bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Comparison of Using Crystalloid Preloading and Co-Loading in Caesarean Section Operation Under Spinal Anaesthesia and Its Association with Spinal Anaesthesia Induced Hypotension and Heart Rate Variability
Authors: Mohammad Taneem , Mozaffor Miliva , Akter Shamima , Mohammad Obaidullah - , Miah Mohammad Abdul Karim , Rahman Md Siddiqur , Habib SM Ahsanul , Siddique Sharmina , Alam Saleha , Mehzabin Shafinaz 
Published: March 2021

Context: There is lack of evidence on comparison of crystalloid pre-loading and co-loading in parturients undergoing cesarean section operation under spinal anesthesia in Bangladesh. Hence, the present study was designed to compare the efficacy of crystalloid pre-loading and co-loading in preventing spinal anesthesia induced hypotension and heart rate variability during caesarean delivery.
Methods: This single blinded randomized controlled clinical trial was conducted in the Department of Anaesthesia, Analgesia & Intensive Care, Dhaka Medical College Hospital, Dhaka, Bangladesh, from January 2013 to December 2014. A total of 90 patients were selected - 45 patients of group I received co-loading with Ringer’s lactate solution, while another 45 patients of group II received a pre-loading with the same fluid. Blood pressure and heart rate were recorded in both the groups with 3-minute intervals from the beginning of the subarachnoid block for the first 20 minutes, and then with 5-minute intervals up to one hour. Ephedrine was used as the primary rescue drug to treat hypotension. When ephedrine failed to treat hypotension, adrenaline was administered as a potent vasopressor.
Results: The incidence of hypotension was 17 (37.8%) in group I (co-loading group) and 27 (60%) in group II (pre-loading group), which was significantly higher in group II (p<0.05). Comparatively higher heart rate was observed in group II, but not statistically significant. Ephedrine was required in 17 cases (37.8%) in group I and 27 cases (60%) in group II. Mean ephedrine required was 9.2±3.6 mg in group I and 11.5±4.3 mg in group II. The difference was statistically significant (p<0.05). Adrenaline was administered in 1 case (2.2%) in group I and in 2 cases (4.4%) in group II, which was not statistically significant (p>0.05).
Conclusion: Severity of hypotension and increased ephedrine requirement were evident in patients who received crystalloid pre-loading (group II), which means crystalloid co-loading (group I) was more capable to prevent spinal anaesthesia induced hypotension.
J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 12-17
Challenges in Treatment Strategies for Management of Neonatal Sepsis
Authors: Amin Tahsinul , Nur Ayesha Najma , Mahmud Imran 
Published: March 2021

Background: Neonatal sepsis is an important cause of morbidity and mortality in newborns. The symptoms and signs of neonatal sepsis are often non-specific and similar to other common neonatal diseases, investigation results are also non-specific and low sensitivity of blood culture also causes diagnostic dilemma and often empirical antibiotic treatment is given. This is why, there is challenges in making the diagnosis and treating neonatal sepsis.
Objectives: To find the etiology, sensitivity and specificity of clinical features and investigations and optimal and effective treatment for neonatal sepsis.
Materials and methods: The study was a prospective study done in the neonatal ward of a tertiary hospital in Bangladesh; total 100 neonates diagnosed as neonatal sepsis, were enrolled in this study. All study subjects were fully evaluated clinically, thoroughly investigated and properly treated as per protocol.
Results: The sensitivity and specificity of clinical features and investigations were statistically significant (i.e. p <0.05) and etiologic agents were isolated by urine culture and sensitivity to antibiotics were shown and outcome measure e.g. mortality was 22% (OR 3.54; 95% CI 2.04- 6.13; P <0.05).
Conclusion: There are challenges in making diagnosis and treating neonatal sepsis, yet sincere approach to diagnosis and rational and appropriate use of antibiotics along with necessary adjuvant therapy can mitigate the challenges.
J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 23-28
The Predictors of the Severity of Dengue Fever: A Cross-Sectional Study in a Tertiary Care Center of Bangladesh
Authors: Hossain Mohammad Zaid , Sultana Nusrat , Sweety Afroza Akbar , Mahmud Reaz , Khan Mohammed Masudul Hassan , Rahman Muhammad Faizur , Saber Sadia , Rahman Farzana , Islam Khairul , Chowdhury Forhad Uddin Hasan , Islam Mazharul , Paul Nandita , Azad Khan Abul Kalam 
Published: March 2021

