bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case report of venous air embolism in complete placenta previa in a case of lower segment caesarean section
Authors: Noureddine Korichi , Ramanathan Lakshmi , Thode Aboobaker , Reghunatan Vipin , . Vijyakumari 
Published: April 2021

Thromboembolic episodes in the pregnant and postpartum period in patients remain rare but fatal causes of maternal morbidity and mortality. They can be either venous air embolism, venous thrombo-embolism which include deep vein thrombosis and pulmonary embolism and last but not the least amniotic fluid embolism. The incidence of embolic episodes is more in LSCS patients than in patients coming for normal vaginal deliveries for all the type of embolisms, ranging from 10-97% for air embolisms depending on the surgical position and diagnostic tools with a potential for life threatening events, for venous thromboembolism (VTE) it is 0.5-2.2% patients per 1000 deliveries and increased 5-10-fold in pregnancy and 15-35% in postpartum period as compared to the non-pregnant women, the highest being during the 1st 3-6 weeks postpartum. After that the risk declines rapidly, although a small risk increase persists up to 12 weeks. After delivery, incidence of pulmonary embolism ranges from 0.11-0.73% per 1000 deliveries. It is rare, unpredictable, and unpreventable life-threatening complication of pregnancy. According to the International Cooperative Pulmonary Embolism registry, the death rate from massive PE among hemodynamically unstable patients is 52%. Last but not the least, incidence of amniotic fluid embolism ranges from 1/8000 to 1/15000. Delayed diagnosis, delayed treatment or inadequate treatment and inadequate thromboprophylaxis account for many of these deaths. Hence, early detection and proper management helps to prevent maternal mortality and morbidity in our patients. Also, thrombotic prophylaxis helps in preventing the fatal outcome and morbidity and mortality in our patients. Here, we report a case of a patient with complete placenta Previa scheduled for elective Lower segment caesarean section who developed venous air embolism (VAE) but with prompt detection and treatment a fatal outcome was prevented.
Successful intracytoplasmic sperm injection with testicular spermatozoa using pentoxifylline and HOS from a male with necrozoospermia: a case report
Authors: Nampalli Usharani , Fyzullah Syed , R. Chinmayie , Vijay Asha Srinivasan , R. Rajsri T. 
Published: April 2021

The study was done to compare fertilization, cleavage, and pregnancy outcome of a man affected with necro zoospermia using pentoxifylline and a hypoosmotic swelling (HOS) test to select viable spermatozoa from testicular biopsy specimens. A patient was diagnosed with necrozoospermia by semen analysis, and testicular spermatozoa were injected intracytoplasmically, using pentoxifylline and HOS (Hypo osmotic swelling test) and the following ICSI results were observed. Significantly higher fertilization rates (pentoxifylline 100% vs HOS 80%) were observed. There was no significant difference observed in cleavage rates among both groups. Finally, a healthy female infant with birth weight 3 kg was delivered at the second frozen embryo transfer cycle.it was found that selecting viable spermatozoa using pentoxifylline was more effective in fertilization and pregnancies than obtaining it through a HOS test. ICSI is effective for necrozoospermic man.
A rare case of successful twin pregnancy in bicorporeal septate uterus with co-existent septate cervix
Authors: Raman Srimathy , Gururaj Shreelakshmi , Authreya Ashwini J. , Venkataram Padmalatha 
Published: April 2021

Pregnancy occurring in patients with uterine malformations need to be managed with care as they are at risk of developing adverse outcomes. Multiple pregnancies in patients with uterine abnormalities further increase the risk of complications. Due to the rarity of this problem, there are no recommendations to guide and plan the management of these patients. Delivery planning is also tricky and needs to be individualised as either mode of delivery can be associated with complications. We discuss the management of a twin pregnancy in a primigravida (conceived after ovulation induction) with Mullerian abnormality- Septate uterus with co-existent septate cervix; ESHRE type U-2B C-1.
Comparative study on the effects of pre-operative intranasal steroid spray versus oral steroid on intraoperative bleed in FESS for nasal polyposis
Authors: B. Jagannath , Pillai Nikitha , K. L. Bharath Kumar 
Published: April 2021

