bluuebunny/crossref_metadata_2025_split huggingface dataset:
Authors: Dewi Dewa Ayu Kadek Ari Purnama 
Published: June 2020

Forward Shoulder Posture merupakan maladaptasi postur yang menyebabkan bahu mengarah ke depan melebihi alignment normal tubuh. Postur ini menyebabkan skapula protraksi melebihi pusat gravitasi tubuh. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas Shoulder Strengthening Exercise dengan Shoulder Stabilization Exercise dalam mengoreksi scapular alignment pada remaja penderita Forward Shoulder Posture. Desain penelitian menggunakan Pre-Post Test Two Group Design dengan total sampel 20 orang. Hasil uji berpasangan diperoleh Kelompok I dan kelompok II p<0,05 berarti ada penurunan acromion distance. Uji beda selisih penurunan acromion distance dengan didapatkan p>0,05 hasil tersebut menunjukan tidak ada perbedaan yang bermakna antara kedua kelompok. Simpulan penelitian ini adalah shoulder strengthening exercise sama baik dengan shoulder stabilization exercise dalam mengoreksi scapular alignment pada remaja penderita Forward Shoulder Posture di SMAN 3 Denpasar.
Kata Kunci: forward shoulder posture, acromion distance, shoulder strengthening exercise, shoulder stabilization exercise.
THE DIFFERENCE IN THE LEVEL OF THE BODY BALANCE BETWEEN THE ELDERLY WHO DO GYMNASTICS WITH THOSE WHO DO NOT IN DAWAN DISTRICT
Authors: Putri Ni Putu Septiarini Yuana , Saraswati Putu Ayu Sita , Wiryanthini Ida Ayu Dewi 
Published: June 2020

As getting older, a person will experience musculoskeletal weakness that will increase the risk of falling. Balance exercises to reduce the risk of falling is elderly gymnastics. The purpose of this study was to determine the difference in the level of body balance between elderly who did elderly gymnastics and those who did not in Dawan District. This research used observational analytic comparative research design with cross sectional approach method. The sample consisted of 44 people divided into two groups, the group of elderly who did gymnastics, and the group of elderly who did not do gymnastics at all. In the calculation of Mann Whitney-U showed that there was a difference in the body equilibrium rate between the elderly who didelderly gymnastics and those who did not with the value of p = 0,000 (p<0,05) in Dawan District.The conclusion of the study that there is a difference in the level of body balance between the elderly who did elderly gymnastics and those who did not in Dawan District.
Keywords : Body Balance, Elderly, Elderly Gymnastics.
THE CORELATION BETWEEN GRIP MUSCLES’ STRENTGH AND A LEVEL OF FUNCTIONAL ABILITY AMONG THE ELDERLY WOMEN IN TISTA KERAMBITAN, TABANAN
Authors: Semariasih Ni Komang Dewi , Andayani Ni Luh Nopi , Muliarta I Made 
Published: June 2020

The aging process affects the skeletal muscle structure and disability of the musculoskeletal system which resulted in limited and slowed motion. One characteristic of the aging process is a decrease in muscle strength. Muscle strength affects almost all daily activity. Decreased muscle strength can lead to limitations in daily activities, independence and quality of life. This study aims to determine the relationship between handgrip muscles’ strength and level of functional ability among elderly women in Tista, Kerambitan Tabanan. To assess the strength of the relationship and assess the direction of the relationship between the variables. The research design was used cross sectional study with Simple Random Sampling and got 73 samples. The strength of handgrip muscles was measured using Hand-grip dynamometer, while the functional independence level was assessed by Intermediate Activity Daily Living (IADL) questionnaire interview. Result of research by using Spearman correlation test got value P = 0,000 (P <0,05) and Coefficient correlation value equal to 0,489 indicate that there is a significant correlation between handgrip muscles’ strength with functional ability independence level, this relation is positive and medium. In conculsion that handgrip muscles’s strength and level of functional ability are positively correlated and medium. The stronger the muscle strength of the handgrip, the higher the level of functional ability independence and vice versa. Therefore, handgrip muscle’s strength can be used in identifying disabilities in the elderly.
Keywords: elderly, handgrip muscles’ strength, functional capabilities, disability.
Advancing Community Pharmacy Practice – A Technician Product Verification Pilot to Optimize Care
Authors: Andreski Michael , Martin Erica , Brouner Victoria Valentine , Sorum Sarah 
Published: June 2020

