bluuebunny/crossref_metadata_2025 huggingface dataset:
Rheumatic fever and Rheumatic heart disease among clinically suspected patients with joint pain in a specialized hospital
Authors: Jobayer Mohammad , Alam Md Saidul , Rana Rubina Afroz , Lubna Mustanshirah , Rahman Md Arifur , Choudhury Kamrun Nahar
Published: May 2023

Background: Rheumatic fever (RF) and rheumatic heart disease (RHD) are the leading causes of early cardiovascular morbidity and mortality especially in developing world. Recently more emphasis is given on the role of echocardiography for diagnosis of these diseases.
Objective: Recent and reliable data and studies on RF and RHD are very limited in Bangladesh. Therefore, this study was done to diagnose rheumatic fever and rheumatic heart disease among clinically suspected patients.
Methods: This cross-sectional study was conducted from February to June 2021 in National Center for Control of Rheumatic Fever and Heart Disease, Dhaka. A total of 250 patients irrespective of age and sex with complaints of joint pain and clinically suspected of RF and RHD were enrolled. Laboratory investigations including CBC with ESR, ASO titer, CRP, ECG and echocardiography were done.
Results: Among the suspected patients, acute rheumatic fever without carditis was diagnosed in 10 (4%) patients and 15 (6%) had rheumatic heart disease with recurrent RF and carditis. Rheumatic fever with carditis were diagnosed in 63 (25.2%) patients; among whom 19 (7.6%) had clinical carditis and 44 (17.6%) were diagnosed as subclinical carditis. Acute rheumatic fever was diagnosed only within 5-20 years of age patient and 60% patients of RHD were found in 21-30 age groups. About half (49.20%) of the patients of rheumatic fever with carditis were between 11 to 15 years of age. Several abnormalities of heart valves were detected by Echocardiography; 78.2% of the patients of RF and RHD had mitral regurgitation and all the mitral stenosis cases were detected in patients with RHD. Combination of mitral regurgitation with aortic regurgitation and mitral regurgitation with mitral stenosis was also present.
Conclusion: The findings of the study indicate that RF and RHD are not negligible in our country. Though the result does not indicate the prevalence or incidence; however, it highlights the need of systematic large-scale study with inclusion of echocardiography to find the prevalence of rheumatic fever and rheumatic heart disease in Bangladesh.
Bangladesh Medical Res Counc Bull 2022; 48: 83-89
Autism Spectrum Disorder in Children with Epilepsy: A Case-Control Study in a Tertiary Care Hospital in Bangladesh
Authors: Hossain Mohammad Monir , Akhter Shaheen , Mizanur Rahman Muhammad , Fatema Kanij , SI Mullick Mohammad , Siddika Ayesha , Zahir Uddin Mohammad
Published: May 2023

Background: Autism spectrum disorders (ASD), a neurodevelopmental deficit, is often associated with epilepsy. Previous literature suggested that ASD and epilepsy share a common pathophysiological basis. Considering the scarcity of studies regarding ASD in children with epilepsy, this study was conducted with an aim to evaluate the association of ASD with epilepsy.
Materials and Methods: This case-control study was conducted in the Department of Pediatric Neurology, Institute of Paediatric Neurodisorder and Autism, Bangabandhu Sheikh Mujib Medical University, Dhaka, from September’ 2018 to December 2019. In total, 68 epileptic children, age ranged from five to 16 years, were enrolled as case. Similar number of non-epileptic, age, sex and socio-demographic status matched children were enrolled as control. Parent, teacher and self version of Bangla Development and Well-Being Assessment were used to assess the psychiatric disorders particularly ASD and diagnosis was assigned as Diagnostic and Statistical Manual of Mental Disorders (DSM-V).
Results: The mean age of cases and controls were 9.66±3.13 and 9.26±3.11 years respectively with slight male predominance in both groups (64.7 and 57.35%, respectively). Focal seizure was predominant seizure type (51.5%) among cases. Higher proportion of psychiatric illness was found among the cases compared to controls (83.82 vs 20.59%; p<0.001). Neurodevdevelopmental and emotional disorders were significantly more frequent among cases than controls (29.42 vs 1.5%, and 50 vs 8.82%, respectively, p value <0.001). ASD was prevalent among 8.83% epileptic children, while none of the controls had ASD. Most common types of seizure in ASD children was focal epilepsy .
Conclusions: This study observed the significant association of ASD with epilepsy in studied children. However, further larger multicenter study is recommended.
Bangladesh Medical Res Counc Bull 2022; 48: 112-119
Study of Homocysteine, Vitamin B12 and Folate in children with autism spectrum disorder
Authors: Nesa Ayatun , Sultana Gazi Sharmin
Published: May 2023

Background: Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that usually begins at or before the age of 3 years. The etiology of these disorders, includes environmental factors such as vitamins which have important role in central nervous system functioning. Vitamin B12 and folate are involved in the methionine-homocysteine pathway and some studies have shown a relationship between folate, vitamin B12 and homocysteine and various psychiatric diseases including ASDs.
Objective: To evaluate the homocysteine, vitamin B12 and folate status in children with ASDs in Bangladesh.
Methodology: This case control study included 50 ASD cases and 50 age matched healthy controls, according to inclusion criteria. After taking informed written consent from guardian, a structured questionnaire was filled up for each subject including socio-demographic history, family history, birth history and milestone of development. 5cc venous bloods were collected with all aseptic precautions in clot activator tube and serum homocysteine, vitamin B12 and folate levels were estimated. Collected data was checked, edited and processed with the help of SPSS (23).
Results: The mean age of autism children was 5.71±2.06 years and in control group, it was 6.00±1.99 years. Mean S.Vit B12 (pg/ml) and S.Folic acid (ng/mL) were found significantly lower in autism children compared to control children (241.46±60.51 Vs 302.58±76.66 and 7.12±2.16 Vs 9.72±2.96). On the other hand, the mean S. Homocystiene (μmol/L) was found significantly higher in cases than controls (8.08±2.11 Vs 6.12±1.71). Conclusion: This study revealed that serum vitamin B12 and folate levels were significantly decreased, and serum homocysteine were significantly increased in children with autism spectrum disorders (ASDs) compared to normal healthy children. So, screening of serum homocysteine, vitamin B12 and folate in children with autism spectrum disorders is recommended for early management of complications related to the disease process.
Bangladesh Medical Res Counc Bull 2022; 48: 127-132
Analgesic effect of methanolic extracts of leaf, bark and fruit of Averrhoa bilimbi Linn
Authors: Sarker Md Abdul Matin , Chowdhury A Y Sk Feroz Uddin Ahmed
Published: May 2023

