bluuebunny/crossref_metadata_2025 huggingface dataset:
Information System Strategy Designation In Xyz People's Economic Bank
Authors: Mulana Indra , Subchan Mohamad
Published: January 2025

The proliferation of technology-based financial services or financial technology (fintech) is not only a competitive risk for commercial banks, but also people's economic banks (BPR). In this condition, BPR is also required to make improvements. BPR inevitably faces extraordinary challenges with the development of this technology. Before technology developed as rapidly as it is today, many BPRs relied on good relationships and personal approaches in attracting customers. Although these methods are still relevant today, BPRs also have to rely on technology. This situation prompted the creation of a strategic plan at BPR XYZ. This analysis carries out information system strategic planning using the Ward and Peppard method, in which an analysis stage of the internal, external and internal and external IS/IT business environment is carried out. Then, from this analysis, results were obtained in the form of business IS strategy, IT strategy and IS/IT management strategy. This information system strategic planning is expected to provide the planning that is needed and useful for the company to achieve its business goals.
Analisis Perbandingan Keakuratan Metode CAPM dan APT Dalam Memprediksi Return Saham Farmasi Terdaftar di BEI Periode Tahun 2019-2021
Authors: Wardhania Rani , Nurhayati Immas , Aminda Renea Shinta
Published: January 2025

AbstraksiPenelitian ini bertujuan untuk mengetahui model mana yang lebih akurat dalam memprediksi imbal hasil saham farmasi yang tercatat di BEI antara tahun 2019 hingga 2021. Apakah  Model Penetapan Harga Aset Modal (CAPM) atau Model Teori Penetapan Harga Aset Modal Harga Arbitrase (APT). Metode penelitian ini adalah analisis kuantitatif dengan sampling tertarget yang mengumpulkan data sekunder  berupa data Bursa Efek Indonesia (BEI), yaitu data Indeks Harga Saham Gabungan (IHSG) dan data harga saham. Selain itu, dikumpulkan pula data sekunder  Bang Indonesia (BI) yaitu data inflasi,  suku bunga, dan data nilai tukar. Teknik penelitian ini menggunakan uji beda dua sampel independen.Menggunakan hasil  MAD Mean Absolute Deviation Test untuk mengukur akurasi model CAPM dan APT dalam memprediksi return saham. Hasil penelitian menunjukkan bahwa model CAPM lebih akurat dibandingkan dengan model APT.AbstractThis study aims to find out which model is more accurate in predicting returns on pharmaceutical stocks listed on the IDX between 2019 and 2021. Is it the Capital Asset Pricing Model (CAPM) or the Arbitrage Price Capital Asset Pricing Theory (APT) Model. This research method is quantitative analysis with targeted sampling which collects secondary data in the form of Indonesia Stock Exchange (IDX) data, namely Composite Stock Price Index (CSPI) data and stock price data. In addition, secondary data from Bang Indonesia (BI) was also collected, namely inflation data, interest rates, and exchange rate data. This research technique uses two independent sample differences test. Using the results of the MAD Mean Absolute Deviation Test to measure the accuracy of the CAPM and APT models in predicting stock returns. The results showed that the CAPM model was more accurate than the APT model.
Конструкционные особенности зубных протезов у пациентов с полной адентией и опорой на дентальные имплантаты
Authors: Рубникович С.П. , Грищенков А.С. , Костецкий Ю.А. , Хомич И.С.
Published: January 2025

В статье рассмотрены подходы к изготовлению конструкций зубных протезов с опорой на дентальные имплантаты при полной адентии.
Цель исследования. Систематизировать методы лечения пациентов с полной адентией в зависимости от конструкционных особенностей зубных протезов.
Объекты и методы исследования. Анализ методов лечения пациентов с полной адентией проводился на основе доступной научной литературы, опубликованной в международных и отечественных рецензируемых медицинских журналах за последние 10 лет. Были включены рандомизированные контролируемые исследования, систематические обзоры и мета-анализы, касающиеся различных методов комплексного (ортопедического и хирургического) лечения таких пациентов.
Результаты исследования и их обсуждение. Приведены клинические иллюстрации, где отражены особенности клинико-лабораторных этапов изготовления различных типов конструкций зубных протезов с опорой на дентальные имплантаты, а также их классификация в зависимости от типа конструкции, соединения и материала.
Заключение. Большое количество вариантов технического исполнения и разнообразие фиксирующих элементов протезов требуют знания особенностей клинико-лабораторных этапов изготовления конструкций зубных протезов – как традиционных, так и с опорой на дентальные имплантаты.
EFFECTS OF DICHLOROMETHANE FRACTION OF ETHANOL EXTRACT OF PHYLLANTHUS AMARUS LEAF ON 1, 2-DIMETHYLHYDRAZINE INDUCED HEPATO-RENAL DYSFUNCTION IN SWISS ALBINO MICE
Authors: Omoregie Frank O. , Uboh E. Friday
Published: January 2025