Elevating the technical role of pharmacy technicians to perform Technician Product Verification (TPV) is one strategy that has shown promise to optimize pharmacy practice models. This is done by better positioning pharmacists to provide clinical care, in line with their education and expertise. TPV permits a Validated Pharmacy Technician, as defined by the Wisconsin Pharmacy Examining Board, to verify the accuracy of a product filled by another technician. The pharmacist maintains responsibility for assessing the clinical appropriateness of the prescription, including drug utilization review, data entry, and patient counseling.
During the study period, 12,891 pharmacist-verified prescriptions (baseline) and 27,447 Validated Pharmacy Technician-verified prescriptions were audited for accuracy. The aggregate verification error rate for pharmacist-verified prescriptions was 0.16% and 0.01% for Validated Pharmacy Technician-verified prescriptions. The mean error rate was significantly less for Validated Pharmacy Technician-verified prescriptions than for pharmacist-verified prescriptions (0.19 ± 0.174 % vs 0.03 ± 0.089 %, p=0.020) (Figure 3).
This suggests TPV in the community pharmacy setting maintained patient safety. In this study, Validated Pharmacy Technicians were shown to be more accurate than pharmacists at performing product verification. The ability to delegate the product verification task holds the potential to free up pharmacist time for increased direct patient care. Increasing direct patient care by pharmacists in community pharmacies may have significant implications for improving patient outcomes and pharmacy quality.

Article Type: Original Research
As diversidades da predominância da Sífilis Adquirida nas regiões do Brasil (2010-junho 2019)
Authors: Santos Letícia Goes , Dantas Amanda Silveira de Carvalho , Santos Lucas Ferreira de Sá , Lopes Izailza Matos Dantas , Farias Rute de Oliveira , Montalvão Maria Natália da Silva , Matos Catarine Cruz , Almeida Rodrigo Ribeiro de , Abril Victória Silveira , Neto Osmar Ribeiro de Jesus 
Published: June 2020

Esse artigo buscou avaliar a prevalência de Sífilis Adquirida em território brasileiro no período de 2010 a junho de 2019. Foi realizado um estudo transversal, observacional, retrospectivo e de caráter analítico e quantitativo, a partir de uma coleta de dados do Sistema de Informação de Agravos de Notificação (SINAN) do Ministério da Saúde no período de 2010 a junho de 2019. Foi observado um aumento dos casos de Sífilis Adquirida no Brasil, com maior taxa de incidência na região Sudeste e a menor na região Norte. Percebeu-se que o perfil das pessoas acometidas por Sífilis Adquirida, no Brasil, no mesmo intervalo de tempo, foi do gênero masculino, com 59,6%; com idade entre 20 a 29 anos, 33,6%; analfabetos (1,2%), com ensino fundamental incompleto (1ª a 4ª incompleta (5,8%), 4ª completa (3,6%) e 5ª a 8ª incompleta (12,1%)) e completo (7,9%); e de cor branca (37,8%), parda (34,2%) e preta (9,7%). O estudo das taxas de Sífilis Adquirida é uma ferramenta de grande valia para a saúde pública, possibilitando o planejamento de prevenção e controle de acordo com a epidemiologia, estimulando-se à adesão ao tratamento e seu seguimento.
PENGARUH PEMUAIAN PANAS TERHADAP KELURUSAN POROS TURBIN UAP
Authors: Febriansyah Dwijaya , Tambunan Barman , Harmadi Rudias , Fadjrin Budi Noviyantoro 
Published: June 2020

Sebagian besar penyebab kegagalan pada mesin-mesin rotasi termasuk turbin uap adalah poros yang berputar dalam kondisi misalignment. Pada turbin uap, panas yang merambat pada casing dapat merubah dimensi turbin uap karena adanya pemuaian (thermal growth) sehingga mempengaruhi kelurusan poros saat berputar. Nilai thermal growth ini perlu diketahui sebagai salah satu spesifikasi dalam penyetelan poros sebelum turbin beroperasi. Dalam studi ini, Â thermal growth pada turbin uap 3 MW diinvestigasi dengan mengukur kelurusan poros dalam kondisi panas setelah berhenti berputar dan dingin menggunakan metode laser alignment. Hasil pengukuran menunjukkan bahwa thermal growth memberikan pengaruh terhadap kelurusan poros karena adanya selisih nilai kelurusan poros saat kondisi panas dan dingin yaitu 1.0 thous (gap) dan 2.8 thous (offset) pada bidang vertikal kemudian -1.0 thous (gap) dan -2.7 thous (offset) pada bidang horisontal.
Kata kunci : Turbin uap, Thermal growth, Kelurusan poros
Most of the causes of rotating machines failure including steam turbine is shaft misalignment. In the steam turbine, heat that travels to the casing can change steam turbine dimension due to thermal growth which affects the shaft alignment. Thermal growth values needs to be known as one of the specifications in shaft alignment setup. In this study, thermal growth on 3 MW steam turbine was investigated by measuring the shaft alignment in hot after shut down and cold condition using laser alignment method. Results show that thermal growth has an influence on shaft alignment due to difference of alignment values when hot and cold conditions, namely 1.0 thous (gap) and 2.8 thous (offset.) in vertical plane then -1.0 thous (gap) and -2.7 thous (offset.) in horizontal plane.
PENGARUH PENGUNGKAPAN CORPORATE SOCIAL RESPONSIBILITY TERHADAP NILAI PERUSAHAAN DENGAN PROFITABILITAS SEBAGAI VARIABEL PEMODERASI PADA PERUSAHAAN PERTAMBANGAN YANG TERDAFTAR DI BEI
Authors: Benne Kheisy Kharenia , Moningka Petrus 
Published: June 2020

