bluuebunny/crossref_metadata_2025_split huggingface dataset:
INOVASI PEMBELAJARAN PENDIDIKAN AGAMA ISLAM MELALUI SISTEM KREDIT SEMESTER (SKS)
Authors: Fuadi Salis Irvan 
Published: January 2021

Pendidikan harus tanggap, inovatif dan aspiratif sesuai dengan apa yang dibutuhkan masyarakat. Penelitian ini mendeskripsikan tentang inovasi pembelajaran Pendidikan Agama Islam melalui Sistem Kredit Semester (SKS). Adapun inovasi pembelajaran Pendidikan Agama Islam (PAI) melalui Sistem Kredit Semester (SKS) dapat diinovasi dalam hal kurikulum, materi, metode dan evaluasi pembelajaran Pendidikan Agama Islam (PAI). Inovasi terhadap kurikulum dengan Sistem Kredit Semester dengan pola kontinu. Inovasi terhadap materi dilakukan dengan membagi mata pelajaran PAI menjadi 4 mata pelajaran yang terdiri dari PAI 1 Fikih, PAI 2, Akhalk, PAI 3 Al-Qur’an Hadits dan PAI 4 SKI. Inovasi metode pembelajaran yang ditawarkan untuk diterapkan secara keseluruhan dalam mata pelajaran Pendidikan Agama Islam ialah student centered atau pembelajaran yang berpusat pada peserta didik dan pembelajaran kolaboratif. Adapun inovasi evaluasi pembelajaran secara umum dilakukan dengan memperhatikan dan berpegang pada karakteristik dan prinsip-prinsip pengembangan evaluasi yang tetap mengacu sesuai model evaluasi atau penilaian pada kurikulum 2013.
Multi-level inverter for driving PV water pumps
Authors: Ibrahim Danny , Aboud Kais 
Published: January 2021

In this research, we have developed a system for driving PV water pumps based on multi-level inverters, where cascaded H-Bridge-MLI was studied to improve conversion efficiency, by testing three different strategies to generate pulses for electronic elements and determining the best strategy between them, then compare it with the traditional 2-LEVEL inverter circuit. The results showed the superiority of Phase Disposition (PD-PWM) strategy, where the THD Ratio of the voltage and current wave was minimal compared to the other strategies at different carrier wave frequencies in addition to studying the effect of the number of voltage levels on THD Ratio, and when we simulated a three phase (Cascaded H-Bridge 7 level) inverter circuit based on PD-PWM strategy at 3000 Hz carrier wave frequency, the THD Ratio of voltage wave has not exceed 11%, While in the traditional 2-LEVEL inverter, the THD Ratio of voltage wave is about 66%, which shows the importance of MLI to improve conversion efficiency. The proposed driving system operates according to the v / f control system to control the pump speed in proportion to the intensity of the solar radiation while maintaining a constant torque, and also works to track the maximum power point MPPT according to P&O algorithm, and when we simulated the system by MATLAB / SIMULINK the results showed the effectiveness and reliability of the proposed system
Ocular and extra-ocular complications following long-term steroid consumption in children with idiopathic nephrotic syndrome
Authors: Chaudhury Gulshan Nigar , Khandaker Tarannum , Ferdous Tahmina , Chowdhury Rifat Asma , Afroz Shireen , Hanif Mohammed 
Published: January 2021