The objective of this study was to assess the impact of the Dichloromethane (DCM) fraction of the ethanol extract from Phyllanthus amarus leaves on hepato-renal toxicity induced by 1,2-dimethylhydrazine (DMH) in Swiss albino mice. A total of twenty-five male Swiss albino mice, each weighing between 21-25g, were used in a 90-day (12-week) experiment. The mice were divided into five groups: Group 1 (Control), Group 2 (25 mg/kg DMH + 250 mg/kg DCM fraction of P. amarus), Group 3 (25 mg/kg DMH + 350 mg/kg DCM fraction of P. amarus), Group 4 (25 mg/kg DMH + 450 mg/kg DCM fraction of P. amarus), and Group 5 (25 mg/kg DMH). Each cage, made of mental steel, housed five animals. The mice had free access to food and clean water and were kept under a 12-hour light/dark cycle. DMH was administered orally at a dose of 25 mg/kg body weight using a dolphin gavage, three times a week for a duration of eight weeks. Following the end of DMH treatment, the DCM fraction of the ethanol extract of P. amarus leaves was administered orally for an additional four weeks. The animals were fasted overnight and were sacrificed after being anesthetized using urethane. Blood was collected into plain and EDTA containers for biochemical investigation. Liver and kidneys were excised and homogenized for the assay of some antioxidant biomarkers. Liver function indices were assayed as well as kidney function biomarkers.  Portions of the liver and kidney were used for histological analysis Results obtained showed that...
COMPARATIVE ANALYSIS OF GASTROINTESTINAL PARASITES IN FISH FROM KADUNA RIVER AND SELECTED DOMESTIC PONDS IN KADUNA METROPOLIS
Authors: Dikwa Karderam Bukar , Vantsawa P. A. , Ukwenya J. U. , Ayanwale A. V. , Alhaji A. I. , Ahmed J. , Bitrus S. , Bello O. , Anagha L. I. , Abdullahi R.
Published: January 2025

Fish is a source of livelihood for fishermen and fish farmers especially in Nigeria and other developing countries. Fish from river and domestic ponds are widely consumed today, hence the need to conduct this study to enable monitoring and adopting control measures of parasites. The aim of this research to analyze the gastrointestinal parasites in fish from Kaduna River and selected domestic ponds in Kaduna metropolis. Results showed that 197 fishes out of the 350 examined were infected, giving an overall prevalence (56.3%) in fish from Kaduna River and selected domestic ponds. Infection was significantly higher in fishes from Kaduna River (68.0%) than in those from selected domestic ponds (27.0%). The male was 68.3% significantly higher (p < 0.05) than that of the female (23.1%) and there was significant association (p < 0.05) in the prevalence of gastrointestinal parasites and weight of fish sampled from Kaduna River and selected domestic ponds. Intestines harboured the highest number of parasites (168) than stomach and parasites identified comprised of three taxonomic groups, the nematodes were Capillaria species, Paracamallanus species, Contracaecum species and Camallanus species respectively. Cestode was Diphyllobothrium latum and Trematode was Clinostomum species. There was no significant difference (p > 0.05) of intensity and parasite load to the fish species of parasites identified from River Kaduna and selected domestic ponds. The study has revealed that different parasites in fresh water fish from Kaduna River constitutes a major threat to fish productivity than the selected domestic ponds. It is recommended that...
COMPARATIVE EFFECT OF ORGANIC AND INORGANIC FERTILIZER ON GROWTH AND YIELD OF TOMATO GENOTYPES, LYCOPERSICON ESCULENTUM (MILL.)
Authors: Adewusi O. F.
Published: January 2025

This research was carried out to determine and to compare the effect of moringa leaf extract, poultry manure and NPK fertilizer on the growth rate and yield of the tomato genotypes. The 10 tomato genotypes utilized for this study were obtained from the tomato germplasm collection at the National Center for Genetic Resources and Biotechnology (NACGRAB), Department of Plant Genetic Resources, Ibadan, Oyo state, Nigeria. The experiment was a potted and factorial experiment whereby the tomato genotypes were subjected to 4 treatments which comprises Treatment 1 (no fertilizer), Treatment 2 (moringa leaf extract), Treatment 3 (poultry manure), Treatment 4 (NPK fertilizer). The experiment was carried out at the Teaching and Research Farm, Federal University of Technology, Akure. Data were collected on 13 agronomic characters. The application of NPK 15:15:15 fertilizer was found to greatly influence the rate of growth and yield of the tomato genotypes followed by Poultry manure and Moringa leaf extract for all the characters studied. Genotypes NGB00724, NGB00711 and NGB00695 were found outstanding among the tomato genotypes in terms of number of fruits, number of clusters, individual fruit weight and yield per plant irrespective of the type of fertilizer applied.Hence, these tomato genotypes could be improved upon and released as high yielding tomato varieties to farmers. The use of moringa leaf extract and poultry manure to produce tomato is a worthwhile alternative in place of NPK fertilizer.
Penerapan Thermotherapy dan Aromatherapy Lavender terhadap Penurunan Skala Nyeri pada Pasien Sindrom Koroner Akut
Authors: Surani Wahyu , Lesmana Hendy , Ose Maria Imaculata , Pujianto Ahmat , Nugraha M Akbar
Published: January 2025