Background: Dengue is an endemic disease for Bangladesh with occasional outbreak. Little is known about the predictors of severe dengue.
Methods: This cross sectional study was conducted in the medicine department of Dhaka Medical College from April 2019 to March 2020. Total 199 consecutive patients were enrolled in this study. For the purpose of the analysis, dengue fever was classified as group I and dengue hemorrhagic fever and dengue shock syndrome was classified as group II.
Results: The mean (SD) age of the study population was 28.5(12.1) and 87.4% were less than 40 years of age. The male and female ratio was about 3:1. Among the total study population, 149(74.9%) patients had DF, 46 (23.1%) had DHF and only 4 (2%) had DSS on presentation. Baseline demography and clinical presentation did not significantly differ between classical dengue and severe dengue. Previous history of dengue had low association with severity (RR, 95%CI, phi, P value; 1.2, 1.04-1.40, 0.25, 0.001).Most of the laboratory parameters were similar between the groups. The number of platelet count was significantly lower in DHF and DSS [median (IQR) 43500(16500-95250], than DF [median (IQR) 65000(33000-1170000, p-value 0.01]
Conclusion: Previous infection with dengue virus and decreasing platelet count are the predictors of the severe dengue.
J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 77-82
Hereditary mucinous ovarian cancer complicated with omental metastasis: A case report
Authors: Das Adhir Kumar 
Published: March 2021

Approximately 80% ovarian tumorsare benign, and these arise mostly in young adult females. Malignant tumors are more prevalent in ageing women, between the ages of 45-65 years. Mucinous ovarian cancer represents about 5% of epithelial ovarian cancers (EOC).We have reported a case of mucinous cystadenocarcinoma in 35-year-old lady with metastasis to omentum.Imaging (radiograph & CT scan) studies showed a large right sided pelvic mass with probable origin in the right ovary. Cancer antigen-125 was elevated, while carcinoembrionic antigen and alphafetoprotein were normal. Mutational profiles shown distinct finding, as KRAS mutations positive nevertheless p53 and BRCA mutations are absent. She had undergone total abdominal hysterectomy with bilateral salphingo-oopherectomy along with pelvic dissection for removal of lymph nodes at the age of 35. She was given advice for radiotherapy with 3 cycles of chemotherapy with cisplatin and paclitaxel. To the best of our knowledge, this is the one of the littlecase of ovarian mucinous cystadenocarcinoma being reported at a relatively young age, and the first case being reported from Bangladesh.
J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 83-88
A case report on Syndrome of transient Headache and Neurological Deficits with cerebrospinal fluid Lymphocytosis (HaNDL)
Authors: Mahmud Reaz , Rassel Mohammad Aftab , Monayem Farhana Binte , Chowdhury Ahmed Hossain , Islam KM Nazmul 
Published: March 2021

HaNDL syndrome (transient headache and neurological deficits with cerebrospinal fluid lymphocytosis) is a rare headache disorder previously known as Migraine with cerebrospinal fluid pleocytosis. The disease is characterized by one or more episodes of headache and transient neurological deficits associated with cerebrospinal fluid lymphocytosis. It is a benign disorder and a stroke mimicker. We describe a case of 50 years old lady presented with acute onset headache, right hemi sensory tingling and bilateral papilloedema. Her blood test, MRI of brain and MRV was normal. CSF study revealed lymphocytic pleocytosis. The patient was discharged with full recovery. HaNDL syndrome is a diagnosis of exclusion. High degree of suspicion and characteristic clinical and laboratory findings are important to recognize.
J Dhaka Medical College, Vol. 29, No.1, April, 2020, Page 89-91
PENGEMBANGAN SOAL HIGHER ORDER THINKING SKILL (HOTS) MATERI BILANGAN DI SEKOLAH MENENGAH PERTAMA
Authors: Cayani Sitri , Lubis Mawardi , Saltifa Poni 
Published: March 2021

