not statistically significant (p>0.05) between the two groups. 15 (21.7%) patients in group A and 5 (7.2%) patients in group B had extraperitoneal insufflation. Extraperitoneal insufflation in group A was considerably (p<0.05) greater. The average surgery was 81.83± 20.21 minutes for Group A and 53.42± 11.63 minutes for Group B. The mean time frames spent on wound closure in groups A and B were 6.61± 1.49 and 2.55 ±0.8 respectively. The mean duration of the procedure and the mean time to close the wound were considerably (p<0.05) higher in group A. No group had any cases of visceral damage, conversion need, haematoma, seroma, subcutaneous emphysema, gas embolism, or port site hernia. In groups A and B, respectively, one (1.4%) patient each had wound discharge and wound infection. The difference between the two groups was not statistically significant (p>0.05).

Conclusion: It was preferable to create pneumoperitoneum openly. Considering access time, operating time, times for wound closure, primary port infection, and haemorrhage.
Overweight and Obesity among School-going Adolescents in a Private School in Sylhet City
Authors: Dey T  , Das AC  , Chowdhury SR  , Chowdhury TA  , Maria S  , Shomy NR
Published: July 2023

Introduction: For both industrialised and developing nations, obesity and overweight are serious public health issues. It is responsible for both physical and mental health problems among adolescents.

Objective: The study was aimed at assessing the prevalence of overweight and obesity among school going adolescents.

Methods: This was a cross-sectional study carried out among the students of Blue Bird School and College in Sylhet, Bangladesh, between the periods of January 2017 and December 2017.

Results: A total of 158 students from classes 9 and 10 were included in the study by a purposive sampling method. The mean age of the students was 15.38 ± 0.754. Among them, 52.5% were male and 47.5% were female. Graduate or higher education was held by 48.1% of the respondents' mothers and 65.8% of the respondents' fathers. Most of the respondents' mothers (75.9%) were housewives, whereas most of the fathers (60.7%) were service holders. Among the respondents, 17.7% and 13.9% were overweight and obese, respectively. There was no significant relationship between body mass index and socio-demographic factors like gender, religion, educational qualification and occupation of the parents, family income, and family type. Most of the overweight (89.3%) and obese (95.5%) respondents performed physical exercise regularly, which was statistically significant (p= 0.01). Other lifestyle factors such as sports participation, food preferences, television viewing, and computer use were not found to be significantly linked to being overweight or obese.

Conclusion: In our study, adolescents had a greater prevalence of overweight and obesity. Public health programs are required to increase knowledge of the risk factors for overweight and obesity among children and adolescents in order to lessen the future burden of obesity-related chronic diseases.
Comparison between Light Emitting Diode (LED) Fluorescence Microscopy and Conventional Light Microscopy in the Diagnosis of Pulmonary Tuberculosis
Authors: Yesmine F  , Hezbullah M  , Islam SAHMM  , Das P4  , Haque MF  , Chakrabarty SR  , Abdullah M
Published: July 2023

Background: Diagnosis of pulmonary tuberculosis is confirmed by sputum microscopy. Sputum can be stained by Ziehl-Neelsen (Z-N) staining and examined by conventional light microscopy. Again it can also be stained with Auramine O stain and examined by light emitting diode (LED) fluorescence microscopy. This study was planned to find the most sensitive, specific and feasible technique for the diagnosis of pulmonary tuberculosis.

Materials and Method: This cross-sectional analytical study was conducted in the department of Medicine in collaboration with the department of Microbiology, Sylhet M.A.G. Osmani medical college, Sylhet from 1st January, 2019 to 30th June, 2019. All clinically suspected patients with pulmonary tuberculosis attending both outpatient and inpatient department of Medicine Sylhet M.A.G Osmani medical college hospital, Sylhet during the study period were the study population. Total 380 patients were recruited as study sample after fulfilling the inclusion and exclusion criteria by purposive sampling method. All the patients were referred to department of Microbiology, Sylhet M.A.G Osmani medical college for sputum for AFB examination. All the samples were divided in to two portion and then one portion was marked as group-A-and another portion as group-B. In group-A, conventional Ziehl Neelsen (Z-N) staining with light microscopy and in group-B, Auramine staining with LED fluorescent microscopy were done.

