bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Permainan Gelas Angka Pada Kemampuan Membilang Angka 1-10 Anak Usia Dini
Authors: Arisna Wahyuni  
Published: November 2020

Penelitian ini bertujuan untuk dapat memperoleh gambaran mengenai bagaimana efektivitas membilang angka 1–10 melalui metode permainan gelas angka pada anak kelompok A di TK Tunas Mekar Banjarmasin. Penelitian ini menggunakan metode eksperimen semu (quasi experimental design) dengan desain Nonequivalent Control Group Design . Sampel penelitian adalah kelompok A1 yang menggunakan permainan angka pada membilang 1-10 dan kelompok A2 tanpa menggunakan permainan gelas angka pada membilang angka. Teknik pengumpulan data yang digunakan adalah tes, wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan bahwa hasil belajar di kelas Eksperimen memilik nilai rata-rata sebesar 76,41 dan di kelas Kontrol memiliki nilai rata-rata sebesar 65,47 dengan selisih antara dua kelompok sebesar 10,47, yang berarti bahwa ada terjadinya peningkatan di kelas ekseperimen ketika menggunakan metode permainan gelas angka, maka penggunaan metode permainan gelas angka efektif digunakan pada kemampuan membilang angka 1-10 anak usia dini kelompok A di TK Tunas Mekar Banjarmasin.
Model Pembelajaran Berbasis Kearifan Lokal (Local Wisdom) pada Usia Kanak-kanak Awal
Authors: Fajriati Ruliana , Na’imah  
Published: November 2020

Penelitian ini bertujuan untuk mengetahui implementasi model pembelajaran berbasis kearifan lokal (local wisdom). Dalam penelitian ini penulis menggunakan metode penelitian deskriptif kuantitatif. Rumusan masalah penelitian ini yaitu bagaimana implementasi model pengembangan pembelajaran berbasis kearifan local (local wisdom) pada usia kanak-kanak awal? Penelitian ini dilaksanakan di TK Nasyithatun Nisa. Masa kanak-kanak awal berada pada rentang usia 2 hingga 6 tahun yang merupakan masa penutup masa bayi dimana pada usia tersebut ketergantungan secara praktis sudah terlewati, diganti dengan tumbuhnya kemandirian dan berakhir disekitar usia sekolah dasar. Begitu juga dengan tugas-tugas perkembangan anak di usia ini perlu di stimulus agar mencapai kemandirian anak pada tahap usia selanjutnya. Sekolah juga perlu melaksanakan pengembangan pembelajaran sebagai bentuk mengoptimalkan pendidikan pada anak usia dini salah satunya dengan mengembangkan pembelajaran berbasis kearifan budaya lokal. Adapun dari hasil penelitian ini yaitu TK Nasyithatun Nisa telah memperkenalkan unsur budaya yaitu pakaian adat, lagu-lagu, tarian dan makanan khas Melayu Riau.
Implementasi Strategi Branding PAUD dalam Meningkatkan Image Sekolah
Authors: Meyda Setyana Hutami  
Published: November 2020

Penelitian ini bertujuan untuk menganalisis implementasi branding strategi di TK ABA Kalangan Bantul Yogyakarta. Branding merupakan sebuah kumpulan kegiatan yang dilakukan oleh lembaga pendidkan untuk membangun dan membesarkan brand. Bagi lembaga pendidikan brand merupakan aset penting sekaligus yang menjadi pembeda dengan lembaga lain. Penelitian ini menggunakan model penelitian kualitatif dengan pendekatan fenomenologi. Pengambilan dan pengumpulan data dilakukan melalui observasi dan wawancara. Adapun hasil penelitian tentang implementasi strategi branding di TK ABA Kalangan yaitu pertama strategi branding, kedua brand assosiasi dan ketiga brand equity.
Pattern of Musculoskeletal Disorders in Adult Diabetics patient
Authors: Sharmin Shaila , Newaz Fatema , Ahmed Syed Mozaffor , Shahin Abu , Hasan Md Israt , Rahman Hasan Habibur , Sadeque Zafar , Siddique Nadia 
Published: November 2020

