bluuebunny/crossref_metadata_2025 huggingface dataset:
Analisis Tingkat Kepatuhan Konsumsi Tablet FE pada Ibu Hamil Trimester III di DAS
Authors: Rabiatunnisa Rabiatunnisa , Mujahadatuljannah Mujahadatuljannah
Published: October 2024

Kematian ibu diartikan sebagai kematian seorang wanita pada saat hamil, melahirkan, dan masa nifas. Kematian ibu dapat disebabkan oleh berbagai penyakit atau komplikasi selama periode tersebut. Berdasarkan data dari Maternal Perinatal Death Notification (MPDN), sistem pencatatan kematian ibu Kementerian Kesehatan, jumlah kematian ibu pada tahun 2022 mencapai 4.005 dan di tahun 2023 meningkat menjadi 4.129. Perdarahan merupakan salah satu penyebab kematian ibu akibat dari kurangnya konsentrasi hemoglobin selama masa kehamilan (Lubis et.al.,  2017). Dalam  rangka  penanggulangan  anemia, pemerintah telah membuat program  pemberian  tablet  Fe minimal 90 tablet selama kehamilan.Tujuan dari penelitian ini yaitu untuk menganalisis tingkat kepatuhan ibu hamil trimester III dalam mengkonsumsi tablet Fe. Metode penelitian korelasi dengan pendekatan cross- sectional. Sampel penelitian sebanyak 45 ibu hamil trimester III. Hasil penelitian didapatkan karakteristik ibu hamil trimester III sebagian besar berumur 20-35 tahun (67%), sebagian besar berpendidikan menengah (56%) dan pernah mendapatkan informasi (56%). Sebagian besar ibu berpengetahuan baik (64%), sikap menerima (67%), dukungan suami (35), patuh mengkonsumsi tablet Fe (71%). Hasil uji bivariat ibu hamil berpengetahuan baik dan patuh mengkonsumsi tablet Fe (78%) dengan nilai p-value 0,002, sikap menerima dan patuh mengkonsumsi tablet Fe (70%) dengan nilai p-value 0,000, mendapat dukungan suami dan patuh mengkonsumsi tablet Fe (77%) dengan nilai p-value 0,005.
Hubungan Sumber Air Bersih dengan Kejadian Diare pada Balita di Wilayah Kerja Puskesmas Pahandut Kota Palangka Raya
Authors: Handriani Winei , Triatmaja Dendy , Arsesiana Angga
Published: October 2024

Penyakit diare merupakan salah satu masalah kesehatan di Indonesia, hal ini disebabkan tingginya angka penyakit diare yang berujung pada kematian. Faktor lingkungan yang kurang mendukung dapat menyebabkan tingginya angka kejadian diare. Penelitian ini untuk mengetahui faktor lingkungan yang berhubungan dengan kejadian diare pada balita  di wilayah kerja puskesmas pahandut. Penelitian yang digunakan adalah Total Sampling. Desain penelitian ini mengunakan survey analitik dengan pendekatan Cross Sectional. Sampel penelitian sebanyak 53 orang ibu yang berkunjung ke Puskesmas Pahandut. Data penelitian ini di ambil dengan menggunakan kuesioner setelah di tabulasi data di analisis secara univariat dan analisis bivariat dengan menggunakan uji Chi-squere. Berdasarkan uji chi-square dengan sotfware SPSS 16, di peroleh hasil sumber air bersih dengan nilai p = 0,046 < = 0,05 dengan kejadian diare pada balita di Puskesmas Pahandut. Hasil penelitian ini menunjukkan bahwa balita yang menderita diare berhubungan dengan penggunaan air bersih yang tidak memenuhi syarat kesehatan.
Pengaruh Pendidikan Kesehatan dengan Metode Ceramah dan Media Audio Visual Terhadap Peningkatan Pengetahuan Cuci Tangan Pakai Sabun (CTPS) pada Siswa/i Kelas V di SDN 12 Langkai Kota Palangka Raya
Authors: Septriana Natalia , Frisilia Melisa , Ovany Riska
Published: October 2024

Anak usia sekolah memiliki pergaulan yang sangat luas baik itu dilingkungan bermain dan sekolah, sehingga perlu diperhatikan kebersihan diri salah satunya menjaga kebersihan tangan dengan cara mencuci tangan dengan baik dan benar, akan tetapi tidak banyak anak-anak yang mengetahui cara cuci tangan yang baik dan benar sehingga perlu untuk diperhatikan. Cuci Tangan Pakai Sabun (CTPS) adalah upaya pencegahan penyakit karena tangan dapat menjadi agen pembawa kuman dari individu ke individu lain, baik itu kontak langsung maupun tidak langsung. Pengetahuan memiliki peran penting bagi seseorang untuk meningkatkan pengetahuan salah satunya adalah dengan pemberian pendidikan kesehatan upaya dalam meningkatkan pengetahuan mengenai Cuci Tangan Pakai Sabun (CTPS). Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian pendidikan kesehatan tentang Cuci Tangan Pakai Sabun (CTPS) dengan metode ceramah dan media audio visual terhadap peningkatan pengetahuan siswa/i. Penelitian ini menggunakan pre-experimental design dengan jenis penelitian yaitu one group pretest-posttest. Sampel pada penelitian ini berjumlah 70 responden yaitu siswa/i kelas V di SDN 12 Langkai Palangka Raya. Teknik pengambilan sampel menggunakan Total Sampling. Analisis data menggunakan uji Paired sample t-test. Hasil uji Paired sample t-test (p value = 0,000 atau p<0,05), yaitu artinya terdapat pengaruh yang signifikan pada pemberian pendidikan kesehatan tentang Cuci Tangan Pakai Sabun (CTPS) dengan metode ceramah dan media audio visual terhadap peningkatan pengetahuan siswa/i kelas V di SDN 12 Langkai Palangka Raya. Kesimpulan pada penelitian ini adalah pendidikan kesehatan dengan metode ceramah dan menggunakan media audio visual terbukti efektif dalam menyampaikan informasi pada anak usia sekolah. Saran yang diberikan yaitu untuk melakukan pendidikan kesehatan secara rutin dengan berkerjasama dengan fasilitas kesehatan terkait pemberian pendidikan kesehatan tentang Cuci Tangan Pakai Sabun (CTPS) guna meningkatkan pengetahuan siswa/i mengenai pentingnya cuci tangan yang baik dan benar.
Komparasi Pengelolaan Sampah TPST Kartoharjo dan TPS 3R Payaman Terhadap Pengurangan Timbulan Sampah Kecamatan Nganjuk
Authors: Ingtyas Awang Pambagya Manggar , Mirwan Mohammad
Published: October 2024