Background: Averrhoa bilimbi Linn. (Oxalidiaceae) is very popular in folk remedy because the plant has high medicinal value and majority parts of the plant such as leaf, fruit and flower are used to treat fever, mumps, pimple, inflammation, rheumatism, itches, boils, bilious colic, stomach ache, aphthous ulcer, cough, cold, syphilis, hypertension, diabetes etc. However, so far no scientific work has been performed which may support its use in pain.
Objective: The present study was undertaken to evaluate possible analgesic actions of methanol extracts of Averrhoa bilimbi Linn. (Oxalidiaceae) leaf, bark and fruits in animal models to support its traditional use for first time.
Methods: The crude methanolic extracts of Averrhoa bilimbi Linn. (Oxalidiaceae) leaf, bark and fruits were investigated for the evaluation of analgesic potential in mice. Analgesic activity was assessed by using acetic acid induced writhing method, formaldehyde induced paw licking method and tail immersion method.
Results: Methanolic extract (250 and 500 mg/kg) of leaf demonstrated maximum analgesic effect in tail immersion suggesting it to be a centrally acting analgesic. On the other hand leaf extract (250 and 500 mg/kg) reduced acetic acid induced pain significantly (p<0.05) and bark extract (500 mg/kg) also reduced acetic acid induced pain significantly (p<0.05) but the effect is less than standard Diclofenac (100 mg/kg, 61.29% inhibition) (p<0.001). In the formalin induced paw licking time test, methanolic leaf extracts reduced nociception induced by formalin injection in both phases significantly (p<0.05-0.001) among which at higher dose (500 mg/kg) was most effective in later phase (41.81% inhibition) (p<0.001).The results demonstrate the analgesic properties of extracts.
Conclusion: The study indicates that methanolic extracts of Averrhoa bilimbi has significant analgesic action which support the traditional use of this plant.
Bangladesh Medical Res Counc Bull 2022; 48: 120-126
In-Hospital outcome of acute coronary syndrome in patients with Diabetes Mellitus with and without chronic Kidney disease
Authors: Ali Adnan Chowdhury , Rahman Mohammad Hasanur , Afrin Syeda Fahmida
Published: May 2023

Background: Chronic kidney disease (CKD) and Diabetes Mellitus (DM) are highly prevalent, morbid diseases in every population. They are even more common among patients presenting with acute coronary syndromes (ACS).
Objective: The present study was, conducted to see the outcome of ACS patients with concurrent DM and CKD.
Methods: The cohort study was carried out in the Department of Medicine, Dhaka Medical College & Hospital, Dhaka over a period six months from July 2017 to December 2017. All acute coronary syndrome patients having DM with or without CKD admitted in Medicine and Cardiology (CCU) Departments were the study population. ACS patients with concurrent DM with CKD formed the cohort group (n = 75) and DM without CKD were termed as control group (n = 75).
Result: The study was concluded that the ACS patients with concomitant CKD and DM (cohort) are usually older and more often hypertensive than the ACS patients with CKD alone (control) (63.9 vs. 55.9 years, p < 0.001 and 92% vs. 64%, p < 0.001 respectively). The typical chest pain is less commonly observed (68% vs. 86.7%, p = 0.003) and dyspnoea is more often present in this cohort than those in the control (92% vs. 52%, p < 0.001). NSTEMI is significantly present in the cohort compared that in the control group (p < 0.001). Serum Troponin I, CKMB and eGFR were significantly higher in the former group than those in the latter group (p = 0.044, p = 0.050 and p < 0.001 respectively). Almost all the outcome parameters demonstrated their significance.
Conclusion: The diabetic with CKD (cohort group) is less likely to have ST elevations but is significantly prevalent having NSTEMI. Typical angina is less and dyspnea is more in cohort group.
Bangladesh Medical Res Counc Bull 2022; 48: 133-137
HLA-DR Association of Anti-dsDNA and Anti-Sm Autoantibodies in Bangladeshi Patients with Systemic Lupus Erythematosus
Authors: Khatun Sumaiya , Sattar Humayun , Khan Shafinaz , Johora Fatima Tuj
Published: May 2023

