bluuebunny/crossref_metadata_2025_split huggingface dataset:
PAIN AND HEMODYNAMIC STATUS ASSESSMENT IN CHILDREN UNDERGOING ORTHOPAEDIC TRAUMA SURGERIES AMID PERIOPERATIVE MULTIMODAL ANALGESIA
Authors: Gomon M. , Goncharuk O. 
Published: September 2021

Stable hemodynamic parameters are used as one of the criteria for adequacy of analgesia during the surgery. In order to provide reliable antinociceptive protection, it is necessary to reduce the flow of nociceptive stimuli from the peripheral to central receptors.
Hence, pain and hemodynamic assessment is crucial for adequate perioperative analgesia and the choice of anesthetic technique in children undergoing orthopaedic trauma surgeries.
Purpose. This study aims to assess pain intensity and changes of hemodynamic parameters in orthopaedic trauma pediatric patients under perioperative multimodal analgesia.
Materials and methods. A total of 61 patients with orthopaedic trauma were included in this study. Mean age was 9.3±4.5 years (range: 8-17). Open reduction was performed in 43 cases (70.5%), and 18 children (29.5%) underwent closed reduction. Mean duration of the surgery was 102.1±20.4 min. All patients have the premedication (atropine sulfate, diazepam, acetaminophen, intravenously) done 30-40 min. before the surgery in the surgical ward. Surgical procedures were performed under general anesthesia. Postoperative pain intensity was assessed by Individualized Numeric Rating Scale – NRS. Perioperative monitoring included peripheral pulse oximetry (SpO2), non-invasive blood pressure measurement (SBP, DBP, MAP), vital signs and blood glucose level control. Postoperative analgesia was maintained by IV acetaminophen, if necessary – by administration of divided dose of morphine. Results and conclusions. Mean pain intensity was 2.32±0.28 (6 hrs postop.), 12.06±0.16 (12 hrs postop.),
2.78±0.24 (24 hrs postop.), 2.04±0.6 (48 hrs postop.) based on NRS, respectively (p<0.05). 26% patients required single dose administration of morphine during the first 24 hrs after the surgery.
Significant decrease in blood glucose 12 hrs (4.3 mmol/l) and 24 hrs (4.6 mmol/l) after the surgery in comparison to the preoperative level (6.2 mmol/l) suggests of the severe stress resolution in the majority of the patients and adequate pain management. Preoperative stress is mainly caused by underlying disease and the surgical procedure itself.
Heart rate (HR) monitoring shows that the vast majority of the patients (n=55, 86.5%) had mean pulse less than 110 bpm after IV Acetaminophen administration (20 mg/kg).
Minimal mean HR throughout the study was 87.3±5.3 bpm, maximal mean HR was 120±5.3 bpm. Mean SBP throughout the study was 100.2±5.3 mm Hg and mean DBP – 66.4±1.8 mm Hg, respectively. Oxygen saturation was within normal limits in all children. Hemodynamic parameters were within physiological surgical stressrelated limits, which suggests of the fluctuant course of postoperative pain syndrome.
A traditional approach to perioperative pain management in children is associated with a moderate pain syndrome according to the results obtained with pain scales, hyperkinetic type of hemodynamics 6.24 hrs after the surgery, and the fluctuant course of postoperative pain.
THE SAFETY OF PHOTOSENSITIZERS AS A PREVENTIVE DRUG FOR INDUSTRIAL POULTRY FARMING
Authors: Gryazneva T. , Shlionskiy V. , Shlionskaya A. 
Published: September 2021