Background: High dose of corticosteroids are required by patients with idiopathic nephrotic syndrome for long duration due to repeated relapse. The aims of this study were to analyze the ocular and extra-ocular complications of steroids on children with nephrotic syndrome.
Methods: This cross-sectional study was conducted at Dhaka Shishu (Children) Hospital from September 2017 to September 2019. Children with nephrotic syndrome between 1-16 years of age, who received steroid for at least three months, participated in this study. Total 70 children were enrolled. Detailed history was taken from parents regarding initial episode, drug history, visual problem, headache, hypertension, weight gain, psychosis, bone pain, epigastric pain and excessive growth of body hair. Comprehensive opthalmologic assessment including visual acquity, intraocular pressure and cataract were performed. Detail of renal histopathology and treatment regimen in each patient was noted.
Results: A total of 70 patients were included, 61.4% were male and 38.6% were female. Median age at the time of examination was 60 months (range 17 to 216 months). The mean duration of disease was 33.71±21.12 months. The mean cumulative steroid dose at the time of examination was 8485.91±7326.83 mg. Fourteen (20%) patients had posterior subcapsular cataract. Among 70 patients, we could do visual acuity for 25 (35.7%) patients, intraocular pressure (IOP) in mm for 51 (72.85%) patients. Among them raised IOP was found in five (9.8%) patients. In right eye mean IOP was 14.16±3.57 and for left eye 14.77±3.55 mm. Renal biopsy was performed in 15 (21.43%) cases. Among the biopsy report, it was found that mesangial proliferative glomerulonephritis (MPGN) in 8 (53.33%), focal segmental glomerulonephritis (FSGS) in 2 (13.33%) and minimal change in 5 (33.34%) cases. Among all cases, 12 (17.14%) patients developed Cushingoid facies, 3 (4.2%) patients had hypertrichosis, 3 (4.2%) patients had central obesity and 4 (5.7%) patients had buffalo hump but none had hypertension, diabetes mellitus, epigastric pain, bone pain or psychosis.
Conclusion: Cataract formation was the most frequent ocular complication after large dose of oral corticosteroid therapy. The present study emphasizes the need for regular eye screening. Cushingoid facies was the most frequent among extra-ocular complications.
Birdem Med J 2021; 11(1): 7-10
Stapled trans-anal rectal resection for the surgical management of obstructed defecation syndrome: our experience in Bangladesh
Authors: Haque Asif Almas , Talukder Md Rajibul Haque , Alam Hasina 
Published: January 2021

Background: Obstructed defecation syndrome (ODS) is one of the commonest constipation related disorders confronted by surgeons in Bangladesh. Stapled transanal rectal resection (STARR) is a novel surgical technique specific for ODS. This study was designed to evaluate the effectiveness of STARR on patients with ODS in Bangladesh.
Methods: Thirty (30) female patients (age: 46±13.2 years) with ODS, were selected for this observational study, from July 2016 to July 2019, in a private hospital of Dhaka. Patients were interviewed with standardized questionnaire at study enrolment and up to 3 months postoperatively. Surgical outcome was quantified according to the Longo’s Modified ODS score (MODS).
Results: At initial consultation, the mean Longo’s MODS score was 17.6+1.9. Mean operative time was 39+6.2 minutes. Commonest complication was ‘staple line bleeding’ in 24(80%) patients intraoperatively & ‘defecatory urgency’ in 18(60 %) patients postoperatively. At postoperative 3-month follow-up, statistically significant (p<0.05) symptomatic improvement in Longo’s MODS score (6.9+2.5) was observed in 27(90%) patients. Ten (33.3%) of patients judged their final clinical outcome as ‘excellent’, 11(36.7%) as ‘good’, and 6(20%) as ‘moderate’, with 3(10%) having ‘poor/no improvement’.
Conclusion: After analyzing our results, we conclude that STARR is an effective procedure for the treatment of ODS due to structural abnormalities and can be performed safely without any major morbidity.
Birdem Med J 2021; 11(1): 11-16
Follow-up and treatment pattern during Ramadan and evaluation of the outcome of Ramadan fasting on clinical, biochemical and metabolic parameters in patients with type 2 diabetes mellitus: a realworld, multi-center, prospective observational study
Authors: Qureshi Nazmul Kabir , Akter Nazma , Ahmed Zafar 
Published: January 2021