Result: Among 380 patients, 47 (12.4%) patients and 52(13.7%) patients were diagnosed as pulmonary tuberculosis by Z-N method and LED fluorescence microscopy respectively but this difference was not significant (*Z=-0.532; p>0.05). Paucibacillary (scanty and 1+) cases were observed more in LED 34 (8.9%) method in comparison to Z-N 31 (8.2%) method. But this difference again did not reach the level of significance (*Z=0.345; p>0.05). But the time required to read the smear by LED method (6.30 ± 0.33 minutes) was significantly shorter than that of Z-N method (3.01 ± 0.27 minutes) (t=561.146; *p<0.001).

Conclusion: LED fluorescence microscopy is better than conventional light microscopy in consideration of time taken to finalize result.
Relationship between Time to Surgical Debridement and Rate of Wound Infection in Open Tibia Fracture in a Tertiary Care Hospital
Authors: Manjur M  , Rahaman MS  , Chowdhury TN  , Biswas BK  , Mahmud R  , Islam SS
Published: July 2023

Background: The most frequent open long bone injury requiring immediate surgical intervention is an open tibial fracture. Within 6 hours of the injury, emergent surgical debridement of an open tibia fracture is advised by current guidelines. Recently, the 6-hour rule became challenged and delaying in debridement of an open fracture may be unethical.

Methods: This cross-sectional study was carried out to assess the relationship between time of surgical debridement and rate of infection after open fracture tibia at National Institute of Traumatology and Orthopedic Rehabilitation (NITOR) on 608 patients with open fracture tibia (all Gustilo types) within 24 hours of injury from January 2018 to October 2019.

Results: The mean age of the 608 patients was 36.2±15.5 years. The foremost mechanism of injury was road traffic accident (72.0%) and among the associated injuries, concomitant soft tissue injury (32.5%) was prevalent. Gustilo III was predominant injury (72.1%) and infection rates among the Gustilo subtype II was predominant (31.3%). After debridement 73 (12.0%) patients were contamination free. A significant association was found in the contamination rate between surveillance culture and post-debridement culture (p=0.000). Positive correlation found between debridement done ≥6 hours and infection present in 3rd culture from ward (r=0.237).

Conclusion: The study insights that injury characteristics, infection pattern and infection rate of open fracture tibia. Delay in debridement has a significant relationship with wound infection, with more virulent multidrug resistance phenotypes.
Morphometric Study of the Articular Facets of Atlas Vertebra in Bangladeshi Population
Authors: Munni TA  , Paul DR  , Morium U  , Naznin R  , Sultana N  , Sumi MN  , Kabir A
Published: July 2023

Context: The first cervical vertebra, Atlas has different features from other cervical vertebra. Cervical vertebra is an important part of bony anatomy of craniovertebral junction. The stability of atlas is provided by two symmetrical lateral masses that are united by anterior and posterior arches. These lateral masses are the most bulky and solid parts of the atlas, supportive elements composed of superior and inferior articular facets. The stability of cervical spine is violated by various traumatic and non-traumatic causes. Instability of CVJ needs surgical correction or long term immobility to attain solid fusion

Objectives: knowing of various dimensions of superior and inferior articular facets of atlas are useful in internal fixation techniques for craniovertebral junction abnormalities. The knowledge of dimensions may determine surgical strategy. The result of the study will be helpful not only for anatomists but also for orthopedicians, neurosurgeons and forensic experts.

Materials and methods: In this study total 103 dried, unbroken atlas vertebra of unknown age and sex were collected from 1st and 2nd year students of Jahurul Islam Medical College, 2023 in kishoreganj. All dimensions are measured using Digital Vernier Calipers with 0.01 resolution.