The rapid economic growth correlated with population growth has resulted in increased activities and consumption by society, which in turn increases waste production. If waste continues to accumulate, it will certainly pollute the surrounding environment. In waste management in Nganjuk Regency, especially in the Nganjuk District area, there are TPST Kartoharjo and TPS 3R Payaman which manage waste with different systems. Waste generation in Nganjuk District is 2,577.73 tons per year. TPST Kartoharjo can process waste up to 97.20% while TPS 3R Payaman is 70.32%.
Analisis Dinding Penahan Tanah Tebing Sei Seruyan Desa Pembuang Hulu Kecamatan Hanau
Authors: Indriani Lilis
Published: October 2024

River buffers are an important part of a road network system because they have a significant effect if the river collapses or if it does not function properly. Because riverbanks are structures that cross roads and other traffic, the collapse of riverbanks will reduce or withstand traffic and also cause buildings that stand alongside eroded rivers and landslides, which in turn will disrupt the comfort of community traffic and live and disturb economic relations. So it is very important to calculate the structure of the cliff building in Pembuang Hulu Village, Hanau District, so that it does not endanger the road users and community comfort activities. This study uses secondary data collection methods, then calculated in three models of variations in the condition of the retaining wall to obtain stability and structural analysis which can then calculate the value of bolster safety and sliding safety in buildings. Based on the calculation results obtained as follows, the capacity value of the soil behind the building of the retaining wall is qa = qu / 3 = 17.933 t/m^2 where the safety factor = 3.00 is normal qae = qu / 2 = 26,900 t/m^2 where the safety factor = 2.00 earthquake conditions. The value of stability and analysis of the structure of the retaining wall against rolling is Fg = 3.027>1.5, the shear is Fs = 1.587> 25.25 and foundation reinforcement 221.5 and the minimum stress value of qmin = 3.8006 tons/m² and the maximum stress value of qmax = 9.6454 tons/m² . The reinforcement design of the walls and the foundation of the soil retaining building to be safe against landslides is to reinforce 1925 the walls using 2225. guide
Assessment of Teachers’ Job Commitment in Public Senior Secondary Schools in Sokoto State, Nigeria
Authors: Usman Hamza Abubakar , Akinnubi Olaolu Paul , Ayoku Oba Baba
Published: October 2024

This study aimed to assess teachers' job commitment in public senior secondary schools in Sokoto State, Nigeria. A descriptive survey was conducted with 183 school principals from 447 schools. The researcher's instrument titled Assessment of Teachers' Job Commitment Questionnaire (ATJCQ) was used to collect data. Descriptive statistics was used to analyze the data collected for this study. The study reveals that teachers' job commitment in public senior secondary schools in Sokoto State, Nigeria is moderate. The average mean is 2.97 on the appropriate use of instructional materials, 2.99 on punctuality, and 2.83 on classroom management. Dimensions used have influenced the job commitment of teachers in public senior secondary schools in Sokoto State, Nigeria. It is recommended that teachers ensure appropriate instructional materials are used when teaching students to improve their participation in the teaching and learning process.
Program Sekolah Moderasi Sebagai Upaya Menciptakan Kerukunan antar Umat Beragama (Studi pada Forum Kerukunan Umat Beragama Kalimantan Tengah)
Authors: Daryana Daryana , Darlan Saifullah , Mistrita Mistrita
Published: October 2024

Penelitian ini bertujuan untuk mendeskripsikan pelaksanaan program Sekolah Moderasi dalam menciptakan kerukunan antar umat beragama yang beragam etnis dan agama di Kalimantan Tengah. Penelitian dilaksanakan menggunakan metode kualitaif, informannya terdiri pengurus Forum Kerukunan Umat beragama Kalimantan Tengah dan masyarakat yang mengikuti sekolah moderasi. Pemilihan informan dilakukan dengan teknik purposive sampling, dengan teknik pengumpulan data melalui observasi, wawancara, dan dokumentasi. Analisis data dilakukan mulai dari pengumpulan data, kondensasi data, display data, verifikasi, dan kesimpulan. Hasil penelitian bahwa: (1). Pelaksanaan program Sekolah Moderasi Forum Komunikasi Umat Beragama Kalimantan Tengah telah dilaksanakan dengan baik karena didukung pemateri yang kompeten, materi yang relevan, dan media pembelajaran yang efektif, walaupun dari segi alat evaluasi masih perlu dikembangkan; (2). Terdapat kendala dalam pelaksanaan program Sekolah Moderasi seperti kecilnya dana untuk penyelenggaraan, belum adanya kurikulum secara permanen, dan kurangnya buku-buku pendukung.
Tata Kelola Kolaboratif Dalam Kelembagaan Penanganan Konflik Sosial antar Organisasi Kemasyarakatan
Authors: Rozikin Mochammad
Published: October 2024