The aim of the work was to determine the safety of the use of photosensitizers as a preventive drug for industrial animals.
In the theoretical part, the definition of photosensitizers was given with a description of the reactions in which they enter into biological systems, the purpose of the work and the tasks were formulated.
In the practical part, the effectiveness of the Photoditazine photosensitizer was determined in order to maintain the well-being of the livestock of industrial birds and to obtain high-quality and safe poultry products. In vivo experiments were conducted to determine the effectiveness of photosensitizers as a preventive drug for production animals. Studies were also conducted to determine the safety of products obtained from experimental animals by feeding their meat to laboratory rats with further determination of their pancreatic elastase concentration by ELISA. For the experiments, non-linear white female rats were selected as the most adequate test object for rapid analysis of the safety of raw materials obtained after the use of photosensitizers.
THE ROLE OF THE FAMILY IN THE MORAL EDUCATION OF PRESCHOOL CHILDREN
Authors: Aliyeva S. 
Published: September 2021

The article examines the role of the family in the moral education of preschoolers. This problem is presented in both historical and contemporary contexts. At the same time, the methods used in moral education are explained. The questions of the influence of such methods on the child as interviews, artistic reading and storytelling, games, encouragement and punishment, etc. are considered.
The article talks about the views of various Azerbaijani teachers on moral education. It is also emphasized that morality is one of the forms of social consciousness and its importance in human life is very important. Morality is a concept that is always used and accepted by everyone in different ways.
Evaluasi Peraturan Daerah Kota Pekanbaru Nomor 9 Tahun 2014 Tentang Pengelolaan Pasar Rakyat, Pusat Perbelanjaan dan Toko Swalayan pada Dinas Perdagangan dan Perindustrian (Studi Kasus Perencanaan Fisik Pasar Sail di Kecamatan Sail)
Authors: Nielwaty Elly 
Published: September 2021

This research discusses the evaluation of the Pekanbaru City Regional Regulation Number 9 of 2014. Every people's market must meet the requirements starting from the supporting facilities and facilities that must exist in the people's market according to those already in the policy, while at Sail Market there are supporting facilities and facilities which are not available or many are not functioning due to lack of maintenance from the manager. The theory used is Riant Nugroho's evaluation theory which suggests an evaluation of policy performance. The place of this research is the Department of Trade and Industry of Pekanbaru City and Sail Market . The purpose of this study is to evaluate the Regional Regulation Number 9 of 2014 on the physical planning of Sail market. This research uses a descriptive qualitative method, this method is used to describe how the Pekanbaru City government manages and supervises the people's market, especially the Sail Market. The results of this study conclude that the Pekanbaru City government in dealing with people's markets managed by third parties to create a decent, safe and healthy people's market according to the provisions of Regional Regulation No. 9 of 2014 has not been effective. The Department of Trade and Industry has not been able to carry out its duties and functions as the agency responsible for managing the people's market. This is because the current condition of Sail market is that there are many supporting facilities and facilities that do not exist.
GASTRIC ASPIRATE: A SCREENING TOOL FOR DETECTION OF EARLY NEONATAL SEPSIS-A PROSPECTIVE STUDY IN TERTIARY CARE CENTRE, INDORE
Authors: Gupta Mansi , Kirar Vivek Singh , Narang Sanjeev , Prashant Swati 
Published: September 2021

Background: Infections in early neonatal period are one of the important factors responsible for high mortality and morbidity in neonates in developing countries. Although it is being frequently observed by pediatricians in neonates, still insufficient relevant studies are documented. The objective of the present study was to evaluate the utility of gastric aspirate cytology as a screening tool for neonatal sepsis, and to determine the polymorphonuclear leukocyte count present in smear of gastric aspirate and correlating it with blood culture proven sepsis.
Methods: The study was conducted on 100 neonates suspected with septicemia in inborn patients in Index medical college hospital and research centre. Gastric aspirate sample was collected within 6 hours of birth for septic screening of neonates. All the collected data was statistically analysed by applying Chi-square test using SPSS 2.0 software.
Results: Gastric aspirate cytology has sensitivity 0f 53.19% and specificity of 62.28% with positive predictive accuracy of 51.33% and negative predictive accuracy of 63.4%.The relationship between gastric aspirate cytology and maternal risk factors like PROM are found to be highly significant.
Conclusions: We conclude that gastric aspirate cytology in neonates is an excellent screening technique for neonatal sepsis added to a detailed perinatal history and clinical examination. The chances of positivity of gastric aspirate increase as the duration of rupture of membranes increased.
Keywords: Gastric aspirate cytology, Neonatal sepsis, Blood culture, Polymorphonuclear leukocytes.
Studi Mutu (ServQual) dan Kepuasan Pasien Berdasarkan Akreditasi Puskesmas
Authors: Ariyanti Fajar , Arofi Septia Putri 
Published: September 2021