Background: There are variable effects of Ramadan fasting on clinical and biochemical variables of diabetic people. Anti-diabetic agents are often adjusted during this time to reflect changes in lifestyle. The study was conducted to understand the diversity of follow-up, treatment pattern, clinical, and biochemical outcome of Ramadan fasting among type 2 diabetic patients who observed Ramadan fast.
Methods: This real-world, multi-center, prospective, observational study was conducted at the diabetes outpatient department of National Healthcare Network (NHN) Uttara Center of Bangladesh Diabetic Somity (BADAS), Dhaka, Bangladesh and outpatient department of MARKS Hormone and Diabetes clinic, MARKS Medical College &Hospital in Dhaka, Bangladesh upon randomly selected type 2 diabetic patients, recruited 1 to 12 weeks prior to the Ramadan and followed up till 12 weeks post-Ramadan period. Finally, a total of 271 participants completed satisfactory follow up. Data was collected before, during, and after Ramadan using a set of questionnaires in a face to face interview.
Results: The majority (80.1%) of participants received pre-Ramadan education, counseling, adjustment of medication and other direction to help them cope with Ramadan fasting. A significant reduction of weight, body mass index (BMI)) and blood pressure were reported after Ramadan fast (p<0.001). None of the studied participants experienced severe hyper/hypoglycemia or acute complications requiring hospitalization or an emergency room visit. Metformin was the commonest prescribed anti-diabetic medication. Premixed insulin was the commonest insulin regimen during study period. Three most commonly adjusted oral anti-diabetic drugs were gliclazide, glimepiride, metformin and insulin doses were also adjusted. Mean of fasting and prandial capillary blood glucose decreased from pre-Ramadan period to post-Ramadan period (P<0.05). HbA1c decreased during post-Ramadan period compared to pre-Ramadan visit (P=0.13). A significant reduction in the triglyceride level was observed during post-Ramadan follow up (P< 0.05).
Conclusion: The study revealed that a safe fasting can be observed with proper pre-Ramadan work-up. Ramadan fasting resulted into significant reduction of weight, BMI, blood pressure, lipid profile and improved glycemic status in patients with type 2 diabetes.
Birdem Med J 2021; 11(1): 30-38
Prevalence and sociodemographic factors responsible for anaemia in pregnancy: experience in a military hospital in Bangladesh
Authors: Alam Fakhrul , Khanum Shakila , Jahan Israt , Ahmed Jamal Uddin 
Published: January 2021

Background: Anemia during pregnancy is associated with adverse outcomes. Prevalence of anemia is thought to be high in developing countries. This study was aimed at determining the prevalence and socio-demographic and reproductive factors associated with anemia among a group of pregnant mother.
Methods: This cross-sectional observational study was conducted on pregnant women who visited the antenatal clinic of Combined Military Hospital (CMH), Savar, Dhaka from January 2017 to December 2019. Hemoglobin level was measured in all these women to assess the presence of anemia and was categorized according to the World Health Organization (WHO) criteria. Demographic data and information on maternal age, gestational age, educational and income level, and socioeconomic status were collected from anemic pregnant women and were analyzed.
Results: Out of 1500 pregnant women 525 (35%) were found to be anemic (Hemoglobin <11.0 g/dl). Among the 525 anemic women, 347 (66.1%) had mild anemia, 157 (29.9%) had moderate anemia and 21 (4.0%) women had severe anemia. Majority (48%) of the anemic women were less than 25 years old and majority (47%) had body mass index (BMI) <18.5 kg/m2. Most of the women (58%) presented in their second trimester of pregnancy. More than two thirds pregnant women were multigravida. More than 50% women had history of abortion and around one third had 2 or more abortions. Most of the women (56%) reported another pregnancy within 24 months of current pregnancy. Sixty four percent of the patients completed secondary education, 75% were homemaker and 56% lived in rural area. Most of the patients (80%) had a family income per month less than 20000 taka. Majority (58.4%) of the women did not receive any iron supplementation during this pregnancy.
Conclusions: This study results show that more than one third of the pregnant women suffer from anemia irrespective of gestational week, but is more common in those presenting in second trimester of pregnancy, those who are younger, lean and thin, having history of previous pregnancy and bad obstetric history.
Birdem Med J 2021; 11(1): 52-56
Dapagliflozin in the management of type 2 diabetes mellitus: a real-life experience in Bangladesh
Authors: Amin Mohammad Feroz , Afsana Faria , Shefin Sultana Marufa , Selim Shahjada , Ifhtekhar Mahboob 
Published: January 2021