Diabetes mellitus is associated with several musculoskeletal (MSK) disorders. Due to increased incidence and life expectancy causes increased prevalence and clinical importance of MSK alterations in diabetic subjects. It is difficult to find out the direct relation with metabolic control. This study was conducted to explore the pattern of musculoskeletal disorders in the diabetic patients. A cross-sectional study was conducted from January' 2016 to June' 2016 at Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka with 190 cases divided in two groups. Patients aged 40-70 years with musculoskeletal disorder with diabetes mellitus (type 2) for five years attending in the department of Physical Medicine and Rehabilitation were included in group A. Patients with MSK disorder without diabetes aged 40- 70 years were included in group B. Main outcome measures were done by Chi square test and unpaired t test were calculated by using SPSS-20. Out of 190 patients, more than half (53.68%) patients were belonged to age 51- 60 years in group A and 49(51.58%) in group B. Majority (56.84%) patients were female in group A and 43(45.26%) in group B. Twenty three (24.21%) patients were house wives in group A and 25(26.32%) in group B. Fifty two (54.73%) patients had osteoarthritis of knee in group A and 26(27.36%) in group B. Twenty one (22.11%) patients had frozen shoulder in group A and 9(9.47%) in group B. Sixteen (16.84%) patients had Flexor tenosynovitis in group A and 04(4.21%) in group B. Fifteen (15.78%) patients had Fibromyalgia in group A and 05(5.26%) in group B. Twelve (12.63%) patients had Planter fascities in group A and 03(3.16%) in group B. Which were statistically significant (p<0.05) but other musculoskeletal disorders were not statistically significant (p>0.05) between two groups. More than half patients were belonged to age 51-60 years and female were predominate in both groups. Common musculoskeletal disorders in diabetic patients were osteoarthritis of knee, frozen shoulder, Flexor tenosynovitis, Fibromyalgia, Planter fascities, Rheumatoid arthritis, Carpel tunnel syndrome, Lumbar spondylosis, Cervicalspondylosis and DISH. This study will also be helpful for different organizations working in this area including physiatrist in their program for delivering a comprehensive treatment service. As a result patients were more benefited.
Bangladesh Med J. 2019 Jan; 48 (1): 5-12
Clinical Presentations and Outcome of Acute Glomerulonephritis in Children
Authors: Akteruzzaman Mohammad , Paul Shanjoy Kumar , Parveen Shaman , Sarker Nihar Ranjan , Ahmed Shafi , Habib Rahat Bin , Kabir ARM Luthful 
Published: November 2020

Acute post streptococcal glomerulonephritis (APSGN) is the most common type of acute glomerulonephritis (AGN) in childhood. It has not been studied well in Bangladesh. To evaluate the clinical characteristics, complications and outcome of Acute post streptococcal glomerulonephritis (AGN). the department of Pediatric Nephrology at Sir Salimullah Medical College and Mitford Hospital, Dhaka. A prospective study from April 2011 to March 2012 were conducted among the patients diagnosed as AGN in outdoor and indoor department. Hospital records of all 34 children who had been admitted to Sir Salimullah Medical College and Mitford Hospital were reviewed. All demographic, clinical, paraclinical data and consumed medications were obtained. Among 34 cases female and male ratio were 2.4:1; mean age of was 8.76 yrs. ± 2.5 SD and peak age 7.6. Etiology of AGN was post infectious glomerulonephritis (PIGN) 85.3%, ASO titer was raised in 88.2%, 41.2% had raised blood urea, and 32.4%raised serum creatinine level. All children presented with microscopic hematuria (100%), hypertension (100%), and edema (100%), other findings are fever (55.9%), oliguria (94.1%), abdominal pain (52.9%). History of sore throat and pyoderma was present in 41.2% and 44.1% cases respectively. Complications like hypertensive encephalopathy three (8.8%), urinary tract infection (UTI) one (2.9%) total seven (20%) were heart failure two (5.9%) and Acute kidney injury (AKI) one (2.9%), total seven (20%) were expired. Majority of cases manifest typically with edema, oliguria and hematuria. It usually has an uneventful course.
Bangladesh Med J. 2019 Jan; 48 (1): 13-17
Evaluation of Psychiatric Disorders among Admitted Burn Patients in Burn Unit of Dhaka Medical College and Hospital, Dhaka
Authors: Haque Md Rashidul , Mamun Abdullah Al , Rabbani Md Golam 
Published: November 2020