Kapasitas kelembagaan saat ini mengalami perkembangan. Secara struktural kapasitas ini terbagi atas potensi, daya dukung dan daya tampung, sedangkan secara fungsional sumber daya yang dimiliki dapat dikonversikan menjadi kapasitas yang mampu mengatasi suatu permasalahan. Maraknya fenomena konflik antar Organisasi Kemasyarakatan (Ormas) menuntut institusi penegakan hukum mempunyai kapasitas yang mampu mengatasi persoalan tersebut serta pentingnya pelaksanaan diselenggarakan secara kolaboratif guna terwujudnya ketahanan nasional. Penulis melakukan literatur review kepada penelitian dengan bahasan terkait Ormas, penegakan hukum, dan peran institusi penegak hukum secara meta-analisis. Hasil akhir menunjukkan bahwa keseluruhan kajian tidak mengkaji tentang kemampuan kapasitas secara detail, terutama pada potensi, daya dukung dan daya tampung institusional. Temuan lain menunjukkan bahwa penelitian ini masih jarang dilakukan mengingat keterbatasan dan fokus permasalahan, pendekatan teoritis yang digunakan, serta urgensi terhadap pentingnya tata kelola kolaboratif di dalam kelembagaan. Hal ini menjadi celah dilakukannya penelitian lanjutan yang berbeda, di mana penelitian terdahulu yang ada belum secara spesifik membahas tema ini
Membangun Kapasitas Tata Kelola Pengawasan Ketenagakerjaan Bidang Keselamatan dan Kesehatan Kerja (K3)
Authors: Rozikin Mochammad
Published: October 2024

The issue of implementing national K3 labor inspection includes two main aspects, namely governance and capacity building. The two main issues relate to weak awareness of the importance of implementing OSHMS in the workplace, weak understanding of K3 as part of human rights, weak criminal sanctions related to K3, relatively low coverage of K3 supervision, overlapping technical K3 regulations between institutions, weak quality, quantity and competence of K3, as well as the lack of synergy and integration of the operational supervision system between the central and regional governments. The author analyzes empirical data and reviews previous research using a systematic flow prism framework, and juxtaposes it with the fundamental theoretical concepts of governance, capacity building and labor inspection. The results of the analysis produce a hypothetical framework for building capacity for labor inspection governance in the K3 sector. This requires strategic intervention in human resource capacity, organizations and institutions, as well as governance that needs to be jointly constructed on the basis of an agreement on the principle of joint involvement. So, during the management and implementation process, each stakeholder/actor can be adaptive, the system and implementation of supervision can be more effective and efficient, where continuity and feedback from the accumulated process can reduce the impact and influence of uncertainty and the dynamics of a dynamic workforce environment.
Analisis Bibliometrik Menggunakan Vosviewer Terhadap Trend Digital Forensik Pada Saat Pemilu Indonesia
Authors: Surya Rizky Andhika , Ridho Faizin , Yuwono Doddy Teguh
Published: October 2024

Digital forensik memainkan peran penting dalam memastikan keamanan dan integritas proses pemilu, terutama di Indonesia, yang menghadapi berbagai ancaman siber. Penelitian ini bertujuan untuk menganalisis tren penelitian di bidang digital forensik terkait pemilu di Indonesia melalui analisis bibliometrik. Data dikumpulkan dari basis data Scopus dan Web of Science untuk periode 2021-2024, dan dianalisis menggunakan perangkat lunak VOSviewer. Hasilnya menunjukkan bahwa topik seperti keamanan siber, integritas data, dan kecurangan pemilu mendominasi penelitian. Ada juga peningkatan kolaborasi antarpeneliti, baik di dalam maupun di luar negeri. Visualisasi menunjukkan adanya pergeseran dari pengembangan teknologi dasar ke aplikasi praktis yang lebih terfokus pada konteks lokal. Penelitian ini menyimpulkan bahwa untuk meningkatkan kapasitas dan efektivitas digital forensik dalam pemilu, diperlukan kolaborasi yang lebih erat dan peningkatan infrastruktur digital.
KEARIFAN LOKAL PROSESI PERNIKAHAN DALAM KEBUDAYAAN DESA PUSAR KECAMATAN BATURAJA KABUPATEN OGAN KOMERING ULU
Authors: Afriany Deany
Published: October 2024

The wedding procession ceremony in the culture of the Navel village is one of the cultural products. Currently, the ceremony is still taking place in the village and is carried out by the people of West Baturaja District in the village of Pusar as one of the socio-cultural aspects. This study aims to (1) describe the wedding ceremony of the village of Pusar and, (2) analyze the local wisdom contained in the wedding ceremony of the village of Pusar. This study uses a qualitative descriptive method. With the research subject, namely OKU Regency in the village of Navel. The problem of this study is the symbolic meaning in the wedding procession with the sacrifice, the slaughter of black goats in the village of Pusar, West Baturaja sub-district. From the results of the study, it can be concluded that the culture of marriage processions with sacrifices, the slaughter of scapegoats was started and created from an idea, an idea that is meaningful and has its own meaning for the people of the Baturaja sub-district, especially in Pusar Village.
PENGARUH KEPEMIMPINAN KEPALA SEKOLAH DAN PERILAKU INOVATIF GURU TERHADAP KINERHA GURU BERSERTIFIKAT PENDIDIK (STUDI PADA SEKOLAH MENENGAH PERTAMA DI KABUPATEN KOTAWARINGIN TIMUR)
Authors: Muhajir Muhammad Ikram
Published: October 2024