<p class="abstract"><strong>Background:</strong> Nasal polyps are associated with chronic inflammation of the nasal cavity and sinus mucosa. Steroids are the main stay of medical treatment. FESS is indicated when medical treatment fails. Bleeding during surgery can impair the surgical field during operation and increase the time duration and risks of complications. Pre-operative corticosteroids help reduce bleeding during surgery. The objectives of the study was to study and compare the effects of pre operative intra nasal steroid spray and oral steroid on intra-operative bleed in FESS for nasal polyposis.</p><p class="abstract"><strong>Methods: </strong>60 patients diagnosed with nasal polyposis were sequentially divided into 2 groups. Group A received intranasal steroid spray and Group B received oral steroid each for 7 days. Patients of both groups underwent FESS under general anaesthesia. Bleeding volume and quality of surgical field were assessed during the procedure to evaluate the effect of pre operative steroids in bleeding in FESS.</p><p class="abstract"><strong>Results: </strong>Majority of our study patients of both the groups had moderate bleed. 33.3% of Group B patients showed the best outcome of surgery with just slight bleeding while 33.3% patients of Group B had moderate to severe bleed. Majority of our study patients (53.3%) had a blood loss of about 50-100 ml, of which 66.7% patients belonged to Group B.</p><p class="abstract"><strong>Conclusions: </strong>Preoperative steroids are truly beneficial. Oral steroids has been found to be relatively better than intra nasal steroid spray in improving symptoms, reducing intra operative bleeding, and in providing better quality of surgical field. </p><p class="abstract"> </p>
Clinicoradiological correlation between preoperative high-resolution computed tomography findings and intraoperative findings in chronic otitis media (squamous type)
Authors: Mishra Girish , Sharma Yojana , Patel Sona , Patel Viral 
Published: April 2021

<p class="abstract"><strong>Background:</strong> Chronic otitis media is a major health problem with significant morbidity. High-resolution computed tomography (HRCT) is extremely useful for middle ear pathology and extension of the disease. The objective was to study the correlation between preoperative HRCT and intraoperative findings in chronic suppurative otitis media (squamous type).</p><p class="abstract"><strong>Methods:</strong> This analytical study included 61 cases of chronic otitis media (squamous type). Preoperative HRCT findings were correlated with intraoperative findings. Sensitivity, specificity, PPV, NPV and kappa value were estimated.</p><p class="abstract"><strong>Results:</strong> Out of 61 cases 32 were males and 29 were females. Presence of cholesteatoma found on HRCT with 80% sensitivity with k value 0.83 suggesting very good agreement. About ossicular status k value of incus, malleus and stapes were 0.76, 0.65 and 0.54 respectively with sensitivity of 91%, 85% and 58% respectively. Other critical areas on HRCT like sigmoid sinus plate erosion, tegmen tympani dehiscence, scutum erosion, lateral semicircular canal erosion, facial canal erosion and jugular bulb were seen with k value was about 1, 0.8, 0.9, 0.82, 0.72 and 0.65 respectively. So, HRCT shows perfect radiosurgical agreement for sinus plate erosion, very good agreement for disease extension, incus erosion, tegmen tympani erosion, scutum erosion and LSCC erosion and fair agreement for malleus erosion, facial canal erosion and jugular bulb dehiscence and poor agreement for stapes erosion.</p><p class="abstract"><strong>Conclusions:</strong> HRCT is a reliable preoperative investigation in cases of chronic otitis media, squamosal type which would provide a bird’s eye view in the disease process in the ear.</p>
Extra pulmonary tuberculosis manifestation in head and neck and its diagnosis with recent tools like cartridge based nucleic acid amplification test
Authors: Vatsyayan Richa , Sachdeva Kavita 
Published: April 2021