ABSTRACT Acute Coronary Syndrome consists of a collection of clinical symptoms of myocardial ischemia which is characterized by pain in the chest. One way to manage pain in ACS patients through non-pharmacological measures is by administering thermotherapy and lavender aromatherapy. Thermotherapy is the application of heat to the body to reduce symptoms of acute and chronic pain. Meanwhile Aromatherapy lavender is an essential oil used for aromatherapy with the main components being linalool and linalic acetate oil. The design of this scientific work uses a case study design conducted on 3 respondents with acute coronary syndrome who experienced chest pain. The instruments in this research were an observation sheet, SOP for administering thermotherapy and lavender aromatherapy, and a measurement sheet using the Numeric Rating Scale. Intervention is carried out twice every 12 hours, once every 24 hours. The results showed that there was a significant change in the pain scale between before the intervention was given and after the intervention was given, where after being given a combination of thermotherapy and lavender aromatherapy intervention, the pain felt by the respondents decreased. The conclusion of this study is that the application of thermotherapy and lavender aromatherapy is effective in reducing the pain scale in patients with acute coronary syndrome. Keywords: Acute Pain, Aromatherapy, Thermotherapy  ABSTRAK Sindrom Koroner Akut terdiri dari kumpulan gejala klinis iskemia miokard yang ditandai dengan adanya rasa nyeri di bagian dada. Salah satu penatalaksanaan nyeri pada pasien SKA melalui tindakan non farmakologi adalah dengan pemberian thermotherapy dan aromatherapy lavender. Thermotherapy merupakan pemberian aplikasi panas pada tubuh untuk mengurangi gejala nyeri akut maupun kronis. Sedangkan Aromatherapy lavender adalah minyak esensial yang digunakan untuk aromaterapi dengan komponen utama minyak linalool dan linalik asetat. Rancangan karya ilmiah ini menggunakan desain studi kasus yang dilakukan pada 3 responden dengan sindrom koroner akut yang mengalami nyeri dada. Instrumen dalam penelitian ini adalah lembar observasi, SOP pemberian thermotherapy dan aromatherapy lavender, dan lembar pengukuran menggunakan Numeric Rating Scale. Intervensi dilakukan sebanyak 2 kali setiap 12 jam sekali dalam 24 jam. Hasil menunjukkan bahwa adanya perubahan skala nyeri yang cukup signifikan antara sebelum diberikan intervensi dan setelah diberikan intervensi, dimana setelah diberikan intervensi kombinasi thermotherapy dan aromatherapy lavender, nyeri yang dirasakan oleh responden berkurang. Kesimpulan dalam penelitian ini adalah penerapan thermotherapy dan aromatherapy lavender efektif dalam menurunkan skala nyeri pada pasien sindrom koroner akut. Kata Kunci: Aromatherapy, Nyeri Akut, Thermotherapy
Gambaran Pengetahuan dan Penerapan Triage Oleh Perawat di Instalasi Gawat Daruruat Metro Hospitals Cikupa
Authors: Mulya Meuthia , Sahrudi Sahrudi , Said M Irhas , Chotimah Chusnul
Published: January 2025

ABSTRACT Triage is an essential skill for nurses in the emergency unit. Nurses' knowledge and skills are vital in making clinical decisions and prioritizing patient care. The special ability to separate the type and level of patient emergency in triage is very important to treat patients optimally and in a targeted manner. To provide an overview of knowledge about the application of triage by nurses at the Metro Hospitals Cikupa Emergency Installation. This type of research is quantitative descriptive with a cross sectional approach, the sample in this study was 31 people, chi square analysis test. Research Results: There is a relationship between knowledge and the application of triage by nurses, p value=0.038. By conducting this research, it can provide deeper insight into the knowledge and application of triage by nurses in the ER, as well as help improve triage practices to provide better services to emergency patients. Keywords: Knowledge, Application of Triage, NurseABSTRAK Triage merupakan keterampilan esensial bagi perawat di unit gawat darurat. Pengetahuan dan keterampilan perawat sangat vital dalam pengambilan keputusan klinis dan pengutamaan dalam perawatan pasien. Kemampuan khusus dalam memisahkan jenis dan tingkat kegawatan pasien dalam triage sangat penting untuk menangani pasien secara optimal dan terarah. Untuk mengetahui gambaran pengetahuan tentang penerapan triage oleh perawat di Instalasi Gawat Darurat Metro Hospitals Cikupa. Jenis penelitian ini adalah deskriptif kuantitatif  dengan pendekatan cross sectional, sampel pada penelitian ini berjumlah 31 orang, uji analisis chi square. Terdapat hubungan pengetahuan dengan penerapan triage oleh perawat p value=0.038. Dengan melakukan penelitian ini, dapat memberikan wawasan yang lebih mendalam tentang pengetahuan dan penerapan triage oleh perawat di IGD, serta membantu meningkatkan praktik triage untuk memberikan pelayanan yang lebih baik kepada pasien darurat. Kata Kunci: Pengetahuan, Penerapan Triage, Perawat
Hubungan Safety Leadership terhadap Safety Behavior Pekerja Metal Working PT Inka (Persero)
Authors: Hanifah Sholikhatul Yus
Published: January 2025