Analysis of the Influence of Principal Leadership and Innovative Behavior on the Performance of Certified Educator Teachers (Study at Junior High Schools in East Kotawaringin Regency).This research studies the leadership style of school principals and the innovative behavior of teachers with the aim of determining their influence on teacher performance. The research method was carried out by testing primary data using PLS-SEM tools with a total of 100 respondents spread across East Kotawaringin Regency. The data analysis technique in this research is descriptive statistics and PLS-SEM inner and outer model testing.The results of this research show that the principal's leadership has a p-value of 0.02, which means that leadership has a positive and significant effect on teacher performance. Innovative behavior has a p-value of 0.01, which means innovative behavior has a positive and significant effect on teacher performance. The low R2 value of 14.7% in the research is expected to be able to be tested with other variables outside the research.
ANALISIS PENGARUH DIMENSI KUALITAS PELAYANAN TERHADAP KEPUASAN MASYARAKAT DI KECAMATAN PAHANDUT KOTA PALANGKARAYA DENGAN FOKUS LAYANAN PEMBUATAN SURAT PERNYATAAN PENGUASAAN TANAH (SPPT)
Authors: Maretiana Sab
Published: October 2024

Penelitian mempelajari dimensi kualitas pelayanan dan kepuasan masyarakat, dengan tujuan untuk mengetahui pengaruh bukti fisik, keandalan, daya tanggap, jaminan, empati terhadap kepuasan pelayanan masyarakat. Metode penelitian dilakukan dengan pengujian data primer menggunakan alat PLS-SEM dengan jumlah responden sebanyak 70 orang yang tersebar di Kecamatan Pahandut Kota Palangka Raya. Teknik analisis data dalam penelitian ini adalah statistik deskriptif dan pengujian inner and outer model PLS-SEM. Hasil penelitian menunjukkan bahwa bukti fisik dan keandalan berpengaruh negatif dan tidak signifikan terhadap kepuasan masyarakat, daya tanggap berpengaruh positif dan tidak signifikan terhadap kepuasan masyarakat, jaminan dan empati berpengaruh positif dan signifikan terhadap kepuasan masyarakat.
KOMUNIKASI NONVERBAL PADA TARI MANDAU SUKU DAYAK KALIMANTAN TENGAH
Authors: Arzeti Adelia , Aquarini Aquarini , Rahman Sirojul
Published: October 2024

Abstract
The purpose of the study of Nonverbal Communication in Mandau Dance of the Dayak tribe of Central Kalimantan is to understand non-verbal communication in Mandau dance of the Dayak tribe of Central Kalimantan seen from the Lasswell communication model and to find out students' understanding of non-verbal messages in Mandau dance of the Dayak tribe of Central Kalimantan. The research approach used is qualitative research with the type of phenomenology. The research instruments used interviews and documentation. The interview instrument used Laswell's communication theory. The analysis was carried out by a) procedure stage; b) Horizonalisation procedure; and c) Cluster of Meaning procedure (textural description, structural description, essence description stage; and report. The data validity test in this study was carried out by testing credibility, transferability, dependability, and confirmability. Based on the results of the research, non-verbal communication in the Mandau dance of the Dayak tribe of Central Kalimantan is seen from the Lasswell communication model. Laswell's communication aspects: (a) Who: dancers; (b) Says What: conveys messages of spirituality, courage, or balance; (c) Through What Channel (In What Channel): in mandua dance; (d) To Whom: mandau dance audience; and (e) With What Effect: allows the audience to absorb and reflect on the messages conveyed and apply an attitude of courage and perseverance. Students' understanding of non-verbal messages in the Mandau dance of the Central Kalimantan Dayak tribe is very good because students understand that the mandau dance is not just a beautiful movement. However, there is a moral message in it.
Conceptual Study of Ethical, Legal and Professional Considerations in Counseling Assessment
Authors: Harahap Jumli Sabrial , Erlindawati Erlindawati , Fitriani Wahidah
Published: October 2024

Aim: This research aims to find out and reveal ethical, legal and professional considerations in assessments. Method: The method used in writing this article is a literature review.  Data collection techniques by analyzing the results of previous research journals. Data analysis uses qualitative descriptive techniques. Result and Disscusions: The results of this research reveal that ethical, legal and professional considerations in counseling assessments are very important. Conclusion: Counselors must maintain client confidentiality, provide clear information, and obtain written consent. Counselors are required to comply with laws regarding data privacy and client rights, and use valid and reliable assessment tools with appropriate competence. Ensure safe, fair and beneficial services for clients.
Parental Involvement and Home Background as Determinants of Students' Interest in Islamic Studies in Oyo North, Oyo State, Nigeria
Authors: Sanusi Ramat Abidemi , Owoyale-Abdulganiy Ibrahim Solahudeen
Published: October 2024

The study aimed to examine the relationship between parental involvement and students' moral decadence among 1,400 SSS 2 Islamic Studies students in 9 Local Government Areas in Oyo North. Inadequate parental involvement and poor home backgrounds have been reported as factors responsible for moral decadence among youths. The study examined parental involvement and home background as determinants of moral decadence among senior secondary school students in Oyo North of Oyo state. Specifically, the study seeks to: examine parental involvement as a determinant of moral decadence among students in Oyo North of Oyo State. Two research questions with corresponding hypotheses were tested at a 0.05 level of significance. A descriptive research design of correlation was used.  A structured questionnaire was used to collect data while the research hypotheses were analyzed using Pearson Product Moment Correlation Coefficient and Multiple Regression Analysis. The paper showed that there is a significant relationship between parental home background and students’ moral decadence (Chi. 127.55; p.<0.05). The study found that high parental involvement significantly reduces moral decadence among students in Oyo North, Oyo State. It also found that a good parental home background decreases this phenomenon. The study recommends parents improve their involvement in moral teaching, monitor their children's friends, communicate frequently, and serve as role models. It also suggests that parents should maintain a stable household and limit the number of children they can train properly to prevent moral decadence. This approach could help reduce or prevent moral decadence among students in Oyo North.
Cyber-Securing Medical Devices Using Machine Learning: A Case Study of Pacemaker
Authors: Jimoh Suliat Toyosi , Al-Juboori Shaymaa S
Published: October 2024