<p class="abstract"><strong>Background:</strong> The study aimed to assess the clinical manifestations of extra-pulmonary tuberculosis (head and neck) in diagnosed pulmonary tuberculosis (TB) patients and without pulmonary TB and to determine the sensitivity and specificity of cartridge based nucleic acid amplification test (CBNAAT) in the diagnosis of extra-pulmonary TB.</p><p class="abstract"><strong>Methods:</strong> The study was conducted as an observational study at the Department of Otorhinolaryngology, tertiary care center, Jabalpur (Madhya Pradesh) for a period of 18 months i.e. from 01 March 2019 to 31 August 2020 on 30 patients presenting with lesions in ear, nose and throat (ENT), head and neck region. All necessary investigations with TB workup were done. Sputum samples were analyzed by CBNAAT on Xpert- <em>Mycobacterium tuberculosis</em> complex/resistance to rifampin (MTB/RIF). Patients were treated accordingly. Appropriate surgical intervention was done in necessary cases. Using statistical analysis, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy was calculated for CBNAAT. </p><p class="abstract"><strong>Results:</strong> Neck swelling and ear discharge were the most common features observed in 66.7% of cases. In cases with pulmonary TB, systemic features were the most predominant features whereas in cases with extra-pulmonary TB, local features were predominant. Sensitivity, specificity, PPV and NPV of CBNAAT were documented to be 85%, 50%, 89.5% and 40% respectively.</p><p class="abstract"><strong>Conclusions:</strong> TB of the head and neck are commonly encountered in clinical practice. The patients usually present with variable clinical manifestations depending upon the site of involvement. The middle ear is the most common site affected by head and neck tuberculosis. CBNAAT is a sensitive tool for the diagnosis of extra-pulmonary TB with and without associated pulmonary TB.</p>
Suggested format for university assessment in undergraduate competency based curriculum in otorhinolaryngology
Authors: Khilnani Ajeet Kumar , Khilnani Gurudas , Thaddanee Rekha 
Published: April 2021

<p>The competency based medical education emphasizes role of formative and summative assessments in academic progression of learners. The university examination represents summative assessment in which distribution of marks becomes important for overall evaluation of students’ performance in examinations. The competency based curriculum (CBC) began with 2019-20 batch that has already completed phase-I training and is studying in phase-II presently. The phase-III, part-1 training for this batch would begin in February 2022. The details of otorhinolaryngology (ORL) curriculum have already been published by erstwhile Medical Council of India (MCI). There shall be formative and summative assessment examinations during the 12 months period (duration of phase-III, part-1 has been reduced from 13 months to 12 months as per the advisory from National Medical Commission). The suggested break-up of the internal assessment (IA) marks in ORL is published earlier. Here, we further suggest scheme of theory paper and clinical examination, and division of university assessment (UA) marks in ORL. The CBC document has assigned total 200 marks in ORL i.e. 100 marks for theory and 100 marks for practical/clinical examination including viva. The IA marks will not contribute to the university marks, but will be displayed as a separate head in the marksheet.</p>
PENGARUH LINGKUNGAN KERJA DAN MOTIVASI KERJA TERHADAP KEPUASAN KERJA GURU DAN DAMPAKNYA PADA KINERJA GURU MADRASAH ALIYAH DI PULAU BAWEAN
Authors: Nasir Moh 
Published: April 2021