ABSTRACT Safety behavior or safe behavior is an action taken by humans in order to avoid or prevent unwanted events or work accidents. Employee safety behavior is a reflection of the existence of leadership in an organization. Safety leadership is a process of interaction between leaders and subordinates, where the role of the leader as a superior is able to influence subordinates to achieve occupational safety and health goals. Safety leadership has three main dimensions namely, safety motivation, safety policy, and safety concern. This study was conducted to analyze the relationship between safety leadership and worker safety behavior. This study is an observational descriptive  research conducted at PT INKA (Persero) using a cross-sectional  research design.The respondents in this study were calculated using the Slovin formula and obtained as many as 85 respondents. The data of this study was analyzed with the help of SPSS (Statistical Package for the Social Sciences) software  with the Chi Square test. The results show that safety motivation (p=0.000), safety concern (p=0.033), and safety policy (p=0.000) have a significant influence on the dependent safety behavior variables. The conclusion in this study is that safety leadership has a significant relationship with  the safety of metal working workers  at PT INKA (Persero). Keywords: Safety Behavior, Safety Policy, Safety Motivation, Safety Concern  ABSTRAK Safety behavior atau perilaku selamat merupakan suatu tindakan yang dilakukan oleh manusia dalam rangka menghindari atau mencegah peristiwa yang tidak diinginkan atau kecelakaan kerja. Safety behavior pekerja merupakan cerminan dari adanya leadership atau kepemimpinan dalam suatu organisasi. Safety leadership atau kepemimpinan keselamatan merupakan proses interaksi antara pemimpin dan bawahan, di mana peran pemimpin sebagai atasan yang mampu mempengaruhi bawahan untuk tercapainya tujuan keselamatan dan kesehatan kerja. safety leadership mempunyai tiga dimensi utama yaitu, safety motivation, safety policy, dan safety concern. Penelitian ini dilakukan untuk menganalisis hubungan safety leadership terhadap safety behavior pekerja. Penelitian ini merupakan penelitian deskriptif observational yang dilakukan di PT INKA (Persero) dengan menggunakan desain penelitian cross-sectional. Responden dalam penelitian ini dihitung menggunakan rumus Slovin dan diperoleh sebanyak 85 responden. Data penelitian ini di analisis bantuan software SPSS (Statistical Package for the Social Sciences) dengan uji Chi Square. Hasil penelitian menunjukkan bahwa safety motivation (p=0,000), safety concern (p=0,033), dan safety policy (p=0,000) memiliki pengaruh yang signifikan terhadap variabel dependen safety behavior. Kesimpulan dalam penelitian ini yaitu, safety leadership memiliki hubungan yangsignifikan terhadap safety behavor pekerja metal working di PT INKA (Persero). Kata Kunci: Safety Behavior, Safety Policy, Safety Motivation, Safety Concern
Analisis Faktor-Faktor yang Mempengaruhi Keputusan Ibu untuk Melakukan Sirkumsisi Pada Bayi di Kp. Sempu Gedang Kel.Cipare Serang-Banten
Authors: Sofiati Sofiati , Tahun Omega Dr
Published: January 2025

ABSTRACT Male circumcision is the removal of the foreskin of the penis. The practice of circumcision has existed since ancient times. Circumcision is useful to cleanse the foreskin of impurities as a center for the formation of viruses and bacteria that can cause dangerous diseases. In Indonesia, the most common age is 5-12 years old. The reasons for the urgency of circumcision include religious, social, and medical. This study aims to determine the factors that influence the mother's decision to perform circumcision on infants in Kp. Sempu Gedang Kel.Cipare Serang-Banten in 2024. This study is a quantitative descriptive study with a retrospective approach. Samples were taken using purposive sampling method which amounted to 35 respondents. Bivariate analysis using chi square test. The study showed the influence of family support factors p value = 0.05 and information sources p value = 0.002 on the mother's decision to circumcise the baby. Mothers who do not want to perform circumcision in babies are related to attitudinal, socio-cultural factors and have low education and knowledge. Therefore, the role of health workers is to encourage and provide education about the benefits of medical circumcision without coercion. The role of health workers as educators must run well. Keywords: Circumcision, Decision, Baby, Mother  ABSTRAK Sunat pada pria adalah pengangkatan kulup penis. Praktik sunat sudah ada sejak zaman kuno. Sunat bermanfaat untuk membersihkan  dari kotoran yang terdapat di kulup sebagai pusat terbentuknya virus-virus dan bakteri-bakteri yang dapat menimbulkan penyakit-penyakit berbahaya.. Di Indonesia, usia yang paling sering adalah 5-12 tahun. Hal-hal yang membuat disegerakannya tindakan sirkumsisi, antara lain  agama, sosial, dan medis. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi keputusan ibu melakukan sirkumsisi pada bayi di Kp. Sempu Gedang Kel.Cipare Serang-Banten tahun 2024. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan retrospektif. Sample diambil menggunakan metode  purposive sampling yang berjumlah 35 responde. Analisis bivariat menggunakan uji chi square. Penelitian menunjukan adanya pengaruh faktor dukungan keluarga p value = 0,05 dan sumber informasi p value = 0,002  terhadap keputusan ibu untuk melakukan sirkumsisi pada bayi. Ibu yang tidak mau melakukan sirkumsisi pada bayi berkaitan dengan faktor sikap, sosial budaya  serta memiliki pendidikan dan pengetahuan yang rendah. Oleh karena itu peran tenaga kesehatan untuk mendorong dan memberikan edukasi tentang manfaat sirkumsisi secara medis dengan tanpa adanya paksaan. Tenaga kesehatan sebagai peran educator memang harus berjalan dengan baik. Kata Kunci: Sirkumsisi, Keputusan, Bayi, Ibu
Upgrading of Waste Tyre Pyrolysis Oil for Obtaining Valuable Products
Authors: Korányi Tamás I. , Németh Miklós , Ollár Tamás , Török Ernő
Published: January 2025

