bluuebunny/crossref_metadata_2025_split huggingface dataset:
Transaxillary Surgical Ligation of Patent Ductus Arteriosus in Paediatric Group of Patient
Authors: Islam Md Zahidul , Hasan Kazi Abul , Rushel Khondokar Shamim Shahriar Ziban , Moinuddin Shahriar , Siraji Saiful Islam , Islam Md Faizul , Ferdous Shahnaz , Islam Md Azizul 
Published: March 2019

Background: Patent ductus arteriosus is a frequent congenital anomaly with left to right shunt. The aim of this study is to assess 3 years’ experience of transaxillary approach in surgical ligation of patent ductus arteriosus.
Methods: In three years from July 2015 to September 2017, 46 patients underwent in surgical ligation of patent ductus arteriosus through transaxillary approach. All patients had undergone elective operation. Intra operative and post-operative data were analyzed and follow up after 1 month and 3 years.
Results: There were 18 male (39%) and 28 female (61%). Their age range was from 5 months to 10 years months (mean 39.2±24.7 months) and body weight ranges from 4.5 kg to 32 kg (mean 16.05±6.63 kg).There was no mortality or residual patency. Morbidity includes superficial wound infection and chylothorax. All patient discharge on 3rd-5th postoperative day except those who developed chylothorax was discharged after 8 days.
Conclusion: Trans axillary approach for closure of PDA has moved from an alternative incision to a standard posterolateral incision in our experience. It is less traumatic and more cosmetic.
Cardiovasc. j. 2019; 11(2): 114-117
A Comparative Study of St Segment Resolution between Diabetic and Non-Diabetic ST Segment Elevation Myocardial Infarction Patients following Streptokinase Thrombolysis
Authors: Iqbal Shahriar , Bari M Saiful , Bari MA , Islam Mirza Md Nazrul , Majumder M Abdullah Al Shafi , Islam Zahidul , Aditya Gana Pati , Paul Gobinda Kanti , Shakil Shiblee Sadeque , Saha Bishwanath , Paul Protap Kumar , Uddin Mohammad Jalal 
Published: March 2019

Background: One of the most effective and used (in our settings) methods of reperfusion of ST elevation myocardial infarction (STEMI) is administration of streptokinase (SK) infusion. This study was conducted with the aim to compare ST segment resolution between diabetic and non-diabetic patients with ST segment elevation myocardial infarction after thrombolysis by streptokinase.
Methods: A total of 100 patients with ST elevation myocardial infarction with or without diabetes mellitus were studied from December 2016 to November 2017. Among these half of patients were diabetic while rests were non-diabetic. Streptokinase was administered to all patients. Resolution (reduction) of elevated ST segment was evaluated after 90 min of streptokinase administration.
Results: Failed reperfusion (<30% ST resolution) was significantly higher in diabetic as compared to nondiabetic patients (42% vs. 12%, p <0.001). In hospital complications were more in diabetic patients who has failed reperfusion following streptokinase thrombolysis. Cardiogenic shock occurred in 44% and acute LVF in 30% patients and EF (46.54%) was significantly lower in diabetic patients and higher number of diabetic patients had prolong hospital stay than non-diabetic patients with STEMI.
Conclusion: The outcome of thrombolytic therapy is adversely affected by diabetes mellitus in patients with ST-elevation myocardial infarction.
Cardiovasc. j. 2019; 11(2): 118-122
Comparison of ST segment Changes in Lead aVR with in-Hospital Outcomes in Patients with First attack of Acute Inferior ST Segment Elevation Myocardial Infarction
Authors: Uddin Mohammad Jalal , Bari M Saiful , Bari MA , Islam Mirza Md Nazrul , Majumder M Abdullah Al Safi , Islam Zahidul , Aditya Gana Pati , Paul Gobinda Kanti , Debnath Rakhal Chandra , Iqbal Shahriar , Chowdhury Md Shamim , Rahman Md Saidur 
Published: March 2019