Penelitian ini bertujuan untuk: (1) Menjelaskan pengaruh lingkungan kerja terhadap kepuasan kerja guru Madrasah Aliyah di Pulau Bawean (2) Menjelaskan pengaruh Motivasi kerja terhadap kepuasan kerja guru Madrasah Aliyah di Pulau Bawean (3) Menjelaskan pengaruh lingkungan kerja terhadap kinerja guru Madrasah Aliyah di Pulau Bawean (4) menjelaskan pengaruh motivasi kerja terhadap kinerja guru Madrasah Aliyah di Pulau Bawean (5) Menjelaskan pengaruh kepuasan kerja terhadap kinerja guru Madrasah Aliyah di Pulau Bawean (6) menjelaskan pengaruh tidak langsung antara lingkungan kerja terhadap kinerja guru melalui kepuasan kerja guru (7) Menjelaskan pengaruh tidak langsung antara motivasi kerja terhadap kinerja guru melalui kepuasan kerja guru. Penelitian ini menggunakan pendekatan kuantitatif, dengan jumlah sample sebanyak 100 orang guru, sedangkan analisis data pada penelitian ini dengan menggunakan tekhnik analisis jalur (Path Analisys) dengan bantuan softwere spss. Hasil penelitian ini menunjukkan bahwa: (1) Ada pengaruh positif dan signifikan antara lingkungan kerja dengan kepuasan kerja guru Madrasah Aliyah di Pulau Bawean, (2) Ada pengaruh positif dan signifikan antara Motivasi kerja dengan kepuasan kerja guru Madrasah Aliyah di Pulau Bawean, (3) Ada pengaruh positif dan signifikan antara lingkungan kerja dengan kinerja guru Madrasah Aliyah di Pulau Bawean, (4) Ada pengaruh positif dan signifikan antara Motivasi kerja dengan kinerja guru Madrasah Aliyah di Pulau Bawean. (5) Ada pengaruh positif dan signifikan antara kepuasan kerja guru dengan kinerja guru Madrasah Aliyah di Pulau Bawean (6) Ada pengaruh tidak langsung antara lingkungan kerja dengan kinerja guru melalui Kepuasan kerja guru Madrasah Aliyah di Pulau Bawean.(7) Ada pengaruh tidak langsung antara lingkungan kerja dengan kinerja guru melalui Kepuasan kerja guru Madrasah Aliyah di Pulau Bawean.
PENERAPAN PANCA KARAKTER SEBAGAI PROGRAM PENGUATAN KARAKTER SISWA (Studi Kasus di SD Anak Saleh Malang)
Authors: Munawaroh Binti Saniatul 
Published: April 2021

Abstrak Karakter adalah segala sesuatu yang telah terukir pada diri manusia yang dilahirkan melalui sikap ataupun sifat tanpa adanya suatu perencanaan (kesengajaan) yang dapat dilihat oleh orang lain secara langsung, atau bahkan hubungan dengan Tuhannya ada yang kalanya karakter positif maupun karakter negatif. Dan yang pasti karakter positiflah yang harus ditanamkan dan dikembangkan pada diri seseorang menyangkut dalam tingkat sebagai anak bangsa atau warga negara, yang dijadikan cermin dari kesejahteraan sebuah bangsa itu sendiri. Sehingga dari sinilah muncul adanya konsep pendidikan karakter.Penelitian ini bertujuan untuk menganalisis dan mendeskripsikan Penerapan Panca Karakter Sebagai Program Penguatan Karakter Siswa (Studi Kasus di SD Anak Saleh Malang), dengan sub fokus mencakup: (1) pengembangan dan pembentukan panca karakter, (2) implementasi panca karakter, dan (3) dampak panca karakter.Penelitian ini menggunakan pendekatan kualitatif dengan rancangan studi kasus. Pengumpulan data dilakukan dengan teknik observasi, wawancara, dan dokumentasi. Teknik analisis data meliputi reduksi data, penyajian data, dan penarikan kesimpulan, pengecekan keabsahan temuan dilakukan dengan cara kreadibility dan konfirmability.Hasil penelitian menunjukkan bahwa: (1) pada pengembangan dan pembentukan pelaksanaan panca karakter dimulai pada tahun 2005, faktor dan motivasi sehingga terlaksananya panca karakter, kurikulum yang digunakan sesuai dengan program pemerintah, serta panca karakter merupakan karakter utama dalam pelaksanaan program penguatan karakter; (2) implementasi panca karakter sebagai program penguatan karakter siswa dimulai dari proses perencanaan, proses pelaksanaan, dan proses evaluasi. Penguatan karakter berdasarkan dari 18 karakter yang ada ternyata nilai karakter kesalehan personal, sosial, kebangsaan, kecendekiaan, dan kelamiahan mencapai hasil yang relatif tinggi; dan (3) dampak bagi sekolah dalam penerapan panca karakter sebagai program penguatan karakter siswa terdiri dari hasil, implikasi, faktor pendukung dan harapan kedepan dengan penerapan panca karakter. Sedangkan dampak bagi orang tua siswa bahwa masing-masing orang tua siswa merasa terbantu dengan adanya panca karakter sebagai program penguatan karakter pada anak-anaknya. Kata Kunci: Panca Karakter, Program Penguatan Karakter
Hubungan Kepemimpinan Spiritual, Kultur Organisasi Dan Efikasi Diri Terhadap Kinerja Pendidik Dan Tenaga Kependidikan Madrasah Aliyah Negeri (Man) Di Malang Raya
Authors: Juliansyah Juliansyah 
Published: April 2021