This study aims to analyze the effect of CSR information disclosure measured by Corporate-Social-Responsibility-Index according to GRI G4 on firm value measured by Tobin’s Q. In addition, this study aims to analyze whether profitability measured by return on asset (ROA) can strengthen the relationship between disclosure of CSR and firm value. The population of this study is mining sector companies listed at Indonesia Stock Exchange for the period of 2015-2017. Samples were determined by purposive sampling method and obtained 35 companies as the research samples. This study uses secondary data and multiple regression analysis as the data analysis. The results of this study show that: (1) CSR information disclosure has positive significant effect to firm value, (2) Profitability can strengthen the relationship between disclosure of CSR and firm value.
Keywords: Corporate social responsibility, firm value, profitability
Penelitian ini bertujuan untuk menganalisa pengaruh pengungkapan CSR yang diukur dengan Corporate-Social-Responsibility-Index menurut GRI G4 terhadap nilai perusahaan yang diukur menggunakan Tobin’s Q. Selain itu, penelitian ini juga bertujuan untuk menganalisa apakah profitabilitas yang diukur dengan return on assets (ROA) dapat memperkuat hubungan antara pengungkapan CSR dan nilai perusahaan. Populasi dalam penelitian ini adalah perusahaan pertambangan yang terdaftar di Bursa Efek Indonesia (BEI) tahun 2015-2017. Sampel ditentukan berdasarkan metode purposive sampling, sehingga diperoleh 35 perusahaan sebagai sampel penelitian. Data yang digunakan dalam penelitian ini berupa data sekunder. Metode analisis yang digunakan adalah analisis regresi berganda. Hasil penelitian menunjukkan bahwa: (1) Pengungkapan CSR berpengaruh signifikan positif terhadap nilai perusahaan, (2) Profitabilitas dapat memperkuat hubungan antara pengungkapan CSR dan nilai perusahaan.
Kata kunci: Corporate social responsibility, nilai perusahaan, profitabilitas
Hypertension, as an iceberg disease in the high hilly areas of Nepal
Authors: Lamsal KS , Kafle MP 
Published: June 2020

Introduction: Hypertension simply is usual blood pressure of 140/90 mm Hg or higher in otherwise normal individuals and even lower for certain high-risk patients. Its a common medical condition worldwide. It is the most important, commonest and correctible cardiovascular risk factor and one of the leading causes of death. M any factors like dietary, behavioral, psychological, environmental, genetic etc have direct or indirect influence on hypertension. In this study we have analyzed the prevalence and different stages of hypertension in a remote and high hilly area of Nepal. Methods: The study was conducted in high hilly area adjoined to Solukhumbu and Dolakha districts. Altogether 600 participants were enrolled in the study. Participants having age more 18 years, regardless of symptoms, willing to give consent were involved. Demograghic data and blood pressure was recorded twice. The 1st reading was taken by trained nursing staff using standard Riva Rocci Sphygnomanometer after five minutes rest. The 2nd reading was taken by Physician and mean was calculated from both readings. Results: A mong 600 patients involved in the study, the mean age was 48 years. A mong them, 92 patients were having prehypertension including 53 male and 39 female. The stage I hypertension was found in 130 cases, out of them 77 were male and 53 were female. Whereas stage II hypertension was found in 84 cases, including 40 males and 44 females. Prehypertension was commonest among 40-49 years of age, stage I and stage II hypertension was commonest among 50-59 years. Systolic hypertension was more common in younger and elderly participants whereas diastolic hypertension was more common in middle age adults. Conclusion: In the study, the incidence of hypertension increases whose age was found between 50-59 with age till 50-59 years age group. Systolic hypertension was more common than diastolic hypertension in less than 30 years age group where as between 30-59 years diastolic blood pressure was more commonly found than systolic blood pressure. In the elderly of more than 60 years, again systolic hypertension is more predominant than diastolic hypertension.DOI: http://dx.doi.org/10.3126/joim.v34i3.8906 Journal of Institute of Medicine, December, 2012; 34:4-7
Diagnostic efficacy of ultrasonography in acute appendicitis
Authors: Lohani B , Gurung G , Paudel S , Kayastha P 
Published: June 2020