Tujuan Penelitian ini yaitu mengembangkan soal HOTS materi bilangan kelas VIII di SMP Negeri 1 Kota Bengkulu yang valid dan praktis. Jenis penelitian yang digunakan dalam penelitian ini adalah R&D/Research and Development dengan pendekatan kualitatif dan kuantitatif. Model pengembangan yang digunakan dalam penelitian ini adalah model Martin Tessmer yang terdiri dari tahap preliminary, tahap self evaluation (analisis kurikulum, peserta didik, materi, dan desain), tahap prototyping (validasi, evaluasi, dan revisi) yang meliputi expert review, one-to-one dan small group. Hasil pengembangan soal HOTS materi bilangan kelas VIII di SMP Negeri 1 Kota Bengkulu diperoleh nilai validitas dari 3 orang validator sebesar 3,73 yang berarti soal tes HOTS ini berada pada criteria sangat valid selanjutnya soal tes HOTS yang sudah peneliti kembangkan diperoleh nilai kepraktisan pada tahap small group (6 orang peserta didik) sebesar 93,75% berada pada kriteria sangat praktis.
A segregação socioespacial gerada pela produção do espaço habitacional na cidade de Maringá/PR
Authors: Fiorillo Nunes Livia , De Paula Santil Fernando Luiz 
Published: March 2021

Este artigo apresenta considerações sobre as relações das habitações sociais no processo de produção do espaço urbano brasileiro. De modo mais preciso, quais as possíveis relações entre o Programa Minha Casa, Minha Vida, sua parceria com os grandes agentes e os processos de segregação socioespacial. Ao promover grandes reassentamentos populacionais e novas formações socioespaciais, no caso das metrópoles e de cidades médias brasileiras, os sujeitos ficam submetidos a um processo de segregação socioespacial. É o que acontece no município de Maringá no Estado do Paraná e em seus distritos – Floriano e Iguatemi. Apesar do programa habitacional fornecer acesso à moradia, os indivíduos acabam sendo enfraquecidos social e territorialmente, pois o direito à cidade não acompanha o benefício. Na medida em que, são realocados para residir em áreas periféricas afastadas dos grandes centros, de modo que acaba dificultando o acesso à cidade, além de também gerar grandes vazios urbanos. Nesse sentido, o presente artigo busca mostrar os efeitos territoriais existentes ligados as habitações sociais que são destinadas às classes de menor renda. No caso, as habitações do Programa Minha Casa, Minha Vida no distrito de Floriano. A partir de estudos sobre produção do espaço urbano maringaense e de uma visita de campo se buscou analisar a dinâmica socioespacial do perímetro, foi possível constatar a falta de equipamentos públicos e privados, mesmo após a implementação de três conjuntos habitacionais. Essa dinâmica urbana atrelada ao valor do terreno e a renda dos indivíduos, acaba fortalecendo desigualdades territoriais entre diferentes áreas do município. Palavras-chave: Segregação Socioespacial; Programa Minha Casa, Minha Vida; Habitações Sociais; Maringá.
Kualitas Produk, Servicescape dan Word of Mouth Serta Pengaruhnya terhadap Keputusan Pembelian Ulang
Authors: Zulkarnain Muhammad 
Published: March 2021

Abstract- This writing was done in order to determine the effect of product quality, servicescape, word of mouth on repurchase decisions. This study uses primary data sourced from questionnaires and the sample used is 75 respondents who are consumers of the Warung Kopi Rahmat. Methods of data analysis using multiple linear regression equations, coefficient of determination (R2), t test and F test. The results showed that product quality, servicescape, word of mouth have a positive effect on repurchase decisions at Warung Kopi Rahmat . The coefficient of determination test results obtained 61.1% product quality, servicescape, word of mouth can explain the repurchase decision. While the t test results of product quality, servicescape partially have a significant effect on repurchase decisions and word of mouth has no significant effect on repurchase decisions. The results of the F test, product quality, servicescape, word of mouth simultaneously have a significant effect on repurchase decisions.