Akreditasi puskesmas merupakan upaya untuk meningkatkan mutu pelayanan. Salah satu cara mengetahui peningkatan mutu pelayanan dapat diukur melalui kepuasaan pasien. Pada tahun 2016 di Kota Lubuklinggau didapatkan indeks kepuasaan masyarakat pada puskesmas non-akreditasi (Puskesmas Priuk) lebih tinggi dibandingkan dengan indeks kepuasaan masyarakat pada puskesmas terakreditasi (Puskesmas Sidorejo). Tujuan penelitian ini untuk mengetahui kepuasan pasien dan mutu pelayanan kesehatan berdasarkan akreditasi puskesmas. Penelitian ini menggunakan desain cross sectional deskriptif dan studi kasus. Sampel penelitian adalah pengunjung pukesmas berjumlah 108 responden dan informan penelitian adalah kepala puskesmas dan kepala tata usaha. Analisis data menggunakan analisis deskriptif dan analisis konten. Hasil penelitian menunjukkan kepuasan pada puskesmas terakreditasi berdasarkan dimensi keadaan fisik (96,3%), keandalan (98,1%), ketanggapan (98,1%), jaminan (98,1%) dan empati (96,3%) lebih tinggi dari puskesmas non-akreditasi berdasarkan dimensi keadaan fisik (40,7), keandalan (88,9%), ketanggapan (90,7%), jaminan (96,3%) dan empati (90,7%). Puskesmas terakreditasi diharapkan dapat mempertahankan mutunya dan bagi puskesmas non akreditasi diharapkan dapat memperhatikan dimensi-dimensi mutu untuk memperbaiki dan meningkatankan kepuasan pasien serta mempersiapkan diri dalam menghadapi proses akreditasi.
Analisis Perilaku Siswa SMP terhadap Kebijakan Kawasan Tanpa Rokok (KTR)
Authors: Hariyanti Dwi , Hidayah Mudita Sri , Sari Chanif Kurnia 
Published: September 2021

Perokok pada remaja usia 10-14 tahun semakin meningkat. Merokok akan berdampak pada perokok aktif dan juga lebih besar resikonya yaitu pada perokok pasif sehingga perlu dilakukan upaya pengamanan rokok bagi kesehatan, diantaranya melalui penetapan Kawasan Tanpa Rokok (KTR). Di Temanggung sebagai kota Tembakau belum memiliki perda yang mengatur tentang pelaksanaan kebijakan KTR. Penelitian ini bertujuan untuk mengetahui hubungan sikap, norma subjektif dan persepsi kontrol perilaku terhadap perilaku siswa terkait kebijakan terhadap KTR di SMP. Metode penelitian yang digunakan yaitu deskriptif kuantitatif dengan menggunakan pendekatan cross sectional. Populasi penelitian ini adalah siswa SMP Negeri di Temanggung kelas 8 dan 9. Pengambilan sampel menggunakan cluster sampling didapatkan 382 siswa. Analisis data bivariat yang digunakan yaitu Somers’d. Hasil analisis penelitian menunjukkan ada hubungan bermakna dengan tingkat hubungan yang lemah (Pv=0,006 ; r=0,246)) antara sikap dengan perilaku siswa SMP terhadap kebijakan KTR dan tidak ada hubungan antara norma subyektif (Pv=0,134) dan persepsi kontrol perilaku (Pv=0,088).
Persepsi Pedagang Pasar terhadap COVID-19 dan Pencegahannya di Pasar Kasih Naikoten 1 Kota Kupang
Authors: Lette Arman Rifat 
Published: September 2021