Introduction: Acute appendicitis is the most common acute condition of the abdomen requiring surgery in both adults 1,2 and children. 3.5 The overall frequency of appendicitis for symptomatic patients younger than 20 years is 41%; the frequency for those older than 20 years is 59%. Methods: This was a prospective cross sectional study involving 104 patients aged between 8 and 68 years with clinical suspicion of acute appendicitis. Patients with suspected acute appendicitis were evaluated with high frequency linear transducer using graded compression technique. Peroperative findings were noted and histopathological examination were carried out in all the cases for confirmation of acute appendicitis. Sensitivity, specificity, negative predictive value, positive predictive value and accuracy of ultrasonography were calculated by using statistical method. Results: Among 104 patients (61 males and 43 females) with clinical diagnosis of acute appendicitis, ultrasonography was positive for acute appendicitis in 79 patients (75.96%). On histopathological examination, 94 appendices (90.38%) were acutely inflamed. The sensitivity of ultrasonography for the diagnosis of acute appendicitis was 78.72% with specificity of 60%. Positive predictive value, negative predictive value and accuracy of ultrasonography were 94.87%, 23.07% and 76.92% respectively. Conclusion: Ultrasonography is a useful method of diagnosing clinically suspected acute appendicitis especially in doubtful cases. DOI: http://dx.doi.org/10.3126/joim.v34i3.8908 Journal of Institute of Medicine, December, 2012; 34:8-11
Rapid assessment of expansion of nursing, paramedical and public health education and it?s implication on quality of education
Authors: Talukder Md HK , Nazneen R , Hossain Md Z , Akther N , Chowdury IJ , Parvin IA 
Published: June 2020

Introduction: Bangladesh is facing many challenges in health care that are similar to other developing countries. In Bangladesh standard of paramedical, nursing, pharmacy and public health education are expanding rapidly which needs to call for assessment and evaluation to be up to date in the respective fields. Study aims to assess the expansion of Nursing, Paramedical & Public health Education in Govt. & non Govt. sectors & its implication on quality of education. Methods: This was a descriptive type of cross sectional explorative study, conducted among the teachers and student of different institutes. Questionnaire was developed and a FGD was done. Then the data was analyzed. Results: At present situation, the numbers of non govt. organizations are more than govt. organizations (127 vs. 85). SWOT analyses showed the overall strength of the institutions were the scope for further improvements and the political commitments for expansion. Weaknesses lie in the lack of adequate infrastructure, suboptimal technical and laboratory facilities and teaching staffs. Opportunities were, increasing demand and provision of jobs at home and abroad. Possible threats were loss of quality services, recognition and registration of the institutes. Regarding the overall organization of the courses, 43% of the students voted as good and 100% of the teachers showed positive opinion. Regarding the teaching-learning procedure, 41% of the teachers strongly agreed about the perfect selection of the students. 48.3% teachers agreed about the adequacy of the number of teachers. 47.8% students also agreed with the competency of the teachers. Nearly one third teachers as well as students agreed about the good physical environment of the institute. About 35% and 36% of the teachers and the students respectively agreed about the transparency of the assessment systems. Conclusions: Present Bangladesh Govt. has implemented various initiatives regarding health sector reform. Proper funding, management, monitoring and evaluation can improve present situation and thus help in the development of better institutional output. DOI: http://dx.doi.org/10.3126/joim.v34i3.8912 Journal of Institute of Medicine, December, 2012; 34:21-27
Incidence of Bacteremia and Septicemia in patients attending in tertiary care center, Nepal
Authors: Chaudhary R , Karmacharya S , Shrestha S , Dahal RK , Mishra SK , Banjade NR , Kattel HP , Rijal BP , Sherchand JB , Pokhrel BM 
Published: June 2020