Keywords- Product Quality; Servicescape; Word of Mouth; Repurchase Decision

Abstrak- Penulisan ini dilakukan dengan tujuan untuk mengetahui pengaruh kualitas produk, servicescape, word of mouth terhadap keputusan pembelian ulang. Penelitian ini menggunakan data primer yang bersumber dari kuesioner dan sampel yang digunakan sebanyak 75 responden yang merupakan konsumen dari Warung Kopi Rahmat. Metode analisis data menggunakan persamaan regersi linier berganda, uji koefisien determinasi (R2), uji t dan uji F. Hasil penelitian diketahui bahwa kualitas produk, servicescape, word of mouth berpengaruh positif terhadap keputusan pembelian ulang pada Warung Kopi Rahmat. Hasil uji koefisien determinasi diperoleh 61,1% kualitas produk, servicescape, word of mouth dapat menjelaskan keputusan pembelian ulang. Sementara hasil uji t kualitas produk, servicescape secara parsial berpengaruh signifikan terhadap keputusan pembelian ulang dan word of mouth berpengaruh tidak signifikan terhadap keputusan pembelian ulang. Hasil uji F, kualitas produk, servicescape, word of mouth secara simultan berpengaruh signifikan terhadap keputusan pembelian ulang.

Kata Kunci- Kualitas Produk; Servicescape; Word of Mouth; Keputusan Pembelian Ulang
Verba Bahasa Tontemboan (Suatu Sumbangan Bagi Pembelajaran Bahasa Daerah di Kabupaten Minahasa Selatan)
Authors: Mundung Rivka , Pesik Nikolas , Lintjewas Jansen 
Published: March 2021

Abstrak. Masalah dalam penelitian ini ialah verba Bahasa Tontemboan khususnya verba berimbuhan. Tujuan penelitian ini adalah untuk mendeskripsikan verba berimbuhan dalam bahasa Tontemboan ditinjau dari segi bentuk dan maknanya. Pengumpulan data dalam penelitian ini dilakukan dengan memakai tiga teknik yaitu partisipan, wawancara dengan informan (native speaker), dan studi dokumentasi. Metode yang digunakan pada penelitian ini adalah deskriptif kualitatif. Yang menjadi sumber data adalah penutur asli yang berjumlah 3 orang. Hasil dari penelitian ini menunjukkan bahwa verba berimbuhan dalam bahasa Tontemboan dapat berupa: a. verba berupa prefiks /ma-/ contoh /maw∂raˀ/ ‘bermain’,/marɛndɛr/ ‘memarahi’; /mə-/ contoh /məroma?/ ‘berunding’, /mərɛndɛr/ ‘bertengkar’; /məka-/ contoh /məkatɛmbo/ ‘saling melihat dari ketinggian’, /məkatimboy/ ‘memegang’; /məpa-/ contoh /məpaɛma?/ ‘membuatkan’, /məpatagas/ ‘mengeringkan’: b. verba berupa infiks /-əm-/ contoh /təmunu/ ‘membakar’, /səmombayaŋ/ ‘berdoa’; /-um-/ contoh /kuməsot/ ‘keluar’, /tumawoy/ ‘bekerja’; /-in-/ contoh /sinɛpa/ ‘ditangkap’, /tinimboy/ ‘dipegang’: c. verba berupa sufiks /-an/ contoh /konda?an/ ‘langkahi’, /wuka?an/ ‘bukakan’; /-ən/ contoh /wulɛŋən/ ‘dipikul’, /turu?ən/ ‘tunjukkan’: d. verba berupa gabungan imbuhan /mə-an/ contoh /məntɛmboan/ ‘saling melihat dari ketinggian’, /mənroma?an/ ‘saling berbicara’; /pa-ən/ contoh /patu?ulən/ ‘disebutkan’, /pasusuyən/ ‘diajari’; /pa-an/ contoh /pawəlaran/ ‘dilebarkan’, /patimboyan/ ‘dipegangi’; /-in-an/ contoh /kinaɛrɛan/ ‘ditemukan’, /tinəkəlan/ ‘ditiduri’. Penelitian ini harus terus dikembangkan agar dapat membantu masyarakat untuk tetap melestarikan bahasa Tontemboan.Kata Kunci: Verba, Bahasa Tontemboan
Pengaruh Pengalaman, Independensi, Gender Auditor Terhadap Kualitas Audit
Authors: Suryani Irma , Efendi Asep , Fitriana Fitriana 
Published: March 2021