Background: Rheumatic disorders are one of the largest health problems in the world in both developed and developing countries. Among systemic rheumatic disorders, systemic lupus erythematosus (SLE) is very much common. This debilitating disease most commonly affects females, especially at a young age. Though the exact etiology for the development of SLE still remains vague but genetic factors especially, HLA-DR plays an important role particularly in the development of autoantibodies in SLE cases.
Objective: This study was undertaken to find out the association of HLA-DR with anti-dsDNA and anti-Sm autoantibodies among patients with SLE.
Methods: Buccal swabs for HLA-DR typing and blood samples for detection of anti-dsDNA and anti-Sm were collected from 46 SLE cases. HLA-DR typing was carried out by end point polymerase chain reaction (PCR) with sequence specific primers. Autoantibodies were detected by using ELISA.
Results: Out of 46 cases with SLE 44 (95.65%) were female and 2 (4.35%) were male with female: male ratio was 22: 1. Their mean age at study entry was 27.05 ± 8.17 years (mean ± SD), ranging from 12.5-45 years. AntidsDNA was positive in 38 (82.61%) cases and negative in 8 (17.39%) cases. Anti-Sm was positive in 19 (41.30%) cases and negative in 27 (58.70%) cases. The most frequently identified HLA-DR was DR2 (86.96%). When Anti-dsDNA positive cases were compared with Anti-dsDNA negative cases significant association was found with HLA-DR2 (94.73% vs 50%, p value = 0.0044, pc = 0.044, RR = 18.0000). No positive association of HLA-DR was found with anti-Sm autoantibody in this study. The above data suggest that HLA-DR2 has a role in anti-dsDNA production in Bangladeshi patients with SLE.
Bangladesh Medical Res Counc Bull 2022; 48: 138-145
Role of prophylactic fresh frozen plasma in critically ill neonate to prevent bleeding in disseminated intravascular coagulation: a randomized controlled trial
Authors: Kamal Nusrat , Al Mamun Mohammad Abdullah , Hossain Mohammad Monir
Published: May 2023

Background: Disseminated intravascular coagulation (DIC) has a high prevalence in critically ill neonates. In suspicion of DIC based on abnormal coagulation parameter is a common trigger to transfuse fresh frozen plasma (FFP), even in absence of bleeding. In past years, use of FFP has increased and has expanded to include prophylactic use in neonates especially in neonatal intensive care units (NICUs) as it contains several coagulation factors. Several studies suggest that, prophylactic use of FFP has no role to prevent bleeding in disseminated intravascular coagulation (DIC), but carries increase risk of transfusion related mortality and morbidity.
Objective: To assess the effectiveness of prophylactic use of FFP in critically ill neonate to prevent bleeding in DIC. Methods: This randomized, open-label, blinded end-point study was conducted in Bangladesh Institute of Child Health and Dhaka Shishu (Children) Hospital from July, 2019 to June, 2021. Term, critically ill neonates who had underlying disease, suspected to develop DIC were conveniently selected. Later, they were randomly allocated using software in intervention group, who received 10 ml/kg of FFP along with standard management and control group, who received only standard management. Coagulation parameters were checked before and 24 hour after intervention in both groups. Outcome was occurrence of bleeding as a indicator of DIC.
Results: The mean age was 8.55 ± 3.5 days in intervention and 8.92 ± 6.1 days in control group. Male patients were predominant. There was no significant difference in baseline characteristics between two groups. The difference of mean ± SD of coagulation parameters between two groups were nonsignificant before intervention. Even after FFP transfusion, DIC developed among 40.1% neonates in intervention and without FFP transfusion among 48.9% neonates in control group without any significant difference (P-value >0.05).
Conclusion: Study result found no role of prophylactic use of FFP in critically ill neonate to prevent bleeding in DIC.
Bangladesh Medical Res Counc Bull 2022; 48: 146-153
A Predictive Score after Neoadjuvant Chemotherapy for Optimal Cytoreduction at Interval Debulking Surgery in Advanced Epithelial Ovarian Cancer
Authors: Parveen Pabina Afroz , Hossain Fawzia , Rahman Shah Mahfuzur , Lima Rezwana Sharmin , Sultana Anjuman , Sultana Nahida
Published: May 2023

Background: Ovarian cancer is the seventh most common cancer and eighth most common cause of death of female. More than 75% patients are diagnosed at Stage (III - IV) and their 5-year survival rate is (25-50%) . Primary debulking surgery (PDS) followed by adjuvant chemotherapy is the cornerstone treatment for advanced ovarian cancer. Unfortunately, primary debulking surgery is not always feasible and not associated with optimal cytoreduction. Recently, neoadjuvant chemotherapy followed by Interval Debulking Surgery (NACT- IDS) is increasingly adopted. (NACT-IDS) improves optimal cytoreduction and reduces complications in comparison with PDS . However, a significant proportion of patients cannot be optimally cytoreduced even after NACT-IDS and causes futile laparotomy. So, it is necessary to develop a Predictive Score for Cytoreduction (PSC) after NACT for optimal cytoreduction at (IDS).
Objective: To find out a predictive score after NACT for optimal cytoreduction at IDS in advanced epithelial ovarian cancer.
Method: This was a prospective observational study conducted among 55 patients of advanced ovarian cancer to develop a predictive score after NACT at IDS in department of Gynecological Oncology of BSMMU, from January 2020 to December 2020.
Result: Among the 55 patients with advanced epithelial ovarian cancer 44(80%) could be optimally cytoreduced whereas in 11(20%) suboptimal cytoreduction occurred. The sensitivity, specificity, Negative predictive value (NPV), Positive predictive value (PPV) and accuracy of CA-125 for prediction of optimal cytoreduction was 87.5%, 30.8%,85.7%,34.1% and 47.3% respectively. It was observed that 37 (84.1%) have peritoneal cancer index within 0-16 in optimal cytoreduction (R0) and 3 (27.3%) in non-R0 (p value 0.001). The sensitivity, specificity, NPV, PPV and accuracy of Peritoneal Cancer Index (PCI) for prediction of optimal cytoreduction was 62.5%, 89.7%, 85.4% 74.1% and 81.8% respectively. PSC after NACT for optimal cytoreduction at (IDS) was 3 and it indicates 83.3% Patients could be optimally cytoreduced limiting the rate of suboptimal cytoreduction in 16.7%.
Conclusion: The result of the present study showed that PSC after NACT influences Optimal cytoreduction (R <1cm) at (IDS). So, this study concluded that IDS after NACT should be performed in patients with a PSC up to 2 to avoid suboptimal cytoreduction.
Bangladesh Medical Res Counc Bull 2022; 48: 154-159
Service availability and readiness assessment of COVID-19 disease management at different tiers of health service delivery in Bangladesh
Authors: Rashid Harun Ar , Akhter Nazneed , Rasheduzzaman ABM , Mahmud HM Miraz , Banik Rajon , Amin SM Sayadat , Amin Md Ruhul
Published: May 2023