Background: Inferior wall ST segment elevation myocardial infarction is considered to be at lower risk than anterior wall STEMI except in some cases. The aim of our study was to evaluate the relationships between on admission ST segment changes in lead aVR and short term in-hospital outcomes in acute isolated inferior myocardial infarction undergoing thrombolysis.
Methods: Total 107 of first attack of inferior STEMI patients were included and all were thrombolysed by streptokinase. The sample population were divided into three groups based on the condition of ST segment in lead aVR on admission and in hospital outcomes were observed: Group –A: ST segment elevation ≥0.5 mm; Group –B: ST segment depression ≥0.5 mm; Group-C: Iso-electric ST segment.
Results: 6.54% of study population had ST segment elevation in lead aVR, 53.27% had ST segment depression in lead aVR and 41.12% had isoelectric ST segment in lead aVR. During hospital stay mortality rates of patients of Group A, Group B and Group C were 33.3%, 5.3% and 4.5 % respectively; rates of cardiogenic shock were 33.3%, 8.8% and 2.3% respectively; heart failure rates were 50.0%, 15.8% and 4.5% respectively; rates of recurrent angina after thrombolysis were 66.7%, 33.3% and 6.8% respectively in three groups and the mean LVEF were 40.17, 48.61 and 52.50 respectively.
Conclusion: The on admission-isoelectric ST segment in lead aVR in acute inferior myocardial infarction predicted better in-hospital outcomes in comparison to ST segment elevation and ST segment depression in aVR. On the other hand, ST segment elevation in lead aVR predicted worse in-hospital outcomes than ST segment depression in acute inferior myocardial infarction in spite of reperfusion by thrombolytic.
Cardiovasc. j. 2019; 11(2): 123-128
Outcome of Early vs. Delayed Invasive Intervention in Acute Coronary Syndrome Patients Attending a Selected Specialized Hospital: A Comparative Study
Authors: Shafi Masuma Jannat , Nasrin Sahela 
Published: March 2019

Background: This study was to compare the outcome of early versus delayed invasive intervention in acute coronary syndrome (ACS) patients.
Methods: A total of 200 patients with ACS underwent early intervention group (d”24 h, n=100) and delayed intervention group (>24 to 72 h, n=100) after percutaneous coronary intervention (PCI) were enrolled. The probable outcomes were a composite of re-infarction, acute LVF, recurrent ischemia, repeat revascularization, bleeding, stroke or death at 30 days.
Results: Male were predominating (74%vs26%). Left anterior descending artery was the commonest infarct related artery in both groups (p=0.114). Cardiac markers, Cardiogenic shock, Acute left ventricular failure (LVF) and ventilator requirement were significantly higher (p=0.007, p=0.060, p=0.009, p=0.002) and mean duration of hospital stay was longer (p <0.001) in delayed intervention group. At 30 days follow-up improvement of chest pain, LVF and ejection fraction were achieved significantly in patient undergoing early intervention (p <0.001, p=0.016, 54.7±7.4 vs. 48.4±6.9; p <0.001). Adverse outcome like acute LVF (7% vs. 21%; p=0.004), re-infarction (0% vs. 7%; p=0.007), acute kidney injury (AKI) (5% vs. 17%; p=0.007), bleeding (11% vs. 18%; p=0.160), stroke (3% vs. 9%; p=0.074), repeat revascularization (1% vs. 7%; p=0.032), death (0% vs. 5%; p=0.030) was higher in delayed invasive intervention group (p=0.001).
Conclusion: Acute LVF, ventilator requirement and duration of hospital stay were significantly predominating in delayed intervention group. Early invasive strategy in ACS patient associated with lower rates of acute LVF, acute kidney injury, re-infarction, stroke, bleeding, repeat revascularization and death compared with delayed invasive strategy at 30 days of follow-up.
Cardiovasc. j. 2019; 11(2): 129-138
In-hospital Outcome of Acute Coronary Syndrome Patients with on-Admission Hyponatremia
Authors: Ali Mohammad , Chowdhury Abdul Wadud , Sabah Khandker Md Nurus , Amin Md Gaffar , Sarker Sudhakar , Saha Bishnu Pada , Haque Md Mashba Ul , Farjana Jinat 
Published: March 2019