Penelitian ini bertujuan untuk mengungkapkan dan menjelaskan hubungan kepemimpinan spiritual, kultur organisasi, dan efikasi diri terhadap kinerja pendidik dan tenaga kependidikan madrasah aliyah negeri di Malang Raya. Penelitian ini merupakan penelitian korelasional dengan pendekatan kuantitatif, pengumpulan data dilakukan dengan teknik kuesioner atau angket, wawancara dan dokumentasi. Populasi berjumlah 232 orang, sampel 144 responden yang terdiri 114 guru dan 30 staf. Teknik analisis data meliputi Outer Model dan Inner Model serta Bootstrapping. Hasil penelitian menunjukkan bahwa: (1) terdapat hubungan positif signifikan kepemimpinan sepiritual, kultur organisasi, dan efikasi diri terhadap kinerja guru dengan nilai interpretasi 0,633 atau persentase 63,3%. Dan terdapat hubungan hubungan positif signifikan kepemimpinan sepiritual, kultur organisasi, dan efikasi diri terhadap kinerja tenaga kependidikan dengan nilai interpretasi 0,961 atau persentase mencapai 96,1%
IMPLEMENTASI MODEL PROJECT BASED LEARNING DALAM PEMBELAJARAN AL-QURAN UNTUK MEMBENTUK NILAI KARAKTER RELIGIUS SISWA KELAS III DI SD AS-SALAM BANGKALAN
Authors: Azzahrah Fatimah 
Published: April 2021

Kemerosotan akhlaq yang terjadi akhir-akhir ini sudah menjangkit pada generasi muda khususnya usia sekolah dasar. Hal tersebut bisa diatasi dengan membentuk pendidikan karakter religius di sekolah dasar. Setiap sekolah diharapkan dapat menyelenggerakan berbagai kegiatan khususnya proses pembelajaran yang menyisipkan nilai-nilai karakter religius. Salah satunya yaitu pada pembelajaran Alquran, yang menjadi tonggak pendidikan Islam. Salah satu model pembelajaran yaitu Project Based Learning yang digunakan dalam pembelajaran Al-Quran, menjadikan siswa tidak hanya memahami kandungan Al-Quran namum mampu menerapkan apa yang terkandung dalam Al-Quran. Sehingga siswa akan berperilaku Qurani dalam kehidupan sehari-hari. Penelitian ini bertujuan untuk mendeskripsikan bagaimana perencanaan dan pelaksanaan model project based learning dalam pembelajaran Al-Quran pada siswa kelas III SD As-Salam Bangkalan serta evaluasi dan implikasi model project based learning dalam pembelajaran Al-Quran pembelajaran terhadap nilai karakter religius siswa kelas III SD As-Salam Bangkalan.Penelitian ini menggunakan pendekatan kualitatif dengan jenis yang dipakai adalah studi kasus. Studi kasus merupakan salah satu jenis pendekatan kualitatif yang menelaah sebuah kasus tertentu dalam konteks atau setting kehidupan nyata kontemporer. Data yang digunakan adalah data primer dan sekunder. Data tersebut dikumpulkan melalui tiga cara, yaitu wawancara, observasi, dan dokumentasi. Hasil penelitian ini menunjukkan bahwa 1) perencanaan model project based learning dalam pembelajaran Al-Quran pada siswa kelas III SD As-Salam Bangkalan adalah dengan menyusun silabus, RPP serta menentukan proyek yang akan dilaksanakan siswa. 2) pelaksanaan model project based learning dalam pembelajaran Al-Quran pada siswa kelas III SD As-Salam Bangkalan adalah terdiri dari enam langkah, yaitu penentuan pertanyaan mendasar, merencanakan proyek, menyusun jadwal pelaksanaan proyek, monitoring proyek, menguji hasil, serta evaluasi. 3) evaluasi model project based learning dalam pembelajaran Al-Quran pada siswa kelas III SD As-Salam Bangkalan adalah dengan penilaian autentik yang mencakup ranah kognitif, afektif, dan psikomotorik. Sedangkan implikasi terhadap nilai karakter religius siswa, ditemukan beberapa nilai yaitu ketakwaan, kejujuran, keikhlasan,dan syukur. Pada pembentukan keempat nilai tersebut juga digunakan metode keteladanan, pembiasaan, dan pemberian nasehat agar nilai karakter religius pada diri siswa semakin kokoh. Kata Kunci: Implementasi, Project Based Learning, Pembelajaran Al-Quran, Nilai Karakter Religius.
DISCOVERING THE SCHOLARSHIP DIMENSION OF AHMADIYYA: Ahmadiyya’s School on Indonesian Islam’s Views
Authors: Thoriquttyas Titis 
Published: April 2021