Background: The world is passing through a hard time due to the highly infectious COVID-19 pandemic. Like other countries in the world, the Bangladesh government has taken various preventive measures. As part of this, the availability and readiness of different health facilities is crucial.
Objective: The study aimed to assess availability and readiness based on logistics, workforce, clinical management, and IPC. Methods: A cross-sectional quantitative study was conducted from August 20 to September 30, 2021, which comprised a health facility survey with a sample of 210. The health facilities included all three tiers of hospitals, covering 24 districts of eight divisions. All COVID-19 dedicated hospitals were included in this survey. The questionnaire consisted of a standard checklist developed by WHO, DGHS, and CDC.
Results: The overall scores for ICU, HDU, and ventilation service were 76.8%, 87.5%, and 85.7%, respectively, but they were almost missing in Upazila health complex and below the average in non-dedicated hospitals. All (100%) secondary and tertiary level hospitals had a 24-hour staffed emergency unit, with dedicated hospitals outperforming non-dedicated hospitals (99.2% vs 98.7%). Above 90% of hospitals in different tiers had hand hygiene supplies and respiratory hygiene supplies for staff and patients, 98% of the primary level hospitals displayed instructions on hand and respiratory hygiene practices. On the other hand, 94.9% of secondary level hospitals had clearly identified and separated COVID-19 isolation areas from non-COVID-19 areas; 82.1% of secondary level hospitals had service providers (MOs) who used PPE; 97.4% had routine cleaning and disinfection of ambulances done according to IPC guidelines; and 64.1% had staff of laboratory, laundry, food services, and waste management teams who used appropriate PPE. Secondary level hospitals had a better availability of PPE compared to primary and tertiary level hospitals, which consisted of protective gowns (87.8%), disposable latex gloves (examination) (92.5%), goggles, protective (82.9%), face shields (72.5%), respirator masks (N95 or FFP2) (75.0%), and masks, medical/surgical (97.6%) available for all health service providers. Almost 26.2% facility have PCR testing lab and almost all (96.7%) the facilities have specimen collection system in their facility.
Conclusion: The service availability and readiness regarding COVID-19 among different tiers of health facilities in Bangladesh are not adequate. We need more support for disease detection capacities through provision of technical expertise, laboratory equipment and increase capacity of the secondary and primary health care tier along with national capacity for covid-19 testing.
Bangladesh Medical Res Counc Bull 2022; 48: 160-171
MEASUREMENT OF THE QUALITY OF STATE ADMINISTRATIVE JUDGE DECISIONS IN DISPUTE SETTLEMENT IN STATE ADMINISTRATIVE COURTS
Authors: Mulyono Adhi Wirawan , Simamora Jonny , Satmaidi Edra
Published: May 2023

The quality of the decisions handed down by judges can be seen from the ratio decidendi or legal arguments given by the judges themselves. Before the judge decides to answer the plaintiff's demands, the judge first makes the basics of legal considerations containing legal arguments or reasons to arrive at a decision finally. Article 109 paragraph (1) of Law Number 5 of 1986 concerning the State Administrative Court stipulates that one thing that must be included in a judge's decision is the legal reason that forms the basis of the decision. The method used in this research is the empirical legal research method. This study used primary data and secondary data. The data obtained were analyzed juridical qualitatively utilizing deductive-inductive thinking. The decision has carried out the breadth of proof, the burden of proof, and the assessment of evidence, and the judge has assessed all evidence based on Article 109 of Law Number 5 of 1986 and supported by two pieces of evidence based on Article 107 of Law Number 5 of 1986, the reasons for the judge's refusal and accept the arguments of the plaintiff and the defendant is because the legal remedies do not carry out the decision. The application of Article 107 of Law Number 5 of 1986 concerning the State Administrative Court was then implemented into Article 109 paragraph 1 point d of Law Number 5 of 1986 concerning the State Administrative Court must be carried out in the context of creating a quality State Administrative Court decision.
LOCAL WISDOM OF KINSHIP SYSTEM IN REMOTE AND ISOLATED COMMUNITIES ACCORDING TO CUSTOMARY LAW ON ENGGANO ISLAND
Authors: Harijanto Andry , Subanrio Subanrio , Ma'akir Hamdani , Susetyanto Joko
Published: May 2023

The purpose of the study is to explain and describe the local wisdom of the kinship system in remote and isolated communities according to customary law on enggano island. Research methods using qualitative approaches and legal anthropology. Data collection techniques are observation, in-depth interviews and secondary data collection. The determination of informants is carried out purposively, that is, key informants are determined by the researchers themselves based on considerations of adequate education, position, and experience. Data analysis is qualitative, which is carried out continuously from the beginning to the end of the study. The results of the study were: (1) tribal groups and tribal branches; (2) traditional settlement patterns; and (3) traditional leadership systems.
NARCOTICS ABUSE AT THE BENGKULU CITY CLASS II A PENITENTIARY INSTITUTIONS
Authors: Guslaini Guslaini , Adyan Antory Royan , Herlambang Herlambang
Published: May 2023