Pyrolysis (thermal anaerobic decomposition) of waste tyres is a sustainable recycling process. Its result is an unstable liquid product – pyrolysis oil – must be improved for economic usage. A complex microreactor system was developed for upgrading/valorizing waste tyre pyrolysis oil. Following cleaning steps (distillation, resin removal, chemical preparation reactor) pyrolysis oil was hydrogenated/hydrodesulfurized in the main reactor over NiMo/Al2O3 catalysts. Cheap self-made low active metal containing catalysts presented comparable activities with an industrial (Haldor Topsoe) catalyst in a 100 mL flow reactor at 300 °C temperature and 25–35 bar pressure. The process was optimized by changing the pressure, the liquid hourly space velocity (LHSV) and the hydrogen flow rate. The upgrading of the process for a 1000 mL volume flow system is in progress.
Laparoscopic heminephrectomy in paediatric duplex kidney : A case report.
Authors: Khan Sarforaj Ali , Khan Md Rokonuzzaman , Chowdhury Md Moynul Hoque , Faisal Ferdous Mahmud , Karmoker Rajib , Debnath Amit
Published: January 2025

Duplex kidney is one of the most common anomalies of the urinary tract. Early detection has dramatically increased due to advance in technology of imaging to detect the anomalies during antenatal period; however, numbers of undiagnosed adult still exist. It may remain asymptomatic, but may cause repeated urinary tract infections or calculi. This case report presents a case of a 10-year-old female who had right sided duplex collecting systems. This patient has repeated symptoms throughout the years, referred to several medical specialties. Then ultrasonography and computed tomography showed that she had complete duplex collecting system on her right kidney. She was then undergone laparoscopic heminephrectomy on right side and removal of dilated rigjt ureter. Congenital anomaly of the urogenital system should be considered in patients with chronic infection. Multimodal imaging technique such as ultrasonography, computed tomography, or magnetic resonance imaging should be done to confirm the diagnosis especially before surgical management.
Bangladesh J. Urol. 2023; 26(2): 118-121
Metastatic Hormone Sensitive Prostate Cancer, New Management Protocol, 2023
Authors: Salam Muhammad Abdus
Published: January 2025

Bangladesh J. Urol. 2023; 26(2):110-117
Abstract not available
Retinopathy of Prematurity and Neonatal Risk Factors: A Prospective Cohort Study
Authors: Toufiqul Islam Mohammad , Gias Uddin Muhammad , Hossain Mohammed , Belal Uddin Mohammad , Md Abdul Hadi Fuad , Jabed Bin Amin Chowdhury Muhammad , Akhter Mahmuda , Shorab Hossain Md , Samad Rasheda , Delwar Hossain M
Published: January 2025

Background: Retinopathy of Prematurity (ROP) is a disease process mostly reported in preterm and Low Birth Weight (LBW) neonates. Early detection of ROP in these groups and identification of associated neonatal factors and their prevention can prevent wide range of visual morbidity from impairment of vision to blindness in later life. The aim of this study was to determine prevalence of ROP and to identify neonatal risk factors for the development of ROP in preterm and LBW infants. Materials and methods: A total of 105 LBW infants weighing <2000 gm and/or with a Gestational Age (GA) <35 weeks and more mature and heavier neonates with eventful neonatal period were enrolled in the study.Infants were subjected to eye examinations at 4 (±1) weeks after birthby experienced ophthalmologist trained in ROP. Results: Out of 105 study population, ROP was found in 24 infants (22.9%):2 had stage 2 (25.0%), 17 had stage 3 (70.8%), 1 had stage 5 (4.2%) ROP. Two (8.4%) had Aggressive Posterior Retinopathy of Prematurity (APROP) and 3 (12.6%) had plus disease. On univariate analysis LBW, lower GA, female sex, apneic spell, sepsis, Prenatal Asphyxia (PNA) blood transfusion, longer duration of oxygen therapy and longer stay in hospital were found to be significant. On logistic regression analysis lower GA and female sex was found to be the independent factor for development of ROP. Conclusion: To control blindness due to ROP the study suggested that all preterm infants weighing £1500gm and the GA of £32 weeks should be screened at 4 weeks post-natal age.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 4-8
The Profile and Outcome of Dengue Patients Admitted to a Pediatric Intensive Care Unit of Chittagong Medical College Hospital Chattogram, Bangladesh during 2022 Outbreak
Authors: Jabed Bin Amin Chowdhury Muhammad , Chowdhury Dhiman , Choudhury Zabeen , Mosharof Hossain Mir , Humaida Hasan Syeda , Kanti Das Aparup , Nahar Kamrun , Chowdhury Munmun
Published: January 2025

Dengue infection recently. An alarming surge in dengue among Bangladeshi children has created an enormous burden in morbidity and mortality. This study aimed to document the profile, outcome and associated factors of clinical outcomes of dengue patients admitted to the PICU of a tertiary-level hospital in Chattogram, Bangladesh, during the 2022 outbreak. Materials and methods: This prospective observational study was performed among children with dengue infection who were admitted to the PICU of Chittagong Medical College Hospital from 1st August 2022 to 31st December 2022. Clinical features, laboratory parameters and outcome of transfer from ICU to ward or death were studied and described. Results: The patients' Median (IQR) age was 5.0 (1.5-10.5). Most patients were urban dwellers (69.6%); 56.5% were male. Common findings during admission were persistent vomiting (60.9%), lethargy (52.2%), positive tourniquet test (78.3%), and hypotension (69.6%). Dengue shock syndrome and dengue hemorrhagic fever were diagnosed in 56.4% and 30.5% of the patients. The median length of stay in the PICU was 4 (3-6) days. The overall outcome revealed that 78.5% of patients were improved and discharged, and 21.5% died in the PICU. In univariate analysis, factors associated with PICU mortality were younger age, altered level of consciousness, lethargy, shock and prolonged CRT at admission (p<0.05). All of the deceased cases had dengue shock syndrome. Conclusion: One out of every five PICU-admitted dengue cases expired. A multicenter study with a large sample size must have a clear picture of the predictors of poor outcomes.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 42-46
Distribution of ABO and Rhesus Blood Groups among Blood Donor Attending Transfusion Medicine Department of Chattagram Maa-O-Shishu Hospital Medical College
Authors: Dey Suporna , Dey Mithila , Pal Chowdhury Rajib , Jebin Sabiha
Published: January 2025