Burn causes both the physical and psychological trauma of the victims. Most of the cases, physical trauma of burn are highlighted and managed but psychological impacts of burn are ignored. The psychological aspects of burn injury have been researched in different parts of world producing different outcomes. A very few number of study regarding psychological aspect of burn has been conducted in our country till now. To assess the psychiatric morbidity among the burn patients admitted in burn unit of Dhaka Medical College Hospital. This was a descriptive and analytical study. The study was conducted in the Burn and Plastic Surgery Unit of Dhaka Medical College Hospital, Dhaka, Bangladesh and the duration of the study was 6 (six) months (July 2010 - December 2010). Burned patients fulfilling the inclusion criteria. 124 patients were selected on non-probability purposive sampling techniques who were GHQ (General Health Questionnaire) positive. Then a semi-structured questionnaire containing socio-demographic characteristics and SCID-I (Structured Clinical Interview for DSM-IV Axis-I disorder) was used. Finally DSM-IV-TR criteria were used among burn patients clinically. Different types of psychiatric morbidity in post burn patients and different burn related factors affecting psychiatric outcomes were assessed. The psychiatric morbidity among the burn patients was 47.6%. Regarding patterns of psychiatric morbidities, the highest number of patients were anxiety disorder (54%) followed by depressive disorder 36%, acute stress disorder (ASD) 3%, post traumatic stress disorder (PTSD) 5% and 2% psychotic disorder.The burned patients of low socioeconomic condition, less education, unmarried, suicidal attempted and larger total body surface area (TBSA) were found their multiple sites of burn injuries (like head, neck and face) developed psychiatric disorders. This study highlights the importance of the simultaneous evaluation and management of psychiatric disorders in burn injured patients. Management of phychiatric and phychological problems of burned patients would bring better outcome.
Bangladesh Med J. 2019 Jan; 48 (1): 18-25
Treatment of Short Segment Anterior Urethral Stricture: Optical Internal Urethrotomy (OIU) Alone and OIU with Triamcinolone
Authors: Bhuiyun Mohammad Humayun Kabir , Mamun Abu Masud Al , Belal Towhid , Rabbani Rezawanul Haque , Islam Md Khairul , Md Jabed - , Hossain Faruk 
Published: November 2020

