bluuebunny/crossref_metadata_2025 huggingface dataset:
Obstetric and Neonatal Outcome among Women Presenting with Reduced Fetal Movements in Third Trimester
Authors: Abbasi Madiha , Siddiqui Erum Samreen , Shafiq Amna , Fatima Aurooj , Akhtar Nasreen
Published: May 2023

Background: Reduced fetal movements (RFM) define as the decrease in the normal movement of a developing fetus in the womb. It is important to monitor fetal movements during pregnancy because these can be an indication of the baby's health and wellbeing. The management of RFM in the third trimester includes fetal monitoring Study design: It is a prospective observational study conducted for the duration of one year from June 2021 to May 2022. Material and Methods: The study was conducted on 150 patients who visited Obs/ Gynae department of LUMHS Hyderabad, Jamshoro and MBBS Medical College Mirpur Azad Kashmir during the course of 1 year. Average age of patients was 32 years with 30 of them reported to have primary education while the remaining had secondary or higher level of studies. The BMI of 40 patients was more than 30 kg/m2 while 35 had BMI between 25-30 kg/m2. Results: The neonatal outcomes in patients were evaluated after reduced fetal growth. There were 60 patients with one episode of RFM and 72 were with multiple RFM episodes. Mortality rate, abnormal CTG (Cardiotocography), neonatal unit (NNU) admission, severe morbidity, low Apgar score and Birth weight <10th centile were some of the outcomes studied Conclusion: RFM leads to high risk of still birth, Caesarean and severe morbidity for the new born. Although on episode of RFM can’t be considered as a necessary evidence of compromised birth but multiple episodes indicates towards several risks related to pregnancy. Keywords: Reduced fetal movements, neonatal outcomes and third trimester.
Relation of Type 1 Diabetes Mellitus with Familial Hypercholesterolemia in Children; A Review Study
Authors: Sheikh Ahmed Namaan , Haider Syed Aqeel , Saeed Butt Muhammad Amir , Samoon Abdul Aleem , Naseem Shehla , Shaikh Muhammad Zaman
Published: May 2023

Background: Type 1 diabetes mellitus (T1DM) and familial hypercholesterolemia (FH) are two different genetic disorders with serious health consequences. T1DM is an immune mediated disease that impacts the pancreas and causes a lack of insulin levels, whereas FH is an inherited condition that causes high cholesterol levels in the blood. FH and type 1 diabetes mellitus are both linked to substantial morbidity and premature mortality due to atherosclerotic cardiovascular disease. Material and Methods: To better understand the ongoing debate regarding the relationship of type 1 Diabetes mellitus with familial hypercholesterolemia. Medline search of the literature was held between 2016 and 2022. From this search, 35 articles with relevant material were selected. Results: The data from the previous conbined studies show that there is a link between types 1 dm with familial hypercholesterolemia in children. Less physical activity, higher BMI value and obesity are some of the areas that link hypercholesterolemia with diabetes mellitus 1. Therefore, it is advised to have metabolic control to treat hyperlipidemia. Conclusion: Familial hypercholesterolemia is significantly linked with type 1 diabetes mellitus and is more common among children and adolescents. Dyslipidemia is more frequently reported among female patients. The most of the patients of dyslipidemia shows elevated LDL-C and low HDL-C. Keywords: Type 1 diabetes mellitus, familial hypercholesterolemia, low-density lipoprotein, blood glucose level and cardiovascular disease.
Is Silodosin a Better Alternative to Tamsulosin as a Part of Medical Expulsion Therapy in Patients with Lower Uretic Calculi?
Authors: Iqbal Sajid , Sohail Muhammad , Rehman Ijaz Ur , Malik Farooq
Published: May 2023

Background: Urinary stones are one of the most common illness of the urinary tract. Medical expulsion therapy (MET) is the non-invasive surgery option for patients with small urinary stones. Tamsulosin is a selective alpha-1A adrenergic receptor blocker. Silodosin is lately investigated as an alpha-1A adrenoceptor blocker. Study design: It is a randomized controlled study conducted at Department of Urology, Civil Hospital, Mirpur Khas and Sir Ganga Ram Hospital, Lahore for the duration of six months from July 2022 to December 2022. Material and Methods: The data was taken from 85 patients who were suffering from lower uretic calculi with 45 patients who received prescription of silodosin (8mg) and 40 patients who were given daily dose of tamsulosin (0.4mg) for treatment. The dose was given to patients over duration of 28 days. Results: The mean BMI of patients was 25.5 kg/m2 for group A patients and 27.5 kg/m2 for group B patients. Average Hounsfield unit was 57.9±2.1 and 58.6±1.3 (HU/mm) for group A and B respectively. Most of the patients (n=62) had stone size greater than 5mm. The expulsion rate in patients with stone size greater than 5mm was found as 82.1% and 65.2% in group A and B respectively. Conclusion: The study concludes that there is a better and more significant control of pain shown by silodosin as it increases the rate of expulsion more significantly as compared to tamsulosin. The requirement of analgesics by silodosin group patients was also less and therefore it can be a better alternative to tamsulosin for the treatment of lower uretic calculi. Keywords: Tamsulosin, silodosin and medical expulsion therapy.
Deciduous Tooth Eruption and Carpel Bone Ossification are two Methods used to Estimate a Person's age that can be Compared for Forensic Purposes
Authors: Aslam Nadia , Rasool Raffat , Langah Ishtiaque Ali , Shafique Agha , Imran Shahla , Sadiq Syed Asadyar
Published: May 2023