Penelitian ini dilakukan karena banyaknya kasus kegagalan audit yang mghasilka kualitas audit yag buruk, diduga pengalaman,independesi, gender auditor brpgaruh terhadap kualitas audit didukung dengan adanya inkonsistensi hasil penelitian terdahulu. Populasi pada penelitian adalah auditor tetap yang bekerja diKAP Jakarta Pusat yang terdaftar di direktorat IAPI 2019. Jumlah populasi penelitian adalah 265 auditor.Penentuan ukuran sampel menggunakan rumus Slovin. Teknik pengambilan sampel yang digunakan yaitu probability sampling denan jumlah sampel dalam penelitian ini adalah 72 auditor tetap. Metode penelitian yang digunakan adalah metode deskriptif dan verifikatif. Metode analisis data menggunakan analisis regresi linier berganda dengan menggunakan SPSS 20. Hasil penelitian membuktikan bahwa: (1) pengalaman auditor di KAP Jakarta Pusat termasuk kategori tinggi (2) independensi auditor di KAP Jakarta Pusat termasuk kategori sangat tinggi (3) gender auditor di KAP Jakarta Pusat di dominasi oleh laki-laki, hasil penelitian menunjukan auditor wanita lebih baik dalam mengaudit.(4) kualitas auditor di KAP Jakarta Pusat termasuk kategori tinggi,(5)pengalaman auditor berpengaruh negatif dan tidak signifikan terhadap kualitas audit secara parsial,(6) Independensi berpengaruh positif dan signifikan terhadap kualitas audit secara parsial,(7) gender berpengaruh negatif dan signifikan terhadap kualitas audit secara parsial, (8)pengalaman, independensi, gender auditor berpengaruh terhadap kualitas audit secara simultan.
Authors: Sukmana Deddy 
Published: March 2021

Penelitian ini bertujuan untuk model pengembangan kompetensi pedagogik guru di lingkungan sekolah dasar negeri 267 Griya Bumi Antapani Kota Bandung. Penelitian ini menggunakan metode kualitatif dengan teknik pemaparannya menggunakan teknik deskriptif. Adapun teknik pengumpulan datanya menggunakan metode wawancara, angket, dan studi dokumentasi. Berdasarkan hasil penelitian diperoleh hasil bahwa kemampuan guru-guru di SDN 267 masih rendah dalam kompetensi penilaian dan evaluasi proses dan hasil belajar serta pembuatan Penelitian Tindakan Kelas. Adapun solusi untuk meningkatkan kompetensi pedagogik guru di SDN 267 Griya Bumi Antapani Kota Bandung melalui model pengembangan yang efektif dan inovatif, yaitu Program Inkubasi dengan Metode Peer Coaching. Adapun pelaksanaan kegiatannya dengan pola In-On-In. Teknik pendampingannya dilakukan dengan teknik daring dan luring (Blended Learning) dengan memanfaatkan teknologi informasi dan komunikasi yang sesuai dengan era digital saat ini.
Pengembangan Instrument Minat Belajar IPA Siswa Sekolah Dasar
Authors: Iswanto Iswanto 
Published: March 2021