Background: Coronary artery disease is the commonest form of heart disease and the leading cause of morbidity and mortality throughout the world. Electrolytes imbalance can lead to increase in hospital mortality and morbidity in acute coronary syndrome patients. Our objective was to find out and to compare in-hospital outcome of patients presenting with acute coronary syndrome with or without onadmission hyponatremia.
Methods: A total of 336 patients were included in this study of which 59 patients were in group A (sodium level <135 mmol/l). Group A was subdivided in Group A1 (Na+-134-130mmol/l), Group A2 (Na+-120- 129mmol/l), Group A3 (Na+-<120mmol/l) and 277 patients were in group B (sodium level >135 mmol/l).
Results: On-admission hyponatremia was documented in 16.12 %( 59) of patients with acute coronary syndrome. Among them, 16 patients with acute anterior STEMI, 19 patients with acute inferior STEMI, 19 patients with NSTEMI and 5 patients with unstable angina. In this study, in hospital complications like acute heart failure (81.4% vs. 29.2%, p<0.05), cardiogenic shock (32.2% vs. 15.5%, p<0.05) and in hospital mortality (6.8% vs. 1.1%, p<0.05) were significantly more in the patients with hyponatremia. The frequency of in hospital mortality, acute heart failure and arrhythmia progressively increased with increasing severity of hyponatremia. Logistic regression analysis showed low plasma sodium level was independently associated with in hospital mortality (â =2.13, P =0.027, OR = 8.388, 95% CI 1.268 - 55.488).
Conclusion: In this study on-admission hyponatremia significantly associated with high in-hospital adverse outcome in acute coronary syndrome patients.
Cardiovasc. j. 2019; 11(2): 139-146
Per-operative Changes of Pulmonary Artery Pressure following Closed Mitral Commissurotomy
Authors: Chowdhury Muhammed Abdul Quaium , Maruf Mohammad Fazle , Rahman Minhazur , Barua Subir , Rahman Mamunur , Hosain Suman Nazmul 
Published: March 2019

Background: Mitral stenosis is often present with pulmonary hypertension. Closed Mitral Commissurotomy (CMC) is a treatment of choice for severe mitral stenosis. In this study, we examined the per-operative changes of pulmonary artery pressure following opening of stenosed mitral valve.
Methods: All these CMCs were performed routinely through the left antero-lateral thoracotomy (4th intercostal space) and dilatation was done by metallic Tubb’s Dilator. Peroperative left atrial and Pulminary Arterial pressures were measured before and after dilatation.
Results: 15 patients had undergone CMC. Following CMC, per-operative mean Pulmonary artery pressure was reduced from 45.5±7.1 mm of Hg to 39.0±8.8 mm of Hg (p=0.043). Mean left atrial pressure reduced from 35.9±5.6 mm of Hg to 30.0±9.1 mm of Hg (p = 0.049). At three months follow up after closed mitral commissurotomy mitral valve area at echocardiography was found 2.29±0.18 cm2. There was no case of death after closed mitral commissurotomy. Mild mitral regurgitation occurred in 1 patient.
Conclusion: We conclude that there is immediate significant reduction of pulmonary Artery pressure following closed mitral commissurotomy. This reduction is apparently comparable with a similar reduction of left atrial pressure.
Cardiovasc. j. 2019; 11(2): 147-151
Myocardial Strain Imaging Using Two and Three-Dimensional Speckle Tracking Echocardiography: Clinical Applications
Authors: Haque Tuhin 
Published: March 2019

Cardiac function analysis is the main focus of echocardiography. Myocardial strain & strain rate imaging have emerged as a quantitative technique to accurately estimate myocardial function. In the last decade, two dimensional speckle tracking echocardiography (2DSTE) has gained popularity as a novel technique for strain & strain rate measurement. This technique has been found clinically useful in the assessment of cardiac systolic & diastolic function. 2D strain could potentially be used to differentiate disease from nondisease segments, for identifying early subclinical changes in various pathologies and to learn more about the various strain patterns indicative of specific disease types. A large number of studies have evaluated the role of 2DSTE in predicting the response to cardiac resynchronization therapy in patients with severe heart failure. Emerging areas of applications of 2DSTE include prediction of rejection in heart transplant patients, early detection of cardiotoxicity in patients receiving chemotherapy for cancer and effect of intracoronary injection of bone marrow stem cells on left ventricular function in patients with acute myocardial infarction. However, 2D imaging methods have limitations in assessing three dimensional (3D) cardiac motion. Experimental studies and clinical investigations revealed the reliability and feasibility of 3DSTE-derived data. In this review, the methodology, validation, and clinical application of both 2D &3DSTE have been discussed.
Cardiovasc. j. 2019; 11(2): 167-182
Pengaruh Terapi Latihan dan Massage terhadap Kasus Close Fraktur Humeri dextra 1/3 Distal dengan Pemasangan Skin Traction
Authors: Amanati Suci , Kuswardani Kuswardani , Marita Rose Ash Sidiqi 
Published: March 2019