The objectives of this research were: (1). How was the application of sanctions against officers involved in narcotics abuse at the Bengkulu City Class II A Penitentiary Institutions (2) What were the obstacles to overcoming officers involved in narcotics abuse at the Bengkulu City Class II A Penitentiary Institutions? (3) What were the efforts to overcome officers involved in narcotics abuse at the Bengkulu City Class II A Penitentiary Institutions. In this thesis research method, the type of research used was descriptive. This type of research in legal research includes empirical legal research. The results of the study are: (1) the application of sanctions against officers involved in narcotics abuse at the Bengkulu City Class II A Penitentiary Institutions, for Penitentiary institutions officers involved in the narcotics distribution network will be sentenced to imprisonment according to Law Number 35 of 2009 concerning Narcotics; the warden must be subject to criminal sanctions and fines; and administrative sanctions according to the Regulation of the Minister of Law and Human Rights Number M. HH.16. KP. 05.02 of 2011 regarding the Code of Ethics for Penitentiary officers, the warden is subject to administrative sanctions, namely being dismissed as a penitentiary officer (there has been an inkracht decision). (2) The difficulties in collecting evidence to prove officers involved in narcotics abuse at the Bengkulu City Class II A Penitentiary Institutions are: difficulties in collecting evidence to prove; the supervision system in the penitentiary institution is not yet maximized; the number of wardens at the Bengkulu City Class II A penitentiary institution is not comparable to prisoners; the number of narcotics addicts who are only imprisoned without being rehabilitated; the human resources (3) Efforts to overcome officers involved in narcotics abuse at the Class II A Penitentiary Institution in Bengkulu City are: collecting data on prisoners and penitentiary officers who have used or are involved in narcotics problems; improving facilities and infrastructure; increasing the human resources of the Class II A penitentiary Institution officers in Bengkulu City, coaching for prisoners and officers of the Bengkulu City Class II A Penitentiary Institution who have been involved in narcotics problems.
THE CONSTRAINTS OF LEGAL FACTORS IN CONTROLLING ABANDONED LAND AFTER THE ENACTMENT OF THE JOB CREATION LAW
Authors: Gifitriani Nike , Kontesa Emelia , Sauni Herawan
Published: May 2023

Controlling abandoned land is a form of law enforcement in the context of implementing “instruction” in the Basic Agrarian Law (henceforth UUPA – Undang-Undang Pokok Agraria), and that the law functions as a social control exercised by the state against holders of land rights and Basis for Land Control (henceforth DPAT – Dasar Penguasaan Atas Tanah) that do not fulfill the obligations. Based on Article 27, Article 37, and Article 40 of the UUPA, land rights will be nullified if neglected. However, the UUPA has not explained how a land is categorized as abandoned land, and has not regulated the Control of Abandoned Land. Government Regulation No. 11 of 2010 is considered ineffective in overcoming the problem of controlling abandoned land so that it was revoked. Then, Government Regulation Number 20 of 2021 was stipulated. This law is a derivative of the Omnibus Law, and it is the basis for controlling the abandoned land. This paper aims to investigate the obstacles to controlling the abandoned land after the enactment of the Omnibus Law.
THE LAW PROTECTION ON STATE CIVIL APPARATUS WITH STATUS OF GOVERNMENT EMPLOYEES WITH EMPLOYMENT AGREEMENT BASED ON STATE CIVIL APPARATUS LAW
Authors: Saragih Robert Julian , Amancik Amancik , Iskandar Iskandar
Published: May 2023

The issuance of Law Number 5 of 2014 concerning state civil apparatus (Further will be referred as ASN) provides a new paradigm in the world of employment in Indonesia with the presence of the term Government Employee with a Work Agreement (Further will be referred as PPPK). However, the legal relationship of PPPK is unique because there is a point of contact between public law and private law so that legal protection for PPPK is still very weak. This study discussed how the law position of the PPPK and the law effort that can be taken by the PPPK in the event of a Termination of Employment Contracts (Further will be referred as PHPK). The research method used was normative juridical law research by using a statutory approach and analyzing various statutory regulations that cover it. The results of this study indicated that the law position of PPPK as ASN is felt to be very weak and in the case of PHPK normatively, it also does not provide law certainty for PPPK. In this case, the government and the House of Representatives (Further will be referred as DPR) should make changes or revoke the ASN Law to abolish the regulatory provisions regarding PPPK and also to provide clarity regarding the provisions of the civil service court in the event of PHPK for PPPK. In this case the ASN Law must also be followed by fundamental changes in the provisions of the State Administrative Court and the on Government Administration Law.
DISPENSATION FOR MARRIAGE AT KEPAHIANG RELIGIOUS COURT AFTER THE REVISION OF MARRIAGE LAW NUMBER 1 OF 1974 WITH LAW NUMBER 16 OF 2019
Authors: Puspitawati Yeni , Dahwal Sirman , Muslih Akhmad
Published: May 2023