Objective: The ossification of the carpel bone in the hand and the emergence of deciduous teeth were both used to estimate a person's age according to forensic standards. Study Design: Comparative study Place and Duration: Department of Forensic Medicine & Toxicology, LUMHS, Jamshoro, Sindh, Pakistan. July 2022-Feb 2023 Methods: A total of 110 children, both boys and girls, aged 3 to 14 years, participated in the study. The patients were equally split into two groups, each including 55 persons. Group I employed radioscopic (RVG) images of the left quadrant mandibular teeth to estimate age using the Demirjian technique, whereas Group II used a radiograph of the right wrist to estimate skeletal age using the Greulich and Pyle method. Disparities between chronological age and estimated skeletal and dental age were analyzed statistically. SPSS 22.0 was used to analyze all data. Results: There were majority males 55 (54.5%) in group I and 32 (58.2%) male cases in group II. In group I chronical age was 6.12±6.33 years and dental age was 5.75±8.63 years among patients of age group 3-8 years with difference 0.70±2.34 and patients of age group 9-14 years had chronical and dental age was 12.41±3.52 years and 11.16±2.67 with difference 0.72±1.29 while in group II chronical age and skeletal age among patients of age group 3-8 years was 8.02±3.42 years and 8.0±0.14 with difference 0.62±2.29 and patients of age group 9-14 years had chronical and skeletal age was 11.45±2.67 years and 10.90±0.93 with difference 0.60±1.22. With a p-value of >0.05, no difference was found between the two groups. Conclusion: Both dental and skeletal age estimation methods are reliable and accurate for determining a person's age in a court of law, it has been determined. There was no discernible difference between the two approaches. Keywords: Bone Age (Greulich and Pyle), Forensic, Dental Age (Demirjian’s), Age Estimation
An Observational Study on the Efficacy and Safety of Coronary Intervention Via Distal Transradial Access (STRA) in Patients
Authors: Ali Liaquat , Ibrar Syed Sharjeel , Aqeel Muhammad , Usman Muhammad , Riaz Hassan , Saleem Sara
Published: May 2023

Objective: The aim of this study was to examine the safety and effectiveness of distal trans-radial access (dTRA), a new coronary intervention procedure, in individuals with low BMI. Methods: The design of this study was an observational study design. This study was conducted at Pakistan Institute of Medical Sciences (PIMS), Islamabad, and the duration of this study was from December 2020 to December 2022. 67 patients who had a coronary intervention at Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan. The sample was divided into two groups: 38 patients had traditional trans-radial access (cTRA) and 29 patients got direct trans-radial access (dTRA). Results: The research outcomes indicated that the success rates for puncture procedures in both groups, dTRA and cTRA, were not significantly different. Specifically, the success rate for dTRA was found to be 96.6% while cTRA recorded a success rate of 97.4%. This difference was not considered to be statistically significant as the p-value was 0.846, which means there was an 84.6% chance that the results were due to random chance and not a true difference between the groups. This indicates that both dTRA and cTRA are effective in puncture procedures and can produce similar results in terms of success rate. It is crucial to consider these results alongside the limitations of the research. Despite the overall results indicating a similar success rate between the two groups, there was a disparity in success rates for single-needle puncture procedures. In this aspect, the cTRA group outperformed the dTRA group with a success rate of 81.6% compared to 51.7% for the dTRA group. This difference was statistically significant with a p-value of 0.020, indicating that the results were not due to random chance. However, the dTRA group did have some advantages over the cTRA group. The compression hemostasis time, the time required for the bleeding to stop, was faster for the dTRA group, with a p-value of 0.01. Additionally, the incidence of radial artery occlusion was less frequent in the dTRA group compared to the cTRA group, with a p-value of 0.007 (4% compared to 33.3% in the cTRA group). Conclusions: In the conclusion of this study, individuals with low BMI, coronary intervention with dTRA is both secure and efficient. This approach offers a less complicated, more effective, and efficient alternative to conventional trans-radial access. Keywords: Trans-Radial Access, Body Mass Index, Percutaneous Coronary Intervention, Hemostasis, Vascular. Radial Artery Occlusion.
Comparison of Efficacy of Azithromycin Versus Ceftriaxone in Treatment of Enteric Fever
Authors: Mehreen Bushra , Jehanzeb Sadia , Khan Hashmat Ullah , Shaheen Rabbia , Iqbal Sahar , Khan Saima
Published: May 2023

Objective: Research was conducted at the Hayatabad Medical Complex in Peshawar to evaluate the relative effectiveness of azithromycin and ceftriaxone in the treatment of enteric fever. Methods: After the ethical approval from institute review board, this random controlled trial was conducted at Department of Pediatrics, Hayatabad Medical Complex, Peshawar, from 20 July, 2019 to 20 Jan, 2020. Each patient was randomly assigned to a treatment group through toss method in Group A and Group B. Patients in Group A received azithromycin (20 mg/kg/day; maximum, 1000 mg/day) and patients in Group B were administered with ceftriaxone (75 mg/kg/day; maximum, 2.5 g/day). Efficacy of both drugs was determined keeping in view complete resolution of symptoms of enteric fever within a week time. Results: The mean ± S. D of age of the participants in both groups were 5.38±1.95 and 5.74±1.84 years. The mean ± S. D of disease duration of the participants in both groups were 6.14±1.25 and 5.90±1.17 days. The mean ± S. D of time of defersevence of the participants in both groups were 2.38±0.57 and 4.66±0.716. In azithromycin group, 44 (88%) patients showed effective results while in the ceftriaxone group, 23 (46%) patients showed effective results. P Value = 0.000 Conclusion: Azithromycin could be a convenient and cheap alternative for the treatment of typhoid fever, especially in children in our local population. Keywords: Azithromycin, Ceftriaxone, Typhoid Fever
The Frequency of Previously Undiagnosed Diabetes Mellitus in Patients with Acute Coronary Syndrome Using HBALC
Authors: Ahmed Sara , Zubair Muhammad , Salam Abdul , Zaman Qamar , Latif Aslam , Deep Amar
Published: May 2023