Tujuan penelitian adalah menghasilkan intrumen minat belajar IPA siswa kelas IV sekolah dasar yang memenuhi kriteria valid dan reliable. Variabel yang diamati dalam penelitian ini berupa instruments angket minat belajar IPA dengan subjek penelitian siswa SDN Karangrejo 02 dan SDN Cingklung Kecamatan Bancar Kabupaten Tuban. Penelitian ini merupakan jenis penelitian pengembangan (R&D) dengan menerapkan model penelitian Plomp dengan lima tahapan meliputi (1) Fase Investigasi, (2) Desain, (3) Realisasi, (4) Evaluasi dan Revisi, (5) Implementasi. Instrumen yang dikembangkan berupa angket minat belajar IPA untuk siswa sekolah dasar dengan indicator perasaan senang, ketertarikandan perhatian siswa dalam belajar IPA. Uji Angket, dilakukan uji validasi butir mengunkan teknik korelasi aplikasi SPSS versi 23 dengan jumlah item pertanyaan 20 dan responden (N-24) dengan taraf signifikansi 5% (0,05) adalah 0,404 (R tabel). Diperoleh 13 item pernyataan yang valid dan 7 item pernyataan yang tidak valid. Uji reliabilitas memiliki nilai Cronbach’s Alpha lebih dari 60% atau 0,6, yaitu 0,801 yang berarti angket tersebut dikatakan Reliabel. Berdasarkan hasil pembahasan pada penelitian pengembangan instrument minat pada pebelajran IPA dengan menggunakan model plomp dapat disimpulkan bahwa instrument (angket) minat belajar IPA yang disusun sesuai indikator yang ditetapkan harus memenuhi katagori valid dan reliable. Angket minat belajar IPA untuk siswa sekolah dasar pada penelitian telah berhasil memenuhi syarat valid sesuai hasil analisis butir menggunakan program SPSS versi 23 memperoleh 13 soal katagori dengan r hitung > r tabel serta reliabilitas memiliki nilai Cronbach’s Alpha lebih dari 70% atau 0,7, yaitu 0,801 yang berarti kuesioner tersebut dikatakan Reliabel.
Hubungan Belajar Online di Masa Pandemi Covid 19 dengan Tingkat Stress Mahasiswa S1 Keperawatan STIKes Baiturrahim Jambi
Authors: Adrian Fadhil Ammar , Putri Vevi Suryenti , Suri Martha 
Published: March 2021

As a result of the global Covid-19 pandemic, all campuses are being led to conduct online or online lectures in order to break the chain of Covid-19 spread.Online learning is a type of teaching-learning activity with technology that is carried out remotely. All elements ranging from lecturers, staff, and students must adapt to this condition. This sudden change can certainly cause stress to studentsmethodThis researchuses a quantitative research method with a cross-sectional. The population in this study were undergraduate nursing students at STIKes Baiturrahim Jambi. The researchwas conducted online by filling out questionnaires via google form. The data obtained were analyzed univariately and bivariately using the chi square test, the study was conducted on 23-24 June 2020. The results of 57 respondents as many as 25 (43.9%) learning online is not good and as many as 32 (56.1%) learning online is good. Online learning of the majority of undergraduate nursing students is good. Of the 57 respondents, 32 (56.1%) had light stress levels, 16 (28.1%) moderate stress levels and 9 (15.8%) severe stress levels. The results of statistical tests obtained p-value = 0,000..The conclusion is that there is a relationship between online learning and the stress level of S1 Nursing STIKES Baiturrahim Jambi students
Efektivitas Self Efficacy terhadap Pemahaman Tanda Bahaya Kehamilan menggunakan Video dan Buku Kesehatan Ibu dan Anak
Authors: Herinawati Herinawati , Heryani Neni , Susanti Susanti , Danaz Nst Atika Fadhilah , Imelda Imelda , Iksaruddin Iksaruddin 
Published: March 2021

One effort to increase the understanding of pregnant women about the danger signs of pregnancy is to carry out social persuasion in the form of education to improve self-efficacy of understanding the danger signs. Education can be done using a variety of media, namely visual media, audio and audio visual. This literature study aims to find out Effectiveness of Self-Efficacy towards Understanding of Pregnancy Danger Signs using Videos and Books of MCH.The design used in this study is the study of literature. The type of data used is secondary data obtained from journal database searches taken through the internet, both national and international journals. The search results obtained as many as 12 journals that are considered in accordance with the purpose of the study. The results of the literature study show that there is an effect of Self-Efficacy on Understanding of the Signs of danger of pregnancy using Video, there is an effect of Self-Efficacy of Understanding of Signs of danger of pregnancy using the MCH Handbook, and Video media is more effective than the Book of MCH. The conclusion of this literature study is The effectiveness of education delivered is affected by a variety of things, one of which is the media used. The better the media used, the easier the reception of material by respondents. Recommendations from this literature study virtue need to improve the health promotion strategy by advocacy strategy, social support strategy and community empowerment strategy