Optical urethrotomy has been considered standard therapy for anterior urethral stricture since its introduction in 1976. Now optical internal urethrotomy (OIU) with intralesional triamcinolone injection is a safe and effective, minimally invasive therapeutic modality. The aim of the study is to compare the outcome of OIU alone and OIU with intralesional triamcinolone injection in the treatment of anterior urethral stricture. This Quasi Experimental study was carried out among 50 male patients with bulbar urethral stricture in the Department of Urology, Dhaka Medical College Hospital, Dhaka, over a period of six months. The age range of the patients were 32-46 years and patients were divided equally into two groups, OIU with and without intralesional triamcinolone acetonide injection as Group- A (experimental group, 25 patients) and Group- B (control group, 25 patients). Post-operative evaluation was done on the basis of history and uroflowmetry. Retrograde urethrography and micturating cystourethrography were done only in patient who developed obstructive voiding problems or flow rate below 10 ml/second. Follow up was done at regular interval on 7th day, 3rd month and 6th month. Post-operative outcomes were compared between two groups. Post-operative infection was significantly higher among those OIU with intralesional Triamcinolone acetonide injection (8%) than patients without intralesional Triamcinolone acetonide injection (4%). Per operative extravasations of urine were significantly higher among those without intralesional Triamcinolone acetonide injection (4%) than subjects with intralesional Triamcinolone acetonide injection. Extravasation not influenced by steroid but this patient subsequently suffered recurrence of stricture. In Group-A, pre and post-operative Q-max were 10.25±2.21 and 22.11±2.96 ml/sec respectively. In Group-B, pre and post-operative follow up Q-max were 10.37±2.55 and 19.54±2.65 mi/sec respectively. In Group-A, pre and post-operative voiding time was 85.20±4.20 and 27.10±3.36 sec respectively. In Group-B, pre and post-operative follow up voiding time were 86.37±4.55 and 31.45±2.55 sec respectively. Post-operative recurrences of stricture were significantly higher among those without intralesional Triamcinolone acetonide injection (24%) than subjects with intralesional Triamcinolone acetonide injection (12%). Post-operative it seems that triamcinolone injection after OIU is safe method to prevent the recurrence of urethral stricture
Bangladesh Med J. 2019 Jan; 48 (1): 31-38
Surgical Outcome of Hundred Vesico Vaginal Fistula Patients in National Fistula Centre
Authors: Akhter Shamima , Mst Mahbuba - , Yusuf Nusrat Ara , Munirunnessa - , Rosy Nasrin 
Published: November 2020

Vesico-vaginal fistula (VVF) is still a major global health problem.This study was performed to detect the surgical outcome of 100 VVF patients in National Fistula Centre. A descriptive cross sectional study was carried out among 100 VVF patients fulfilling the inclusion criteria admitted in the National Fistula Centre under the department of Obstetrics and Gynaecology during the study period of April, 2017 to September, 2017. During the period, 100 patients presented for surgical repair at a mean age of 28.7 years (SD7.1). Majority of them (49%) had a parity of one and 57% were less than 20 years old at the time of their first pregnancy. About 83% of women developed VVF following prolonged obstructed labour. Most of the fistula (95%) repaired through vaginal route by flap splitting technique and 73% repaired at 1st time. Recovery of most of the patient (75%) was uneventful. Inadequate post-operative care (26.9%) was the major causes of unsuccessful repair. Obstetric fistula is one of the tragedies of third world countries and it would be better solved by providing surgical procedure and easy access of all women to competent obstetrical care, irrespective of their social and economic status during pregnancy and delivery.
Bangladesh Med J. 2019 Jan; 48 (1): 39-43
Aspartate Aminotransferase (AST) is a good Predictor of NAFLD Activity Score (NAS) for Diagnosing Non- alcoholic Steatohepatitis (NASH)
Authors: Alam Sheikh Mohammad Noor E , Das Dulal Chandra , Alam Md Shahinul , Mohsena Masuda , Mahtab Mamun Al 
Published: November 2020

Nonalcoholic fatty liver disease (NAFLD) is a metabolic disorder characterized by excessive triglyceride accumulation in hepatocytes. NAFLD has a multifactorial etiology and a combination of environmental, genetic and metabolic factors play a role in the development of advanced disease. NAFLD consists of a wide spectrum of conditions, ranging from simple steatosis to nonalcoholic steatohepatitis (NASH) which can progress to cirrhosis and hepatocellular carcinoma (HCC). Despite the high prevalence and severity of hepatic illness, NAFLD remains underdiagnosed, because of few symptoms, lack of accurate laboratory markers. The accurate diagnosis of NASH remains dependent on specific histological parameters in liver biopsy. Although liver biopsy remains the ‘gold standard’, there are practical limitations, including costs and risks. There is an increasing requirement for simple, less invasive, highly accurate and affordable screening tools. Aspartate aminotransferase (AST) has been proposed as a noninvasive and available marker for assessment of NASH. A hospital based observational study was carried out for a period of two years in the Department of Hepatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. Data were analyzed by SPSS version 16. Qualitative and quantitative data were analyzed by Chi-square test and student’s t-test respectively. Fifty (50) patients were analysed. Twenty five were NASH and twenty five were non- NASH. AST in NASH group were 55.2 ± 30.1 IU/L and in Non-NASH group were 33.6± 20 IU/L. In NASH group significantly higher percentage of raised AST had NASH compared with normal AST (68% vs.32%).There was significant difference in the NAFLD activity score for diagnosing NASH between elevated and normal AST (P value 0.004). Higher AST values correlated with higher specificity. By multivariate analysis AST were found to be significant. Thus Aspartate aminotransferase (AST) is a good predictor for diagnosing non- alcoholic steatohepatitis (NASH).
Bangladesh Med J. 2019 Jan; 48 (1): 44-49
Organizando a pesquisa acadêmica: A importância da celeridade nos cuidados de enfermagem para identificação precoce da sepse
Authors: Silva Fabio Teixeira da , Costa Rayane de Oliveira , Oliveira Daniele , Guimarães Thainá Vitória , Silva Priscila Cristina Pereira Oliveira da , Pereira França Helena Elias , Ribeiro Antonio da Silva 
Published: November 2020