Objective: To assess the proportion of previously undiagnosed diabetes mellitus in patients with acute coronary syndrome (ACS) using HbAlc. Methods: A cross-sectional study was conducted at the Department of Cardiology, National Institute of Cardiovascular Diseases Karachi, Pakistan between 15th July, 2020 and 15th January, 2021. One hundred and thirty-nine patients admitted with acute chest pain and diagnosed with ACS were recruited in the study. After a thorough history, clinical examination, ECG, serum troponin-I level, hemoglobin level and HbA1C were done on these patients. Patient’s age, gender, HbAlc level and BMI was noted. Outcome (diabetes, pre-diabetes, non-diabetic) for each patient was noted. Results: Majority of study participants were males (n=98; 70.50%) and the rest were females (n=41; 29.50%). The mean age of study participants was 56.09±4.91 years. The mean±SD HbA1c level in the study population was 5.10%±0.81%. STEMI (n=99; 71.22%) was most common and followed by NSTEMI (n=40; 28.78%). Diabetes Mellitus was diagnosed in 15 (10.79%) study participants. No statistically significant association was found between diabetes mellitus and age, sex, and kind of ACS. Conclusion: Previously undiagnosed diabetes mellitus is quite common in patients with acute coronary syndrome and the physicians should actively look for diabetes mellitus in such patients. Keywords: Diabetes Mellitus, Acute coronary syndrome, STEMI, NSTEMI, HbA1c, Complications, Morbidity.
The Oral Manifestation of Hepatitis Patients Visiting Tertiary Care Clinics of Karachi
Authors: Ahmed Sanaa , Atif Muhammad , Khan Muhammad Sibghat Ullah , Shaheen Maria Naz , Raza Syeda Zarreen , Memon Zahid Ali
Published: May 2023

Background: The present study aimed to find out the most frequent Oral lesions in hepatitis B and C patients in the local population and correlate it with age and gender. Materials and Methods: A retrospective study was designed at Sindh Institute of Oral Health Sciences at the department of Oral medicine. We studied the records of patients coming to OPD from 2016 till 2021 diagnosed with hepatitis B and C for treatment. Convenience sampling was done. Incomplete forms and data of the patients with comorbid conditions such as Diabetes, Rheumatoid Arthritis or Hypertension were removed as a part of the protocol. Results: Data of sixty-seven patients was included in the study. Data analysis was done through SPSS ver.18. Frequency of the oral lesions in hepatitis B and C was assessed and the relationship between hepatitis and oral lesions was also explored by applying t-test. Male to female ratio was 1: 1.5. The most frequent lesion in both hepatitis B and C was Periodontitis followed by gingivitis and oral lichen planus. Also, the relationship between hepatitis C and oral lesions was significant at the level of p-value of 0.05% while for hepatitis B and effect on the treatment of hepatitis was no significant. Conclusion: The findings of the study show that the Hepatitis C has a significant relationship with oral lesions and presence of chronic periodontitis or gingivitis and oral lichen planus requires further testing for HCV and HBV status which would result in early diagnosis and treatment decreasing the chances of complications such as liver cirrhosis in long term and spread of infection. Keywords: Periodontitis, Oral lesions, Hepatitis B, Hepatitis C, Gingivitis.
Contrast-Enhanced Fluid Attenuated Recovery (FLAIR) Sequence of Magnetic Resonance Imaging for Tuberculous Meningitis in Paediatric Population
Authors: Ali Fahad , Mirza Waseem , Asad Mohammad , Anum Maria , Ishaqi Saqib Qamar , Raza Rabail
Published: May 2023

Background: Tuberculous meningitis is a well known consequence of tuberculosis, related with top mortality and morbidity in emergent nations. Prompt recognition can play a noteworthy part in rewarding and treating patients of tuberculous meningitis. Aim: To Ascertain the accuracy of contrast FLAIR MRI for diagnosis of tuberculous meningitis in children considering CSF culture as benchmark. Setting: Radiology Department of AKUH. Study Design: Cross-sectional study. Place and Duration: This study was conducted at Department of Radiology, Aga Khan University Hospital, Karachi From January 2015 to December 2016 Sample Selection: A total of 148 paediatric patients with clinical impression of tuberculous meningitis for 6 months were incorporated in study. FLAIR images were carried out from skull base to vertex in coronal plane from nasion to occipital protuberance with interval of 1.5 mm and 5 mm sections were taken. Data Analysis: Percentage were calculated for presentation of variables including FLAIR imaging findings, CSF Culture results and gender. Sensitivity, specificity, accuracy, positive and negative predictive values of FLAIR calculated and presented in percentages. Chi square test was applied taking P <0.05 as significant. Results: 148 patients of which 67 were males (45.3%) and 81 were females (54.7%). Contrast enhanced FLAIR MRI test correctly identified 78.68 % of healthy individuals and labeled 76.68 % of the diseased correctly. Final stat showed 43 % of the people were correctly identified as true positive, 94 % of the people who were found negative were disease free in reality. The conclusive certainty for the imaging was found to be 78.37%. Conclusion: MRI Contrast FLAIR imaging is a justifiable tool which can assist in before time identification of tuberculous infection of brain and primary start of antituberculous medications without waiting for CSF results which require up to weeks. Keywords: Magnetic resonance imaging, Fluid attenuated inversion recovery, tuberculous meningitis.
Outcomes and Frequency of Neonatal Diseases Observed in the Neonatal ICU of the Paediatric Department of a Tertiary Care Hospital
Authors: Memon Amanullah , Kazi Naheed Haroon , . Loveena , Qureshi Huma , Begum Naseem , Javed Safiya
Published: May 2023

Objective: The present study aims at assessing the frequency of diseases in neonates that have to be admitted to the neonatal intensive care unit and the outcomes of those diseases Study design: A cross-sectional study Place and Duration: This study was conducted at Kulsumbai Valika Social Security Site Hospital Karachi from November 2021 to November 2022. Methodology: All the neonates that presented to NICU (Neonatal Intensive Care Unit), were included in the study. Demographic data related to all the patients were collected, such as gestational age, gender, weight at the time of admission, and date of admission. Clinical data that was collected included diagnosis at the time of admission, final diagnosis, referral, mortality within four weeks of the total life of the patient, and discharge date. The mode of admission, either in outpatient or emergency, was also noted. Results: A total of 210 patients were added to the present study. Overall 90 (42.86%) patients were admitted in the first six hours of life. The main reason for admission was neonatal sepsis in 57 (27.14%) patients. Other reasons included prematurity in 52 (24.76%) patients, neonatal jaundice in 25 (11.9%) patients, birth asphyxia in 15 (7.14%) patients, IUGR (intrauterine growth restriction) in 14 (6.66%) patients, respiratory distress syndrome in 11 (5.23%), meconium aspiration syndrome in 12 (5.7%) patients, and the remaining 24 patients had other health issues. A total of 182 (86.67%) patients were discharged from the hospital in stable condition, while 8 (3.8%) were referred to a more advanced healthcare facility. Overall 11 (5.2%) patients died in the hospital and 9 (4.28%) left against medical advice (LAMA). Conclusion: Prematurity and neonatal sepsis are the main causes of neonatal admissions in Neonatal ICU. These causes are followed by Birth Asphyxia and Neonatal Jaundice. Keywords: Neonate, Neonatal ICU, Admission, Birth Asphyxia, Neonatal Sepsis, Prematurity, Neonatal jaundice
Comparison of Operative Parameters During Fixation of Intertrochanteric Fractures with Proximal Femoral Nail and Dynamic Hip Screw
Authors: Shaikh Kashif Ali , Ahmed Awes , Khan Kamran Bahadur , Memon Fahad Noor
Published: May 2023