Introduction: The ABO blood group system was the first human blood group system to be discovered by Karl Landsteiner in 1900. Next to ABO, Rhesus system the second most significant blood group system. Blood group is applied to the genetically determined antigen which can be detected on the red cell surface of an individual by specific antibody. The aim of this study to examine the distribution patterns of ABO and Rh-D blood group among the blood donor attending at Transfusion Medicine Department in CMOSH. It is helpful to increase social awareness among the population and maintain safe blood transfusion to patient. Materials and methods: It was a cross sectional study conducted in the Department of Transfusion Medicine,Chattagram Maa O Shishu Hospital Medical College, from January to December 2022. After proper ethical consideration a total of 7,289 blood donors were included in this study. ABO and Rh blood groupings were carried out in our blood bank by standard tile techniques. Results: Among 7,289 blood donors male blood donors were 6,936(95.15%), female blood donors were 353(4.84%).2,775 (38.07%) blood donor were identified as having blood group B while 2,185 (29.97%) were blood group O, 1702( 23.35%) and 627(8.6%)were blood group A and AB respectively. Rh-D positive were 6,960(95.48%) and Rh-D negative were 329(4.51%). Conclusion: The knowledge of ABO and Rhesus D blood group is important in blood transfusion service.Study of blood grouping not only generates a simple database but also create a great social awareness about self-blood grouping and safe blood transfusion among the population of a country.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 52-55
Cervical Tuberculous Lymphadenitis: Clinico-Demographic Profiles of Patients in a Secondary level Hospital
Authors: Bin Mamoon Towsif , Minhazul Hoque Md , Ifaz Hasbullah Muhammad , Taherul Islam Mohammed , Akter Tanjima , Afroz Shafika
Published: January 2025

Background: Tuberculosis, one of the oldest diseases known to mankind, is even today a leading cause of human suffering and loss of life in developing country like Bangladesh. According to the surveys, the estimated prevalence rates of bacteriologically confirmed TB and smear-positive TB are 287 and 113 for Bangladesh (2015-16) per 100,000 population over the age of 15years. Tubercular lymphadenitis is the commonest form of extra-pulmonary tuberculosis and most commonly cervical lymph nodes are affected. However, it mimics other pathological conditions like metastasis from other primary sites, reactive lymphadenitis, chronic non-specific lymphadenitis, lymphoma etc. Therefore, it is important that healthcare professionals are aware of tuberculosis in the head and neck region which can aid in early diagnosis with the help of simple investigations and subsequently patients can be managed promptly without delay. The aim of this study is to find out the clinical characteristics of involved cervical lymph nodes and demographic characteristics of the patients. Materials and methods : A prospective study was performed in 250 Bed General Hospital, Chattogram, Bangladesh from May to November 2022. All cases of swelling in the neck or cervical lymphadenitis selected for the study were initially given conservative treatment in the form of antibiotics and were reviewed after 2 weeks. If neck swelling persists FNAC, USG and in some cases biopsy were performed. Total 85 patients were enrolled. Results: Age of the patients ranged from 5 to 60 years with a mean of 25.6 years. Two third (67.7%) of the patients were female. Male: Female ratio was 1:2.1. More than half of the patients came from rural areas (53.8%) and from low socioeconomic conditions (58.5%). Most of the patients presented with unilateral (87.7%), multiple (82.3%), matted (68.6%) lymph nodes, <3cm diameter (54%), commonly in right side (57.9%). Abscess was found in 21.5% cases. Discharging sinus was found in 9.2% cases. Most commonly involved lymph node group was level V (59.4%) followed by level II (42.2%). Systemic features were found in 63.07% patients. Associated lung lesion was found in 3.1% cases. FNAC was found positive for tuberculosis in 83.9% cases. Conclusion: Early diagnosis and treatment is critical in reducing the overall prevalence. It is essential to have awareness regarding common presentations of cervical tuberculous lymphadenitis among  the general population as well as healthcare professionals working in the resource poor primary and secondary level hospitals.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 90-94
Experience on Training among the Participants of Teaching Methodology and Assessment
Authors: Md Habib Ullah Hadi , Jalal Uddin Md , Kamrul Hasan Md
Published: January 2025