Conclusions: Information and details about in screw placement at some stage in CVG surgery procedure the dimensions of superior and inferior articular facets could be helpful.
Comparison of Efficacy between Topical Luliconazole and Topical Clotrimazole in the Treatment of Tinea Corporis and Tinea Cruris
Authors: Rashel ATM  , Chowdhury MAN  , Das HS  , Ahmed F  , Routh T  , Munalisa TA  , Huque F
Published: July 2023

Background: The prevalence of Tinea Corporis and Tinea Cruris infections are increasing in Bangladesh due to its tropical climate, along with low socio-economic conditions. In treatment of these infections, Clotrimazole has been used for a long time. But Luliconazole is a newer drug which is offering more efficacy and tolerability with a short duration of treatment.

Methods: An observational comparative study was directed to assess the efficacy of topical Luliconazole over Clotrimazole in the treatment of Tinea Corporis and Tinea Cruris among the 175 OPD patients of Department of Dermatology and Venereology, Sylhet MAG Osmani Medical College Hospital. The patient’s score was followed up by using 4-point scale of Global Assessment Score.

Results: The mean age of Group A patients was 33.94±13.95 years and Group B was 32.64±13.15 years and male patients were predominant in both groups (65.2% and 66.3%). Tinea corporis was more prevalent in both groups (65.2% and 70.9%). The mean number of infection lesion was 2.35±1.12 and 2.30±1.13. The mean duration of infections was 3.33±5.98 months and 2.38±3.36 months in respective study groups. Papules found 61.4% and 51.4% among the patients respectively. Based on GAS, at the end of first week of treatment, significant difference in distributions found in case of erythema and papules. At the end of treatment, significant difference in distributions found in case of pruritus and scaling. At the 4 weeks after the end of treatment, significant difference in distributions found in case of pruritus, erythema and scaling (p<0.005). The mean GAS of Group A was 6.95±1.05 at baseline, which gradually decreased to 3.16±1.27, 1.02±1.01 and 0.42±1.32 in respective first, second and third visit. On the other side, in Group B, the mean GAS decreased from 7.21±1.27 to 3.87±1.28, 1.33±1.37 and 1.23±2.01 in respective baseline, first, second and third visit. Complete cure observed more patients in Group A (32.6%) compared to Group B (12.8%) after one weeks of treatment, whereas no response to treatment observed in more patients of Group B (55.8%) compared to Group A (28.1%). These changes in distribution were found significant (p=0.004). At the second visit, complete cure found in 89.9% patients in Group A and 77.9% patients in Group B. These distributions were reached the level of significance (p=0.031). At the last visit, only 2.2% of the completely cured patients of Group A and 16.3% of the completely cured patients of Group B developed relapse of the disease, which was also found significantly (p=0.001).

Conclusion: Luliconazole found to be superior in terms of short duration of treatment course, less treatment failure and less relapse compared to that of the Clotrimazole.
Health related quality of life and family functioning of parents having children suffering from thalassaemia
Authors: howdhury T  , Chowdhury ZR  , Chowhury M  , Mollah MS  , Benzamin M
Published: July 2023

Background: Thalassaemia is a hereditary blood disorder without an effective cure in majority. Despite recent advances in the management of thalassaemia, people living in developing countries do not receive satisfactory treatment. Parents of these children have many problems in various aspects of physical, emotional, social and communications. The objective of this study was to assess the HRQOL and family functioning of parents having children with thalassaemia in comparison to the parents of healthy children.

Methods: This case-control study was conducted in the Department of Paediatrics, Sylhet MAG Osmani Medical College Hospital during the period of January 2022 to June 2022. Data were collected by using standard self-administered multi-dimensional questionnaire of the paediatric quality of life inventory (PedsQLTM) 4.0 FIM 2.0 Bengali version. A total of 50 parents of children with thalassaemia were enrolled as cases. Another 50 age and sex matched parents of healthy children were selected as controls. In both studied groups parents were free from any chronic diseases. Descriptive and analytical statistics were performed to compare scores between the two groups (case and controls).

Results: Baseline characteristics of cases and controls regarding age, sex, educational status and socio-economic conditions were comparable. PHRQOL summary scores in cases and controls were 56.67±16.34 and 85.53±14.24 respectively. The FaF summary scores were 68.46±15.87 and 78.64±11.79 respectively. It has been observed that both summary scale scores were significantly lower (p<0.01) in case group.