This study aims to enhance the cybersecurity framework of pacemaker devices by identifying vulnerabilities and recommending effective strategies. The objectives are to pinpoint cybersecurity weaknesses, utilize machine learning to predict security breaches, and propose countermeasures based on analytical trends. The literature review highlights the transformation of pacemaker technology from basic, fixed-rate devices to sophisticated systems with wireless capabilities, which, while improving patient care, also introduce significant cybersecurity risks. These risks include unauthorized entry, data breaches, and life-threatening device malfunctions. The methodology in this study utilizes a quantitative research approach using the WUSTL-EHMS-2020 dataset, which includes network traffic features, patients' biometric features, and attack label. The step-by-step method of machine learning prediction includes data collection, data preprocessing, feature engineering, and models’ training using Support Vector Machines (SVM) and Gradient Boosting Machines (GBM). The implementation results used evaluation metrics like accuracy, precision, recall, and F1 score to show that GBM model outperformed the SVM model. The GBM model achieved higher accuracy of 95.1% compared to 92.5% for SVM, greater precision of 99.6% compared to 96.7% for SVM, better recall of 94.9% compared to 42.7% for SVM, and a higher F1 score of 76.3% compared to 59.0% for SVM, making GBM model more effective in predicting cybersecurity threats. This study concludes that GBM is an effective machine learning model for enhancing pacemaker cybersecurity by analyzing network traffic and biometric data patterns. Future recommendations for improving the pacemaker cybersecurity include implementing GBM model for threat predictions, integration with existing security measures, and regular model updates and retraining.
Conditional Deployable Biometrics: Matching Periocular and Face in Various Settings
Authors: Kim Jihyeon , Ng Tiong-Sik , Teoh Andrew Beng Jin
Published: October 2024

In this paper, we introduce the concept of Conditional Deployable Biometrics (CDB), designed to deliver consistent performance across various biometric matching scenarios, including intra-modal, multimodal, and cross-modal applications. The CDB framework provides a versatile and deployable biometric authentication system that ensures reliable matching regardless of the biometric modality being used. To realize this framework, we have developed CDB-Net, a specialized deep neural network tailored for handling both periocular and face biometric modalities. CDB-Net is engineered to handle the unique challenges associated with these different modalities while maintaining high accuracy and robustness. Our extensive experimentation with CDB-Net across five diverse and challenging in-the-wild datasets illustrates its effectiveness in adhering to the CDB paradigm. These datasets encompass a wide range of real-world conditions, further validating the model’s capability to manage variations and complexities inherent in biometric data. The results confirm that CDB-Net not only meets but exceeds expectations in terms of performance, demonstrating its potential for practical deployment in various biometric authentication scenarios.
Pi Class – A Revolutionary Step Forward in Hybrid Class Management System
Authors: Hassan Qasim , Faisal Nabiha , Zaveri Ayesha Anees
Published: October 2024

The COVID-19 pandemic has caused widespread disruptions globally, resulting in a state of health emergency with numerous deaths reported and an overall implementation of quarantine and isolation. Strict lockdowns have been implemented to curb the spread of the virus, requiring social distancing and limiting physical interactions. These measures had far-reaching impacts on all aspects of life, including education. Education was one of the most affected sectors, with difficulty delivering quality education in schools, colleges, and universities. It was hard to provide quality education, a basic need of humanity. In this research paper, we propose an adequate solution to overcome the difficulties of maintaining educational quality during and after the COVID-19 pandemic and its multiple variants. The proposed solution is a hybrid model for an autonomous lecture recording system that facilitates students to attend physical classes and attend lectures virtually. The solution proposed is a cost-effective and convenient way for students to access lectures. The application involves hardware and software components that record and preserve lectures' audio and visual aspects. The system will allow lectures to be delivered directly to the students' devices. The major modules of the project include Python scripting, model training, UI/UX design, and app development.
GIG ECONOMY – FLEXIBLE COOPERATION OR A FORM OF PRECARIZATION?
Authors: Zelma Emil
Published: October 2024

The aim of the article is to analyse the gig economy in terms of the risk of precarisation. The considerations are based on literature review and own research (online survey of a group of 198 freelancers and 182 employees). The author of the article tries to get to know their perspective on financial stability and attitudes towards the risk of precarisation. The final conclusions allow us to assess the extent to which the respondents – freelancers – feel the stability and prospects of their work. For comparison, the same study was also conducted among full-time employees – enabling a comparison of the attitudes and feelings of both groups. The final conclusions provide guidance for managers and employees/gigs. Empirical research was preceded by theoretical considerations.
The limitations of the study result from the inherent weaknesses of survey research (respondents may provide subjective or inaccurate statements).
Obstetric Outcome and its Relationship with Mode of Delivery in Preterm Labour- A Study of 86 Patients in Combined Military Hospital, Dhaka
Authors: Asma Umme Habiba , Juty Sabikun Nahar , Snigdha Rezwana Sharmin
Published: October 2024