Objective: The aim of the study was to evaluate the surgical characteristics of the proximal femoral nail and dynamic hip screw stabilisation for intertrochanteric fractures. Methods: After the ethical approval from the institutional review board, this randomized controlled trial, was conducted at Orthopaedic Department, Jinnah Post Graduate Medical Centre, Karachi, from 29th July 2018 to 28th January 2019 through the non-probability consecutive sampling, 100 participants were recruited for the present study. Radiographs of the pelvis with both hips anteroposterior view and traction-internal rotation view were taken. proximal femoral nail was used in group A while dynamic hip screw was used in group B. At the end of the surgery, time and blood loss were calculated and independent t-test was applied for comparison. Effects were addressed through Stratification. P-value ≤0.05 was taken as significant. Results: There were 72% male and 28% female patients in group-A and 68% male and 32% female patients in group-B. The mean fracture duration in group-A and group-B was 3.52±1.41days and 3.54±1.45 days respectively. Mean operative time in group-A and group-B was 91.32±8.10 minutes and 73.20±12.52 minutes respectively while mean intraoperative blood loss was 188.34±25.80 ml and 255.44±14.56 ml in group-A and group- B respectively. These differences were found significant. Conclusion: Group A had a longer mean surgical duration and considerably less mean intra-operative blood loss as compared to group B. Keywords: Operative Parameters, Intertrochanteric Fractures, Proximal Femoral Nail, Dynamic Hip Screw
Türk Hukukunda Kuşların Korunmasına Dair Ulusal ve Uluslararası Mevzuatın İncelenmesi
Authors: UYAR Çağdan , ELVAN Osman Devrim
Published: May 2023

Ekosistemin önemli bir parçası olan kuşlar hakkında günümüzde koruma amaçlı yasal düzenlemeler bulunmaktadır. Türkiye açısından ise kuşların korunmasına dair etkin mevzuatın uluslararası kaynaklı sözleşmeler olduğu görülmektedir. Türk iç hukuku kuşlara dair avlanma ve avcılık konularında etkili düzenlemeler içermekte, bununla birlikte evcil kuşların korunması ve üretimine dair de ikincil mevzuat düzenlemeleri bulunmaktadır. Mevzuat incelendiğinde özellikle kent içi yabani kuşların korunması konusunda mevzuatta yetersizlikler olduğu ifade edilebilir. Taraf olunan uluslararası sözleşmeler kapsamında göçmen kuşların korunmasına dair iç hukuka da etki eden düzenlemeler vardır. Özellikle su kuşlarının ve yaşam alanlarının korunması en etkili şekilde yapılmaktadır. Türkiye yabani ve göçmen kuşların korunmasını içeren RAMSAR, BERN, PARİS, CITES gibi sözleşmelere taraftır. Ancak yine göçmen kuşların korunmasında birçok ülkenin taraf olduğu BONN sözleşmesi ve buna bağlı olan AEWA ve ACAP gibi antlaşmalara Türkiye taraf değildir. Başta BONN sözleşmesi ve bağlı antlaşmalara taraf olması kuşların korunması konusunda oldukça önemlidir.
PEMBERDAYAAN MASYARAKAT DALAM PENINGKATAN IMTAQ DAN IPTEK DI KELURAHAN ULUJAMI
Authors: Maulidia Peni , Farhan Arif Al Farisi  , Much Hasan Darojat
Published: May 2023

The condition of the metropolitan community which tends to be busy and hedonistic causes the emergence of social phenomena in the community, one of which occurs among the people in Ulujami Village. The social phenomenon that occurs causes low public concern for participation in social, religious activities and awareness of the importance of mastering technology for owners of micro, small and medium enterprises (MSMEs). Based on these problems, Darunnajah University students took the initiative to create a community service program by carrying out community empowerment activities to improve religious awareness, science and technology also the integration of the two in Ulujami Village, South Jakarta. Because by combining these aspects in life, it can establish a rabbani civilized community. Meanwhile, the implementation of technology is carried out for MSME owners to be able to develop their business through marketing with social media and online.
IbM PENYUSUNN BUSSINES PLAN BUMDESA DI KECAMATAN LAENMANEN KABUPATEN MALAKA
Authors: Neno Marianus Saldanha , Tarsisius Timuneno  , Apriana H.J Fanggidae  , Irience R.A. Manongga
Published: May 2023