Fraktur tertutup (Closed Fracture) 1/3 distal dextra adalah fraktur yang patahannya tidak menembus kulit luar dan mengenai bagian sepertiga distal lengan atas. Fraktur ini merupakan fraktur ekstraartikular dan ekstrakapsuler (Stanley, 2011). Terapi yang diberikan berupa terapi latihan (hold relax, passive movement, active movement) dan massage dengan pemasangan skin traction.
Tujuan penelitian ini untuk mengetahui bagaimana pengaruh massage dan terapi latihan dengan pemasangan skin traction terhadap rasa nyeri pada kasus close fraktur humeri dextra 1/3 distal. Jenis penelitian yang digunakan adlah quasi eksperiment, tipe Pre and Post Test Design, yaitu mengkaji tingkat nyeri sebelum dan sesudah terapi diberikan. Populasi adalah pasien penderita fraktur humeri 1/3 distal yang dirawat di RS Othopedi Prof. Dr. R. Soeharso Surakarta.
Teknik pengambilan sampel menggunakan purposive sampling, yaitu sebanyak 8 sampel. Waktu penelitian dilakukan pada tanggal 1-31 Januari 2016. Instrumen yang digunakan adalah skala nyeri pada Visual Analoque Scale (VAS). Ada 3 kategori nyeri, yaitu nyeri tekan, nyeri gerak dan nyeri diam. Hasil penelitian menunjukkan hilangnya nyeri diam dan penurunan nyeri tekan dan gerak. Hal ini berdasarkan rata-rata skala nyeri pada VAS, yaitu nyeri diam, sebelum terapi sebesar 1,88 menjadi 0,00 sesudah terapi; nyeri tekan, sebelum terapi sebesar 3,50 menjadi 1,13 sesudah terapi; dan nyeri gerak, sebelum terapi sebesar 5,43 menjadi 2,43 sesudah terapi.Perbedaan yang signifikan juga ditunjukkan dengan hasil uji t yang menunjukkan αhitung (0,000) < α(0,05), maka Ho ditolak dan Ha diterima. Hal ini berarti terapi latihan (hold relax, passive movement, active movement) dan massage dengan pemasangan skin traction berpengaruh terhadap rasa nyeri pada kasus close fraktur humeri dextra 1/3 distal.
Pengaruh Terapi Latihan terhadap Non-ST Elevation Myocardial Infraction (NSTEM) KILLIP IV
Authors: Kuswardani Kuswardani , Amanati Suci , Abidin Zainal 
Published: March 2019

Non-ST Elevation Myocardial Infarction (NSTEMI) adalah adanya ketidakseimbangan antara permintaan dan suplai oksigen ke myocardium terutama akibat penyempitan arteri koroner akan menyebabkan iskemia myocardium lokal. Survei Kesehatan Rumah Tangga (SKRT) Depertemen Kesehatan Republik Indonesia tahun 2004 menyatakan bahwa peringatanpenyakit cardiovaskular sebagai penyebab kematian semakin meningkat.
Rumusan masalah dalam penelitian ini adalah bagaimana pengaruh terapi latihan terhadap penderita Non-ST Elevation Myocardial Infarction (NSTEMI) Killip IV di RSUD Tugurejo Semarang. Populasi penelitian ini adalah pasien penderita Non-ST Elevation Myocardial Infarction (NSTEMI) Killip IV. Sampel penelitian ini menggunakan seluruh populasi, yaitu sebanyak 8 pasien yang secara keseluruhan diambil sebagai sampel penelitian. Pengumpulan data didapat dari pemeriksaan tanda-tanda vital (TTV). Hasil uji t menunjukkan Sig. = 0,000 (<0,05), maka Ho ditolak dan Ha diterima..
Hal ini berarti HR sebelum dan sesudah tindakan (terapi latihan) tidak sama. Berdasarkan hasil penelitian, dapat disimpulkan bahwa Terapi latihan dapat mengurangi derajat sesak napas, spasme otot pernapasan pada penderita Non-ST Elevation Myocardial Infarction (NSTEMI) Killip IV.
Pengaruh Infra Red dan Massage terhadap Bell’s Palsy Dextra
Authors: Abidin Zainal , Amin Akhmad Alfajri , Purnomo Didik 
Published: March 2019