Background: Caesarean section in preterm pregnancy may add further pressure to the already existing poorly developed facilities for intensive perinatal care in low resource countries. The objective of the study was to determine the feto-maternal outcome and its relationship with mode of delivery in preterm labour.
Methods: This was a descriptive type of cross-sectional study conducted at Department of Obstetrics and Gynecology, Combined Military Hospital (CMH), Dhaka, during March to August 20l8. The study population was total eighty-six patients having 28 to 36 weeks of gestation who were admitted in the above department and were in labour. Data were edited and analyzed by using computer-based software, statistical package for social sciences (SPSS) version 20.0.
Results: Majority of the patients belonged to 26-30 years age group and were from low socioeconomic family (71.4 to 72.7) % and had below average nutritional status (88.1 to 93.2) %. The mean gestational age was 31 weeks and 35 weeks. Nulliparous (77.3 to 85.7) % and patients taking irregular antenatal check-up (69.0 to 72.8) % were predominant. About (59.1 to 66.7) % patients had vaginal delivery and (33.3 to 40.9) % patients had undergone caesarean section. Maternal morbidity was more in caesarean section (37.5%) than vaginal delivery (33.3%). Live birth babies were found 100% in caesarean section and 94.4% in vaginal delivery and among them 95.7% were from group I and 97.6% were from group ll. Perinatal mortality was higher in vaginal delivery than caesarean section (7.40% vs 2.7%) and also higher in group I than group ll (8.3% vs 2.3%). But late perinatal complications were more in caesarean section (47.2%) than vaginal delivery (45.1%) baby, and majority (60%) of them were from group l.
 Conclusion: Preterm pregnancy when leads to an early delivery, brings a grave consequence for both the mother and foetus. After birth, the premature newborn is at risk for complications related to incomplete development of its organ system. Caesarean section delivery in preterm labour improves foetal outcome to some extent, but not significantly, and leads the mother to more maternal morbidity. Perinatal mortality and morbidity is also inversely related to the gestational age at the time of delivery, in preterm labour - more the gestational age, less the perinatal mortality and morbidity.
Bangladesh Armed Forces Med J Vol 57 No (1) June 2024, pp 43-49
The Resurgence of the Russell’s Viper in Bangladesh: A Significant Threat to Public Health
Authors: Islam Shafiqul
Published: October 2024

Abstract not Available 
Bangladesh Armed Forces Med J Vol 57 No (1) June 2024, pp i-iv
A Case of Abdominal Discomfort for Long Duration
Authors: Islam Ariful , Bashar Jinan , Zaman Anandita
Published: October 2024

In our regular medical practice, we encounter a lot of patients with abdominal discomfort. Commonly every physician suspects this kind of symptoms as gaseous distension of gastro-intestinal tract or acidity. The most valuable thing is the proper physical examination to rule out any underlying pathology. Most common causes of epigastric pain are associated with gastritis, or hepatobiliary system and pancreas related disorders. Here we will describe a 47-year-old male patient who presented with abdominal discomfort for last 6 months. For last 2 months he developed an epigastric lump which was increasing in size and was associated with weight loss. After proper clinical evaluation and necessary relevant investigations, he was diagnosed having Non-Hodgkin’s Lymphoma (NHL). Non-Hodgkins Lymphoma represents monoclonal proliferation of lymphoid cells. The incidence of these tumors increases with age. Clinically the proliferation rate indicates whether it is a high- or low-grade tumor. The patient underwent some investigations like CT guided FNAC from the enlarged abdominal lymph node which confirmed high grade Non-Hodgkins Lymphoma and started with chemotherapy and responded well.
As abdominal discomfort is one of the common complaints, we face during our regular medical practice so routine physical examination including abdominal examination is very crucial and informative for clinical diagnosis and Lymphoma is an important differential diagnosis in case of any abdominal lump.
Bangladesh Crit Care J September 2024; 12 (2): 175-178
Renal Replacement in the Critically ill with Acute Kidney Injury: When and How to Initiate Therapy
Authors: Natasha Susmita Hossain , Faruq Mohammad Omar
Published: October 2024

Although Acute Kidney Injury (AKI) is a common complication in the critically ill, there is still no specific therapy. Similarly the diagnosis of AKI, while regulated by specific criteria, is not free from pitfalls. Newer biomarkers are also being added in the diagnostic panel that helps in identifying the stage, severity and underlying cause of this condition. When preventive and supportive management fails, Renal Replacement Therapy (RRT) becomes necessary. RRT is one of the most invasive management procedures and it is associated with many complications. Hence the time of onset and the modality of choice are two of the most puzzling aspects of this procedure. Over the last decade and a half, a lot of RCTs, observational studies and meta analyses have been carried to find the exact answer to these questions. While all the answers are not yet simplified, we have specific guiding parameters now as to the choice of modality and onset of dialysis for AKI. There is still need for further research for more specific answers to these age old questions.
Bangladesh Crit Care J September 2024; 12 (2): 153-159
Clinico-Epidemiological Profile and Outcome of Acute Poisoning Patients admitted to Intensive Care Unit in A Tertiary Level Private Hospital in Bangladesh
Authors: Rahman A K M Ferdous , Nasif Zubaer Wasit , Kafi Saifullah Al , Sultana Sabrina , Islam Md Foyjul
Published: October 2024