Isu dan fenomena konkrit tentang keberadaan BUMDES Di Kecamatan Laenmanen ialah: kondisi tempat usaha yang memprihatikan, belum ada pemetaan potensi ekonomi di Desa yang dapat dikembangkan oleh BUMDES, keterbatasan kemampuan manajerial pada tingkat pengelola dan kerjasama bisnis yang saling menguntungkan, kurangnya keterlibatan masyarakat dalam menunjang usaha BUMDES. Tujuan pengabdian ini ialah untuk melakukan menyusun rencana bisnis BUMDES di kecamatan Laenmanen, pemetaan potensi ekonomi yang dapat dikembangkan BUMDES, untuk melakukan penyuluhan dan pendampingan  kepada pengelola BUMDES untuk meningkatkan kemampuan manajerial dan kerjasama bisnis yang saling menguntungkan; dan melakukan penyuluhan untuk meningkatkan keterlibatan masyarakat Desa dan mitra bisnis dalam menunjang usaha BUMDES. Metode pendekatan yang digunakan adalah penyuluhan, pelatihan, dan pendampingan. Hasil penyuluhan menunjukkan adanya peningkatan pemahaman peserta tentang eksistensi BUMDes serta bagaimana cara pengelolaan. Hasil pelatihan menunjukkan meningkatnya pemahaman dan keterampilan peserta terutama para pengurus BUMDES tentang bagaimana melakukan pembukuan. Rencana pendampingan akan dilakukan selama 3 bulan dalam hal pembukuan, identifikasi dan pemetaan potensi desa, dll
MENINGKATKAN PENGETAHUAN MASYARAKAT MELALUI PENYULUHAN PENGELOLAAN DIABETES DAN PERAWATAN KAKI DIABETIK
Authors: Trisnadewi Ni Wayan , Theresia Anita Pramesti  , Ni Kadek Yuni Lestari  , Sri Idayani  , I Gst. Pt. Agus Ferry Sutrisna Putra
Published: May 2023

Penyakit Diabetes melitus adalah penyakit metabolic dan merupakan penyakit kronis yang angka kejadiannya terus mengalami peningkatan setiap tahunnya di seluruh dunia. Pengelolaan diabetes merupakan poin penting untuk keberlangsungan hidup pasien DM. upaya penanggulangan penyakit ini perlu dilakukan melalui manajemen yang tepat. Penyakit ini menimbulkan berbagai komplikasi dan yang paling sering terjadi adalah kaki diabetic. Dalam upaya mencegah kejadian kaki diabetic ini, perawatan kaki juga merupakan bagian yang sangat penting yang harus dilakukan oleh pasien untuk memastikan kebersihan dan Kesehatan kaki tetap terjaga sehingga kejadian kaki diabetic bisa dicegah. Terdapat empat pilar pengelolaan diabetes yang dapat dilakukan meliputi diet, Latihan fisik, obat-obatan dan edukasi. Melalui upaya pengelolaan diabetes yang tepat, komplikasi diabetes dapat dicegah, gula darah menjadi stabil dan kualitas hidup pasien dapat ditingkatkan. Tahapan pertama dalam pengabdian masyarakat melakukan pengukuran gula darah sewaktu pada pasien DM tipe 2, tahap kedua memberikan penyuluhan tentang pengelolaan diabetes dan perawatan kaki diabetik. Hasil pengabdian masyarakat ini memberikan manfaat kepada pasien diabetes melitus tipe 2 dalam meningkatkan pengetahuan pengelolaan diabetes pasien DM tipe 2.
PELAKSANAAN PENYALURAN BANSOS KARTU TANI OLEH BANK BNI DI KABUPATEN SITUBONDO
Authors: Prakoso Rian Agus , Ita Uzzakah  , Samsul Hadi
Published: May 2023

Kebijakan yang dilakukan oleh pemerintah untuk mengurangi kasus penyalahgunaan dan kelangkaan pupuk bersubsidi adalah dengan adanya program pupuk bersubsidi melalui kartu tani yang digagas berdasarkan peraturan kementerian pertanian Nomor 47 Tahun 2017 tentang alokasi dan harga eceran tertinggi pupuk bersubsidi sektor pertanian TA 2018. Pemerintah melalui Kementerian Pertanian bekerja sama dengan Kementerian BUMN dan Pemerintah Daerah melaunching Kartu Tani untuk wilayah Jawa Timur di Kabupaten Situbondo. PT Bank Negara Indonesia bekerja sama dengan Dinas Pertanian dalam program penyaluran Kartu Tani di Kabupaten Situbondo. Dengan adanya kebijakan Kartu Tani ini diharapkan dapat menjamin penyaluran pupuk bersubsidi agar tepat sasaran dan memudahkan pengawasan peredarannya.
UPAYA PENINGKATAN KESEHATAN DAN KEBUGARAN JASMANI MELALUI OLAHRAGA DI BALAI DESA KEDUNGDOWO KECAMATAN ARJASA SITUBONDO
Authors: Ahmad Hafas Rasyidi  , Dassucik Dassucik , Agusti Agusti , Syaiful Bahri
Published: May 2023

Olahraga merupakan pusat aktivitas fisik yang berperan sebagai upaya promotif, preventif, kuratif dan rehabilitatif dalam meningkatkan kesehatan dan kebugaran jasmani.  Olahraga tersebut harus dilakukan secara menyeluruh, terpadu dan berkesinambungan. Pengabdian ini bertujuan untuk mengetahui upaya yang diinginkan masyarakat dalam upaya penigkatan kesehatan & kebugaran dan hasil yang didapatkan oleh masyarakat setelah mengikuti program latihan. Metode yang digunakan dalam pengabdian ini adalah deskripsi dengan pendekatan kualitatif. Subjek dalam penelitian ini adalah masyarakat Desa Kedungdowo. Tujuan dari pengabdian kepada masyarakat ini adalan untuk memasyarakatkan Senam Kebugaran Jasmani mastarakat dan menghasilkan instruktur senam  yang memiliki bakat dalam bidang senam. Selain itu pengabdian masyarakat ini juga dilakukan untuk memberdayaan masyarakat dengan membuat rutinitas pelaksanaan senam krbugaran jasmani secara berkelanjutan yang bertujuan untuk peningkatan kebugaran pada masyarakat  khususnya bapak-bapak kerabat desa Kedungdowo. Hasil pengabdian menunjukkan bahwa masyarakat melakukan olahraga untuk meningkatkan kesehatan dan meningkatkan kebugaran.
PELATIHAN PEMANFAATAN MANAJEMEN KEUANGAN DAN DIGITAL MARKETING DALAM MENINGKATKAN PENDAPATAN UMKM DI KECAMATAN PASRUJAMBE
Authors: Sukma Irdiana  , Nur Laily Arifiyah  , Yatna Supriatna
Published: May 2023