Bell’s palsy adalah kelumpuhan nervus VII jenis perifer yang timbul secara akut yang penyebabnya belum diketahui, tanpa adanya kelainan neurologik lain. Data yang dikumpulkandari empat Rumah Sakit di Indonesia didapatkan frekuensi Bell’s Palsy sebesar 19,55% dari seluruh kasus neuropati dan terbanyak pada usia 21 - 30 tahun. Rumusan masalah dalampenelitian ini adalah pengaruh infra red dan massage pada bell’s palsy dextra. Populasi penelitian ini adalah pasien penderita bell’s palsy dextra.
Sampel penelitian ini menggunakanseluruh populasi, yaitu sebanyak 8 pasien yang secara keseluruhan diambil sebagai sampel penelitian. Pengumpulan data didapat dari pemeriksaan kekuatan otot wajah dengan manual muscle testing (MMT). Manual Muscle Testing (MMT) sebagai pemeriksaan kekuatan otot wajah. Hasil uji t menunjukkan Sig. = 0,000 (<0,05), maka Ho ditolak dan Ha diterima.
Hal ini berarti kekuatan otot wajah sebelum dan sesudah tindakan penggunaan infra red dan massage tidak sama. Berdasarkan hasil penelitian, dapat disimpulkan adanya pengaruh penggunaan infra red dan massage terhadap kekuatan otot wajah pada kasus Bell’s Palsy dextra.
Hubungan Riwayat Cidera Lutut Terhadap Pasien Yang Berpotensi Osteoarthritis Lutut Di Puskesmas Dinoyo Kota Malang
Authors: Rahmanto Safun , Aisyah Khaiyatul 
Published: March 2019

ABSTRAK
Latar belakang : Osteoartritis merupakan salah satu penyakit degenerative yang ditandai dengan hilangnya tulang rawan articular dan terjadi peradangan sinovial yang menyebabkan kekakuan sendi, nyeri dan kehilangan mobilitas sendi. Ada banyak faktor risiko osteoarthritis lutut, salah satunya adalah riwayat cidera lutut. Cidera lutut menurunkan kestabilan sendi lutut pada bantalan beban tubuh. Cidera lutut meningkatkan risiko osteoarthritis pada area kontak tibiofemoral dan tekanan pada cidera meniscal, sehingga menyebabkan unstabil sendi berupa ligament sprain dan lesi pada chondral atau dengan mengganggu sistem neuromuskular. Individu dengan riwayat trauma sendi 3-6 kali lebih berpotensi terjadinya osteoarthritis lutut. Dalam 5 tahun cedera, lutut mengalami perubahan struktural seperti, perubahan komposisi tulang rawan, dan perubahan pada struktur ulang. Tujuan Penelitian : Menganalisis hubungan antara riwayat cidera lutut terhadap pasien yang berpotensi osteoarthritis lutut di Puskesmas Dinoyo Kota Malang. etode Penelitian : Desain penelitian menggunakan Case Control Study dengan jumlah sampel 120 responden di Puskesmas Dinoyo Kota Malang yang diambil dengan metode Simple Random Sampling. Pengambilan data untuk mengetahui riwayat cidera lutut dinilai dengan kuesioner OA Risk C dan wawancara mendalam. Potensi adanya osteoarthritis lutut dinilai menggunakan pemeriksaan fisik, skala jette dan data sekunder dari Puskesmas Dinoyo Kota Malang. Hasil : Hasil penelitian dengan uji Chi-Square terhadap Riwayat cidera lutut dikaitkan dengan osteoarthritis lutut dalam penelitian ini didapatkan nilai signifikan lebih kecil dari alpha 5% (0,00 < 0,05) dengan Odds Ratio [OR= 5,82 (95% CI 2,54-13,35)]. Kesimpulan : Terdapat hubungan yang signifikan antara riwayat cidera lutut terhadap pasien yang berpotensi osteoarthritis lutut di Puskesmas Dinoyo Kota Malang dan orang yang memiliki riwayat cidera lutut berpeluang 5 kali lebih besar menderita osteoarthritis lutut daripada orang yang tidak memiliki riwayat cidera lutut.
Efektifitas Terapi Alternatif Antan Syifa Terhadap Perbaikan Visus Pada Penderita Kelainan Refraksi
Authors: Wahyudi Didik 
Published: March 2019