This study raised the issue of the factors causing the increase in marriage dispensation cases at Kepahiang Religious Court after the revision of Marriage Law Number 1 of 1974 with Law Number 16 of 2019. It investigated how the process of examining cases of marriage dispensation applications and the consequences of what laws resulted in the changes of Law Number 16 of 2019 concerning marriage at the Kepahiang Religious Court. To answer this problem, empirical juridical research was used with data obtained through in-depth interviews with the chairman, judges, and court clerks as informants and supporting data in the form of literature books, and laws and regulations, all of which are related to the problem. After the data can then be analyzed based on qualitative juridical analysis. There were several results in this research. First, the factors causing the increase in marriage dispensation cases at the Kepahiang Religious Court were due to promiscuity, parental concerns for their children, and low education factors. Second, the process of examining marriage dispensation cases was carried out by a single judge. The applicants were obliged to present the child, the prospective husband/wife, and the parents/guardian of the prospective husband/wife. Moreover, it was also the language method of the judge that was easy to understand by the child, the time when the judge and clerks did not wear trial attributes when the examination happened, and the availability of advice and the child's statement. Third, the legal consequences resulting from the amendment to Law Number 16 of 2019 are based on some aspects namely,  the increase in marriage dispensation cases, the complexity of the process of handling marriage dispensation cases because many requirements had to be fulfilled and many people carried out the underhand marriages.
DISPUTE SETTLEMENT OF SIMULTANEOUS VILLAGE HEAD ELECTIONS BASED ON LAW NUMBER 6 OF 2014 ABOUT VILLAGES IN SELUMA REGENCY
Authors: Nurpadliya Nurpadliya , Amancik Amancik , Ardilafiza Ardilafiza
Published: May 2023

In general, the implementation of village head election does not escape from a conflict. Seluma Regency of Bengkulu Province is one of the regencies that has held simultaneous village head elections based on the Regulation of the Regent of Seluma Regency Number 26 of 2019 in conjunction with the Regulation of the Regent Number 21 of 2019 concerning Guidelines for Implementing Simultaneous Village Head Elections in the Seluma Regency Region. In the implementation of village head elections in Seluma Regency, conflicts have occurred. This study aims to analyze, to describe and to explain the disputes settlement of village head election which is conducted simultaneously in Seluma Regency in terms of Law Number 6 of 2014 about Villages. The study of this research was carried out by referring to juridical sociology view. The result showed that in Law no. 6 of 2014 concerning Villages, if there is a dispute in the implementation of Village Head Election, the Regent / Mayor is the party given the authority to resolve the dispute.
THE EFFECT OF E-TICKET SANCTION ON CHANGE OF CHILDREN BEHAVIOR ON THE CASE OF TRAFFIC LAW VIOLATION IN BENGKULU CITY
Authors: Tanjung Yogi Syaputra , Karo Lidia Br , Hatrik Hamzah
Published: May 2023

This analysis aims to provide a description so that children and parents know about the E-Ticketing regulations in traffic law. Describing E-ticketing can influence parents to prevent children from violating traffic laws in using motorized vehicles. The method used in this study was an empirical legal research method with the sociological juridical research approach. In this study, the data used were primary and secondary data. Then the data were analyzed qualitatively by means of deductive-inductive thinking. From the results of the research conducted by the writer, it can be concluded that: (1) There are several factors behind the children committing traffic violations, namely as follows: (a) the lack of children’s knowledge of traffic rules. In most cases, the children did not have a driving license, therefore they did not have enough understanding regarding the applicable traffic rules, and (b) the lack of supervision and ignorance of parents so that they allow, even facilitate, children to use motorized vehicles, this is also a major factor in the increase in traffic violations and accidents by children in Bengkulu City. (2) With the implementation of E-Ticket sanction with a maximum fine, Investigators at the Directorate of Traffic of Bengkulu Police Department have carried out their roles properly and have been in accordance with the SOPs (Standard Operating Procedures). Moreover, they also have carried out their functions as maintainers of Security, Safety, Order, and Traffic Smoothness. Thus they can take action against traffic violations by children as a whole. Furthermore, from the process of taking action against violations by using the E-Ticketing, besides being able to reduce the number of traffic violations by children, parents can also take on the role of supervisors and mentors for their children, so that parents are able to change the behavior of children to be more aware of traffic laws at a later time.
LEGAL PROTECTION FOR PATIENTS OF HEALTH SERVICES AT RSUD ARGA MAKMUR BASED ON LAW NO. 8 OF 1999 CONCERNING CONSUMER PROTECTION AND LAW NO. 25 OF 2009 CONCERNING PUBLIC SERVICES.
Authors: Wati Erni Sisna , Muljono Slamet , Rosari Widiya N.
Published: May 2023

This study examines the legal protection of patients as consumers of health services at RSUD Arga Makmur. This study aims to determine the legal protection of patients as consumers of health services and factors that support or hinder the legal protection of patients in RSUD Arga Makmur. In this study, the author examined the extent to which legal protection for patients of health services was carried out by health personnel in hospital. With the sociological juridical method, the author examines the legal protection of patients by considering the extent to which the patient's rights are fulfilled by health workers and hospital. The results showed that the legal protection of patients as consumers of health services at RSUD Arga Makmur is considerably good. The factors that hinder and support consist of internal and external factors which include communication, information, legal awareness, hospital facilities, work environment, and attitudes from the patient.
Desain dan Manajemen Jaringan Nirkabel SMK Harapan Bangsa Dengan Penerapan CAPsMAN dan Pembatasan Bandwidth
Authors: Hendrian Yayan , Zeta Adha Trisativa
Published: May 2023