Introduction: Bacteremia and septicemia is life threatening condition resulting in major cause of mortality and morbidity.The aim of study was to determine the etiology of bacteremia and septicemia with antibiotic sensitivity profile of those organisms. Methods: A prospective study was carried out among the suspected cases from both inpatient and outpatient of TUTH from October 2009 .March 2010. Blood samples were collected and processed according to standard methodology. Results: Out of 2259 samples only 237 (10.49 %) showed bacterial growth. The most common isolates among Salmonella group was Salmonella enterica serotype typhi 71(29.95%) followed by Salmonella enterica serotype Paratyphi A 45(18.98%). Among non Salmonella group Pseudomonas aeruginosa 34(14.34%), Klebsiella pneumoniae 22(9.28%), Acinetobacter spp 15 (6.32%), Citrobacter spp 5(2.10%), Escherichia coli 3(1.26%) while Staphylococcus aureus 34 (14.3%) was most common followed by Enterococcus spp 3(1.26%), Streptococcus spp 2(0.84%), Coagulase Negative Staphylococcus 2(0.84%) and Listeria spp 1(0.42%) among Gram Positive organisms. Antibiogram revealed Cefotaxime, Ceftazidime, Azithromycin and Chloramphenicol for Salmonella group while for non Salmonella Imipenem, Meropenem and Amikacin as most effective antibiotics while Clindamycin, Cipro!oxacin and O!oxacin for gram positive. Conclusion: Gram negative bacteria was the predominant organism causing bacteremia and septicemia. Among them salmonella typhi and salmonella paratyphi were the leading aetiology. DOI: http://dx.doi.org/10.3126/joim.v34i3.8915 Journal of Institute of Medicine, December, 2012; 34:32-38
Papillary carcinoma of thyroid and pregnancy
Authors: Rawal S , Gurung G 
Published: June 2020

Two cases of Papillary carcinoma of thyroid and pregnancy were managed, one with the existing disease diagnosed during pregnancy and the other with a history of near total thyroidectomy. A multidisciplinary approach in the management of both the mothers lead to an uneventful pregnancy, caesarean section with good outcome and were discharged in good health. DOI: http://dx.doi.org/10.3126/joim.v34i3.8919 Journal of Institute of Medicine, December, 2012; 34:54-57
Giant cell tumor of patella
Authors: Paudel S , Kayastha P , Pokhrel P , Shah A , Ghimire RK , Ansari MA 
Published: June 2020

Giant cell tumor of bone also known as osteoclastoma is a distinct clinical, roentgenographic and pathologic entity with specific characteristics. It is a benign but locally aggressive neoplasm of the epiphyseal or metaphyseal-epiphyseal region of long tubular bones extending to the articular surface. It usually occurs after skeletal maturation and is one of the rare bone tumors that more frequently affects women. We report here a case of giant cell tumor originating from the right patella diagnosed on ne needle aspiration cytology. DOI: http://dx.doi.org/10.3126/joim.v34i3.8920 Journal of Institute of Medicine, December, 2012; 34:58-60
Microalbuminuria as a Marker of Preclinical Diastolic Dysfunction in Newly Diagnosed and Never-Treated Essential Hypertension
Authors: Gajurel RM , Sayami A 
Published: June 2020

Introduction: Hypertension (HTN) is a global public health problem with one fourth adults worldwide estimated to have high blood pressure (BP)1 The incidence of hypertension continues to increase in all developed and developing societies as the population grows older and more obese. The Framingham Study and other epidemiological surgeys have clearly defined HTN as an important cause of morbidity and mortality. The aim of this study was to determine the spot urine Microalbuminuria as a marker of preclinical cardiac structural and functional changes in the form of left ventricular diastolic dysfunction in newly diagnosed and never treated essential hypertensive subjects. Methods: A cross sectional study was used for those patients who were attended outpatient clinic of MCVTC with diagnosis of newly diagnosed and never treated hypertension over a period of October 2011 to November 2012. Results: A total of 130 essential hypertensive patients underwent for spot urine for microalbuminuria estimation and Echocardiography for evaluation of left ventricular diastolic function. Among 56 (43.1%) urine samples showed negative test [(Microalbuminuria -); ( UACR 30 mg/Gm)] and those 74 (56.9%) samples revealed positive test [(Microalbuminuria+); (UACR 30 to 300 mg/Gm)]. Patients with microalbuminuria positive was found to have more left ventricular diastolic dysfunction than those who were negative for Microalbuminuria. Conclusion: Microalbuminuria was found to have early preclinical marker of myocardial dysfunction in the form of left ventricular diastolic dysfunction in new and never treated essential hypertension. DOI: http://dx.doi.org/10.2126/joim.v35i1.8890 Journal of Institute of Medicine, April, 2013; 35:3-8