AbstractIndonesian Islam’s ideas were clearly elaborate about the teachings of Islam which promoting the tolerant, creating Muslim society who has harmonious and respecting the minority rights, such as on Ahmadiyya’s issues. This article shows how Ahmadiyya communities are able to survive in Yogyakarta through educational institution and how the others society receive their existence peacefully. Limiting its scope on Ahmadiyya’s school namely, Yayasan PIRI (Perguruan Islam Republik Indonesia) Yogyakarta which established on 1942 and it labeled as Ahmadiyya’s school based on its history especially refers to Gerakan Ahmadiyya Indonesia. This paper drawn on the acceptability of Ahmadiyya's school around the society and its effort to negotiate their position used the Indonesian Islam ideas as the approach and the perspective. Furthermore, researcher will point out its uniqueness from the curriculum (learning materials), the educators and its learning methods in order to find the basic characteristics which it appropriate with what Indonesian Islam ideas could be contributed Keywords: Indonesian Islam, Ahmadiyya’s School, Yayasan PIRI Yogyakarta
Strategi Guru dalam Menghadapi Siswa Lamban Belajar (Slow Learner) Pada Proses Pembelajaran Tematik
Authors: Parapat Humaidah Fatimah 
Published: April 2021

Strategy is one of the series of activity, which is made and implemented to reach particular goal. Slow learners are students who are slower in underastanding a concept than other fellow students of the same age. The strategies used by teacher in the learning process is a very crucial part to help slow learners who have a low ability.The results of the study indicate that: (1) the teachers of SDN Ketawanggede Malang create a planning before starting the thematic learning process by preparing RPP (lesson plan). They add a modification such as material and learning objective for the slow learners. (2) Both school conduct introductory activities in the thematic learning implementation process, which are given by the teachers, by giving apperception delivering the learning objectives, and giving motivation to all student including slow learners. The slow learners do the same activities as what other students do. In the closing activities, the teachers usually perfom a question-answer session to conclude the lesson given and give assignments for the slow learners based on their abilities. (3) The evaluation and assesment of the of the thematic learning process for slow learners are not different with what are given to the non-slow learners .(4) There are some different strategies given by the teachers in treating slow learners in both schools, namely: the modified lesson plan including the material and learning objectives as performed by SDN Ketawanggede Malang, special ways implemented by the homeroom teachers to improve the slow learners’ ability in class, and the treatment given by special shadow teachers that really helps the slow learners to improve. The similarities found in both schools are the facts that the teachers in both schools are the facts that the teachers in both schools do not have special strategy, method, and learning media to help slow learners to be able to understand the materials conveyed by the teachers easily.