Desain jaringan komputer yang baik sangat berpengaruh dalam optimalisasi penggunaan jaringan komputer tersebut. Teknologi jaringan komputer yang banyak digunakan di SMK Harapan Bangsa berupa nirkabel atau wireless dengan koneksi jaringan ke seluruh pengguna dalam area disekitarnya yang dipancarkan oleh Access Point. Permasalahan timbul karena banyaknya access point yang terhubung ke jaringan namun tidak mampu menjangkau seluruh area pengguna jaringan komputer sehingga membuat administrator jaringan cukup kesulitan untuk mengontrol aktifitas pengguna khususnya ketika terjadi kendala pada pemancar yang berbeda ruangan bahkan berbeda gedung. Oleh karena itu diperlukan sebuah strategi dan metode khusus untuk menanganinya. Salah satu caranya dengan mendesain ulang jaringan nirkabel kemudian melengkapinya dengan fitur CAPsMAN dan pengaturan bandwidth. Selain itu ditambahkan pula fitur keamanan wireless hotspot untuk memberikan keamanan yang lebih dikarenakan user harus mempunyai akun untuk melakukan login sehingga tidak sembarang user dapat terkoneksi kedalam jaringan SMK Harapan Bangsa. Dalam rancangan usulan, Penulis mengganti perangkat router utama yaitu RB951Ui-2HnD menjadi RB3011UiAS-RM dan merubah jalur access point ruang guru menuju mikrotik RB3011UiAS-RM agar konfigurasi dapat lebih terpusat dengan tambahan konfigurasi CAPsMAN. Dengan penerapan tersebut dapat meningkatkan kinerja jaringan wireless SMK Harapan Bangsa.
Optimalisasi Sistem Informasi Personel dengan Menggunakan Internet of Things dalam Rangka Mendukung Tugas TNI AL
Authors: Suryawan Wahyu Eka , Marthin Luther Ginting
Published: May 2023

Kondisi pemanfaatan IoT pada sistem informasi personel saat ini sangat penting dalam meningkatkan kinerja organisasi, termasuk bagi TNI AL agar dapat melaksanakan tugas secara optimal. Tujuan dari penelitian ini untuk mengetahui kondisi Internet of Things TNI AL saat ini dan faktor-faktor yang mempengaruhi Internet of Things TNI AL saat ini. Metode dalam penulisan ini menggunakan metode deduktif sedangkan pendekatan yang digunakan adalah kepustakaan dan pengalaman kedinasan dengan pemecahan masalah menggunakan aplikasi teori. Analisis data yang digunakan adalah analisis deskriptif. Hasil penelitian kesimpulan bahwa: (a) kondisi Internet of Things yang dimiliki oleh TNI AL saat ini adalah masih terbatas karena pengolahan yang dilakukan secara manual menggunakan peralatan komputer; (b) faktor-faktor yang mempengaruhi Internet of Things TNI AL meliputi faktor eksternal dan faktor internal yang sangat penting dan strategis dalam peningkatan kinerja dan mendukung tugas TNI AL.  Faktor paling dominan adalah tidak adanya SDM khusus yang menanangani bidang TI beserta perangkat kelengkapannya, sehingga ada ketergantungan pada pihak ketiga yang telah membuat aplikasi Sipers TNI AL dalam pelaksanaan update dan upgrade sistem serta aplikasinya.
Assessment of Impact of new work postures adaptations of dentists on musculoskeletal discomfort by RULA and QEC
Authors: Pasupuleti Mohan Kumar , P Divya Naga Lakshmi , Koneru Jyothirmai , P Swathi , Pv Karteek Varma , Kukutla Sai Amulya
Published: May 2023

Objective: The concept on which the health care system is based is widely called Pd (proprioceptive derivation) or dp (derivations from proprioception) or “0” (zero) concept, centering on the positions, movements, contacts, and discomfort that we sense within our bodies as both providers and receivers of care. During the 1970s, Pd was used for health care records and skill acquisition, which can be applied anywhere in the world. The goal of this study was to evaluate and compare the impact of dental professionals' work postures on musculoskeletal problems by following Rapid Upper Limb Assessment (RULA) and Quick Exposure Check (QEC) while using conventional and proprioceptive derivation methodologies. Methodology: A questionnaire based study on dental clinicians' work postures analysis in dental institute and a symptom survey among dental clinicians working on both conventional and proprioceptive derivation ideas are the primary components of the study. Results: When musculoskeletal diseases among dental surgeons are compared between conventional and Pd work postures, a significant difference are detected. When asked if they felt any physical discomfort when doing oral prophylaxis, almost all of the doctors in Pd position said no. 100% of the clinicians observed that they applied the least force for scaling and polishing in PD posture. Conclusion: Adapting and practicing proprioceptive derived work postures resulted in less discomfort and least possible work-related injuries among dentists.
Caracterização da suinocultura no Estado da Paraíba, Brasil
Authors: Rocha Isis Daniele dos Santos , Rosado Filipe , Silva Ludmila da Paz Gomes da , Borges Péricles de Farias , Clementino Inácio José
Published: May 2023

O objetivo nesta pesquisa foi caracterizar a suinocultura nas diferentes mesorregiões do Estado da Paraíba. Os dados foram obtidos através do Serviço Veterinário Oficial, por meio de questionários estruturados com base em conhecimentos adquiridos em visitas as unidades produtoras (UP). Foram avaliadas 3.561 UP, sendo 1.174 no Sertão Paraibano (SP), 1.034 na Borborema (B), 1.088 no Agreste Paraibano (AP) e 265 na Mata Paraibana (MP). A suinocultura na Paraíba é caracterizada por muitas UP pequenas, com tempo médio de atividade de 12,2 anos. As UP são localizadas principalmente na zona rural e praticam a suinocultura artesanal de subsistência. São criações individuais, onde predominam o sistema de chiqueiros/baias, produção por ciclo completo e de terminação. A fonte de água utilizada na atividade depende da disponibilidade e condições geoclimáticas das mesorregiões. Os resíduos são descartados principalmente a céu aberto. No SP e no AP as paredes das instalações são predominantemente de madeira, o tipo de piso é principalmente terra batida e a cobertura das instalações são de telha ou palha. As propriedades da MP se destacaram das demais pelo maior percentual de paredes de alvenaria, menor quantidade de paredes de arame ou madeira, piso predominantemente de cimento e cobertura de telha. A estrutura das granjas na MP indica UP mais tecnificadas e mais adequadas as normas de segurança e bem-estar dos animais. Os resultados desta pesquisa são úteis para programas de controle de doenças, identificam falhas ou distinção no manejo dos animais e podem auxiliar na melhoria da suinocultura.
Diretrizes de atendimento inicial ao paciente queimado do Hospital Universitário de Maringá
Authors: Cavalari Junior Pedro , Evangelista Fernada Ferreira , Dell'Agnolo Cátia Millene , Cavazana Willian Cesar
Published: May 2023