Background: Recent development in medical education have created increasing challenges for medical teachers. Teachers are not born, they are made. Some special initiatives can make one able to be a good teacher. Teaching is not an inborn quality. A professional training is needed to be a teacher. In Bangladesh medical professionals become teachers without any sorts of formal training of teaching methodology and assessment. A Medical Degree is not the only qualification of a medical teacher. Our medical professional become teacher without any sort of formal training of “Teaching Methodology and Assessment”. To improve the quality of medical education in Bangladesh, training on teaching methodology and assessment for medical teachers is essential. This study was done to describe experience on training by trainers on teaching methodology and assessment. Materials and methods: This Experiental study (Before and after trial study) was conducted in the teachers of various Department of Chattagram Maa-O-Shishu Hospital Medical College, Chattogram (CMOSHMC) from July 2022 to December 2022. Sample size: 63 (24 Male, 39 Female) Results: 63 Participants were grouped into 3 groups ,21 participants were in each group. Each group participated in workshop for 4 days.They are trained with 12 modules supplied by CME. Pre-test and Post-test were conducted. Test results were analyzed for any significant difference. Among the First batch the mean score of pretest was 8.8+/- 1.7 and post-test was 11.6+/- 2.96, which was statistically significant. Second batch-the mean score of pre-test was 7.23 +/- 2.46 and post-test was11.55+/- 2.63, which was statistically significant. Third batch- the mean score of pre-test was 7.66+/- 2.17 and post-test was11.31+/- 2.62, which was also statistically significant. Conclusion: Training on teaching methodology and assessment is essential for medical professional development. So it should be continued periodically.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 95-98
A Case of Fulminant Hepatic Failure with Neonatal Cholestasis Caused by Disseminated Herpes Simplex Virus (HSV) Infection
Authors: Tabassum Ameena , Jabed Bin Amin Chowdhury Muhammad , Ferdousi Asma , Rahman Munmun Sayma , Chowdhury Dhiman , Choudhury Zabeen , Rezaul Karim AKM , Kumar Barua Sanat
Published: January 2025

Background: Disseminated herpes simplex virus infection is an life threatening infection which may initially present as cholestasis, but eventually lead to multiple organ failure with a high mortality rate. But the good news is that the introduction of antiviral agent like acyclovir for the treatment of neonatal herpes has significantly improved the outcome of this potentially devastating infection. The early initiation of acyclovir highly depends on clinician’s suspicion, especially when overt signs of the infection are absent. So the objective of our case report was to raise awareness among the physicians to consider herpes virus infection in the differential when a patient present with features of cholestasis and hepatic failure. Case Presentation: Our case is aone month old male infant who got admitted in Chittagong Medical Hospital on 7th January, 2023 with the complaints of lethargy, blood mixed vomiting and black stool for 1 day with a history of jaundice and pale stool from 3rd week of life. His bleeding manifestations exacerbated and developed features of hepatic failure with coagulopathy. He was treated with plasma transfusion, viamin k, injectable antibiotics and other supportive care. A TORCH panel was sent. HSV Ig G came positive with 12 folds increased titre. Observing his deteriorating consciousness level intravenous acyclovir 60 mg/kg/day was initiated on 16th January, 2023. Within 3-4 days his overall general condition improved. The baby was discharged after getting 21 days of acyclovir therapy. Conclusion: Neonatal herpes virus infection can be a life threatening condition. An early diagnosis and effective treatment with antiviral agent can reduce morbidity and mortality.
Chatt Maa Shi Hosp Med Coll J; Vol.23 (1); January 2024; Page 99-103
Australian Gonococcal Surveillance Program, 1 April to 30 June 2024
Authors:   National Neisseria Network, Lahra Monica M , Van Hal Sebastiaan , Hutabarat Sonya Natasha , Hogan Tiffany R
Published: January 2025

The Australian National Neisseria Network (NNN) comprises reference laboratories in each state and territory that report data on antimicrobial susceptibility testing to an agreed group of antimicrobial agents for the Australian Gonococcal Surveillance Programme (AGSP). The AGSP data are presented quarterly in tabulated form, as well as in the AGSP annual report. This report presents national gonococcal antimicrobial resistance surveillance data from 1 April to 30 June 2024.
Australian Trachoma Surveillance Report update: 2014–2022
Authors: Jaworski Alison , Cowling Carleigh , Popovic Gordana C , Noorul Absar , Sandler Sergio , Vaz Nery Susana , Kaldor John
Published: January 2025

Australia is the only high-income country where trachoma has been endemic, defined as an overall trachoma prevalence in Aboriginal and Torres Strait Islander children aged 5–9 years of 5% or more. The Australian Government funds the National Trachoma Surveillance and Reporting Unit to collate and analyse trachoma prevalence data and control strategies annually. This report presents data submitted from 2014 to 2022. In 2022, there were 87 remote communities considered at-risk of endemic trachoma, a decline of 51% since 2014 when 177 communities were considered at-risk. World Health Organization grading criteria are used to diagnose trachoma in at-risk populations. Overall prevalence, which includes estimates from all communities ever considered at-risk, fell below 5% endemicity thresholds for the first time in 2022 in Western Australia (2.9%), the Northern Territory (2.1%), New South Wales (0.5%), and in Queensland and South Australia (0.0% each). New cases of trachomatous trichiasis—a severe consequence of trachoma that causes blindness—were detected in eight out of 10,806 persons, aged 15 years and over, screened in 2022. Jurisdictional trichiasis prevalence was 0.2% in Western Australia, 0.1% in South Australia and 0.0% in the Northern Territory. Australia must maintain overall trachoma and trichiasis prevalence below endemicity levels for a further two years before applying for World Health Organization validation of elimination of trachoma as a public health problem.
Developing Flipbooks Teaching Material Based on Local Wisdom in Improving Young Learners’ Writing Skills of Descriptive Texts
Authors: Rahmawati Yulia , Purwati Panca Dewi
Published: January 2025