Infeksi coronavirus masih terus terjadi hingga saat ini. Semua lapisan masyarakat perlu secara disiplin mematuhi protokol Kesehatan, tidak terkecuali pedagang di pasar. Pedagang di pasar sangat rentan tertular COVID-19. Berdasarkan hasil observasi, pedagang di pasar tradisional kurang mematuhi Protokol Kesehatan. Tujuan penelitian ini adalah untuk menggali persepsi pedagang terhadap COVID-19 dan pencegahannya. Metode penelitian adalah kualitatif dengan rancangan eksplorasi dan pendekatan fenomenologi. Informan utama adalah pedagang pasar. Informan pendukung adalah Perwakilan perusahaan daerah pasar Kota Kupang, dan perwakilan Pengelola pasar. Teknik pengambilan data melalui wawancara mendalam dan observasi. Analisis data menggunakan teknik analisis fenomenologi. Penelitian dilakukan dari bulan April-Mei 2020. Penelitian dilakukan di pasar tradisional Kasih, Naikoten 1-Kota Kupang. Hasil penelitian menunjukkan persepsi terhadap penyakit COVID-19 yaitu tidak takut karena Tuhan ada, tidak pikir dan pasrah saja, takut juga, dan kebutuhan ekonomi/hidup lebih mendesak. Persepsi terhadap pencegahan penyakit COVID-19 antara lain biasa cuci tangan, pakai masker buat sesak nafas dan kesulitan berkomunikasi, pakai masker saat ada petugas dan saat keluar jalan, Work From Home tidak dapat dilakukan, dan penutupan pasar tidak mungkin dilakukan. Para pedagang tetap memilih berjualan karena berkaitan dengan kesalahan persepsi/pandangan serta desakan kebutuhan/ekonomi. Komunikasi, Informasi dan Edukasi (KIE) secara berkelanjutan perlu dilakukan agar pedagang disiplin mematuhi protokol kesehatan.
Identification of risk factors associated with umbilical hernia in under 5 children: A hospital based study
Authors: Amin Shayla , Islam Nazrul , Quddush ASM Ruhul , Kamruzzaman - , Badruzzaman - , Parvin Sabiha , Sultana Faria 
Published: September 2021

Umbilical hernia is one of the most commonly encountered abnormalities in early months of infancy and childhood. Though umbilical hernia is a common benign condition which resolves spontaneously during first 5 years of life, it may be a great concern to the parents and other caregivers. Therefore, the high index of suspicion, prompt recognition and thorough understanding of common factors are necessary to ensure their correction and convince the parents to treat. A hospital based cross sectional observational study was conducted in the paediatrics unit of Community Based Medical College & Hospital from March 2013 to September 2013 to determine the factors associated with umbilical hernia. A total of 160 cases of umbilical hernia admitted in paediatrics unit and outpatient department of Community Based Medical College & Hospital were enrolled in the study. Necessary information were collected by detailed history taking, clinical examination and close follow up of the hospital course, using pre-designed questionnaire. Among 160 patients, malnutrition were observed in 21.8% , severe malnutrition was the most common abnormality (45%) followed by moderate malnutrition 28.05%, mild malnutrition 28.05%. Low birth weight were found to have 21.3%, among medical condition, excessive crying were 18.7%, chronic cough were 18.7%, constipation were 17.5%, positive family history 1.9%. Malnutrition and low birth weight are more common association of umbilical hernia.Malnutrition has great impact on developing umbilical hernia. Chronic cough, excessive crying, constipation more or less equally responsible. So early identification of risk factors and proper management and close monitoring are important to reduce the risk of developing umbilical hernia.
CBMJ 2018 July: Vol. 07 No. 02 P: 04-08
Breast Reduction for Fibrocystic Breast Disease: a case report
Authors: Sultana Taslima , Alam Maruf , Hossain Shakhawat 
Published: September 2021