Introdução: A sepse é uma doença de início silencioso, tem grande potencial de agravo, por isso, necessita de identificação precoce e intervenção rápida a fim de anular e/ou minimizar o risco de mortalidade hospitalar dos pacientes internados em unidade de terapia intensiva. Objetivo de demonstrar a importância da enfermagem como ator capaz de identificar e intervir precocemente nas alterações sistêmicas relacionadas a sepse nas UTIs possibilitando assim a chance de sobrevida dos pacientes internados. Para tanto, pesquisas bibliográficas, qualitativa, descritiva, que demonstra o papel da enfermagem como principal instrumento para identificação precoce de pacientes acometidos pela sepse, além de descrever as principais intervenções de enfermagem dispensadas no cuidado aos pacientes sépticos. Com o estudo, concluiu-se que percebe-se a importância do enfermeiro no processo de reconhecimento precoce da sepse, o conhecimento técnico científico deste profissional aliado ao uso de protocolos proporciona ações rápidas de enfrentamento a doença sendo um diferencial no cuidado ao paciente séptico e pode ajudar a garantir desfechos positivos. O enfermeiro consegue identificar o início da sepse e atuam de acordo com o protocolo institucional, embora demonstrem dificuldade na execução deste instrumento.
Influência da incorporação da farinha de resíduo de gergelim na qualidade do pão
Authors: Silva Débora Rafaelly Soares , Pessoa Taciano , Gurjão Flávio Farias , Mata Mario Eduardo Rangel Moreira Cavalcanti , Duarte Maria Elita Martins 
Published: November 2020

A farinha de resíduo de gergelim pode ser destinada a produção de alimentos, em função de suas propriedades nutricionais, sendo considerada uma alternativa para a melhoria da qualidade nutricional de produtos alimentícios. O objetivo deste estudo foi avaliar a influência da incorporação da farinha de resíduo de gergelim nas características físicas, físico-químicas e o perfil de textura dos pães. A farinha de resíduo de gergelim (FRG) foi obtida a partir do resíduo (torta) gerado durante o processo de extração do óleo de gergelim. Para o preparo dos pães foram utilizadas quatro formulações: a formulação padrão (testemunha), produzido apenas com farinha de trigo, e as formulações com farinha de trigo e FRG incorporada nas proporções de 5, 10 e 15%. Os dados experimentais da caracterização física e físico-química dos pães quanto aos parâmetros: teor de água, cor, atividade de água, acidez titulável, lipídeos e pH, foram submetidos à análise de variância e as médias de tratamentos comparadas pelo teste de Tukey, a nível de 5% de probabilidade, utilizando-se o programa ASSISTAT. Os parâmetros de textura determinados foram: firmeza, coesividade, elasticidade, mastigabilidade e a resistência, para cada formulação foram utilizadas seis amostras, obtendo-se a média final. A substituição parcial da farinha de trigo pela farinha de resíduo de gergelim nas formulações dos pães, resultou em alterações das características avaliadas, entretanto, mantiveram-se nos padrões desejáveis de consumo, podendo ser considerada uma alternativa viável para o enriquecimento de alimentos.
Índice de Desenvolvimento da Família (IDF) dos produtores rurais que desenvolvem a silvicultura no Município de Peçanha, Minas Gerais, Brasil
Authors: Barbosa Rodney Alves , Braga Gustavo Bastos , Valverde Sebastião Renato , Vilela Katia de Fatima , Olher Bruno Silva , Andrade Marco Paulo , Vieira João Paulo Louzada 
Published: November 2020