Persaingan di dunia bakery sekarang ini sangatlah ketat. Hal ini terbukti dari banyaknya usaha bakery di Lumajang. Assafir’s Bakery merupakan salah satu toko bakery di Lumajang yang berkembang. Dengan inovasi yang begitu tinggi dengan memanfaatkan bahan baku yang ada di Kecamatan Pasrujambe, Assafir’s Bakery mulai beranjak naik. Dengan berkembangnya Assafir’s Bakery, Assafir’s Bakery merasa memiliki kelemahan dalam bidang manajemen keuangan dan digital marketing. Untuk itu Assafir’s Bakery meminta bantuan kepada Tim Pengabdian Masyarakat melalui seorang dosen yang merangkap sebagai Ibu Ketua TP PKK Kecamatan Pasrujambe. Permintaan ini di terima oleh Tim Pengabdian Masyarakat yang terdiri atas dosen ITB Widya Gama Lumajang, ITB Yadika Bangil dan Guru SMPN 3 Nguling serta dibantu oleh mahasiswa kedua universitas tersebut. Setelah diketahui permasalahan dan solusi yang akan di lakukan maka Tim Pengabdian Masyarakat melakukan sosialisasi, pelatihan manajemen keuangan dan digital marketing serta melakukan monitoring dan evalusi pada Assafir’s Bakery. Kegiatan pengabdian masyarakat ini berjalan dengan baik. Hal ini terbukti dari meningkatnya volume penjualan baik itu secara online maupun offline
PENTINGNYA EDUKASI PEMBUATAN LAPORAN KEUANGAN SEDERHANA PADA UMKM GERIA PEMECUTAN
Authors: Putu Ayu Anggya Agustina  , Elisabeth Ria Viana Praningtyas  , Rini Subekti
Published: May 2023

UMKM menjadi salah satu daya tarik wisatawan domestik dan mancanegara ketika akan berwisata. Namun, tidak semua pelaku UMKM memperhatikan Sumber Daya Manusia (SDM) yang dimiliki. SDM yang bekerja di salah satu UMKM banten di Kota Denpasar hanya bisa sebagai karyawan yang mempunyai keterampilan membuat banten. Pemilik UMKM tidak terlalu mementingkan tata kelola keuangan karena pendapatan yang diterima tidak setiap hari tetapi di waktu tertentu atau atas permintaan masyarakat yang memerlukan banten. Adanya keterbatasan SDM yang paham tata kelola keuangan, maka sangat perlu memberikan edukasi tentang pentingnya laporan keuangan serta menerapkan panduan laporan keuangan UMKM kepada pemilik UMKM banten Geria Pemecutan agar UMKM tetap bisa bertahan dan mengetahui modal yang dimiliki. Selain itu berguna bagi pemilik UMKM banten untuk memisahkan antara keperluan UMKM dan pribadi.
PELATIHAN SELF MANAGEMENT PENGURUS KELOMPOK BAKAT MINAT PROGRAM STUDI PSIKOLOGI, FAKULTAS KESEHATAN MASYARAKAT, UNIVERSITAS NUSA CENDANA
Authors: Gustam Tasalina Yohana Parameswari , Mage Mernon Yerlinda Carlista
Published: May 2023

Kelompok Bakat Minat (KBM) di Program Studi Psikologi merupakan organisasi ekstrakurikuler yang dibentuk sebagai wadah pengembangan diri mahasiswa. Oleh karena KBM baru dibentuk, maka pengurus yang terpilih belum memiliki kemampuan yang baik untuk mengelola organisasi tersebut. Soft skill merupakan keterampilan yang penting dimiliki dalam berorganisasi. Manajemen diri merupakan salah satu soft skill dasar bagi pemimpin organisasi. Pelatihan ini bertujuan memberikan pengetahuan dan keterampilan manajemen diri dalam mengelola organisasi. Metode yang digunakan adalah ceramah, tanya jawab, dan problem based learning. Hasil pelatihan menunjukkan adanya peningkatan pengetahuan dan keterampilan dalam menganalisis masalah organisasi berdasarkan konsep teori yang dipelajari. 100% peserta pelatihan mengatakan bahwa pelatihan yang diberikan sangat sesuai dengan kebutuhan KBM dan bermanfaat tidak saja dalam berorganisasi melainkan juga untuk personal growth setiap peserta.
The Halifax flow Crossmatch Protocol Results According to the HLA Class and MFI of the DSA
Authors: Schiavo Tiago , Montagner Juliana , Keitel Elizete , Greenshields Anna , Liwski Robert S , Neumann Jorge
Published: May 2023

Introduction: The main strategy to reduce the immunogenicity of transplanted grafts is to seek maximum compatibility between alloantigens in the donor-recipient pair. It is understood that the virtual crossmatch (VXM) can be a good tool in the evaluation of the donor / recipient pair and that a broader application of these protocols will improve the pre-transplant immunological risk assessment. The aim of this study was to correlate the physical flow crossmatches results, looking at different mean fluorescence intensity (MFI) values of the donor specific antibodies (DSA), and the probability of a positive crossmatch. We also aimed to validate this tool using a well standardized flow crossmatch protocol. Methods: We performed a total of 15,217 FCXM between 2015 and 2019. All were tested by the Halifax Flow Cytometer Crossmatch (FCXM) protocol, with cells from deceased donors and serum from renal recipients. For this analysis we selected only samples that had one or two DSA per locus (N = 1,081), when the MFI was above 1,000, and they were divided according to the allelic group recognized by the antibody (anti-HLA-A, B, C, DR or DQ) looking at the probability of a positive crossmatch with different MFI values of the DSAs. Combinations among them were also analyzed in the same way (N=175). Results: In the presence of an exclusive DSA against the allelic groups A, B and DR, with an index MFI above 5,000, all the FCXM were positives. With exclusively antibodies against groups C or DQ, all cases with DSAs above 15,000 MFIs were positives. With two or more DSAs anti A and/or B, and/or DR, when their MFIs sums exceeded 5,000, all FCXM results against B cells were positive. The presence of anti-Class I DSAs (A, B and A+B), regardless of the MFI value, was responsible for 71% (N=424 of 601) of the T cell positivity and 77% (N=460 of 661) in the B cell crossmatches. The presence of only anti-Class II DSAs (DR and DQ) accounted for 55% (N=168 of 303) of FCXM positivity in B cells. The overall mean of the MFI of the DSAs was higher in the FCXM positive group when compared to negative crossmatch. The group with sum of DSAs A (N=217) showed that when the sum was 4,000 MFI or higher, there was a 24 times higher probability for a positive B cell crossmatch when compared with lowers MFIs. Conclusions: Our results show a strong association between the DSA MFI and the FCXM result. The data here presented confirm the results of our previous studies, justifying the VXM standard used by our center, proving to be a good tool to streamline the selection of transplant recipients and facilitate the sharing of organs from national donors.
Clinical and Pharmacological, Organizational and Legal, Forensic and Pharmaceutical Research of Drugs of ATC-Group N01AX03 for Anesthesia
Authors: Osyntseva Alina
Published: May 2023