The pathophysiology of fibrocystic breast disease is determined by estrogen predominance that results in hyper proliferation of connective tissue (fibrosis), the risk of breast cancer is increased twofold to fourfold in these patients. The clinical correlate of fibrocystic disease is reflected by breast and axillary pain or tenderness. The disease progresses with advancing premenopausal age and is most pronounced in women during their 40s. We present a case of 23 years old lady who completely get rid of her symptoms from heavy breast with diagnosed fibrocystic changes immediately after breast reduction surgery. Breast reduction can be a treatment option for fibrocystic breast diseases which are not responding to medical treatment.
CBMJ 2018 July: Vol. 07 No. 02 P: 42-44
Tumors of the Lacrimal Sac: Three case reports
Authors: Ul Kadir Syeed Mehbub , Nuruddin Murtuza , Rashid Riffat , Haider Golam 
Published: September 2021

Lacrimal Sac tumors are extremely rare and potentially life threating. It may be primary, secondary and metastasis from distant organ. Lacrimal sac tumors may be broadly classified into epithelial (72%), mesenchymal (12%), lymphoproliferative (11%) and melanocytic (04%). About 72% are malignant; tend to be locally invasive with high recurrence rate. To report three cases of rare primary lacrimal sac tumors. We evaluated three rare case reports on primary lacrimal sac tumors in two tertiary eye hospitals in Bangladesh. 46 year old female, 36 year old male, and a 21-year-old young male, patients presented with mass in the lacrimal sac area. Two of them underwent deep incision biopsy and histopathology revealed Low grade extranodal marginal zone lymphoma (ENMZL). One patient was treated with Radiotherapy and another one with 6-Cycles of CHOP chemotherapy(Cyclophosphamide, Hydroxydaunorubicin, Oncovin,Prednisone). One patient underwent excision biopsy and histopathology reported lacrimal sac haemangiopericytoma. In all cases the lesions were resolved completely. Management of lacrimal sac tumors requires a high index of suspicion, as these are fatal tumor and often misdiagnosed as dacryocystitis. Early and appropriate intervention will help to complete resolution of the tumor as well as to reduce the recurrence.
CBMJ 2018 July: Vol. 07 No. 02 P: 45-49
Effect of Oral Fenofibrate on Serum Bilirubin Level in Term Neonates with Unconjugated Hyperbilirubinaemia: A Randomized Control Trial
Authors: Mosharref Murshida , Rehnuma Naila , Jahan Nusrat , Zafreen Farzana 
Published: September 2021

Introduction: Hyperbilirubinemia is a common problem in the neonatal period. Phototherapy is the most important proposed treatments for hyperbilirubinemia, but several drugs along with phototherapy are used with recent advances.
Aim: To see the effect of oral fenofibrate on serum bilirubin level in term neonates with unconjugated hyperbilirubinaemia.
Methods: This prospective study was carried out in Combined Military Hospital Cumilla from July 2018 to June 2019. Total 60 term and normal birth weight neonates with neonatal jaundice were enrolled in this study. Jaundiced newborns presenting with infection, G6PD deficiency, conjugated bilirubin >2 mg/dl or >15% of total serum bilirubin (TSB) and congenital anomalies were excluded from this study. These neonates were randomly allocated to the Fenofibrate group (30 cases) and Control group (30 cases). Total serum bilirubin was measured every 24 hours till the end of phototherapy and at the time of discharge. Statistical analysis was done using SPSS 22.0 and p<0.05 was considered significant.
Results: There were no significant differences in gender, age, weight, gestational age and type of delivery between two groups. Mean duration of hospital stay were 4.0±0.7 and 5.5±1.4 days in Fenofibrate group and Control group respectively (p<0.001). In Fenofibrate group, TSB was decreased from 17.2 mg/dl to 15.2 mg/dl after 24 hours, to 13.6 mg/dl after 48 hours, and to 10.1 mg/dl at the time of discharge. In control group, TSB was decreased from 17.0 mg/dl to 16.3 mg/dl after 24 hours, to 15.9 mg/dl after 48 hours, and to 10.3 mg/dl at the time of discharge.
Conclusion: Treatment of neonatal unconjugated hyper- bilirubinemia with fenofibrate reduces neonatal bilirubin levels and decreases the need for phototherapy and hospitalization.
JAFMC Bangladesh. Vol 15, No 1 (June) 2020: 35-38
The THE PHILOSOPHICAL FOUNDATION OF THE SCHOOL LITERACY MOVEMENT IN INDONESIA
Authors: Nandy Intan Kurnia  
Published: September 2021