The environment is the main source of learning. The ability of students to understand the descriptive texts and writing these is still low. The use of teaching materials in learning is less close to student life. The availability of learning resources is still limited. Students can read but have not been able to understand the content of the material. This study aims to determine the feasibility and effectiveness of flipbook teaching materials based on local wisdom in improving learning outcomes by analyzing the description text of grade V elementary school students. The method in this study uses the type of Research and Development (R&D) research with the Borg and Gall development model. Product validity tests are carried out with material expert validators and media expert validators.  The results of this study showed that the results of the media feasibility test obtained were 93.75% with a very feasible predicate and the feasibility test results from material experts were 93.75% with a very feasible predicate. The results of large-scale usage trials showed an increase from pretest to posttest with an average N-Gain of 0.4 and significance (2-tailed) of 0.000 < 0.05. Flipbook teaching materials display designs and materials conceptualized according to the local wisdom of the Tegal Regency. The conclusion of the results of this study shows that flipbook teaching materials based on local wisdom are declared feasible and effective in improving learning outcomes by analyzing the decriptive texts.
Experiences of Teachers and Learners Transitioning from Isixhosa to English Instruction in Grade 4
Authors: Zano Kufakunesu , Mgijima Lungelwa , Mpiti Pretty Thandiswa
Published: January 2025

The South African Language in Education Policy stipulates that African languages shall be employed as languages of learning and teaching in South African schools, at least from Grades 1 to 3. After that, there must be a switch to an additional language - in most cases, English first additional language (EFAL), as is the case with most schools in Matatiele, Alfred Nzo West District, South Africa. The topicality of this transition has led to this study, which explores the experiences of Grade 4 EFAL teachers and learners in Alfred Nzo West District transitioning from isiXhosa to EFAL as a medium of instruction in Grade 4. Data for the study was collected from participants drawn from a school in the rural Eastern Cape Province, Alfred Nzo West District. The sample comprised two Grade 4 EFAL teachers and ten learners. Qualitative data was collected through semi-structured interviews and observations while reading English texts. The findings revealed that the learners struggle to read because they were accustomed to using their home language, isiXhosa, in Grades 1-3. Now, they are using English as their Language of Teaching and Learning (LoTl), a language hardly spoken outside of the classroom. Besides, the findings showed that learners who were doing English home language in their previous schools, Grades 1-3, did not battle much with Grade 4 EFAL, since they relied on their prior linguistic knowledge accrued in these grades. To overcome Grade 4 EFAL learners’ barriers to reading, the teachers rely on parental involvement, phonics, collaborative learning and learners’ prior linguistic background. The study is important in underscoring the need to give Grade 4 EFAL learners age-appropriate reading materials because their comprehension is naturally developed as they acquire new vocabulary, and learners are cognitively engaged in less challenging texts.
Building Prestige Values for Eatsambel Products through Instagram Advertising: A Critical Discourse Analysis
Authors: Nadia Intan , Basri Irfani
Published: January 2025

This study aims to analyze how prestige value is built through Eatsambel product advertisements on Instagram, focusing on thematic, schematic, and semantic aspects. A qualitative approach is used, where Teun A. van Dijk's critical discourse analysis is applied to explore the key elements used in the advertisement. The data was taken from Eatsambel's Instagram posts in the period from November 2023 to January 2024, covering various advertising campaigns. The results show that themes such as quality of ingredients, authenticity of the manufacturing process, and rich culinary culture are used to build a prestigious image. Elegant visual schemes and narratives relevant to everyday life were also found to be strategies to reinforce the image of exclusivity. Semantic aspects, such as word choice that emphasizes the superiority of taste, also play a role in shaping the perception of the product's prestige in the eyes of the audience. The combination of these elements creates a comprehensive marketing approach, where prestige value is not only built through exclusivity, but also through proximity to the audience. The findings have important implications for marketing strategies in the culinary industry, demonstrating that the integration between digital elements and prestige imagery can increase product appeal and strengthen emotional connections with consumers. The research encourages the development of dynamic and relevant advertising narratives, combining traditional and innovative elements to reach a wider market segment.
EFL Students' Attitudes Towards Translanguaging Practice: Its Implications for Willingness to Communicate in Indonesian Vocational Classrooms
Authors: Kuncoroningtyas Feby Sekar Ayu , Sumardi Sumardi , Putra Kristian Adi
Published: January 2025

Translanguaging has been recognized to help students learn a second language, yet many lecturers still see it as a problem rather than a useful educational tool. This study looks at the impact of translanguaging approaches on the confidence of Indonesian vocational college students in using English, with a focus mainly on the students' perspectives. The research used a qualitative case study to observe a class of 30 students (13 male and 17 female) in an English for Vocational Purposes (EVP) course. Four students, two females and two males were purposefully chosen for semi-structured interviews to get deeper perspectives. Data from these observations and interviews were evaluated thematically to better understand how translanguaging improves communication, strengthens teacher-student relationships, and assists in the processing of instructional materials. The findings indicate that students hold a positive attitude toward translanguaging pedagogies, citing benefits such as improved knowledge development, enhanced vocabulary acquisition, stronger relationships with lecturers, and increased Willingness to Communicate (WTC) in English. The study emphasizes that translanguaging facilitates English language learning and acknowledges and embraces the linguistic diversity of Indonesian classrooms. This research provides important information for policymakers, educators, and researchers on how utilizing translanguaging in EFL teaching approaches can be essential in creating a more inclusive and effective learning atmosphere, especially in diverse educational settings.