O presente artigo tem como objetivo apresentar o Índice de Desenvolvimento da Família (IDF) dos produtores rurais que trabalham com silvicultura no município de Peçanha, Minas Gerais. O enfoque foi dado a dois grupos de produtores identificados na pesquisa, classificados como produtores fomentados e produtores independentes. O primeiro grupo destaca-se pela parceria estabelecida com a indústria de celulose, por meio do programa de fomento florestal para produção de madeira, e o segundo, por atuar de forma independente, cuja madeira é destinada para produção de carvão vegetal, sem vínculo com a indústria de celulose. Para cumprir com as demandas do trabalho, foram realizadas pesquisas bibliográficas e documentais e foi feita uma incursão ao campo. Para validar os dados, foram utilizados testes estatísticos para compreender as diferenças encontradas nos dois grupos de produtores. O IDF foi a ferramenta empregada para conhecer a realidade das famílias dos produtores entrevistados. Os resultados apontaram que os produtores fomentados apresentam um IDF melhor que o dos produtores independentes, ou seja, que o fomento florestal tem contribuído para a melhoria da qualidade de vida dos produtores, possibilitando melhores condições de saúde e educação para os membros de sua família. Por meio da distribuição do IDF dos produtores nos dois grupos, verifica-se a influência do tamanho da propriedade, da área de silvicultura e da área de fomento no nível de desenvolvimento de cada produtor.
Perfil microbiológico do leite das raças bovinas Curraleiro Pé-Duro e Pantaneiro
Authors: Sola Marília Cristina , Feistel Janaína Costa , Alves Fernanda Antunha de Freitas , Fioravanti Maria Clorinda Soares , Juliano Raquel Soares , Rezende Cíntia Silva Minafra e 
Published: November 2020

A qualidade microbiológica do leite cru pode ser influenciada diretamente pela sanidade dos animais, procedimentos de higiene realizados durante a ordenha e condições de armazenamento do produto. Diante da necessidade de caracterizar os aspectos microbiológicos relacionados à produção de leite dos rebanhos bovinos das raças Curraleiro Pé-Duro e Pantaneiro, foram avaliadas 333 amostras de leite cru à partir da contagem de microrganismos aeróbios mesófilos, psicrotróficos, Staphylococus coagulase positiva bem como a determinação do número mais provável de coliformes a 30°C e a 45°C. Os resultados obtidos mostraram baixos níveis de contaminação das amostras de leite por mesófilos (7,5x101 - 8,7x103 UFC/ml – Curraleiro Pé-Duro/1,8x102 - 8,6x102 UFC/ml- Pantaneiro), psicrotróficos (2 - 1,4x102 UFC/ml / 2,6x101 - 1,4x102 UFC/ml), Staphylococcus coagulase positiva (4 - 5,2x102 UFC/ml/ 1,1x102 - 7,6 x102 UFC/ml), coliformes a 30°C( 2,0 - 40,2 NMP/ml / 0,6 - 21,9 NMP/ml) e coliformes a 45°C (0,9-14,8 NMP/ml / 0,4- 20,3 NMP/ml). Estes resultados demonstram as potencialidades que os rebanhos bovinos das raças Curraleiro Pé-Duro e Pantaneiro apresentam quanto a qualidade microbiológica do leite, adequação do produto às legislações sanitárias bem como a viabilidade tecnológica desta matriz alimentar na produção de derivados lácteos.