Clinical and pharmacological, organizational and legal, forensic and pharmaceutical study of drugs of the N01AX03 group for anesthesia was conducted. A clinical and pharmacological research based on the results of a documentary analysis in a retrospective measurement of indicators of clinical-pharmaceutical safety of ketamine showed that ketamine became the first non-inhalation anesthetic. It causes dissociative anesthesia with an analgesic effect. It is used in emergency surgery, during evacuation in combat conditions, in cardiac surgery, dentistry, ophthalmology, otorhinolaryngology, gynecology. It is prescribed for patients with traumatic shock and blood loss. The organizational and legal research based on the results of the study of the marketing, classification, legal, nomenclature and legal indicators of drugs with ATC code N01AX03 showed the circulation on the pharmaceutical market of Ukraine of 4fourpsychotropic, prescription drugs of ketamine in the form of ampoules and vials for intramuscular and intravenous administration. Forensic and pharmaceutical research based on the results of the study of the control regime, availability, cases from forensic pharmaceutical practice, legal responsibility for the illegal circulation of drugs with ATS code N01AX03 made it possible to establish a direct relationship between the indicated indicators.
Pengaruh Pelatihan Dumbbell Curl dan Shoulder Press terhadap Peningkatan Power Otot Lengan dan Kekuatan Otot Lengan
Authors: Hidayat Taufiq , Munandar Rizky Aris
Published: May 2023

Penelitian ini bertujuan untuk melihat apakah terdapat perbedaan pengaruh latihan beban Dumbell Curl dengan  Shoulder Press terhadap peningkatan power otot lengan dan kekuatan otot lengan pada mahasiswa jurusan Pendidikan Jasmani Kesehatan dan Rekreasi angkatan 2021/2022 STKIP Yapis Dompu. Jenis penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian eksperimen semu Quasi Experimental Design (Ali Maksum ,2012.p.200) dan desain yang digunakan yaitu (Pretest and Postest Control Group Design). Subjek penelitian yang berjumlah 39 mahasiswa jurusan Pendidikan Jasmani Kesehatan dan Rekreasi  yang dilakukan pretest untuk menentukan pembagian kelompok masing-masing 13 mahasiswa sebagai kelompok eksperimen I yang diberi program Dumbell curl berikutnya kelompok eksperimen II yang diberi program latihan shoulder press dan 13 mahasiswa jurusan Pendidikan Jasmani Kesehatan dan Rekreasi  selanjutnya sebagai kelompok kontrol. Metode pengumpulan data dalam penelitian ini menggunakan instrumen Untuk mengukur power otot lengan menggunakan tes medicine ball selanjutnya kekuatan otot lengan menggunakan expanding dynamometer. Sedangkan analisis data pada penelitian ini menggunakan analisis uji beda (t-test). Berdasarkan data yang di peroleh dapat disimpulkan bahwa terjadi peningkatan yang lebih signifikan pada  kelompok eksperimen II dibandingkan dengan kelompok eksperimen I dan kontrol. Dan dapat disimpulkan dari penelitian ini adalah dari hasil pemberian pelatihan shoulder press memberikan hasil yang lebih efektif terhadap peningkatan power otot lengan dan kekuatan otot lengan pada mahasiswa jurusan Pendidikan Jasmani Kesehatan dan Rekreasi angkatan 2021/2022 STKIP Yapis Dompu.
Peran Ganda Istri Petani di Desa Kakiang Kecamatan Moyo Hilir Kabupaten Sumbawa
Authors: Supriadi Supriadi , Siswadi Imran , Rosdiansyah Irfan
Published: May 2023

Penelitian ini bertujuan untuk mendeskripsikan 1) bagaimana peranan istri petani di sector publik dalam meningkatkan pendapatan rumah tangga dan, 2) faktor penyebab istri petani berperan ganda. Penelitian ini menggunakan metode deskriptif kualitatif, dan metode pengambilan sampel yang digunakan dalam penelitian ini adalah Purposive Sampling dengan jumlah informan sebanyak 8 orang istri petani yang bekerja minimal 5-10 tahun atau terjun langsung di sector publik. Dan hasil penelitian menunjukkan bahwa 1) Peran Istri Petani di Sektor Publik Dalam Meningkatkan Pendapatan RumahTangga yaitu, bekerja sebagai pedagang, mereka membuka usaha warung, banyak juga yang menjadi buruh tani dan membantu suami dalam melakukan pekerjaan 2) Faktor Penyebab Istri Petani Melakukan Peran Ganda yaitu, pendapatan suami tidak mencukupi kebutuhan hidup sehari hari, ditambah dengan pengeluaran biaya sekolah anak, jumlah tanggungan dalam keluarga, lingkungan sekitar yang berupa lahan pertanian sehingga banyak tawaran kerja sebagai buruh tani dan pendidikan yang rendah tidak memiliki keterampilan yang memadai sehingga tidak ada peluang untuk kerja lainya.
Pengaruh Lingkungan Kerja dan Stres Kerja terhadap Turnover Intention Karyawan PT. BPR Arthaguna Mandiri
Authors: Nursalimah Dina , Oktafien Shinta
Published: May 2023