The School Literacy Movement (SLM) was launched in 2015 by the Indonesian government in response to the concerns of many parties regarding the readiness of the Indonesian young generation to face the challenges of the 21st-century. This paper examined the philosophical foundations of SLM by scrutinizing the School Literacy Movement Master Design published in 2019 as the object of study. This study was a descriptive qualitative study, using the inferential content analysis method. The findings were: (1) the philosophical foundation of SLM that is portrayed in the object of study are essentialism, perennialism, progressivism, existentialism, and critical pedagogy, and (2) the object of the study is strongly influenced by the philosophy of progressivism since the writers of the SLM Master Design were more focused on the effort to prepare the students to face the 21st-century challenges.
Gerakan Literasi Sekolah (GLS) atau The School Literacy Movement (SLM) atau dicanangkan pada tahun 2015 oleh pemerintah Indonesia, sebagai jawaban atas keprihatinan banyak pihak terkait kesiapan generasi muda Indonesia menghadapi tantangan abad 21. Tulisan ini mengkaji landasan filosofis SLM dengan menelaah Desain Induk Gerakan Literasi Sekolah terbitan 2019 sebagai objek kajian. Penelitian ini adalah penelitian deskriptif kualitatif yang menggunakan metode analisis isi inferensial. Temuan penelitian adalah: (1) Landasan filosofis SLM yang tergambar dalam objek kajian adalah esensialisme, perenialisme, progresivisme, eksistensialisme, dan pedagogi kritis; dan (2) Objek kajian sangat dipengaruhi oleh filosofi progresivisme karena penulis Desain Induk SLM lebih fokus pada upaya mempersiapkan siswa untuk menghadapi tantangan abad ke-21.
Pengaruh Aromaterapi Lemon terhadap Emesis Gravidarum Trimester I
Authors: Fitria Aida , Prawita Ade Ayu , Yana Sari 
Published: September 2021

Introduction: Emesis gravidarum or nausea, vomiting, which often occurs in the first trimester of pregnancy, if left untreated, will cause problems for pregnant women and the fetus. Handling of emesis gravidarum can be done with pharmacological and non-pharmacological treatments such as lemon aromatherapy. According to Riskesdas Jambi province in 2018, complications experienced by pregnant women amounted to 14.36% of them experienced nausea and vomiting. Objective: To determine the effect of lemon aromatherapy on emesis gravidarum in pregnant women in the first trimester at the Rosita Village Midwife Clinic, Pasar Monday, Jambi Province in 2020. Method: The research was pre-experimental design approach in the form of one group pre-test and post-test. The study population was 20 people. The sample were taken by using a purposive sampling technique amounted to 15 respondents, the statistical test used was the depnden t test. Result: The data obtained the pre-test mean of 10,20 and SD of 1.486, while the post-test of mean of 4,80 SD of 1.234. From the results of the statistical test, namely the paired t-test with a confidence level of 95%, it is known that the p-value=0.000. Conclusion: There is frequency reduction in first trimester emesis gravidarum by giving lemon aromatherapy Lemon Aromatherapy in Trimester I Pregnant Women.