Conclusion: HRQOL and family functioning of parents having children with thalassaemia were significantly lower than the parents of healthy children.
Prevalence of Multi-Drug Resistance Bacteria among Adult Chronic Dacryocystitis Cases in Rajshahi Medical College Hospital
Authors: Afroze T  , Alam MS  , Salam MU  , Rahman N  , Tasnim A  , Ferdose J  , Razzaque S
Published: July 2023

Background: Chronic dacryocystitis is a common ophthalmological problem in Bangladesh. Clinicians need to prescribe antibiotics to patients as an early conservative treatment protocol and, for prevention of post-operative soft tissue infections. But in most of the cases, the empiric antibiotic therapy shows treatment failure and, consequent development of complications, which might be due to emergence and spread of Multi-Drug-Resistant (MDR) organisms.

Objectives: The objective of this study was to detect the prevalence rates of MDR organisms among adult chronic dacryocystitis cases, so that preventive measures can be undertaken in advance to stop its further spread.

Methods: A cross sectional descriptive type of study was carried out in the ophthalmology inpatient department of Rajshahi Medical College Hospital (RMCH), a tertiary care government teaching hospital, from January to December, 2017. One hundred diagnosed cases of chronic dacryocystitis undergoing DCR operation were selected and lacrimal sac swabs were collected from each of them. Isolation and identification of bacteria and their antibiotic sensitivity tests were done by standard procedures in the microbiology laboratory of the college. MDR bacteria were detected according to CDC (Centers for Disease Control and Prevention) and ECDC (European Centre for Disease Prevention and Control) guidelines.

Results: Of the 100 swabs, 73% were culture-positive and, of them, 72.59% were gram-positive and the rest were gram-negative. None of the gram-positive isolates were MDR, but 70% of the gram-negative isolates were MDR.

Conclusion: This study provided an early insight into the prevalence of MDR organisms among chronic dacryocystitis cases in the RMCH. The results might be beneficial for the therapeutic approach and prevention of MDR spreading in the ophthalmology wards of all hospitals.
The Efficacy of Nebulized Epinephrine in Children with Acute Asthma: A Randomized Double-blind Trial
Authors: Eva EN  , Islam MM  , Hoq ME  , Podder BK  , Amin SE  , Kabir MH  , Hossain MZ  , Islam N  , Hasan MR  , Siddique NA
Published: July 2023

Introduction: Countries like Bangladesh have seen an increase in the prevalence of bronchial asthma. The goal of the study was to compare the efficacy of nebulized salbutamol and nebulized epinephrine in treating children with acute asthma.

Objectives: To assess the clinical improvement of acute bronchial asthma in children following nebulization with salbutamol and epinephrine.

Methodology: This random, double-blind clinical trial was conducted in the paediatric department of the Mymensingh Medical College Hospital. Children of either sex with clinical features of acute exacerbation of asthma, an asthma score >5 to 11, an age range from 6 to 12 years, and the ability to measure peak expiratory flow rate (PEFR) were enrolled in this study. Outcomes were observed by measuring PEFR, respiratory rate, pulse rate, and SaO2 and also by determining asthma scores at 15, 35, 55, and 90 min after nebulization at a regular interval at 0, 20, 40, and 60 min. Differences from the base line and differences between both groups were observed.

Results: A total of 56 patients with acute asthma were enrolled in this study. Among them, 27 children were in the salbutamol group, and 29 patients were in the epinephrine group. Among baseline characteristics, there was no statistically significant difference (p > 0.05) between the two groups. Asthma score and respiratory rate decreased more in the salbutamol group with time after nebulization, but no statistically significant differences existed for the follow-up at 15, 35, and 55 minutes. A statistically significant increase in asthma score and respiratory rate was seen at 90 minutes of treatment in the salbutamol group. On the other hand, percent of predicted PEFR and SpO2 increased with time in both groups, and no statistically significant differences existed except for SpO2 at 35 min of follow-up in the salbutamol group. The epinephrine-treated group had a higher incidence of side effects as compared with the salbutamol group, but there was no statistically significant difference.

Conclusion: Based on this study, in the treatment of asthmatic children with a mild to moderate exacerbation, both nebulized epinephrine and nebulized salbutamol were effective when given in addition to oral steroids.