Background: Dapagliflozin, a selective renal sodium-glucose cotransporter-2 inhibitor (SGLT2i), lowers plasma glucose by increasing urinary excretion of glucose. This study evaluated the efficacy and safety of dapagliflozin as add on therapy for a selected group of Bangladeshi type 2 diabetic patients.
Methods: This was a 24-week, open-label, prospective, real-life study including type 2 diabetic patients with glycated hemoglobin (HbA1c) 7.0–10% (N =53). Study subjects were selectively assigned to dapagliflozin 5 mg once-daily in the morning along with ongoing oral anti-diabetic drug (OAD). The primary end point was to see the safety (adverse events) and efficacy (reduction of fasting and post-prandial blood glucose, HbA1c) of dapagliflozin.
Results: Mean HbA1c changes from baseline to week 24 was – 1.15 ± 0.82 % (P = 0.000) and weight reduction was – 2.49 ± 0.32 kg from base line (P=0.000). Among total study subjects, 6 (11.3 %) had developed urinary tract infection (UTI). There were no major episodes of hypoglycemia or renal function deterioration.
Conclusion: Dapagliflozin showed significant reduction of HbA1c as add on therapy. The low incidence of hypoglycemia and UTI make dapagliflozin as an acceptable addition to existing treatment option for type 2 diabetes in Bangladeshi population.
Birdem Med J 2021; 11(1): 57-62
Neuro-developmental status of children with congenital hypothyroidism: experience in a tertiary hospital of Bangladesh
Authors: Islam Nasreen , Kabir Sayeeda , Mohsin Fauzia , Mahbuba Sharmin , Zabeen Bedowra , Baki Abdul , Nahar Jebun 
Published: January 2021

Background: Congenital hypothyroidism is one of the most common preventable causes of mental retardation. Early diagnosis and initiation of treatment is fundamental for optimal neuro-developmental outcome in children with congenital hypothyroidism. Thyroid hormones play crucial role in early neuro-development especially in the first 2-3 years of life. If left untreated or delayed initiation of treatment in congenital hypothyroidism results in neurological and psychological deficits. Aim of this study was to assess neuro-developmental status of children with congenital hypothyroidism who were on treatment (levo-thyroxine) started at different ages.
Methods: This cross-sectional study was done at paediatric endocrine outpatient department (OPD) and child development centre (CDC), BIRDEM General Hospital. Children with congenital hypothyroidism presenting at different ages who were followed up at pediatric endocrine OPD between January 2014 and January 2015 were included in the study.Their functional status in different domains were studied by rapid neuro-developmental assessment (RNDA) in CDC. Children with Down syndrome and perinatal asphyxia were excluded.
Results: Neuro-developmental assessment was done in 34 children (male 21, female 13). Mean age during assessment was 36 months (standard deviation 18.56). Eighteen patients (53%) were diagnosed in BIRDEM General Hospital and rest 16 (47%) were diagnosed outside BIRDEM General Hospital. Patients were grouped into 4 on the basis of age of diagnosis and start of treatment: group I (age 0-1 month), n=6 (18%); group II (age >1-3 months), n=7 (21%); group III (age >3-12 months), n=9 (26%); group IV (age >12months), n=12 (35%). In group I, five (84%) had normal development and one had mild delay in cognition. In group II, three (43%) had normal development. Cognition and behavior was delayed in 3 patients (43% each), followed by delay in speech in 2 (29%). All patients (100%) in group III and IV had developmental delay, predominant domains affected were speech, cognition and behavior.
Conclusion: We have found developmental delay especially in the domain of speech, cognition and behavior in children with congenital hypothyroidism who have started levo-thyroxin late. Early diagnosis and initiation of treatment is fundamental for optimal neuro-developmental outcome in children with congenital hypothyroidism.
Birdem Med J 2021; 11(1): 63-66
Concurrent acute kidney injury and acute hepatitis resulting from raw fish gallbladder ingestion: a preventable cause of community acquired organ damage
Authors: Haque Md Rezwanul , Ahmed Syed Mohaimeen , Chowdhury Tufayel Ahmed , Rahim Muhammad Abdur , Ananna Mehbuba Alam , Iqbal Sarwar 
Published: January 2021