ABSTRAK
Latar Belakang ; Kebutuhan masyarakat akan kesehatan saat ini terus meningkat, mereka tidak hanya memanfaatkan layanan kesehatan kedokteran untuk proses penyembuhan darisuatu penyakit namun juga menngunakan jasa pengobatan alternatif yang biasanya relatif murah, mudah, tidak menakutkan.Keefektifan dan keamanan terapi alternatif mata ntukkelaian refraski belum dapat diketahui dan dipertanggung jawabkan keamananya dan keberhasilanya. Tujuan Mengetahui keberhasilan pengobatan alternatif anta syifa (AA) padapasien kelainan refraksi. Metode Jenis penelitian yang dilakukan ialah deskriptif yang bertujuan untuk menggam-barkan hasil terapi alternatife anta syifa terhap kelainan refraksi.Penelitian ini dilaksanakan pada bulan oktober hingga desember 2017 dan tempat penelitian di terapi alternatif Anta Syifa Semarang. Hasil: Ada keberhasilan terapi alternatif padakelainan refraksi myopia dan hypermetop ringan, tidak ada keberhasilan untuk myopia sedang, tinggi, serta astigmatisme. Kesimpulan : Perlu dilakukan penelitian lanjutan tentangkeefektifan dan keamanan metode pengobatan alternatif yang digunakan dengan jumlah sampel yang besar dan waktu yang lebih lama.

ABSTRACT
Background ; Today's public health needs continue to increase, they not only utilizes medical health services for the healing process of an illness but also uses alternative medical services which are usually relatively cheap, easy, not scary. The effectiveness and safety of alternative therapies cannot be known and accountable for their safety and success. Objective To find out the success of alternative treatment for antifaifa (AA) in refractive disorders patients. Methods The type of research conducted was descriptive which aimed to describe the results of alternative therapies between syifa and refractive abnormalities. This research was conducted from October to December 2017 and the research site was on alternative therapy at Anta Syifa Semarang. Results: There are successful alternative therapies for refractive myopia and mild hypermetop abnormalities, no success for moderate, high myopia, and astigmatism. Conclusion: Further research is needed on the effectiveness and safety of alternative treatment methods used with large sample sizes and longer time periods.
The Weaknesses of OSHA 1994 Implementation in Malaysian Construction Industry
Authors: Affandi Rohaida , Chia Hock Tai 
Published: March 2019

Statistics from Department of Occupational Safety and Health (DOSH) Malaysia indicated that the construction sector suffers the highest level of occupational accident and fatalities almost every year. To overcome this problem, the government has come out with a legislative framework and action plans to deal with this situation. The study aims to identify the weaknesses of Malaysian employers and employees in implementing Occupational Safety and Health (OSHA 1994) in the construction industry and to highlight the responsibilities of both parties to comply as far as practicable of safety and health in construction site. Data were obtained via literature reviews and conducting workplace inspection. There is a high degree of consensus on the two important parties in assuming safety and health responsibilities who are employer and employee. The results indicate the weaker areas done by employers were: General duties of employers and self-employed persons to their employees; Duty to formulate safety and health policy; General duties of employers and self-employed persons to persons other than their employees; and Duties of occupier of a place of work to persons other than his employees. While the weaker areas done by employees were: General duties of employees at work; and Duty not to interfere with or misuse things provided pursuant to certain provisions. Thus, the suggestion for improvement towards safety and health practices was proposed according to the Master Plan (2005 – 2010) which introduced by CIDB. Therefore government bodies, contractors and consultants mostly agree on several stipulations under the Master Plan (2005 – 2010) subdivisions which are: Enforcement and Legislation; Education and Training; and Research, Development and Technology are the suggested areas of concern in which safety and health practices can be improved within the construction industry.