Background: Acute poisoning is a prevalent health issue necessitating Intensive Care Unit (ICU) admission in developing countries. This study evaluates the socio-demographic characteristics, clinical parameters, and outcomes of acute poisoning patients admitted to the ICU in a tertiary level private hospital in Bangladesh.
Method: This retrospective cohort study was conducted at tertiary care private hospital in Narayanganj, Bangladesh. Data was collected from ICU medical records from January 2023 to April 2024, enrolling a total of 57 patients aged 18 years or more who presented with acute poisoning. Data analysis was performed using Stata (Statistical Software for Data Science) 17.0(p < 0.05)
Results: Out of 57 patients, 52.63% were females, with mean age of 27.84 years. Suicidal intent accounted for 84.21% of cases, and the primary reasons for poisoning included marital (61.40%) and familial disharmony (15.79%). The predominant type of poisoning was due to sedatives (17.54%) followed by aluminium phosphide (14.04%), and stupefying agents (14.04%). Aluminium phosphide poisoning had a 100% fatality rate, while sedatives and several other agents had 100% recovery rate. Statistical analysis showed a significant association between the type of poison and the final outcome (χ2(15) = 38.7996, p = 0.001).
Conclusion: The study highlights the prevalence of intentional poisoning among young adults, especially females, with sedatives, aluminium phosphide, and stupefying agents being the most common. The high mortality rate from aluminium phosphide underscores the need for strict regulations and public awareness to control access to these substances.
Bangladesh Crit Care J September 2024; 12 (2): 89-95
Spot Urine Sodium to Potassium Ratio as a Tool to Assess Severity and Mortality among Patients with Decompensated Cirrhosis having Ascites
Authors: Islam Safikul , Azam Mohammad Golam , Mustafa Md Abu Sayeed , Sajjad Sarker Mohammed , Indrajit Kumar Datta  , Rowshon A H M , Mahmud Arif
Published: October 2024

Background: Decompensated cirrhosis of liver is considered as a systemic disease affecting the functions of several other organs. Renal function is an independent prognostic factor for patients with decompensated cirrhosis, but assessing renal function through glomerular filtration rate are not convenient, especially for routine use. Previous study found that spot urinary sodium to potassium ratio (UNa/K) was associated with renal dysfunction which influences the severity and outcome in decompensated cirrhosis of liver patients having ascites.
Aims and objectives: The present study was aimed to determine the relation of the ratio of sodium to potassium in randomly collected urine samples with severity of disease and mortality in decompensated cirrhosis having ascites.
Materials and Methods: This longitudinal study was conducted at the Department of Gastrointestinal, Hepatobiliary and Pancreatic Disorders, BIRDEM General Hospital, Shahbagh, Dhaka, Bangladesh, from July, 2019 to August, 202l. A total of 150 patients with a confirmed diagnosis of decompensated cirrhosis with ascites were enrolled in this study. A detailed history and thorough clinical examination were carried out in each patient, along with relevant investigations. Data collection was done through a structured questionnaire. Data were analyzed using the statistical software SPSS 23.
Results: Age of the patients was 59.0±12.91 (mean±SD) years, male predominance was observed (52%). The UNa/K ratio was 4.24±3.25 (mean±SD) with a range of 0.42 to 18.46. Diagnostic accuracy of UNa/K ratio in the detection of severity and mortality was estimated by the receiver operating characteristic (ROC) curve. The AUC of UNa/K ratio was 0.608 and 0.640 for severity and mortality respectively. Sensitivity, specificity, PPV and NPV at cut-off  2.55 were 50.0, 66.0, 42.4 and 72.5; at 2.65 were 54.0, 66.0, 44.3, and 74.2; at 2.87 were 58.0, 62.0, 43.3, and 74.7; at 3.21 were 58.0, 58.0, 40.8, and 73.4 respectively for severity score (MELD). Patients with UNa+/K+ less than 2.87 or equal, had a significantly higher MELD score category (p= 0.02).  At 3 months follow-up, 24.7% mortality was observed. Sensitivity, specificity, PPV and NPV at cut-off 1.62 were 51.4, 85.8, 54.3 and 84.3; at 1.79 were 54.1, 79.7, 46.5 and 84.1; at 1.83 were 59.5, 77.0, 45.8 and 85.3; at 2.87 were 58.0, 62.0, 43.3, and 74.7 respectively for mortality. The UNa/K ratio was statistically low among the patients who didn’t survive (p<.05).
Conclusion: This study revealed that decreased ratio of spot urinary sodium to potassium was associated with the severity and mortality among decompensated cirrhosis of liver patients with ascites.
Bangladesh Crit Care J September 2024; 12 (2): 118-124
Outcome of Targeted Driving Pressure Mechanical Ventilation in ARDS patients
Authors: Rahman Md Shamimur , Kafi Saifullah Al , Hossain Md Mozaffer , Rahman AKM Ferdous , Islam Md Motiul , Shahin ur Hayat Syed Muhammad
Published: October 2024