Penelitian ini bertujuan untuk mengetahui pengaruh lingkungan kerja dan stres kerja terhadap turnover intention PT. BPR Arthaguna Mandiri. Penelitian ini dilakukan terhadap karyawan PT. BPR Arthaguna Mandiri. Populasi pada penelitian ini adalah 191 karyawan perbulan Desember 2022 dengan sampel sebanyak 130 responden dengan menggunakan rumus slovin. Penelitian ini adalah penelitian kuantitatif. Data dalam penelitin ini diperoleh melalui wawancara dan kuesioner. Metode sampling dalam penelitian adalah simple random sampling. Pengujian hipotesis menggunakan software IBM SPSS windows versi 25. Hasil dari penelitian menunjukkan bahwa lingkungan kerja berpengaruh positif dan signifikan terhadap turnover intention karyawan PT. BPR Arthaguna Mandiri. Stres kerja berpengaruh positif dan signifikan terhadap turnover intention karyawan PT. BPR Arthaguna Mandiri. Lingkungan kerja dan stres kerja secara bersama sama berpengaruh positif dan signifikan terhadap turnover intention karyawan PT. BPR Arthaguna Mandiri. Lingkungan kerja yang baik mengarah pada fakta bahwa rekan kerja saling mendukung dalam melakukan pekerjaan yang ditugaskan kepadanya, sehingga selanjutnya lingkungan kerja yang kondusif menghasilkan kepuasan karyawan dan hasil kerja yang baik bagi perusahaan. Perusahaan perlu untuk memperhatikan faktor-faktor yang dapat menurunkan tingkat stres kerja sehingga karyawan yang menjadi aset bagi perusahaan dapat dikelola dengan baik dan tercapainya tujuan perusahaan yang telah ditetapkan.
Criminal Sanctions Against Narcotics Abuse for Himself Associated with Article 127 Law Number 35 of 2009 Concerning Narcotics
Authors: Hutabarat Anthoni , Widijowati Rr. Dijan
Published: May 2023

The purpose of this research is to analyze Criminal Sanctions Against Narcotics Abuse for Himself Associated with Article 127 Law Number 35 of 2009 Concerning Narcotics. The type of research used in this study is a type of normative legal research, namely viewing and analyzing from the point of view of laws and regulations that apply, especially those related to the problems in this study. The results of the research that the mistake of imposing prison sentences on narcotics abusers occurred since the enactment of Law Number 22 of 1997 concerning Narcotics until now has not changed, even though the Narcotics Law changed to Law Number 35 of 2009 concerning narcotics, explicitly stating the purpose of making the law is "guaranteeing drug abusers get rehabilitation efforts The guarantee of the Narcotics Law is contained in article 55 j.o article 128, namely abusers are required by law to carry out mandatory reporting of addicts to IPWL to obtain rehabilitation services and abusers related to the court are terminated or determined by a judge to receive a rehabilitation sentence. Rehabilitation services through compulsory reporting of addicts are in fact not implemented properly.
Feeding strategies to improve sow satiety in pen gestation housing
Authors: Wensley Madie , Tokach Mike , Woodworth Jason , Goodband Robert , DeRouchey Joel , Gebhardt Jordan
Published: May 2023

Feeding systems should focus on providing sows protection when eating and equal feeding opportunities to prevent competition. Sows should be allowed to consume their entire meal during a single visit to the feeder to minimize aggression at mealtime. Generally, 30% neutral detergent fiber has been recommended to increase satiety; however, soluble fiber on a gram per day basis may be more useful to determine optimal fiber source and inclusion levels to achieve sow satiety. When combining the limited data available, increasing soluble fiber above 100 g/d appears to have the greatest potential to improve satiety.
ANALYSIS OF YIELD AND FIBER QUALITY TRAITS IN INTRASPECIFIC AND INTERSPECIFIC HYBRIDS OF COTTON
Authors: MUMINOV K , AMANOV B , BURONOV A , TURSUNOVA N , UMIROVA L
Published: May 2023

The present study, comprising an evaluation of cotton amphidiploid hybrids and their families for yield and fiber quality traits, commenced from 2007 to 2022 at the Chirchik State Pedagogical University, Tashkent, Uzbekistan. The amphidiploid hybrids’ creation was through interspecific hybridization of Gossypium hirsutum subsp. euhirsutum cultivar Kelajak × F1 (G. arboreum subsp. perenne × G. arboreum subsp. obtusifolium var. indicum) and experimental polyploidy, with genetically enriched new genotypes obtained. According to genetic variability, a considerable variation showed based on F1–F6 populations belonging to various clusters for the traits boll weight (2.3–6.21 g), 1000-seed weight (67.3–125.529 g), fiber length (24.9–34.4125 mm), fiber yield (31.4%–40.26%), and fiber index (6.3–7.5875 g). Furthermore, among the F6 G. hirsutum subsp. euhirsutum cultivar Kelajak × F1 (G. arboreum subsp. perenne × G. arboreum subsp. obtusifolium var. indicum) combination families, the promising genotypes selected gave the highest trait values for boll weight (6.6 ± 0.13 g – Family- 41), 1000-seed weight (125.8 ± 3.48 g – Family-59), fiber yield (40.3% ± 0.65% – Family-59), fiber index (8.5 ± 0.23 g – Family-59), and fiber length (34.5 ± 0.16 mm – Family-8). Genotype evaluation using cluster analysis allows the prediction of cotton families with a better combination of traits. Introgressive hybrids created based on the early maturing families, viz., Family-5, Family-8, Family- 13, Family-14, Family-41, and Family-59, with high yields and fiber indices attained inclusion in the Cotton Gene Pool, Uzbekistan (Certificate of the Academy of Sciences of the Republic of Uzbekistan No. 4/1255-2635 dated November 26, 2020). The promising families selected based on their best performance included F5 (G. hirsutum L. × F1 [G. arboreum L. × G. arboreum L.], Family-5, Family-8, Family-13, Family-14, and Family-59) and F6 (G. hirsutum L. × F1 [G. arboreum L. × G. arboreum L.], Family-5, Family-13, and Family-59), with the said cotton gene pool as valuable recombinants benefiting future breeding programs.