Objetivo: Desenvolver um fluxograma para o atendimento inicial ao paciente adulto queimado no Hospital Universitário de Maringá. Método: Realizado uma revisão integrativa da literatura de 2012 a 2022, com abordagem qualitativa de artigos completos inglês, português e espanhol disponíveis nas bases de dados SciELO (Scientific Eletronic Library Online), PubMed/Medline (Sistema Online de Busca e Análise de Literatura Médica), LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde), Portal Periódico CAPES. Como descritores foram utilizados os termos: Diretrizes (Guideline); Queimaduras (Burn); Emergência (emergency); Unidades de Queimados (Burn Units). Como critério de exclusão: estudos pacientes com <18 anos, queimadura em olhos e artigos de baixa evidência. Resultados: Com esta revisão foram identificados 90 estudos, do quais, selecionados 11, separando os duplicados, leitura de título e resumo. Destes, 8/11 descreveram sobre os tipos de limpeza e coberturas usadas nos curativos, 5/11 artigos recomendaram os princípios Advanced Trauma Life Support (ATLS) para anamnese inicial, 6/11 utilizam a fórmula de Parkland para reposição volêmica, 3/11 indicaram a vacina antitetânica e a aplicação de heparina como prevenção. No que se referem à analgesia, 5/11 artigos sugerem o uso de opioides endovenosos e como alternativa, tratamentos não farmacológicos. Com a perspectiva de melhorar e padronizar o atendimento, 2/11 descrevem da importância do treinamento da equipe multiprofissional que está envolvida na assistência do paciente queimado. Conclusão: Conclui-se então que são parcos estudos que descrevem sobre o primeiro atendimento ao queimado e é necessário o desenvolvimento de um fluxograma para a padronização da assistência.
Proposta de intervenção para qualificação do registro das informações na Atenção Primaria em Saúde de pessoas vivendo com HIV no município do Rio de Janeiro
Authors: Ferreira Peter Wallace da Rocha , Castro Rodolfo de Almeida Lima , Santos Paulo Roberto Nascimento dos
Published: May 2023

O município do Rio de Janeiro foi marcado nos últimos anos por uma mudança significativa no modelo de atenção à saúde. Nesse contexto temos a infecção por HIV que é uma condição grave considerada um dos maiores problemas de saúde atualmente. Com a experiência de apoio institucional, foi possível identificar uma dificuldade na avaliação dos prontuários das pessoas com diagnóstico da infecção por HIV devido aos registros incompletos, acerca da condução do caso e, outros, com falta de clareza nas informações. O presente estudo teve como objetivo propor um conjunto de informações mínimas necessárias que devem ser descritas no prontuário das pessoas vivendo com HIV. Como método foi realizado uma revisão sistemática onde foram incluídos estudos em todos os contextos como atenção primária, cuidados especializados, preferencialmente estudos observacionais e ensaios clínicos, mas sem restrições quanto ao desenho. O processo de rastreamento dos títulos e resumos foi através do programa Rayyan e independentemente conduzido por dois pesquisadores, as discrepâncias foram resolvidas por consenso com a consideração de um terceiro investigador. Foram selecionados 24 artigos e levantados 16 varáveis relevantes que foram comparadas a bibliografia adequada. Além de desenvolver um documento orientador para apoiar os profissionais no registro das informações, o presente trabalho irá disseminar os resultados para a Secretaria Municipal de Saúde do Rio de Janeiro contribuindo com a possibilidade de otimização da assistência no cuidado a PVHIV, agregando qualidade, além de mais dados disponíveis para estudos e avaliações.
Prevalence of enteroparasites in primates kept at the Brasília Zoo, Brazil
Authors: Sá Lana Cristina Evangelista Ferreira , Silva Emanuel Messias Lima da , Morais Cícera Vanessa Feitosa , Castro Luiz Fernando de , Rocha Crícia Rogéria Ribeiro , Maldonade Iriani Rodrigues , Machado Eleuza Rodrigues
Published: May 2023

Parasitic infections are a primary disease affecting wild animals in captivity, which can cause morbidity and even mortality. The study aimed to identify the prevalence of enteroparasites at the Brasília Zoo, Brazil, and their possible risk factors. The research was conducted in 2019, and 37 primates from 19 species participated. Three stool samples were collected from the enclosures and were processed using three parasitological methods: (i) Spontaneous sedimentation, (ii) Rugai, and (iii) Kato-Katz method. Soil samples were collected from five points in each enclosure and processed using the Spontaneous sedimentation method. Water samples were collected from drinking fountains and analyzed for the presence of enteroparasites, using the Spontaneous sedimentation method, and for thermotolerant coliforms and Escherichia coli using the COLILERT microbiological method. The results showed that 54% of the stool samples were positive, mostly for the commensal parasite Entamoeba coli. All soil samples were contaminated, mainly by the pathogenic protozoan Giardia sp. The presence of thermotolerant coliforms was detected in all water samples. This was the first study carried out on the prevalence of intestinal parasites in primates kept at the Brasília Zoo. It is essential for the health and well-being of animals kept in captivity, parasitological monitoring, as the identification of these parasites helps in the treatment and monitoring of infections, in addition to avoiding infections of people who work directly with them.