In south-east Asia, there has been a common belief, mainly in rural areas, that ingesting raw fish gall bladder can help cure certain health problems. Unfortunately, raw fish bile has both nephrotoxic and hepatotoxic effects. In this report, we present a case of 42-year-old man, who presented with acute kidney injury and jaundice. Meticulous history revealed that his ailment resulted from raw Rohu fish gallbladder ingestion.
Birdem Med J 2021; 11(1): 70-71
RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE WITH SEX BEHAVIOR OF TEENANGER AT SMKN 1 BENGKULU
Authors: Hanifah Hanifah Hanifah 
Published: January 2021

Relationship between knowledge and attitude with sex behavior of teenanger At SMKN 1 BengkuluFree sex behavior is a sexual activity that carried out without being based on a legal marriage relationship. Among adolescents the behavior occurs because most of them do not know the impact of free sex behavior. In addition, free sex behavior can also damage their future. This study aimed to determine the relationship between knowledge, attitudes, and sexual behavior among adolescent in SMKN 1 Bengkulu City. A quantitative study with cross sectional design was conducted in 80 respondents, who were selected using simple random sampling. Most of the respondents had good level of knowledge (78.8%), had most favorable attitudes (81.2%) and had most low risk sexual behavior (90.0%). The data were analyzed by using Fisher's Exact test, and obtained p-value = 0.001. It is showed that, there is relationship between knowledge and sexual behavior, with moderate category. There is relationship between attitude and sex behavior with p-value = 0,000 with a close category. It is recommended that SMKN 1 through counseling teachers to provide health education about sexual behavior and its effects so as to prevent free sex behavior among adolescents. Keywords: Knowledge, Sex Behavior of Teenanger, Attitude.
PENDAMPINGAN PENGENALAN BAHASA INGGRIS YANG MENYENANGKAN (FUN LEARNING) KEPADA ANAK USIA DINI DENGAN MENGGUNAKAN MODEL PEMBELAJARAN LTW (LISTENING, THINKING, WRITING) DI KAMPUNG CUNTING
Authors: Sinaga Juwita Boneka 
Published: January 2021

Pengabdian masyarakat ini bertujuan untuk memberikan wawasan tentang menumbuhkembangkan potensi anak dengan pengenalan bahasa Inggris sejak dini dalam keluarga pada masyarakat melalui Pendampingan Pengenalan Bahasa Inggris yang menyenangkan (Fun Learning) Kepada Anak Usia Dini dengan Menggunakan Model Pembelajaran LTW (Listening, Thinking, Writing). Di Indonesia masih banyakyang belum mengusai bahasa Inggris dikarenakan kurangnya pendampingan pembelajaran yang mereka dapatkan atau baru mendapatkan pembelajaran bahasa asing ketika usia mereka sudah dewasa, sehingga daya tangkap otak kurang optimal. Sasaran pengabdian adalah masyarakat di RW 01 kampung Cunting Kel.Tanjung Uncang Kota Batam.Persiapan dilakukan dengan melakukan survei pendahuluan untuk melihat kondisi di lapangan mengenai masalah yang dihadapi masyarakat. Pelaksanaan dilakukan dengan memberikan layanan informasi menggunakan metodeyang menyenangkan menggunakan model Pembelajaran LTW (Listening, Thinking, Writing). Hasil kegiatanmenunjukkan bahwa: (1). Program pengabdian padamasyarakat dengan kegiatan pendampingan Pendampingan Pengenalan Bahasa Inggris yang menyenangkan (Fun Learning) Kepada Anak Usia Dini dengan Menggunakan Model Pembelajaran LTW (Listening, Thinking, Writing), dapat dilaksanakan dan direspon dengan baik. (2). Pelaksanaan program pengabdian pada masyarakat ini sangat bermanfaat bagi masyarakat sehingga dapat diterapkan para orang tua dengan keterbatasan guna menumbuhkembangkan potensi anak dalam berbahasa Inggris sejak dini.
PENDAMPINGAN DALAM MEWUJUDKAN BUDAYA TERTIB ARSIP INFORMASI KTP DAN KK DI KANTOR KELURAHAN PULAU ABANG, PROVINSI KEPULAUAN RIAU
Authors: Hasibuan Syamsir , Rasal Amrullah , Ashari Erwin , Ramses Ramses 
Published: January 2021