Background: Lung protective strategy in acute respiratory distress syndrome (ARDS) patients is based on low tidal volume (VT), lower end-inspiratory (plateau) pressure and higher positive end-expiratory pressure (PEEP). But to predict body weight adjusted tidal volume, heterogeneous pathology of the lung in ARDS with different respiratory system compliance (CRS) is not considered. In driving pressure (ΔP=VT / CRS) tidal volume (VT) is normalized to functional lung size. It is unclear whether mechanical ventilation targeting driving pressure (ΔP) is more effective than low tidal volume ventilation (LTVV) in patients with ARDS.
Materials and Methods: An open labelled randomized controlled trial was conducted at Intensive Care Unit of Dhaka Medical College Hospital, a tertiary care referral hospital over 12 months from March 2021 to February 2022. Ninety two patients with ARDS, defined by the Berlin criteria, requiring mechanical ventilation were randomized to 1:1 ratio after enrollment in the study using simple random sampling, one group receiving targeted driving pressure (ΔP) that is </=14cm of H2O ventilation another group receiving low tidal volume ventilation (LTVV) that is 4-6ml/kg PBW.
Results: The study found no significant differences between the two groups in terms of clinical variables and laboratory parameters (p > 0.05), except for the duration of mechanical ventilation (MV), which was significantly shorter in the Targeted ΔP group (p<0.05). Aspiration pneumonia was the most common cause of ARDS, occurring in 34.8% of the Targeted ΔP group and 39.1% of the LTVV group. The Targeted ΔP group demonstrated a significant increase in mean respiratory system compliance compared to the LTVV group (p<0.001), and a significantly shorter length of ICU stay (p <0.001). Additionally, the PaO2/FiO2 ratio was significantly higher in the Targeted ΔP group on Days 3, 5, and 7 (p<0.05). Mean exhaled tidal volume was also significantly higher in the Targeted ΔP group on these days (p<0.05). In the Targeted ΔP group, mean driving pressure significantly decreased on Days 3, 5, and 7 (p <0.001), along with a significant reduction in mean plateau pressure (PPlt) (p <0.001). Mean positive end-expiratory pressure (PEEP) significantly decreased on Days 3, 5, and 7 (p <0.001). Respiratory rate significantly decreased on Day 7 (p <0.05). Mean set tidal volume (VT) significantly increased on Days 3, 5, and 7 (p <0.001). Moreover, the 28-day mortality incidence was significantly lower in the Targeted ΔP group compared to the LTVV group (8.7% vs. 26.1%, p <0.05).
Conclusion: Targeted Driving pressure (ΔP) guided ventilation offers significant clinical benefits over LTVV in managing ARDS patients in terms of increased respiratory system compliance (CRS), shorter lengths of hospital and ICU stays, and lower in-hospital mortality.
Bangladesh Crit Care J September 2024; 12 (2): 81-88
Evaluation of the Safety and Effectiveness of Ultrasound-guided Internal Jugular Vein Catheterization in Critically Ill Patients
Authors: Sultana Rumana , Khan Moffijul Haque , Morshed Md Mahabub , Asrafuzzaman Mohammad
Published: October 2024

Background:Central venous catheterization is a frequently performed procedure in intensive care units (ICU) for diagnostic and therapeutic purpose. As an invasive procedure it carries some risk and should be performed with few attempts. Traditionally this procedure is performed blindly by considering body surface landmark, but this procedure can be done with the help of ultrasound machine as an alternative of landmark procedure.
Objectives: Evaluation of the safety and effectiveness of USG-guided internal jugular vein(IJV) catheterization in critically ill patients.
Methods: This prospective observational study was conducted in the ICU of Dhaka Medical College Hospital, from May 2017 to October 2018. Patients scheduled for central venous catheterization via the IJV were included based on selection criteria and randomly allocated into two groups of 50 patients each using card sampling. Group A received ultrasound-guided catheterization, while the landmark technique was used in Group B.
Results: The analysis revealed that in the ultrasound group 49 out of 50 (98.0%) patients were successfully catheterized while the landmark method was successful in 45 out of 50 (90.0%) patients. Successful catheterization by first attempt was possible in 29 patients of group A, where as it was 5 in group B. The average number of attempts for successful catheterization in Group A was 1.7 (SD=0.2) and in the landmark group it was 2.8 (SD=0.1). On the average, 4.9 minutes (SD=1.3) were needed for catheterization in ultrasound group. The time was significantly increased in the landmark group 11.4 (SD=5.8). Total number of complication was 2 in Group A and it was 8 in Group B. After considered all the above parameter, by using four points safety and effectiveness rating scale, safety and effectiveness  mean score was 10.3 for Group A   and 8.2 for Group B.
Conclusion: Two-dimensional ultrasound offers improved safety and quality when compared with an anatomical landmark technique for IJV catheterization.
Bangladesh Crit Care J September 2024; 12 (2): 96-104
HUBUNGAN KADAR ALBUMIN TERHADAP LAMA HARI RAWAT INAP PADA PASIEN ULKUS DIABETES MELITUS TIPE 2 PERIODE JANUARI-DESEMBER 2022 DI RSUD DR. M. YUNUS BENGKULU
Authors: Nursafitri Reike
Published: October 2024

Latar Belakang : Diabetes Mellitus (DM) adalah penyakit kronis yang terjadi akibat pankreas tidak memproduksi cukup insulin atau tubuh tidak dapat menggunakan insulin yang diproduksi secara efektif sehingga bila dibarengi dengan komplikasi maka akan memperparah kondisi dan berdampak pada malnutrisi. Pasien yang mengalami malnutrisi lebih lama dirawat di rumah sakit dibandingkan mereka yang memiliki status gizi normal. Oleh sebab itu, perlu adanya pengukuran status gizi untuk melakukan terapi nutrisi medis. Malnutrisi juga dapat diketahui dari parameter biokimia. Albumin merupakan salah satu penanda status malnutrisi pada keadaan klinis pasien yang stabil. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kadar albumin dan lama hari rawat inap pada pasien Diabetes Mellitus.
Metode : Penelitian ini bersifat analitik dengan pendekatan crossectional study yang melibatkan 56 responden pasien penyakit ulkus diabetes mellitus yang menjalani rawat inap di RSUD Dr M Yunus Bengkulu. Penelitian dilaksanakan di ruang rekam medis dengan mengambil data kadar albumin dan lama hari rawat inap pasien. Hasil kadar albumin dan lama hari rawat inap ini dibandingkan dan dianalisis dengan uji statistik chi square menggunakanIBM SPSS versi 27.
Hasil : Pada penelitian ini 67,9% subjek berjenis kelamin perempuan dengan kadar albumin 83,9% tidak normal. Lama hari rawat inap <5 hari sebanyak 64,3%. Dibandingkan antara kadar albumin dan lama hari rawat inap diperoleh nilai p = 0,093 (p>0,05).
Kesimpulan : Pada penelitian ini tidak terdapat hubungan antara kadar albumin dan lama hari rawat inap pada pasien ulkus diabetes mellitus di RSUD Dr M Yunus Bengkulu.
Kata kunci : kadar albumin, lama hari rawat inap, ulkus diabetes mellitus