Tujuan dari kegiatan ini adalah melakukan pendampingan dan penataan pearsipan informasi kartu tanda penduduk (KTP) dan Kartu Keluarga (KK) di kantor Kelurahan Pulau Abang agar terwujud budaya tertib arsip sesuai dengan yang tercantum dalam Undang-Undang Nomor 43 Pasal 1 dan Ayat 2 Tahun 2009 Tentang Kearsipan. Lokasi kegiatan ini adalah kelurahan Pulau Abang yang berpenduduk 478 kartu keluarga yang meliputi 3 wilayah kampung yang berpenduduk yaitu Pulau Abang Kecil yang memiliki sekitar 260 kartu keluarga, Air Saga yang memiliki 120 kartu keluarga dan Pulau Petong dengan 98 kartu keluarga. Adapun metode yang dilakukan dalam kegiatan ini adalah dengan menggunakan metode observasi, interview dan studi pustaka melalui penerapan pendekatan pengarsipan secara abjad. Kegiatan ini dilakukan selama tiga hari yakni mulai tanggal 5 sampai dengan 7 Agustus 2019. Adapun hasil dari kegiatan ini adalah; tersususunnya arsip KTP dan KK di kantor Kelurahan Pulau Abang berdasarkan abjad nama kepala keluarga pada setiap RT di wilayah kampung di kelurahan Pulau Abang. Adapun masing-masing KTP disatukan atau difilekan pada KK masing-masing. Kondisi seperti sangat membantu pemerintahan kelurahan Pulau Abang dalam melaksanakan tugas pokoknya khususnya dalam pencatatatan kependudukan secara efisien dan efektif.
PENGENALAN TEKNOLOGI ROBOT MENGGUNAKAN SOFTWARE ROBOMIND 4 UNTUK REMAJA MASJID AL HIKMAH TAMAN ARIES JAKARTA BARAT
Authors: Gunardi Yudhi , Budiyanto Setiyo , Hajar M. Hafiz Ibnu , Andika Julpri , Supegina Fina 
Published: January 2021

Kegiatan Pengabdian kepada masyarakat ini berupa pelatihan dan praktek tentang teknologi robot, dimana Robot saat ini sudah populer dikalangan pelajar, namun terkadang mereka belum tahu tentang bagaimana cara kerjanya. Pelaksanaan pengabdian kepada masyarakat akan menfokuskan pada bagaimana memprogram sebuah robot untuk bergerak dari satu tempat ketempat yang lain secara manual dan otomatis menggunakan software versi 4. Pelatihan ini diikuti oleh 15 orang siswa dari Remaja Masjid Al Hikmah Taman Aries Jakarta Barat. Dari hasil pelaksanaan memberikan hasil bahwa para siswa merasa puas dengan materi yang diberikan dan berharap menjadi agenda rutin di Remaja Masjid Al Hikmah Taman Aries.